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Centers for Medicare & Medicaid Services / State Medicaid Agencies

Medicare Savings Programs

Medicare Savings Programs (MSPs) are state Medicaid programs that help low-income Medicare beneficiaries pay for Medicare premiums, deductibles, coinsurance, and copays. The four MSP levels — Qualified Medicare Beneficiary (QMB), Specified Low-Income Medicare Beneficiary (SLMB), Qualifying Individual (QI), and Qualified Disabled Working Individual (QDWI) — each cover different Medicare cost-sharing based on income. QMB participants may not be billed by Medicare providers for cost-sharing, even if the provider doesn't accept Medicaid.