Last updated: 26 September 2026
Minnesota Medicare Savings Programs can lower Medicare costs for people with limited income and assets. The state uses four programs: Qualified Medicare Beneficiary (QMB), Service Limited Medicare Beneficiary (SLMB), Qualifying Individual (QI), and Qualified Working Disabled (QWD). The right program depends on your countable income, assets, Medicare status, and other rules.
Bottom Line
For most Minnesota seniors, start with the state’s Medicare cost-help page. If you are 65 or older, blind, disabled, or applying only for Medicare cost help, Minnesota generally uses the paper DHS-3876 application. Send it to your county or Tribal office. As of September 2026, the current Minnesota QMB screening limit is $1,350 monthly for one person and $1,824 for a household of two, with higher limits for SLMB and QI.
Need Help Right Now?
- You received a bill after QMB approval: Call the provider before paying Medicare deductibles, coinsurance, or copays for Medicare-covered care. Medicare says QMB members cannot be billed for those amounts.
- You are close to an appeal deadline: Minnesota usually requires a hearing request within 30 days after you receive the written decision. Good cause may allow up to 90 days.
- You need free Medicare counseling: Call Minnesota Aging Pathways at 1-800-333-2433, Monday through Friday, 8:00 a.m. to 4:30 p.m.
Start Here
- Check the current Minnesota income and asset table below.
- Call Minnesota Aging Pathways if you want free help before applying.
- Use the county and Tribal directory to send your application or ask about your case.
If you want a broader view of food, housing, tax, utility, and health programs while you work on Medicare costs, see our Minnesota senior benefits guide.
Quick Reference
| Situation | Best first step | Important limit |
|---|---|---|
| Part B premium is hard to afford | Apply for MSP | Income and assets must fit program rules |
| Provider billed you after QMB approval | Call billing office | Protection applies to Medicare-covered cost sharing |
| You are 65 or older and applying alone | Use DHS-3876 | Different household situations may require another form |
| Application was denied | Ask for the calculation | Appeal deadlines can be short |
| You also need home care | Ask about Medical Assistance | MSP alone is not long-term-care coverage |
What Has Changed
- New Minnesota limits: The current DHS income chart is effective July 1, 2026 through June 30, 2027. QMB, SLMB, QI, and QWD income figures increased from the limits shown in the May version of this article.
- Updated application: DHS-3876 is now dated June 2026. It still allows an MSP-only application and tells applicants to send the form promptly even when every proof is not yet available.
- Important October change: Beginning October 1, 2026, federal law changes MSP and Medical Assistance eligibility for some noncitizen adults age 21 or older who are not pregnant. People who received a DHS notice should act on it promptly.
- Coverage timing clarified: QMB itself cannot begin in or before the application month. SLMB, QI, and QWD can have up to three months of retroactive eligibility when all rules are met.
Minnesota MSP Income and Asset Limits for 2026
Minnesota’s current income and asset page points applicants to DHS-3461A. The state chart below is effective July 1, 2026 through June 30, 2027. The figures are screening amounts, not a promise of eligibility. The county or Tribal agency applies Minnesota’s income-counting and household rules.
| Program | One person | Two people | Asset limit | Main help |
|---|---|---|---|---|
| QMB | $1,350/month | $1,824/month | $10,000 / $18,000 | Part A if owed, Part B, and Medicare cost sharing |
| SLMB | $1,616/month | $2,184/month | $10,000 / $18,000 | Part B premium |
| QI | $1,816/month | $2,455/month | $10,000 / $18,000 | Part B premium |
| QWD | $2,680/month | $3,627/month | $4,000 / $6,000 | Part A premium |
For the asset column, the first number is for a household of one and the second is for a household of two. Minnesota lists QMB, SLMB, and QI at $10,000 for one person and $18,000 for two. QWD uses $4,000 and $6,000.
The chart already includes Minnesota’s standard $20 monthly disregard for QMB, SLMB, QI, and QWD. Do not add another $20 to the listed figure yourself. Minnesota’s MSP income policy also has other deductions and disregards that can matter in some cases. This is especially important for a working person with a disability. Do not use gross wages alone to decide that QWD is impossible.
Assets also need a careful review. Minnesota’s MSP asset policy sets the program limits. A qualifying homestead and one vehicle used for transportation are generally excluded under the related MA-ABD rules. Bank accounts, investments, and other available property may count.
