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Medicare and Medicaid Dual Eligibility in New Mexico 2026: Income Limits, Benefits & How to Apply

Dual Eligibility in New Mexico: Key Facts

Dual Eligible Population	Approximately 14% of New Mexico Medicare beneficiaries
QMB Income Limit (Individual)	$1,255/month (100% FPL)
SLMB Income Limit (Individual)	$1,694/month (120% FPL)
New Mexico Medicaid Agency	New Mexico Human Services Department
Phone	505-827-3100

What Is Dual Eligibility?

Dual eligible beneficiaries are individuals who qualify for both Medicare and Medicaid. In New Mexico, approximately 14% of Medicare beneficiaries are also enrolled in Medicaid. Dual eligible beneficiaries receive comprehensive coverage: Medicare covers hospital and medical services, while Medicaid covers additional services including long-term care, dental, vision, and hearing — services that Medicare does not cover. Medicaid also pays some or all of the Medicare premiums, deductibles, and copayments for dual eligible beneficiaries.

Medicare Savings Programs in New Mexico

Even if you do not qualify for full Medicaid, you may qualify for a Medicare Savings Program (MSP) in New Mexico that helps pay your Medicare costs. There are four MSP levels:

Program	Individual Income Limit	What It Pays
Qualified Medicare Beneficiary (QMB)	$1,255/month	Part A and B premiums, deductibles, and copayments
Specified Low-Income Medicare Beneficiary (SLMB)	$1,694/month	Part B premium only
Qualifying Individual (QI)	~$1,800/month	Part B premium only (limited slots)
Qualified Disabled Working Individual (QDWI)	~$4,615/month	Part A premium only

Benefits of Full Dual Eligibility in New Mexico

Full dual eligible beneficiaries in New Mexico receive:

$0 Medicare premiums — Medicaid pays your Part A and Part B premiums
$0 Medicare deductibles and copayments — Medicaid covers your Medicare cost-sharing
Extra Help for Part D — Automatic enrollment in the Low Income Subsidy, capping drug costs at $4.50-$11.20 per prescription
Long-term care coverage — Medicaid covers nursing home care and home and community-based services that Medicare does not cover
Additional services — Dental, vision, hearing, and transportation (varies by New Mexico Medicaid program)

How to Apply for Dual Eligibility in New Mexico

To apply for Medicaid in New Mexico and potentially qualify for dual eligibility, contact the New Mexico Human Services Department at 505-827-3100. You can also apply online through New Mexico’s Medicaid portal or through your local Department of Social Services office. If you already have Medicare, applying for Medicaid will not affect your Medicare coverage — it will only add benefits.

D-SNPs: Dual Eligible Special Needs Plans in New Mexico

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans specifically designed for dual eligible beneficiaries. In New Mexico, D-SNPs coordinate your Medicare and Medicaid benefits through a single plan, often with additional benefits like transportation, over-the-counter allowances, and care coordination. To find D-SNPs available in your county, use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.

August 3, 2026

Medicare and Medicaid Dual Eligibility in New Jersey 2026: Income Limits, Benefits & How to Apply

Dual Eligibility in New Jersey: Key Facts

Dual Eligible Population	Approximately 12% of New Jersey Medicare beneficiaries
QMB Income Limit (Individual)	$1,255/month (100% FPL)
SLMB Income Limit (Individual)	$1,694/month (120% FPL)
New Jersey Medicaid Agency	New Jersey Division of Medical Assistance and Health Services
Phone	609-588-2600

What Is Dual Eligibility?

Dual eligible beneficiaries are individuals who qualify for both Medicare and Medicaid. In New Jersey, approximately 12% of Medicare beneficiaries are also enrolled in Medicaid. Dual eligible beneficiaries receive comprehensive coverage: Medicare covers hospital and medical services, while Medicaid covers additional services including long-term care, dental, vision, and hearing — services that Medicare does not cover. Medicaid also pays some or all of the Medicare premiums, deductibles, and copayments for dual eligible beneficiaries.

