What Is the Income Limit for SLMB Eligibility?
Navigate SLMB eligibility, including income and asset limits, to understand how this program can reduce your Medicare Part B expenses. Apply with confidence.
The Specified Low-Income Medicare Beneficiary (SLMB) program is one of several Medicare Savings Programs (MSPs) designed to assist individuals with limited income and resources in covering their Medicare costs. These programs are administered by state Medicaid agencies and aim to make healthcare more affordable for eligible beneficiaries. SLMB specifically focuses on providing financial relief for a particular out-of-pocket Medicare expense.
Understanding SLMB Eligibility
Eligibility for the SLMB program primarily depends on an individual’s income and assets, which are typically measured against the Federal Poverty Level (FPL) and updated annually. For 2025, the monthly income limit for the SLMB program is generally between 100% and 120% of the FPL, plus a standard $20 income disregard. This translates to a monthly income for an individual typically between $1,305.01 and $1,565, and for a couple, between $1,763.01 and $2,115, though these figures can vary slightly by state and are subject to change.
When determining income, various sources are considered, including Social Security benefits, pensions, and wages. However, certain types of income are often excluded from the calculation, such as the initial $20 of monthly income (the general income disregard) and Supplemental Nutrition Assistance Program (SNAP) benefits.
In addition to income, applicants must meet asset limits. For 2025, the asset limit is generally $9,660 for an individual and $14,470 for a married couple. Countable assets typically include money in checking and savings accounts, stocks, and bonds.
However, several assets are commonly excluded from this calculation to ensure that essential possessions do not prevent someone from receiving aid. These excluded assets generally include a primary residence, one vehicle, household goods, burial plots, and up to $1,500 in burial expenses per person. A core requirement for SLMB eligibility is enrollment in Medicare Part A, even if not currently enrolled in Part B, as the program specifically helps with Part B premiums.
Benefits Provided by SLMB
The SLMB program offers a specific benefit designed to alleviate the financial burden of Medicare. Its primary purpose is to pay for the monthly Medicare Part B premium. For many beneficiaries, the Part B premium is automatically deducted from their Social Security checks, and SLMB coverage effectively covers this amount.
While SLMB provides significant savings by covering the Part B premium, it does not extend to other Medicare costs. This means the program does not cover Medicare Part A premiums (which most people receive premium-free), deductibles, copayments, or coinsurance for services covered by Medicare Parts A and B. Furthermore, SLMB does not directly cover prescription drug costs; however, qualifying for SLMB often automatically grants eligibility for the Medicare Part D Low-Income Subsidy (LIS), also known as “Extra Help,” which can significantly reduce prescription drug expenses.
Applying for SLMB
The application process for the SLMB program is managed at the state level, typically through the state’s Medicaid office or local Department of Social Services. To begin, individuals can contact their state Medicaid agency to inquire about the specific application procedures, which might involve applying online, by mail, or in person. Many states offer guidance on their websites or through dedicated helplines.
Applicants will need to gather several documents to prove their eligibility. This generally includes proof of identity, such as a birth certificate or passport, and their Medicare card to verify enrollment in Part A. Proof of income is also required, which can be provided through pay stubs, Social Security award letters, pension statements, or tax returns.
Additionally, documentation of assets, such as bank statements, investment statements, and information on any other countable resources, will be necessary. After submitting the application, individuals can expect a review process that may include requests for additional information or an interview. A notification of approval or denial is typically sent within a certain timeframe, often around 45 days. If approved, beneficiaries will receive communication indicating when the Part B premium payments will begin, and they will need to undergo annual re-determination to maintain their benefits.