What are Medicare Savings Programs and what costs can they cover?

Special Situations
Last updated: 
April 10, 2026
Smiling elderly couple on medicare coverage sitting outdoors in a grassy hilly area, dressed warmly with scarves and jackets.
Smiling elderly man with pre existing conditions is grateful for medicare insurance and woman enjoying tea together indoors with plants in the background.
Older couple smiling wondering about their drug formulary and dancing outdoors among green trees, enjoying a healthy aging lifestyle.

The short answer

Medicare Savings Programs are state-run programs that help people with limited income and assets pay for Medicare costs like Part B premiums, deductibles, and copays. There are four levels, each covering different costs depending on how much you qualify for.

The full explanation

Medicare Savings Programs, often called MSPs, are run by each state's Medicaid agency. They're designed for people who have Medicare but struggle to afford what Medicare doesn't pay for.There are four program levels, and what they cover depends on which one you qualify for. The most basic level pays your Part B premium, which is the monthly cost for doctor and outpatient coverage. Higher levels can also cover the Part B deductible, coinsurance (your share of costs after deductibles), and copays. The highest level, sometimes called Qualified Medicare Beneficiary or QMB, can provide the most comprehensive cost relief.Qualifying is based on income and assets, and the limits are adjusted periodically, so current numbers are worth verifying. Many people who qualify don't apply simply because they don't know the programs exist.If you qualify for a Medicare Savings Program, you also automatically qualify for Extra Help, which is a federal program that lowers what you pay for Part D prescription drug coverage. That combination can make a meaningful difference in annual out-of-pocket costs for someone on a fixed income.You apply through your state's Medicaid office. The process isn't complicated, but you'll need to document income and resources.

Smiling elderly couple on social security benefits misunderstand medicare advantage are outdoors with man presenting a bouquet of yellow flowers to the woman.Smiling elderly couple disappointed at their doctor for not accepting medicare sitting on a bench outdoors holding a colorful bouquet of flowers.A group of six older adults enjoy discussion with primary care physician covered by medicare sitting together indoors, smiling and enjoying conversation with drinks.

In 

Ohio

 specifically

In Ohio, the Medicare Savings Program is administered through the Ohio state counseling resources. Ohio also has a state-specific program called the Ohio Medicare Savings Program that may help qualifying beneficiaries with Part B premiums. Contact the Ohio Ohio Senior Health Insurance Information Program or your local Medicaid office to check current income and asset limits and get help applying.

Two elderly men in a nursing home paid for by medicare sitting at a wooden table outdoors, one showing the other something on a tablet, with drinks on the table.

What this means for you

For you, this means if money is tight, these programs could eliminate or significantly reduce some of your most predictable Medicare costs, and it's worth spending an hour to find out if you qualify.

Related Questions

Still have questions about Medicare?

Book a review with a licensed Medicare advisor.

Senior couple sitting together outdoors near white flowers and greenery, smiling and looking to the right.

Medicare Advantage Plans in 

Heading

 County 

Loading Pennsylvania Medicare plans...

Loading Ohio Medicare plans...

Loading Utah Medicare plans...

Decision area Tool What it answers
Enrollment Initial Enrollment Period Calculator When your 7-month Medicare eligibility window begins and ends based on your 65th birthday
Enrollment When Should I Sign Up for Medicare? The best time to enroll based on your work status, other coverage, and age
Enrollment Special Enrollment Period Checker Whether a life event qualifies you for enrollment outside the standard windows
Enrollment Late Enrollment Penalty Checker How much extra you'll pay monthly if you missed your enrollment window
Enrollment Part B Penalty Calculator The exact 10%-per-year premium increase for delayed Part B enrollment
Enrollment Part D Penalty Calculator The 1%-per-month premium increase for gaps in creditable drug coverage
Costs Cost Scenario Planner Estimated annual spending across plan types at different health utilization levels
Costs Advantage vs. Medigap Cost Comparison True cost difference between Medicare Advantage and Original Medicare with Medigap
Costs IRMAA Calculator Whether your income triggers higher Part B and Part D premiums
Costs Part A Premium Estimator Your monthly Part A premium based on work history and quarters of coverage
Costs M3P Calculator How the Medicare Prescription Payment Plan smooths your drug costs into monthly payments
Coverage Doctor & Drug Assessment Whether your providers and prescriptions are covered by a specific plan
Coverage Part D Shopping Tool Which Part D plan has the lowest total annual cost for your specific medications
Coverage Travel & Network Risk Assessment How your coverage works outside your home area and which plan types travel best
Employer/COBRA COBRA vs. Medicare Why COBRA can trigger permanent Medicare penalties and how costs compare
Employer/COBRA Employer Coverage vs. Medicare Whether your employer plan or Medicare is primary and when to transition
Employer/COBRA HSA & Medicare Compatibility How Medicare enrollment affects HSA eligibility and what to do before enrolling
Planning Caregiver Readiness Checklist Whether you have everything in place to help a loved one with Medicare decisions
Planning Document Gatherer Which documents you need to have ready before enrolling or changing plans
Planning Medigap Fit Assessment Whether Medigap or Medicare Advantage is the better fit for how you use healthcare
Planning Medigap Open Enrollment Window Whether you're inside your one-time guaranteed issue window for Medigap
Planning Medicare Savings Program Eligibility Whether your income qualifies you for help paying Medicare premiums and cost-sharing