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Health Care Reform:

Health Insurance & Affordable Care Act

Financial Aid for Medicare

You may need help paying for Medicare. The program has monthly premiums for Part B (doctor's visits) and Part D (prescription drugs), deductibles, and copays each time you get care. If you can't afford them, you may qualify for financial aid to pay all or part of these costs. In most states, you qualify for help based on how much money you make each year and your financial assets -- how much money you've saved or have invested.

Aid programs include:

  • Medicare Savings Programs. This can help pay for doctor visits, tests, hospital costs, and more.
  • Part D Extra Help. This covers your prescription drug costs.
  • Medicaid . This covers many medical costs and services. It's run by the state where you live.

The three main programs to help pay for Medicare cover some of the same things. But they cover different types of care and services, too. To qualify, you have to meet different rules for each one. Look at each one carefully to decide what is best for you.

Medicare Savings Programs

These state programs may help pay for your monthly Medicare premiums, copayments, and more. They're open to certain people with low incomes.

You should be able to save on your out-of-pocket costs. How much you save will vary depending on the state you live in.

The programs are:

  • The Qualified Medicare Beneficiary Program, which helps with Part B premiums and Part A and Part B deductibles, coinsurance, and copays.
  • The Specified Low-Income Medicare Beneficiary Program, which helps with Part B premiums.
  • The Qualifying Individual Program, which also helps with Part B premiums.
  • The Qualified Disabled and Working Individuals Program, which helps with Part A premiums. Although most people do not have to pay a premium for Part A, some people who are under age 65 may lose their premium-free Part A benefits when they return to work. This program can help pay that premium.

Whether you qualify depends on your income and assets. To find out if you qualify, go to to see the income limits for each of the programs.

To apply, call your state's medical assistance office. To get your local number, call 800-MEDICARE (800-633-4227) or visit

Part D Extra Help

This can help pay for the Part D monthly fee and the cost of prescriptions. You may be able to pay as little as $2.55 for generic drugs and $6.35 for brand-name drugs that are covered by the program.

To qualify, your yearly income for 2014 must be less than $17,505 for one adult or $23,595 for a couple.

Your assets, which include savings, stocks, or bonds, must be less than $13,440 if you're only getting coverage for yourself, and less than $26,860 for a couple. These values are for 2014 and may change in 2015.

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