Medicare Savings Programs in New Jersey

Even if you do not qualify for full Medicaid, you may qualify for a Medicare Savings Program (MSP) in New Jersey that helps pay your Medicare costs. There are four MSP levels:

Program	Individual Income Limit	What It Pays
Qualified Medicare Beneficiary (QMB)	$1,255/month	Part A and B premiums, deductibles, and copayments
Specified Low-Income Medicare Beneficiary (SLMB)	$1,694/month	Part B premium only
Qualifying Individual (QI)	~$1,800/month	Part B premium only (limited slots)
Qualified Disabled Working Individual (QDWI)	~$4,615/month	Part A premium only

Benefits of Full Dual Eligibility in New Jersey

Full dual eligible beneficiaries in New Jersey receive:

$0 Medicare premiums — Medicaid pays your Part A and Part B premiums
$0 Medicare deductibles and copayments — Medicaid covers your Medicare cost-sharing
Extra Help for Part D — Automatic enrollment in the Low Income Subsidy, capping drug costs at $4.50-$11.20 per prescription
Long-term care coverage — Medicaid covers nursing home care and home and community-based services that Medicare does not cover
Additional services — Dental, vision, hearing, and transportation (varies by New Jersey Medicaid program)

How to Apply for Dual Eligibility in New Jersey

To apply for Medicaid in New Jersey and potentially qualify for dual eligibility, contact the New Jersey Division of Medical Assistance and Health Services at 609-588-2600. You can also apply online through New Jersey’s Medicaid portal or through your local Department of Social Services office. If you already have Medicare, applying for Medicaid will not affect your Medicare coverage — it will only add benefits.

D-SNPs: Dual Eligible Special Needs Plans in New Jersey

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans specifically designed for dual eligible beneficiaries. In New Jersey, D-SNPs coordinate your Medicare and Medicaid benefits through a single plan, often with additional benefits like transportation, over-the-counter allowances, and care coordination. To find D-SNPs available in your county, use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.

August 3, 2026

Medicare and Medicaid Dual Eligibility in New Hampshire 2026: Income Limits, Benefits & How to Apply

Dual Eligibility in New Hampshire: Key Facts

Dual Eligible Population	Approximately 7% of New Hampshire Medicare beneficiaries
QMB Income Limit (Individual)	$1,255/month (100% FPL)
SLMB Income Limit (Individual)	$1,694/month (120% FPL)
New Hampshire Medicaid Agency	New Hampshire Department of Health and Human Services
Phone	603-271-4238

What Is Dual Eligibility?

Dual eligible beneficiaries are individuals who qualify for both Medicare and Medicaid. In New Hampshire, approximately 7% of Medicare beneficiaries are also enrolled in Medicaid. Dual eligible beneficiaries receive comprehensive coverage: Medicare covers hospital and medical services, while Medicaid covers additional services including long-term care, dental, vision, and hearing — services that Medicare does not cover. Medicaid also pays some or all of the Medicare premiums, deductibles, and copayments for dual eligible beneficiaries.

Medicare Savings Programs in New Hampshire

Even if you do not qualify for full Medicaid, you may qualify for a Medicare Savings Program (MSP) in New Hampshire that helps pay your Medicare costs. There are four MSP levels:

Program	Individual Income Limit	What It Pays
Qualified Medicare Beneficiary (QMB)	$1,255/month	Part A and B premiums, deductibles, and copayments
Specified Low-Income Medicare Beneficiary (SLMB)	$1,694/month	Part B premium only
Qualifying Individual (QI)	~$1,800/month	Part B premium only (limited slots)
Qualified Disabled Working Individual (QDWI)	~$4,615/month	Part A premium only

Benefits of Full Dual Eligibility in New Hampshire

Full dual eligible beneficiaries in New Hampshire receive:

$0 Medicare premiums — Medicaid pays your Part A and Part B premiums
$0 Medicare deductibles and copayments — Medicaid covers your Medicare cost-sharing
Extra Help for Part D — Automatic enrollment in the Low Income Subsidy, capping drug costs at $4.50-$11.20 per prescription
Long-term care coverage — Medicaid covers nursing home care and home and community-based services that Medicare does not cover
Additional services — Dental, vision, hearing, and transportation (varies by New Hampshire Medicaid program)

How to Apply for Dual Eligibility in New Hampshire

To apply for Medicaid in New Hampshire and potentially qualify for dual eligibility, contact the New Hampshire Department of Health and Human Services at 603-271-4238. You can also apply online through New Hampshire’s Medicaid portal or through your local Department of Social Services office. If you already have Medicare, applying for Medicaid will not affect your Medicare coverage — it will only add benefits.

