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low-income seniors, Medicare offers programs to help reduce healthcare costs

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For low-income seniors, Medicare offers programs to help reduce healthcare costs:​

1. Medicare Savings Programs (MSPs):

MSPs assist with Medicare premiums and out-of-pocket expenses. Florida offers three main MSPs:​floridainsuranceguide.com+1medicareresources.org+1

  • Qualified Medicare Beneficiary (QMB) Program: Helps pay for Part A and Part B premiums, deductibles, coinsurance, and copayments. In 2025, the monthly income limit is $1,325 for individuals and $1,783 for married couples, with resource limits of $9,660 and $14,470, respectively. ​medicare.gov

  • Specified Low-Income Medicare Beneficiary (SLMB) Program: Covers Part B premiums. Income limits are $1,585 per month for individuals and $2,135 for married couples, with the same resource limits as the QMB program. ​simplyhealthcareplans.com+2medicare.gov+2benefitscheckup.org+2

  • Qualifying Individual (QI) Program: Also assists with Part B premiums but is granted on a first-come, first-served basis. Monthly income limits are $1,781 for individuals and $2,400 for married couples, with the same resource limits as above. ​benefitscheckup.org+1medicare.gov+1medicare.gov

2. Extra Help (Low-Income Subsidy) Program:

This federal program helps pay for Medicare Part D prescription drug costs, including premiums, deductibles, and copayments. Eligibility depends on income and resource limits, which are slightly higher than those for MSPs. In 2025, individuals with annual incomes below $22,590 and married couples below $30,660 may qualify. ​ncoa.orgfloridainsuranceguide.com+3medicare.gov+3simplyhealthcareplans.com+3medicare.gov

Application Process:

  • Medicare Savings Programs: Apply through the Florida Department of Children and Families (DCF):​

    • Online: Visit the ACCESS Florida website.​bals.org

    • By Phone: Call the DCF customer service at (866) 762-2237. ​bals.org

  • Extra Help Program: Apply through the Social Security Administration:​simplyhealthcareplans.com

For personalized assistance, contact the SHINE (Serving Health Insurance Needs of Elders) program by calling the toll-free Elder Helpline at (800) 963-5337. ​

 
 
 

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