Who pays my Medicare Part B premium if I qualify for QMB?
If you are approved for QMB, your state Medicaid program pays your Medicare Part B premium directly to Medicare, so the premium stops coming out of your Social Security check and your monthly Social Security payment rises by that amount.
What this means
- QMB stands for Qualified Medicare Beneficiary, the highest level of the Medicare Savings Programs.
- QMB also makes you a protected beneficiary: doctors, hospitals and suppliers who take Medicare are forbidden by federal law from billing you for Medicare deductibles, coinsurance or copays.
- Your Social Security benefit amount itself does not change. What changes is that the deduction stops.
- QMB approval automatically enrolls you in Extra Help for prescription drugs.
What to do first
- Apply for the Medicare Savings Program through your state Medicaid agency and ask which level you were approved for.
- Once approved, keep the approval letter and show it to any provider who sends you a bill for a Medicare copay.
- If a provider keeps billing you, call 1-800-MEDICARE and report improper billing, and call your State Health Insurance Assistance Program for help.
Medicare Savings Programs (QMB, SLMB, QI)
Your state pays your Medicare Part B premium, and sometimes your deductibles and copays too.
Senior Medicare Patrol: Fraud and Billing Errors
Free help reading your Medicare statements and reporting charges for things you never received.
What you'll need
- Medicare card
- Social Security award letter
- Proof of address
- Bank statements
- Proof of income for everyone in the household
- Notes about the call or offer if you are reporting a scam
- Your Medicare Summary Notices or Explanation of Benefits
Deadlines and timing
- It can take a month or two after approval before the premium deduction actually stops. Ask whether you are owed money back for the months in between.
- You usually have to renew your Medicare Savings Program eligibility every year.
- Improper billing of a QMB beneficiary is a violation, not a misunderstanding you have to pay for.
Where to go
- Medicare Savings Programs (QMB, SLMB, QI): https://www.medicaid.gov/about-us/where-can-people-get-help-medicaid-chip
- Senior Medicare Patrol: Fraud and Billing Errors: https://smpresource.org/locator/
Reviewed by Jason Burns, Editorial Steward · Last verified August 25, 2026
Sources
- Medicare Savings Programs · Centers for Medicare & Medicaid Services
Every program on this site is free to apply for. Anyone who asks you to pay to apply, or to “unlock” a government benefit, is a scam — hang up and call Senior Medicare Patrol or 211.
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