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Qualified Medicare Beneficiary

(Updated Jan. 25, 2024)

QMB pays for Medicare Part A (not everyone pays a premium) & Part B premium, annual deductible, and per visit co-pay charge for all Medicare covered services. If a Medicare beneficiary is approved for QMB, their Social Security check will not have the Part B premium amount deducted. There is no estate recovery in Illinois. Apply in Illinois through the ABE website online or a paper MSP application. The applicant must be enrolled in at least Medicare Part A and meet the eligibility guidelines below.

Some states exempt these income sources:

  • First $25 of monthly income and/or the first $20 of SSI income
  • First $65 monthly of earned wages
  • One-half of monthly wages after the $65 is deducted
  • SNAP (formerly called food stamps)

In all states, these assets are not counted:

  • Primary house
  • One car
  • Household goods and wedding/engagement rings
  • Burial plot
  • Up to $1,500 for burial expenses if money is put aside

The monthly income limits are 100% of the poverty level, although many states disregard some income. These figures may change if the poverty level changes.

Sources: Medicare Savings Programs and in IL: WAG 25-03-02-(2)

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