![]() Funding is limited, so these benefits are first come, first served. To get help from this program, you must reapply for benefits every year. If your income is too high for QMB and SLMB, you might qualify for QI. The Qualifying Individual (QI) program only helps pay for Part B premiums, not the Part A premium or other cost sharing.You can apply through the Social Security Administration. The Extra Help program is designed to help people with limited resources pay for Part D prescription drug plan premiums, deductibles and copays. You also automatically qualify for Extra Help for prescription drugs. If your income is too high to qualify for the QMB program, you might qualify for this one. The Specified Low-Income Medicare Beneficiary (SLMB) program helps pay for only Part B premiums, not the Part A premium or other cost sharing.This program has the lowest income threshold of the four. If you qualify for this program, you automatically qualify for the Extra Help prescription drug program to help you with the out-of-pocket costs of your medicines. The Qualified Medicare Beneficiary (QMB) program helps pay for Part A and Part B premiums as well as deductibles, coinsurance and copays. ![]() Each program has specific income and asset limits and eligibility requirements that are adjusted annually. Other programs are designed for beneficiaries with incomes that are too high to qualify for Medicaid but who still have trouble paying their health care bills. Individuals on both Medicare and Medicaid are known as “dual eligibles.” If you qualify for Medicaid, the federal-state health insurance program for people with low incomes and individuals with disabilities, it will pay some or all of your out-of-pocket expenses. If you’re struggling to meet those expenses, you might be eligible for federal and state assistance. Medicare’s out-of-pocket costs - premiums, deductibles, copays and coinsurance - can easily result in a large tab each year.
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