D-SNPs: Dual Eligible Special Needs Plans in New Hampshire

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans specifically designed for dual eligible beneficiaries. In New Hampshire, D-SNPs coordinate your Medicare and Medicaid benefits through a single plan, often with additional benefits like transportation, over-the-counter allowances, and care coordination. To find D-SNPs available in your county, use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.

August 3, 2026

Medicare and Medicaid Dual Eligibility in Nevada 2026: Income Limits, Benefits & How to Apply

Dual Eligibility in Nevada: Key Facts

Dual Eligible Population	Approximately 11% of Nevada Medicare beneficiaries
QMB Income Limit (Individual)	$1,255/month (100% FPL)
SLMB Income Limit (Individual)	$1,694/month (120% FPL)
Nevada Medicaid Agency	Nevada Division of Health Care Financing and Policy
Phone	775-684-3676

What Is Dual Eligibility?

Dual eligible beneficiaries are individuals who qualify for both Medicare and Medicaid. In Nevada, approximately 11% of Medicare beneficiaries are also enrolled in Medicaid. Dual eligible beneficiaries receive comprehensive coverage: Medicare covers hospital and medical services, while Medicaid covers additional services including long-term care, dental, vision, and hearing — services that Medicare does not cover. Medicaid also pays some or all of the Medicare premiums, deductibles, and copayments for dual eligible beneficiaries.

Medicare Savings Programs in Nevada

Even if you do not qualify for full Medicaid, you may qualify for a Medicare Savings Program (MSP) in Nevada that helps pay your Medicare costs. There are four MSP levels:

Program	Individual Income Limit	What It Pays
Qualified Medicare Beneficiary (QMB)	$1,255/month	Part A and B premiums, deductibles, and copayments
Specified Low-Income Medicare Beneficiary (SLMB)	$1,694/month	Part B premium only
Qualifying Individual (QI)	~$1,800/month	Part B premium only (limited slots)
Qualified Disabled Working Individual (QDWI)	~$4,615/month	Part A premium only

Benefits of Full Dual Eligibility in Nevada

Full dual eligible beneficiaries in Nevada receive:

$0 Medicare premiums — Medicaid pays your Part A and Part B premiums
$0 Medicare deductibles and copayments — Medicaid covers your Medicare cost-sharing
Extra Help for Part D — Automatic enrollment in the Low Income Subsidy, capping drug costs at $4.50-$11.20 per prescription
Long-term care coverage — Medicaid covers nursing home care and home and community-based services that Medicare does not cover
Additional services — Dental, vision, hearing, and transportation (varies by Nevada Medicaid program)

How to Apply for Dual Eligibility in Nevada

To apply for Medicaid in Nevada and potentially qualify for dual eligibility, contact the Nevada Division of Health Care Financing and Policy at 775-684-3676. You can also apply online through Nevada’s Medicaid portal or through your local Department of Social Services office. If you already have Medicare, applying for Medicaid will not affect your Medicare coverage — it will only add benefits.

D-SNPs: Dual Eligible Special Needs Plans in Nevada

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans specifically designed for dual eligible beneficiaries. In Nevada, D-SNPs coordinate your Medicare and Medicaid benefits through a single plan, often with additional benefits like transportation, over-the-counter allowances, and care coordination. To find D-SNPs available in your county, use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.

August 3, 2026

Medicare and Medicaid Dual Eligibility in Nebraska 2026: Income Limits, Benefits & How to Apply

Dual Eligibility in Nebraska: Key Facts

Dual Eligible Population	Approximately 8% of Nebraska Medicare beneficiaries
QMB Income Limit (Individual)	$1,255/month (100% FPL)
SLMB Income Limit (Individual)	$1,694/month (120% FPL)
Nebraska Medicaid Agency	Nebraska Department of Health and Human Services
Phone	402-471-3121

What Is Dual Eligibility?

