Medicare Savings Programs

The Medicare Savings Programs consist of of three programs that will at a minimum pay the 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. More information is available on Extra Help, including required support documentation
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 2016 monthly income is below $1,001 (up to $1,348 for a couple) and with resources less than $8,780 ($13,930 for a couple), Medicaid will pay the Medicare Part A deductible ($1,288 for 2016), the Medicare Part B deductible ($166 for 2016), the 20% co-payments for physician visits and the Medicare Part B premium (varies between $104.90 and $121.80 in 2016).

To apply for benefits complete the Colorado Medicaid PEAK application or download  a paper application. The paper 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 may 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 2016 monthly income is between $1,002 and $1,197 (up to $1,613 for a couple) and with resources less than $8,780 ($13,930 for a couple), Medicaid will pay the Medicare Part B premium (varies between $104.90 and $121.80 in 2016). 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 PEAK application or download  a paper application. The paper 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 2016 monthly income is between $1,198 and $1,345 (up to $1,813 for a couple) and with resources less than $8,780 ($13,930 for a couple), Medicaid will pay the Medicare Part B premium (varies between $104.90 and $121.80 in 2016). 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 PEAK application or download  a paper application. The paper 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.