Medicare and Medicaid

Medicare Savings Programs: QMB, SLMB, QI and QDWI (2026 Limits)

Help paying Medicare premiums and cost sharing, run by your state Medicaid agency. What each program pays and the 2026 federal limits.

Last updated October 23, 2026 · 7 min read

An older couple at a dining table at home, one writing in a notebook and one using a calculator

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.

2026 monthly income limits for the Medicare Savings Programs
2026 monthly income limits, Medicare Savings Programs (Medicare.gov)
ProgramSingleMarried
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

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.

Continue learning

Questions about help with Medicare costs?

A licensed agent can explain how a Medicare Savings Program works with the plans they offer in your area. Your state Medicaid agency handles the application.

Or call (954) 601-3544.

Educational content. Insurance products are subject to underwriting; rates and availability vary by health, age, state, and carrier. Licensed Insurance Advisor | NPN: 19291077 | Licensed in 25+ states.