What Are the Financial Qualifications for Medicaid, Medicare Savings Program and Supplemental Security Income?


Quick Answer

Medicaid qualification requires income of less than 133 percent of the federal poverty level, indicates Medicaid.gov. The Medicare savings program requires monthly income of less than $1,197 for individuals and $1,613 for married couples. Social Security income requires monthly income below $733, which is the federal benefit level, explains Nolo.

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Full Answer

Some states offer enhanced eligibility for Medicaid, which allows individuals with incomes over 133 percent of the federal poverty level, or FPL, to claim benefits, Medicaid.gov explains. Individuals can inquire about their state's individual qualification levels at their local Medicaid office. As of 2015, the FPL is income below $11,770 per year for individuals and below $24,250 for a family of four, according to Healthcare.gov.

Under the Medicare savings program, the states help qualified individuals pay Medicare premiums, Medicare.gov explains. The Medicare savings program also pays deductibles, coinsurance and copayments to individuals who meet additional qualification standards. Applicants who do not qualify for the program according to the income requirements for the specified low-income Medicare beneficiary program may qualify for the program under the requirements for the qualified Medicare beneficiary program, qualified individual program, or the qualified disabled and working people programs. Married couples have a higher income eligibility limit for SSI qualification than individuals. They qualify with household incomes of up to $1,100 per month.

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