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

  1. Apply for the Medicare Savings Program through your state Medicaid agency and ask which level you were approved for.
  2. Once approved, keep the approval letter and show it to any provider who sends you a bill for a Medicare copay.
  3. 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

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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Canonical: https://seniorassistancecenter.com/answers/who-pays-my-part-b-premium-with-qmb · Licensed under the Citation License 1.0 · © 2026 Adolicious LLC

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