If you are close to a limit, apply instead of screening yourself out. You can also use our MSP and Extra Help checker as a preparation tool, but Minnesota makes the official decision.
What Each Minnesota Medicare Savings Program Pays
Qualified Medicare Beneficiary (QMB)
QMB is the broadest Medicare Savings Program. Minnesota’s MSP program policy says QMB can pay a Part A premium when one is owed, the Part B premium, and Medicare Part A and Part B deductibles, coinsurance, and copayments.
Who may fit: People entitled to Medicare Part A who meet QMB income, asset, and other eligibility rules.
Reality check: QMB does not mean every medical service is free. The billing protection applies to Medicare-covered items and services. A service Medicare does not cover can still create a bill.
Service Limited Medicare Beneficiary (SLMB)
SLMB pays the Medicare Part B premium. Minnesota calls it the Service Limited Medicare Beneficiary program; Medicare uses the name Specified Low-Income Medicare Beneficiary for the same SLMB acronym.
Who may fit: People with Medicare Part B whose countable income is above the QMB range but within the SLMB range and who meet the asset and other rules.
Reality check: SLMB does not pay Medicare deductibles or ordinary cost sharing. It is mainly premium help.
Qualifying Individual (QI)
QI pays the Part B premium. Under Medicare MSP rules, QI must be renewed each year and is not available to someone who qualifies for other Medicaid coverage or benefits.
Who may fit: People over the SLMB income range but within Minnesota’s QI range who meet the other QI rules.
Reality check: Do not wait until the end of the year to deal with a renewal notice. Return requested information by the date on the notice.
Qualified Working Disabled (QWD)
Minnesota calls this QWD. Medicare often calls the federal category Qualified Disabled and Working Individuals (QDWI). Minnesota says QWD can pay the Part A premium for certain employed people under age 65 with disabilities who lost premium-free Part A after returning to work.
Who may fit: A working person who meets the disability, Medicare Part A, income, asset, and other QWD rules. Minnesota limits countable income to 200% of the federal poverty guideline for this program.
Reality check: QWD income calculations can be more complicated than the screening table suggests. Ask the agency to calculate countable income before deciding you are over the limit. Our Minnesota disability help guide may also be useful.
If you may qualify for both Medicare and broader Medicaid coverage, our Medicare and Medicaid guide explains the basic difference between MSP help and full Medicaid benefits.
How to Apply in Minnesota
Minnesota’s current health care application page says DHS-3876 is for households where every person applying fits a listed group, including people age 65 or older, people who are blind or disabled, people age 21 or older with Medicare and no children under 19 at home, and people applying only for Medicare Savings Programs.
For this group, the application is not available online. You can download the paper form, ask your county or Tribal agency to mail it to you, then mail, fax, or deliver it to the agency. If other family members are applying and do not fit the DHS-3876 categories, Minnesota may require a different application.
- Get DHS-3876 and read the first-page instructions.
- Check the MSP-only box if you want only Medicare cost help.
- Answer the household, income, asset, Medicare, and insurance questions.
- Sign and date the application.
- Send copies of available proof. Do not send original documents.
- Send the application right away even if one proof is still missing.
- Keep a copy and proof of the date you mailed, faxed, or delivered it.
If the office asks you to authorize electronic bank verification, Minnesota’s Asset Verification Service is used for certain applicants who are subject to an asset limit. Respond quickly so the case does not stall.
What to Gather Before You Apply
- Medicare card.
- Social Security benefit information.
- Pension, annuity, wage, or retirement income records.
- VA benefit letters, if you receive VA income.
- Recent checking and savings information.
- Investment and retirement account information.
- Other health insurance cards.
- Information about your spouse and household members.
- Any denial, premium notice, or medical bill you are trying to fix.
- Interpreter or disability-accommodation request, if needed.
- American Indian or Alaska Native information if Appendix A may apply.
Do not delay the application just because one document is missing. The June 2026 DHS-3876 instructions tell applicants to return the form promptly and say the agency will contact them if more information is needed.
When MSP Help Starts
This part is easy to misunderstand. Minnesota’s general page says MSP help usually starts around the application period, but the detailed program rules are different by program.
- QMB: QMB eligibility begins the first day of the month after the month the agency determines eligibility. QMB itself cannot begin in or before the month of application.
