If you live in New York and have limited income, you might get help with your healthcare costs through Medicare Savings Program (MSP) or Medicaid.

Medicare Savings Programs

Qualifying Individual (QI):

  • Pays for your Medicare Part B monthly payment
  • Can pay you back for up to three months of Part B payments you already made (within the same year)
  • You can't have both QI and Medicaid

Qualified Medicare Beneficiary (QMB):

  • Covers Medicare monthly payments
  • Doctors and hospitals can't charge you extra fees for Medicare services (like copays and deductibles)
  • You can have both QMB and Medicaid

How to apply: If you meet the income limits and live in New York, you can apply through the Medicare Rights Center at 800-333-4114, or your local Medicaid office (Department of Social Services).

What you need: A signed application and copies of documents like your Social Security card, Medicare card, ID, proof of address, and income.

If denied: You can request a fair hearing to challenge the decision.

Medicaid

What it covers:

  • Health coverage for people with limited income and money
  • When you have both Medicare and Medicaid, Medicare pays first, then Medicaid may help with leftover costs
  • May cover services Medicare doesn't, like dental and vision care
  • You might also qualify for QMB, which covers your Part B monthly payment

How to apply: Contact your local Medicaid office

Income too high? You might still qualify through "spend-down." Contact your local Medicaid office to learn more.

Extra benefit

If you get an MSP, you'll automatically get Extra Help - a federal program that helps pay for Medicare prescription drug costs.

Bottom line: If you qualify, these programs can help reduce your healthcare costs. Reach out and apply to get the support you need.

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Last Reviewed: November 5, 2023