Let’s start with a program that helps pay premiums and out-of-pocket costs for Medicare Parts A and B. The Medicare Savings Program has several benefit levels for people based on income and assets. At its most generous, the program will pay your Part A and B premiums and pretty much all your Medicare deductibles, coinsurance and copayments. At its least generous, the program will pay just your Part B premium.
To qualify for a MSP, the minimum standard set by Medicare is an income under 135 percent of the federal poverty level, which at the moment works out to around $1,426 a month for individuals (or $1,923 for married couples). Everything counts toward income, including payouts from 401(k) plans, pensions, Social Security and help from family members.
Medicare also allows states to impose an asset test, which can be as little as $7,730 per individual ($11,600 for married couples), not counting your house or car but counting retirement savings and bank accounts.
Some states have made MSP programs a lot more generous, with much higher income limits and in some cases no asset tests at all. And the program may be called something else in your state. To find out if you qualify or to apply, contact your state Medicaid program. Visit Medicare.gov/contacts or call all 800-633-4227 for contact information.
Medication extra help
For help with Medicare (Part D) prescription drug plan costs, there is another completely separate program called Extra Help. To get it, you’ll need to apply through your local Social Security office.
Depending on how low your income is, this program will pay part or all of your Part D prescription drug plan’s monthly premiums, annual deductibles and prescription co-payments. In 2019, individuals with a yearly income below $18,735 ($25,365 for a married couple) and assets under $14,390 ($28,720 for a married couple) can qualify for Extra Help.
If you’re eligible to be in a Medicare Savings Program, you will automatically qualify for Extra Help. Because the requirements are slightly different, even if you don’t qualify for a Medicare Savings Program for Part B you might be able to get Extra Help for Part D. For more information or to apply, visit SSA.gov/extrahelp or call Social Security at 800-772-1213.
Depending on your income level, needs and location there are many other financial assistance programs that can help like Medicaid, Supplemental Security Income, Program of All-inclusive Care for the Elderly, Supplemental Nutrition Assistance Program, Low Income Home Energy Assistance Program and others.
To help you find out what types of assistance programs you may be eligible for, and learn how to apply for them, go to BenefitsCheckUp.org. This is a free, confidential Web tool designed for people age 55 and older that contains more than 2,500 programs.
It’s also possible to get help in person at one of the 87 Benefits Enrollment Centers scattered across the U.S. Call 888-268-6706 or visit NCOA.org/centerforbenefits/becs to locate a center in your area. Some centers also offer assistance over the phone.