The Medicare Limited Income Subsidy is a federal program designed to help people with limited sources pay for their Medicare premiums. A person who qualifies for the program may or may not qualify for his state’s Medicaid program. State governments have tried to push the cost of healthcare onto more private insurers and the federal government in recent years. A person who can get Medicare who qualifies for Medicaid is usually expected to apply for the subsidy to help reduce the cost on the state.
The federal government posts the guidelines on Medicare.gov. The overall limits depend on a person’s income and the number of people in their household. A married couple has a slightly higher cap to qualify for the program than a single person does. In general, anyone who makes under $13,000 can get the Medicare limited income subsidy, although the guidelines do change frequently. A person over the limit may not qualify for help from the government, but local Areas on Aging may help a person connect to sources that can help him meet the financial needs.
The Medicare limited income subsidy will pay some or all of a patient’s premiums for Part B and D. It does not pay premiums Medicaid may require, although Medicaid often falls under a person’s secondary payer. How much of a person’s premiums the subsidy pays depends on how close to the income limit a Medicare recipient is. If a person who is insured by the program does not know if he qualifies, he should apply anyway. He will get turned down, but if he knew he was on the borderline for coverage a few years ago, he may find he is under the cap now.