If you have Medicare and your monthly income and resources meet one of the standards given below, the state of Oklahoma may help pay your Medicare Part A and B premiums. Income and resource limits for all medical programs can be found on Appendix C-1 (.pdf, 8 pp, 316 KB).
Keep in mind:
- If you have Medicare Part B, your premium is taken out of your Social Security check each month. Add this amount to your Social Security check to see if your current income is within the limits.
- If you have employment income, more than half of it -- before taxes -- does not count toward the limit.
- Resources are things you own such as checking and savings accounts, certificates of deposit (CDs), cash value of life insurance, stocks, bonds and real estate.
- Some things you own don't count toward your resource limit, such as your home and furnishings, your car, pre-paid funeral trusts up to $10,000. When you meet with a worker, he or she will go over all your resources with you to determine what is considered toward your eligibility.
There are 4 levels of help available:
- Qualified Medicare Beneficiary (QMB)
- QMB pays your Medicare premiums, coinsurance and deductibles as well as 6 prescription drugs per month and other medical services.
- Maximum Income and Resources: Appendix C-1 Schedule VI
- Specified Low-Income Medicare Beneficiary (SLMB)
- SLMB pays your Medicare premiums.
- Maximum Income and Resources:Appendix C-1 Schedule VII
- Qualified Individuals (QI)
- QI pays your Medicare premiums
- Maximum Income and Resources: Appendix C-1 Schedule VII.a
How do I apply?
You may visit or call your OKDHS Human Services Center to apply for help in paying your Medicare Part A and B premiums.
You will need to complete an application form and participate in an interview. The interview can take place in person or over the telephone. Within 30-60 days, you will receive a notice in the mail that tells you if your application was approved.