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Medicare Savings Programs


The Medicare Savings Programs consist of of three programs that will at a minimum pay the $104.90 (2013) monthly Medicare Part B premium for eligible seniors; it will also pay the higher premium for other reasons such as late enrollment. For those with lower incomes, coverage may also include Medicare Part A and B deductibles, co-payments and co-insurance. Individuals are also automatically enrolled in the Medicare Part D Extra Help (also known as the Low Income Subsidy) which provides assistance with prescription costs. For more information on Extra Help, including required support documentation, please click here.
Listed below are the programs. If you qualify for any of the programs, you can apply by completing the Colorado Medicaid application and checking the box for 'Medicare Savings Program'.




Qualified Medicare Benefit (QMB)

For those individuals whose 2013 monthly income is between $730 and $931 (up to $1,261 for a couple) and with resources less than $8,580 ($13,620 for a couple), Medicaid will pay the Medicare Part A deductible ($1,184 for 2012), the Medicare Part B deductible ($147 for 2013), the 20% co-payments for physician visits and the Medicare Part B premium of $104.90 for 2013.

To apply for benefits, complete the Colorado Medicaid application. The application should be submitted to the local county department of social services.
The department has 45 days to process the application from receipt though retroactive benefits may be awarded in some special cases. The applicant should receive a Medicaid card after approval and will be enrolled in Medicare Extra Help (though will have to provide verification documentation separately).

If you require assistance with completing an application, have questions about eligibility or would like counseling on whether to apply for the program, contact us at 303-333-3482.




Special Low-income Medicare Benefit (SLIM-B)

For those individuals whose 2012 monthly income is between $932 and $1,117 (up to $1,513 for a couple) and with resources less than $8,580 ($13,620 for a couple), Medicaid will pay the Medicare Part B premium ($104.90 for 2013). Applicants will not receive a Medicaid card or services through Medicaid. The applicant will be enrolled in Medicare Extra Help (though will have to provide verification documentation separately).

To apply for benefits, complete the Colorado Medicaid application. The application should be submitted to the local county department of social services.
The department has 45 days to process the application from receipt though retroactive benefits may be awarded in some special cases.

If you require assistance with completing an application, have questions about eligibility or would like counseling on whether to apply for the program, contact us at 303-333-3482.




Qualifying Individual 1 (QI-1)

For those individuals whose 2013 monthly income is between $1,118 and $1,256 (up to $1,702 for a couple) and with resources less than $8,580 ($13,620 for a couple), Medicaid will pay the Medicare Part B premium ($104.90 per month for 2013). Applicants will not receive a Medicaid card or services through Medicaid. The applicant will be enrolled in Medicare Extra Help (though will have to provide verification documentation separately).

To apply for benefits, complete the Colorado Medicaid application. The application should be submitted to the local county department of social services.
The department has 45 days to process the application from receipt though retroactive benefits may be awarded in some special cases.

If you require assistance with completing an application, have questions about eligibility or would like counseling on whether to apply for the program, contact us at 303-333-3482.

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