- SLMB, QI, and QWD: Minnesota’s retroactive eligibility policy allows up to three months before the application month when all eligibility rules are met.
- Person who qualifies for QMB: The state may provide SLMB Part B premium help for eligible retroactive and processing months before QMB begins.
Most Minnesota Health Care Programs applications must be processed as soon as possible and within 45 days. A disability-based Medical Assistance determination can have a 60-day processing period under the state processing rule. Call the agency if you have not received a decision and ask whether any proof is missing.
After approval, it can take time for premium withholding to update. Keep your approval notice and check later Social Security payments rather than assuming the first payment change will happen immediately.
Do not ignore renewal mail. Minnesota says some MSP cases can be renewed automatically when the county or Tribal agency has enough electronic income and asset information. If the agency cannot renew your case automatically, it will send a renewal form. Review every notice and return requested information on time to avoid a preventable gap.
What to Do About a Wrong QMB Bill
QMB billing protection is one of the most important parts of this program. Medicare says providers are not allowed to bill QMB members for Medicare-covered deductibles, coinsurance, or copayments. If you paid one of those charges after QMB coverage applied, you have a right to ask for a refund.
- Check whether the service or item was Medicare-covered.
- Call the provider’s billing office and say you are in QMB.
- Show your Medicare card and Medicaid or QMB proof.
- Ask the provider to correct the account and refund improper payments.
- If the bill remains, call 1-800-MEDICARE at 1-800-633-4227.
Our QMB billing protections guide gives a longer troubleshooting path if a provider or collector keeps asking for payment.
Extra Help With Prescription Drug Costs
If you qualify for QMB, SLMB, or QI, Medicare says you automatically qualify for Extra Help with Medicare drug costs. That can reduce Part D premiums, deductibles, and prescription cost sharing. QWD does not carry the same automatic Extra Help rule.
If prescription costs are still a problem, see our prescription drug help guide or review Medicare’s current Extra Help costs.
October 2026 Rule Change for Some Noncitizens
Beginning October 1, 2026, federal law changes who can qualify for federally funded Medical Assistance and MSP in Minnesota based on immigration status. Minnesota says the change affects some noncitizen adults age 21 or older who are not pregnant, including some refugees, asylees, humanitarian parolees, trafficking victims, and battered noncitizens.
The state’s noncitizen change page explains which statuses remain eligible and what notices are being mailed. This change does not affect U.S. citizens or U.S. nationals. If you received a notice saying coverage will end, contact your county or Tribal eligibility worker promptly. For immigration-law questions, use a trusted legal professional rather than guessing from a benefits notice.
Reality Checks Before You Apply
- The chart is not the whole calculation: Minnesota has income deductions and excluded assets that can change the result.
- Paper applications are still required for this route: DHS-3876 is not an online application.
- Assets can slow a case: Respond quickly to bank or AVS requests.
- MSP is not full Medical Assistance: Premium help does not automatically provide home care, nursing-home coverage, or all Medicaid services.
- QMB billing mistakes happen: Do not assume a bill is valid just because a provider mailed it.
- Notices matter: Renewal, proof, and appeal deadlines can affect coverage even when you still meet the financial rules.
Common Mistakes to Avoid
- Using the pre-July 2026 Minnesota income limits.
- Adding another $20 to the chart even though the chart already includes the standard disregard.
- Using gross wages alone to rule out QWD.
- Waiting for every proof before filing DHS-3876.
- Sending original documents instead of copies.
- Leaving out a spouse or other person the form asks about.
- Assuming QMB can start three months before the application.
- Paying Medicare-covered QMB cost sharing without questioning it.
- Missing the appeal deadline on a denial notice.
Denied, Delayed, or Overwhelmed
Start by asking the worker for the numbers used in your decision: household size, countable income, deductions, and countable assets. If the denial is based on missing proof, ask exactly what document is needed and where to send it.
If you disagree with the decision, Minnesota’s appeals FAQ says the hearing request normally must be received within 30 days after you get written notice. If you have good cause for filing late, you may be able to appeal within 90 days. The DHS Appeals Division can be reached at 651-431-3600 in the metro area or 1-800-657-3510 in Greater Minnesota.
If you need legal help understanding an appeal, LawHelpMN can help you look for Minnesota legal-aid resources. If your household is short on food, rent, or utility money while you wait, our Minnesota emergency help guide gives other starting points.
