North Dakota benefits for older adults

North Dakota Medicare Savings Programs: help paying the Part B premium

A Medicare Savings Program has North Dakota pay your Medicare Part B premium, which stops that amount being taken out of your Social Security check every month. There are three levels, QMB, SLMB and QI, and QMB also covers Medicare deductibles, coinsurance and copays. North Dakota Health and Human Services decides these applications in North Dakota, not Medicare and not Social Security. Being approved for any of the three also gets you Extra Help with prescription costs automatically. Income and asset limits are set by North Dakota and change each year, so call and ask for the current figures before you decide you do not qualify. This site serves people 65 and older, but these programs also cover younger people on Medicare because of a disability.

Agency:

North Dakota Health and Human Services

Phone:

Not yet verified — call to confirm

Income limit:

The federal limit is 135% of the poverty level — about $1,796 a month for one person, or $2,435 a month for two, under the 2026 guidelines. Some states set higher limits. Confirm with your state at the number below. Posted 2026. Source: Medicare.gov — Medicare Savings Programs Close to the line? Apply anyway — some income doesn't count toward these limits.

How this program works nationally

North Dakota SNAP food assistance for people 60 and older

SNAP puts money on a card each month for groceries. North Dakota Department of Health and Human Services runs it in North Dakota. If anyone in the household is 60 or older or has a disability, there is no gross income cap in the usual way and you can deduct out-of-pocket medical costs above $35 a month, which raises the benefit and is the single most missed step on the form. Bring receipts for prescriptions, doctor visits, dentures, hearing aids, glasses and transport to appointments. A household of one that is over 60 can apply with a shorter form in most states, and interviews are usually done by phone.

Agency:

North Dakota Department of Health and Human Services

Phone:

1-800-472-2622

Income limit:

Not yet verified — call to confirm

How this program works nationally

North Dakota LIHEAP: help paying the heating and cooling bill

LIHEAP in North Dakota pays part of a heating or cooling bill straight to the utility company, and can pay an emergency crisis benefit when a shut-off notice has already arrived. North Dakota Department of Human Services runs the program in North Dakota and takes applications through local community action agencies. Call before you apply and ask two things: the date applications open this year, and whether a crisis or emergency benefit is open right now, because that one is usually decided within 48 hours. Funds are limited and stop when the money runs out, so applying in the first weeks matters more than anything else you can do.

When you can apply: Most states open applications in late autumn and stop when the money runs out. Cooling help in hot states usually opens in late spring. Call your state agency for this year's exact opening date.

This program is first come, first served. States stop taking applications when the money runs out, usually long before the season ends. Apply the week it opens.

Agency:

North Dakota Department of Human Services

Phone:

1-800-755-2716

Income limit:

Not yet verified — call to confirm

How this program works nationally

North Dakota winter shut-off protection and medical certification

North Dakota restricts when a utility can disconnect heat in cold weather, and North Dakota Public Service Commission sets those rules. Separately, and this matters all year, a doctor or nurse practitioner can certify that losing service would endanger someone in the home, which protects oxygen concentrators, CPAP machines, home dialysis, powered wheelchairs and refrigerated insulin. Be clear about what this does: it delays a shut-off and usually requires a payment plan. It does not cancel the debt. Call the utility first and ask for a shut-off hold, medical certification, a payment plan and budget billing, and their hardship fund, then apply for LIHEAP the same week.

When you can apply: Cold-weather protection generally runs through the winter months, and the exact dates are set by your state commission. Ask the commission or your utility for this year's dates.

Agency:

North Dakota Public Service Commission

Phone:

(701) 328-2400

Income limit:

Not yet verified — call to confirm

How this program works nationally

North Dakota Medicaid home care waivers, including paying a family caregiver

Home and Community-Based Services / Medicaid Waiver for the Aged and Disabled in North Dakota pay for care at home rather than in a nursing home: personal care aides, adult day programs, respite for the family, home changes like grab bars and ramps, and meals. North Dakota Health and Human Services decides these cases. Many states also run a self-directed option, where the person receiving care chooses their own aide and a family member other than a spouse can be hired and paid. Waiting lists are common, so ask to be screened and put on the list the same day you call, even if you are not sure you qualify yet.

Agency:

North Dakota Health and Human Services

Phone:

Not yet verified — call to confirm

Income limit:

Not yet verified — call to confirm

How this program works nationally

North Dakota Homestead Property Tax Credit for older homeowners

North Dakota offers property tax relief to older homeowners through some combination of a homestead exemption, a senior freeze that locks the assessed value, a circuit breaker credit tied to income, and a deferral that postpones the bill until the home is sold. North Dakota Office of State Tax Commissioner sets the rules, but almost all of these are filed with your county assessor or treasurer, not with the state. Deadlines are once a year and missing one usually costs you the whole year, so call the county assessor and ask which relief you qualify for and when the form is due. A deferral is a loan against the house, not a discount, so ask what interest is charged before you sign. Provides a property tax credit for qualifying homeowners age 65 or older, or permanently and totally disabled individuals, based on income; a related renter's refund is also available. Applications are due April 1 and filed with the local assessor.

When you can apply: Most of these have a filing deadline once a year, often in spring, set by your county. Ask your county assessor for this year's date.

Agency:

North Dakota Office of State Tax Commissioner

Phone:

Not yet verified — call to confirm

Income limit:

Not yet verified — call to confirm

How this program works nationally