Dual eligible beneficiaries are individuals who qualify for both Medicare and Medicaid. In Nebraska, approximately 8% of Medicare beneficiaries are also enrolled in Medicaid. Dual eligible beneficiaries receive comprehensive coverage: Medicare covers hospital and medical services, while Medicaid covers additional services including long-term care, dental, vision, and hearing — services that Medicare does not cover. Medicaid also pays some or all of the Medicare premiums, deductibles, and copayments for dual eligible beneficiaries.

Medicare Savings Programs in Nebraska

Even if you do not qualify for full Medicaid, you may qualify for a Medicare Savings Program (MSP) in Nebraska that helps pay your Medicare costs. There are four MSP levels:

Program	Individual Income Limit	What It Pays
Qualified Medicare Beneficiary (QMB)	$1,255/month	Part A and B premiums, deductibles, and copayments
Specified Low-Income Medicare Beneficiary (SLMB)	$1,694/month	Part B premium only
Qualifying Individual (QI)	~$1,800/month	Part B premium only (limited slots)
Qualified Disabled Working Individual (QDWI)	~$4,615/month	Part A premium only

Benefits of Full Dual Eligibility in Nebraska

Full dual eligible beneficiaries in Nebraska receive:

$0 Medicare premiums — Medicaid pays your Part A and Part B premiums
$0 Medicare deductibles and copayments — Medicaid covers your Medicare cost-sharing
Extra Help for Part D — Automatic enrollment in the Low Income Subsidy, capping drug costs at $4.50-$11.20 per prescription
Long-term care coverage — Medicaid covers nursing home care and home and community-based services that Medicare does not cover
Additional services — Dental, vision, hearing, and transportation (varies by Nebraska Medicaid program)

How to Apply for Dual Eligibility in Nebraska

To apply for Medicaid in Nebraska and potentially qualify for dual eligibility, contact the Nebraska Department of Health and Human Services at 402-471-3121. You can also apply online through Nebraska’s Medicaid portal or through your local Department of Social Services office. If you already have Medicare, applying for Medicaid will not affect your Medicare coverage — it will only add benefits.

D-SNPs: Dual Eligible Special Needs Plans in Nebraska

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans specifically designed for dual eligible beneficiaries. In Nebraska, D-SNPs coordinate your Medicare and Medicaid benefits through a single plan, often with additional benefits like transportation, over-the-counter allowances, and care coordination. To find D-SNPs available in your county, use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.

August 3, 2026

Medicare and Medicaid Dual Eligibility in Montana 2026: Income Limits, Benefits & How to Apply

Dual Eligibility in Montana: Key Facts

Dual Eligible Population	Approximately 9% of Montana Medicare beneficiaries
QMB Income Limit (Individual)	$1,255/month (100% FPL)
SLMB Income Limit (Individual)	$1,694/month (120% FPL)
Montana Medicaid Agency	Montana Department of Public Health and Human Services
Phone	406-444-4540

What Is Dual Eligibility?

Dual eligible beneficiaries are individuals who qualify for both Medicare and Medicaid. In Montana, approximately 9% of Medicare beneficiaries are also enrolled in Medicaid. Dual eligible beneficiaries receive comprehensive coverage: Medicare covers hospital and medical services, while Medicaid covers additional services including long-term care, dental, vision, and hearing — services that Medicare does not cover. Medicaid also pays some or all of the Medicare premiums, deductibles, and copayments for dual eligible beneficiaries.

Medicare Savings Programs in Montana

Even if you do not qualify for full Medicaid, you may qualify for a Medicare Savings Program (MSP) in Montana that helps pay your Medicare costs. There are four MSP levels:

Program	Individual Income Limit	What It Pays
Qualified Medicare Beneficiary (QMB)	$1,255/month	Part A and B premiums, deductibles, and copayments
Specified Low-Income Medicare Beneficiary (SLMB)	$1,694/month	Part B premium only
Qualifying Individual (QI)	~$1,800/month	Part B premium only (limited slots)
Qualified Disabled Working Individual (QDWI)	~$4,615/month	Part A premium only

Benefits of Full Dual Eligibility in Montana

Full dual eligible beneficiaries in Montana receive:

$0 Medicare premiums — Medicaid pays your Part A and Part B premiums
$0 Medicare deductibles and copayments — Medicaid covers your Medicare cost-sharing
Extra Help for Part D — Automatic enrollment in the Low Income Subsidy, capping drug costs at $4.50-$11.20 per prescription
Long-term care coverage — Medicaid covers nursing home care and home and community-based services that Medicare does not cover
Additional services — Dental, vision, hearing, and transportation (varies by Montana Medicaid program)

How to Apply for Dual Eligibility in Montana

To apply for Medicaid in Montana and potentially qualify for dual eligibility, contact the Montana Department of Public Health and Human Services at 406-444-4540. You can also apply online through Montana’s Medicaid portal or through your local Department of Social Services office. If you already have Medicare, applying for Medicaid will not affect your Medicare coverage — it will only add benefits.