Phone Scripts You Can Use
Applying through your county or Tribe
“I have Medicare and want to apply for a Medicare Savings Program. I believe DHS-3876 is the right form for me. Can you confirm where I should send it and what proof you need first?”
Checking whether you may qualify
“My monthly income is about [amount], and my savings and other countable assets are about [amount]. Can you help me understand which Minnesota MSP I should ask the county or Tribal office to review?”
Fixing a QMB bill
“I am enrolled in QMB. This bill appears to be for Medicare-covered cost sharing. Please check my QMB status, correct the account, and tell me in writing if you believe I still owe anything.”
Questioning a denial
“Please tell me the household size, income, deductions, and assets used in my MSP decision. If anything is missing or wrong, tell me what proof I can send and my deadline.”
Minnesota Contacts and Resources
| Resource | Best use | Contact |
|---|---|---|
| Minnesota Aging Pathways | Free Medicare counseling and MSP help | 1-800-333-2433 |
| County or Tribal office | Application, proof, case status, renewal | Use official directory |
| Disability Hub MN | Disability, work, MA-EPD, QWD questions | 1-866-333-2466 |
| DHS Appeals Division | Hearing and appeal questions | 651-431-3600 / 1-800-657-3510 |
| Medicare | QMB billing and federal Medicare questions | 1-800-633-4227 |
For nearby aging services beyond Medicare, our Minnesota aging agencies directory can help you find local counseling, meals, transportation, caregiver support, and other services.
Resumen en Español
Los Programas de Ahorro de Medicare de Minnesota pueden ayudar a pagar algunos costos de Medicare. Desde el 1 de julio de 2026, el límite mensual de QMB es $1,350 para una persona y $1,824 para un hogar de dos. SLMB y QI tienen límites más altos. También existen límites de bienes.
Para muchas personas de 65 años o más, personas ciegas o con discapacidad, o personas que solo solicitan ayuda con Medicare, el formulario principal es DHS-3876. Envíelo a la oficina del condado o Tribal. No espere a tener cada documento antes de entregar la solicitud; envíe las pruebas disponibles y guarde copias.
Si ya tiene QMB y recibe una factura por deducibles, coseguro o copagos de servicios cubiertos por Medicare, llame al proveedor antes de pagar. Para ayuda gratuita con Medicare, llame a Minnesota Aging Pathways al 1-800-333-2433.
Frequently Asked Questions
What are Minnesota’s QMB limits now?
For the state chart effective July 1, 2026 through June 30, 2027, QMB is $1,350 monthly for one person and $1,824 for a household of two. The QMB asset limit is $10,000 for one person and $18,000 for a household of two.
Can I apply only for Medicare cost help?
Yes. DHS-3876 includes a box for people who want only Medicare Savings Programs and do not want to apply for other health care programs.
Can QMB cover earlier months?
QMB itself cannot begin in or before the application month. If you meet the rules, Minnesota may provide SLMB Part B premium help for eligible retroactive and processing months before QMB begins.
What if my income is slightly high?
Apply if you are close. Minnesota uses income-counting rules, deductions, and disregards, and the state chart is only a general screening guide.
What if a provider bills me after QMB approval?
Call the billing office and show your Medicare and QMB or Medicaid proof. Providers cannot bill QMB members for Medicare-covered deductibles, coinsurance, or copayments. Call 1-800-MEDICARE if the problem continues.
How long do I have to appeal?
Minnesota normally requires a hearing request within 30 days after you receive the written decision. If you show good cause for filing late, you may be able to appeal within 90 days.
About This Guide
Sources: This guide uses official federal, state, local, and other high-trust nonprofit and community sources linked in the article.
Editorial note
This guide is produced under the GFS Editorial Standards using official and other high-trust sources. GFS is not affiliated with a government agency and is not a substitute for official agency guidance. Individual eligibility outcomes cannot be guaranteed.
Corrections
Despite careful verification, errors may occur. Readers may email info@grantsforseniors.org with corrections.
Disclaimer
This article is for informational purposes only and is not legal, financial, medical, tax, disability-rights, immigration, or government-agency advice. Program rules, policies, funding, and availability can change. Readers should confirm current details directly with the responsible official program before acting.
Last updated: 26 September 2026 · Next review: 26 January 2027