Medicare Savings Program

• Do you know there is a State program that will help you pay your Medicare Part B Premium?
• Eligibility is based on income only for this program
• Download Medicare Savings Program brochure
  Adobe PDF (*free viewer)

Medicare Savings Program

• You can save $96.40/month (in 2009) and maybe more if you:
  • Have Medicare Hospital Insurance (Part A)
  • Have a low income
• Sometimes one spouse can be eligible even if the couple’s combined monthly is over $2,347. Ask about special rules for couples.
• Couples Benefit Checklist (Microsoft Word*) or (Adobe PDF*) (*free viewer)
• Individuals Benefit Checklist (Microsoft Word*) 0r (Adobe PDF*) (*free viewer)
• Medicare Savings Calculator

• You don't have to come in person to a DHHS office The application form is short and simple You can mail in your application
• Get your application form from:
  • Area Agencies on Aging
  • Community Action Programs
  • One of the DHHS District Offices

For information on where to get help and an application, call:

• Voice: 1(800)262-2232
• TTY: 1(800)606-0215 (Toll Free)