D-SNPs: Dual Eligible Special Needs Plans in Montana

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans specifically designed for dual eligible beneficiaries. In Montana, D-SNPs coordinate your Medicare and Medicaid benefits through a single plan, often with additional benefits like transportation, over-the-counter allowances, and care coordination. To find D-SNPs available in your county, use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.

August 3, 2026

Medicare and Medicaid Dual Eligibility in Missouri 2026: Income Limits, Benefits & How to Apply

Dual Eligibility in Missouri: Key Facts

Dual Eligible Population	Approximately 14% of Missouri Medicare beneficiaries
QMB Income Limit (Individual)	$1,255/month (100% FPL)
SLMB Income Limit (Individual)	$1,694/month (120% FPL)
Missouri Medicaid Agency	Missouri Department of Social Services
Phone	573-751-4815

What Is Dual Eligibility?

Dual eligible beneficiaries are individuals who qualify for both Medicare and Medicaid. In Missouri, approximately 14% of Medicare beneficiaries are also enrolled in Medicaid. Dual eligible beneficiaries receive comprehensive coverage: Medicare covers hospital and medical services, while Medicaid covers additional services including long-term care, dental, vision, and hearing — services that Medicare does not cover. Medicaid also pays some or all of the Medicare premiums, deductibles, and copayments for dual eligible beneficiaries.

Medicare Savings Programs in Missouri

Even if you do not qualify for full Medicaid, you may qualify for a Medicare Savings Program (MSP) in Missouri that helps pay your Medicare costs. There are four MSP levels:

Program	Individual Income Limit	What It Pays
Qualified Medicare Beneficiary (QMB)	$1,255/month	Part A and B premiums, deductibles, and copayments
Specified Low-Income Medicare Beneficiary (SLMB)	$1,694/month	Part B premium only
Qualifying Individual (QI)	~$1,800/month	Part B premium only (limited slots)
Qualified Disabled Working Individual (QDWI)	~$4,615/month	Part A premium only

Benefits of Full Dual Eligibility in Missouri

Full dual eligible beneficiaries in Missouri receive:

$0 Medicare premiums — Medicaid pays your Part A and Part B premiums
$0 Medicare deductibles and copayments — Medicaid covers your Medicare cost-sharing
Extra Help for Part D — Automatic enrollment in the Low Income Subsidy, capping drug costs at $4.50-$11.20 per prescription
Long-term care coverage — Medicaid covers nursing home care and home and community-based services that Medicare does not cover
Additional services — Dental, vision, hearing, and transportation (varies by Missouri Medicaid program)

How to Apply for Dual Eligibility in Missouri

To apply for Medicaid in Missouri and potentially qualify for dual eligibility, contact the Missouri Department of Social Services at 573-751-4815. You can also apply online through Missouri’s Medicaid portal or through your local Department of Social Services office. If you already have Medicare, applying for Medicaid will not affect your Medicare coverage — it will only add benefits.

D-SNPs: Dual Eligible Special Needs Plans in Missouri

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans specifically designed for dual eligible beneficiaries. In Missouri, D-SNPs coordinate your Medicare and Medicaid benefits through a single plan, often with additional benefits like transportation, over-the-counter allowances, and care coordination. To find D-SNPs available in your county, use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.

August 3, 2026

Medicare and Medicaid Dual Eligibility in Mississippi 2026: Income Limits, Benefits & How to Apply

Dual Eligibility in Mississippi: Key Facts

Dual Eligible Population	Approximately 18% of Mississippi Medicare beneficiaries
QMB Income Limit (Individual)	$1,255/month (100% FPL)
SLMB Income Limit (Individual)	$1,694/month (120% FPL)
Mississippi Medicaid Agency	Mississippi Division of Medicaid
Phone	601-359-6050

What Is Dual Eligibility?

