Medicare Premium Assistance Program (MPAP)

A program that helps people with low income and low resources pay for their Medicare expenses, such as Medicare Part A and B premiums, coinsurance, and deductibles. There are four Medicare Premium Assistance Programs:
  • The Qualified Medicare Beneficiary (QMB) program helps people with countable income at or below 100% of the Federal Poverty Guidelines (FPG) ($1,041 per month if you live alone). QMB helps pay for your Part B premium, copayments, and deductibles.
  • The Specified Low-Income Beneficiary (SLMB) program helps people with countable income that’s more than 100% of FPG, but at or below 120% of FPG ($1,249 per month if you live alone). SLMB helps pay for the Part B premium but does not help with anything else.
  • The Qualified Individual-1 (QI-1) program helps people with countable income that’s more than 120% of FPG, but at or below 135% of FPG ($1,405 per month if you live alone). QI-1 helps pay for the Part B premium but does not help with anything else.
  • The Qualified Disabled Working Individual (QDWI) helps people who have lost their SSDI benefits because they earn more than the substantial gainful activity (SGA) level ($1,220 per month), but have countable income at or below 200% of FPG ($2,082 per month if you live alone). It lets you stay on Medicare Part A even though you don’t get SSDI anymore and it will pay for the Part A premium that would otherwise apply.

You can apply for any of these by filling out the MPAP ODM Form 07216 and submitting it to your local County Department of Job and Family Services (CDJFS) office.