Learn more about Medicaid, a joint federal and state program that helps with medical costs like nursing home care and personal care services, for some people with limited income and resources. You may be eligible for extra help paying for Medicare prescription drug coverage (Part D), even if your income exceeds Medicaid income levels, under the spend down rules if you are medically needy.
Learn about programs in your state that help pay your Medicare premiums, your Medicare Part A (hospital insurance) and Medicare Part B (medical insurance) deductibles, coinsurance, and copayments, and Medicare prescription drug coverage costs. You may qualify for the Qualified Medicare Beneficiary (QMB) Program, Specified Low-Income Medicare Beneficiary (SLMB) Program, Qualifying Individual (QI) Program, or Qualified Disabled and Working Individuals (QDWI) Program, even if your income and resources are higher than the state limits.
PACE (Program of All-inclusive Care for the Elderly) is a Medicare and Medicaid program that helps people meet their health care needs in the community instead of going to a nursing home or other care facility. PACE covers adult day primary care, dentistry, emergency services, home care, hospital care, laboratory/x-ray services, meals, medical specialty services, nursing home care, nutritional counseling, occupational therapy, physical therapy, prescription drugs, Part D covered drugs, preventive care, social services, caregiver training, support groups, respite care, social work counseling, and transportation if medically necessary.
Learn how you may qualify for extra help from Medicare to pay the costs of Medicare prescription drug coverage if you meet certain income and resource limits. If you have Medicaid, get help paying your Part B premiums (Medicare Savings Program), or get Supplemental Security Income (SSI) benefits, you automatically qualify for extra help. Contact your state Medicare Assistance (Medicaid) office for more information.
Learn about programs in Puerto Rico, the U.S. Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa to help people with limited income and resources pay their Medicare costs. Programs vary in these areas.
Find out the level of extra help you may get to cover costs of medication with Medicare prescription drug coverage (Part D) by providing a purple notice from Medicare saying you qualify for extra help, a yellow or green automatic enrollment notice from Medicare, an extra help Notice of Award from Social Security, an orange notice from Medicare about your copayment, or your Supplemental Security Income (SSI) award letter. You may also submit proof that you have Medicaid and live in an institution or get home and community-based services, a copy of your Medicaid card, or a document from your state showing you have Medicaid.
The Children's Health Insurance Program (CHIP) provides free or low-cost health coverage for more than 7 million children up to age 19. CHIP covers U.S. citizens and eligible immigrants.
The Supplemental Security Income (SSI) program pays benefits to disabled adults and children who have limited income and resources. SSI benefits also are payable to people 65 and older without disabilities who meet the financial limits.