Dual eligible beneficiaries are individuals who qualify for both Medicare and Medicaid. In Mississippi, approximately 18% of Medicare beneficiaries are also enrolled in Medicaid. Dual eligible beneficiaries receive comprehensive coverage: Medicare covers hospital and medical services, while Medicaid covers additional services including long-term care, dental, vision, and hearing — services that Medicare does not cover. Medicaid also pays some or all of the Medicare premiums, deductibles, and copayments for dual eligible beneficiaries.

Medicare Savings Programs in Mississippi

Even if you do not qualify for full Medicaid, you may qualify for a Medicare Savings Program (MSP) in Mississippi that helps pay your Medicare costs. There are four MSP levels:

Program	Individual Income Limit	What It Pays
Qualified Medicare Beneficiary (QMB)	$1,255/month	Part A and B premiums, deductibles, and copayments
Specified Low-Income Medicare Beneficiary (SLMB)	$1,694/month	Part B premium only
Qualifying Individual (QI)	~$1,800/month	Part B premium only (limited slots)
Qualified Disabled Working Individual (QDWI)	~$4,615/month	Part A premium only

Benefits of Full Dual Eligibility in Mississippi

Full dual eligible beneficiaries in Mississippi receive:

$0 Medicare premiums — Medicaid pays your Part A and Part B premiums
$0 Medicare deductibles and copayments — Medicaid covers your Medicare cost-sharing
Extra Help for Part D — Automatic enrollment in the Low Income Subsidy, capping drug costs at $4.50-$11.20 per prescription
Long-term care coverage — Medicaid covers nursing home care and home and community-based services that Medicare does not cover
Additional services — Dental, vision, hearing, and transportation (varies by Mississippi Medicaid program)

How to Apply for Dual Eligibility in Mississippi

To apply for Medicaid in Mississippi and potentially qualify for dual eligibility, contact the Mississippi Division of Medicaid at 601-359-6050. You can also apply online through Mississippi’s Medicaid portal or through your local Department of Social Services office. If you already have Medicare, applying for Medicaid will not affect your Medicare coverage — it will only add benefits.

D-SNPs: Dual Eligible Special Needs Plans in Mississippi

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans specifically designed for dual eligible beneficiaries. In Mississippi, D-SNPs coordinate your Medicare and Medicaid benefits through a single plan, often with additional benefits like transportation, over-the-counter allowances, and care coordination. To find D-SNPs available in your county, use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.

August 3, 2026

Medicare and Medicaid Dual Eligibility in Minnesota 2026: Income Limits, Benefits & How to Apply

Dual Eligibility in Minnesota: Key Facts

Dual Eligible Population	Approximately 10% of Minnesota Medicare beneficiaries
QMB Income Limit (Individual)	$1,255/month (100% FPL)
SLMB Income Limit (Individual)	$1,694/month (120% FPL)
Minnesota Medicaid Agency	Minnesota Department of Human Services
Phone	651-431-2000

What Is Dual Eligibility?

Dual eligible beneficiaries are individuals who qualify for both Medicare and Medicaid. In Minnesota, approximately 10% of Medicare beneficiaries are also enrolled in Medicaid. Dual eligible beneficiaries receive comprehensive coverage: Medicare covers hospital and medical services, while Medicaid covers additional services including long-term care, dental, vision, and hearing — services that Medicare does not cover. Medicaid also pays some or all of the Medicare premiums, deductibles, and copayments for dual eligible beneficiaries.

Medicare Savings Programs in Minnesota

Even if you do not qualify for full Medicaid, you may qualify for a Medicare Savings Program (MSP) in Minnesota that helps pay your Medicare costs. There are four MSP levels:

Program	Individual Income Limit	What It Pays
Qualified Medicare Beneficiary (QMB)	$1,255/month	Part A and B premiums, deductibles, and copayments
Specified Low-Income Medicare Beneficiary (SLMB)	$1,694/month	Part B premium only
Qualifying Individual (QI)	~$1,800/month	Part B premium only (limited slots)
Qualified Disabled Working Individual (QDWI)	~$4,615/month	Part A premium only

