By Alexander James, Licensed Independent Insurance Agent · NPN 19291077
Part of our guide to Medicare and Medicaid together.
What each program pays and the 2026 limits
The table shows Medicare.gov's 2026 monthly income limits. They include a $20 income disregard, so many states publish figures $20 lower (for example $1,330 single for QMB). Limits are slightly higher in Alaska and Hawaii.
| Program | Single | Married |
|---|---|---|
| QMB | $1,350 | $1,824 |
| SLMB | $1,616 | $2,184 |
| QI | $1,816 | $2,455 |
Source: Medicare.gov, “Medicare Savings Programs” (2026 monthly limits, including the $20 income disregard). Limits are slightly higher in Alaska and Hawaii.
Medicare Savings Programs: 2026 monthly income limits (Medicare.gov)
QMB
- What it pays
- Part A premium (if you owe one), Part B premium, deductibles, coinsurance, copays
- Single
- $1,350
- Married
- $1,824
SLMB
- What it pays
- Part B premium
- Single
- $1,616
- Married
- $2,184
QI
- What it pays
- Part B premium (apply every year; first-come first-served)
- Single
- $1,816
- Married
- $2,455
QDWI
- What it pays
- Part A premium for certain working people with disabilities
- Single
- $5,405
- Married
- $7,299
| Program | What it pays | Single | Married |
|---|---|---|---|
| QMB | Part A premium (if you owe one), Part B premium, deductibles, coinsurance, copays | $1,350 | $1,824 |
| SLMB | Part B premium | $1,616 | $2,184 |
| QI | Part B premium (apply every year; first-come first-served) | $1,816 | $2,455 |
| QDWI | Part A premium for certain working people with disabilities | $5,405 | $7,299 |
2026 resource limits. For QMB, SLMB and QI the federal resource limit effective January 1, 2026 is $9,950 for a single person and $14,910 for a married couple. For QDWI it is $4,000 single and $6,000 married. Some states choose to waive the resource limit; others, like Michigan, say an asset test applies.
Limits for 2027 have not been published yet. They are tied to the federal poverty guidelines, which usually come out early in the year.
Apply through your state, even if you are close
Medicare Savings Programs are run by state Medicaid agencies. You apply to your state, not to Medicare and not through a Medicare plan. Medicare.gov encourages people to apply even if their income is above the federal figures, because states can disregard some income and resources.
QI has two extra rules: you must apply every year, and help is given first-come first-served. You cannot get QI if you qualify for other Medicaid.
Two protections worth knowing
QMB billing protection
Medicare providers may not bill people in the QMB program for Medicare-covered deductibles, coinsurance or copays.Automatic Extra Help
Being in QMB, SLMB or QI (the programs that pay your Part B premium) means you get Extra Help with drug costs automatically.
Help from a Medicare Savings Program is also excluded from Medicaid estate recovery under federal law, which our long-term care basics explain.
How a Medicare Savings Program fits with plan choices
If you qualify only for a Medicare Savings Program, you are often called a “partial dual.” Your options for Medicare plans, including D-SNPs, depend on your state's rules. Our guide to full versus partial dual eligibility explains why.
FAQ
Frequently asked
Sources
Each page was read on October 23, 2026.
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