Medicaid
Dual eligible: Medicare and Medicaid
Dual eligible means you have both Medicare and Medicaid. Many people get help through a Medicare Savings Program run by their state: in 2026, the QMB program's federal limit is $1,350 a month in income and $9,950 in resources for one person (Medicare.gov).
Source: Medicare.gov: Medicare Savings Programs, checked October 23, 2026.
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Medicare Savings Programs, 2026 federal limits
| Program | Helps pay for | Income, individual | Income, couple | Resources, individual | Resources, couple |
|---|---|---|---|---|---|
| Qualified Medicare Beneficiary (QMB) Program | Part A premiums (if you don't have premium-free Part A); Part B premiums, deductibles, coinsurance, and copayments (for services and items Medicare covers). | $1,350 | $1,824 | $9,950 | $14,910 |
| Specified Low-Income Medicare Beneficiary (SLMB) Program | Part B premiums only (You must have both Part A and Part B to qualify.) | $1,616 | $2,184 | $9,950 | $14,910 |
| Qualifying Individual (QI) Program | Part B premiums (You must have both Part A and Part B to qualify.) | $1,816 | $2,455 | $9,950 | $14,910 |
| Qualified Disabled & Working Individual (QDWI) Program | Part A premiums only | $5,405 | $7,299 | $4,000 | $6,000 |
Enrollment periods for people with Medicaid
| Situation | When |
|---|---|
| I'm no longer eligible for Medicaid. | Your chance to change plans lasts for 3 full months from either the date you're no longer eligible or the date you're notified you're no longer eligible, whichever is later. |
| I have Medicare and Medicaid, or I get Extra Help paying for Medicare drug coverage. | If you have Medicaid or get Extra Help, you can make changes to your coverage once a calendar month. The change will take effect on the first day of the next month. (Note: Most people with Medicare can only make changes to their drug coverage at certain times of the year.) |
| I have Medicare and get full Medicaid benefits. | If you qualify for this Special Enrollment Period, you can join or switch to an integrated D-SNP once a calendar month. The change will take effect on the first day of the next month. Remember, not all D-SNPs are integrated. Contact the D-SNP plan you're interested in for more information and to find out how it works. You can also contact 1-800-MEDICARE for a list of integrated D-SNPs. |
Related pages
Questions
What does dual eligible mean?
Dual eligible means you have both Medicare and Medicaid. Many people get help through a Medicare Savings Program run by their state: in 2026, the QMB program's federal limit is $1,350 a month in income and $9,950 in resources for one person (Medicare.gov).
What is the QMB income limit in 2026?
$1,350 a month for an individual and $1,824 for a married couple, with resource limits of $9,950 and $14,910. It helps pay for: Part A premiums (if you don't have premium-free Part A); Part B premiums, deductibles, coinsurance, and copayments (for services and items Medicare covers). (Medicare.gov federal limits; states may set higher ones.)
What is the SLMB income limit in 2026?
$1,616 a month for an individual and $2,184 for a married couple, with resource limits of $9,950 and $14,910. It helps pay for: Part B premiums only (You must have both Part A and Part B to qualify.) (Medicare.gov federal limits; states may set higher ones.)
What is the QI income limit in 2026?
$1,816 a month for an individual and $2,455 for a married couple, with resource limits of $9,950 and $14,910. It helps pay for: Part B premiums (You must have both Part A and Part B to qualify.) (Medicare.gov federal limits; states may set higher ones.)
What is the QDWI income limit in 2026?
$5,405 a month for an individual and $7,299 for a married couple, with resource limits of $4,000 and $6,000. It helps pay for: Part A premiums only (Medicare.gov federal limits; states may set higher ones.)
Do Medicare Savings Program members get Extra Help?
Yes. Medicare.gov says QMB, SLMB, and QI members also get Extra Help and pay no more than $12.65 in 2026 for each covered drug.