Benefits of Full Dual Eligibility in Minnesota

Full dual eligible beneficiaries in Minnesota receive:

$0 Medicare premiums — Medicaid pays your Part A and Part B premiums
$0 Medicare deductibles and copayments — Medicaid covers your Medicare cost-sharing
Extra Help for Part D — Automatic enrollment in the Low Income Subsidy, capping drug costs at $4.50-$11.20 per prescription
Long-term care coverage — Medicaid covers nursing home care and home and community-based services that Medicare does not cover
Additional services — Dental, vision, hearing, and transportation (varies by Minnesota Medicaid program)

How to Apply for Dual Eligibility in Minnesota

To apply for Medicaid in Minnesota and potentially qualify for dual eligibility, contact the Minnesota Department of Human Services at 651-431-2000. You can also apply online through Minnesota’s Medicaid portal or through your local Department of Social Services office. If you already have Medicare, applying for Medicaid will not affect your Medicare coverage — it will only add benefits.

D-SNPs: Dual Eligible Special Needs Plans in Minnesota

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans specifically designed for dual eligible beneficiaries. In Minnesota, D-SNPs coordinate your Medicare and Medicaid benefits through a single plan, often with additional benefits like transportation, over-the-counter allowances, and care coordination. To find D-SNPs available in your county, use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.

August 3, 2026

Medicare and Medicaid Dual Eligibility in Michigan 2026: Income Limits, Benefits & How to Apply

Dual Eligibility in Michigan: Key Facts

Dual Eligible Population	Approximately 16% of Michigan Medicare beneficiaries
QMB Income Limit (Individual)	$1,255/month (100% FPL)
SLMB Income Limit (Individual)	$1,694/month (120% FPL)
Michigan Medicaid Agency	Michigan Department of Health and Human Services
Phone	517-241-3740

What Is Dual Eligibility?

Dual eligible beneficiaries are individuals who qualify for both Medicare and Medicaid. In Michigan, approximately 16% of Medicare beneficiaries are also enrolled in Medicaid. Dual eligible beneficiaries receive comprehensive coverage: Medicare covers hospital and medical services, while Medicaid covers additional services including long-term care, dental, vision, and hearing — services that Medicare does not cover. Medicaid also pays some or all of the Medicare premiums, deductibles, and copayments for dual eligible beneficiaries.

Medicare Savings Programs in Michigan

Even if you do not qualify for full Medicaid, you may qualify for a Medicare Savings Program (MSP) in Michigan that helps pay your Medicare costs. There are four MSP levels:

Program	Individual Income Limit	What It Pays
Qualified Medicare Beneficiary (QMB)	$1,255/month	Part A and B premiums, deductibles, and copayments
Specified Low-Income Medicare Beneficiary (SLMB)	$1,694/month	Part B premium only
Qualifying Individual (QI)	~$1,800/month	Part B premium only (limited slots)
Qualified Disabled Working Individual (QDWI)	~$4,615/month	Part A premium only

Benefits of Full Dual Eligibility in Michigan

Full dual eligible beneficiaries in Michigan receive:

$0 Medicare premiums — Medicaid pays your Part A and Part B premiums
$0 Medicare deductibles and copayments — Medicaid covers your Medicare cost-sharing
Extra Help for Part D — Automatic enrollment in the Low Income Subsidy, capping drug costs at $4.50-$11.20 per prescription
Long-term care coverage — Medicaid covers nursing home care and home and community-based services that Medicare does not cover
Additional services — Dental, vision, hearing, and transportation (varies by Michigan Medicaid program)

How to Apply for Dual Eligibility in Michigan

To apply for Medicaid in Michigan and potentially qualify for dual eligibility, contact the Michigan Department of Health and Human Services at 517-241-3740. You can also apply online through Michigan’s Medicaid portal or through your local Department of Social Services office. If you already have Medicare, applying for Medicaid will not affect your Medicare coverage — it will only add benefits.

D-SNPs: Dual Eligible Special Needs Plans in Michigan

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans specifically designed for dual eligible beneficiaries. In Michigan, D-SNPs coordinate your Medicare and Medicaid benefits through a single plan, often with additional benefits like transportation, over-the-counter allowances, and care coordination. To find D-SNPs available in your county, use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.

August 3, 2026