us-or/guidance/odhs/medicare-savings-programs

(2026)ODHS Aging and Disability Services: Help Paying Medicare Costs (Medicare Savings Programs), 2026 income limits#

(2026)(block-1)Medicare Savings Programs#

There are four different Medicare Savings Programs to help people pay their Medicare costs. If you have Medicare Part A (hospital insurance benefits) you may qualify for one of these programs. Which program you qualify for depends on your income. There are no asset limits for these programs in Oregon.

Who is eligible Programs How to apply Medicare help

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Medicare is a national health insurance program for people who are age 65 and older or meet other requirements.

(2026)(block-2)Who is eligible#

You must have Medicare Part A (hospital insurance benefits).

Your income must be within certain limits. Income limits go up each year in March.

(2026)(block-3)

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(2026)ODHS Aging and Disability Services: Help Paying Medicare Costs (Medicare Savings Programs), 2026 income limits#

(2026)(block-1)Medicare Savings Programs#

There are four different Medicare Savings Programs to help people pay their Medicare costs. If you have Medicare Part A (hospital insurance benefits) you may qualify for one of these programs. Which program you qualify for depends on your income. There are no asset limits for these programs in Oregon.

Who is eligible Programs How to apply Medicare help

English

Español (Spanish)

简体中文 (Chinese Simplified)

繁體中文 (Chinese Traditional)

한국어 (Korean)

Română (Romanian)

Русский (Russian)

Af Soomaali (Somali)

Tiếng Việt (Vietnamese)

Medicare is a national health insurance program for people who are age 65 and older or meet other requirements.

(2026)(block-2)Who is eligible#

You must have Medicare Part A (hospital insurance benefits).

Your income must be within certain limits. Income limits go up each year in March.

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Programs

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* The income limits below are for March 2026 through February 2027.

(2026)(block-4)Qualified Medicare Beneficiary (QMB) Program#

Helps pay for: Medicare Part A and Part B premiums, deductibles and co-insurance.

Monthly income limit*: $1,330 for an individual and $1,804 for a couple (100% of the federal poverty level).

(2026)(block-5)Qualified Disabled Working Individual (QDWI) Program#

Helps pay for: Medicare Part A premiums only.

Monthly income limit*: $2,660 for a single person and $3,607 for a couple (200% of the federal poverty level).

Note: This program is for disabled workers who lost Social Security disability benefits because they are working and are not eligible for another Medicaid program. Most people in Oregon are not eligible for QDWI because we have the Employed Persons with Disabilities (EPD) program . EPD provides full Medicaid benefits.

(2026)(block-6)Specified Low-Income Medicare Beneficiary (SLMB) Program#

Helps pay for: Medicare Part B premiums.

Monthly income limit*: $1,596 for individuals or $2,164 for a couple (120% of the poverty level).

(2026)(block-7)Qualifying Individual (QI) Program (also called SMF benefit)#

Helps pay for: Medicare Part B premiums.

Monthly income limit*: $1,796 for an individual and $2,435 for a couple (the federal government mandates services for people with incomes between 120% and 135% of the poverty level).

We are only allowed to serve a certain number of people each year for the SMF benefit. Unfortunately, we must shut down enrollment if we reach our limit. If you are eligible for any other Medicaid benefit offered by the State of Oregon, you are not eligible for the SMF benefit.

Note: In most states, this program is called the Qualifying Individual (QI) program. In Oregon, this is called the SMF benefit.

(2026)(block-8)How to apply#

There are several ways to apply for Medicare Savings Programs.

Contact your local ODHS office

Call the Aging and Disability Resource Connection ( ADRC ) at 855-673-2372

Apply online at one.oregon.gov

If you would like an application mailed to you, call the ONE Customer Service Center at 800-699-9075

(2026)(block-9)Need Medicare help?#

Trained volunteers from the Senior Health Insurance Benefits Assistance Program (SHIBA) can help you understand your Medicare options. SHIBA is a free, statewide service through the Oregon Department of Human Services (ODHS).

(2026)(block-10)Resources#

Health care and medical assistance ADRC of Oregon