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The Qualified Medicare Beneficiary (QMB) Program is one of the four Medicare Savings Programs that allows you to get help from your state to pay your Medicare premiums. This Program helps pay for Part A premiums, Part B premiums, and deductibles, coinsurance, and copayments.
In order to qualify for QMB benefits you must meet the following income requirements, which can also be found on the Medicare Savings Programs page: Individual monthly income limit $1,060. Married couple monthly income limit $1,430. Individual resource limit $7,730.
Medicare Savings Programs (MSPs) Qualification at a Glance 2024 Program/BenefitsIncome Limits Qualified Medicare Beneficiary (QMB) Premiums for Parts A B Deductibles for Parts A B Coinsurance for Parts A B Single: $1,255/mo., $15,060/yr.* Couple: $1,704/mo., $20,440/yr.*4 more rows
Qualified Medicare Beneficiary (QMB) Program Helps pay for: Part A premiums; Part B premiums, deductibles, coinsurance, and copayments (for services and items Medicare covers).
How is the QMB program different from Medicaid? Medicaid, also known as Medical Assistance or QMB Plus, provides benefits for services not normally covered by Medicare. QMB, which is partial Medicaid, helps pay for services only if they are covered by Medicare.
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In 2024, the maximum gross income for an individual in Texas is $1,235, and for a couple, its $1,663. If you and your spouse are applying for QMB, you should use the maximum gross monthly income limit for a couple.
People in QMB automatically qualify for Extra Help, a Medicare program that helps pay for your Part D prescription drug plan. Extra Help could cover your premium, deductible, and reduce your prescription copays to no more than $3.70 for generic and $9.20 for brand name prescription medications.

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