Medicare Savings Program Limits 2026 (Dataset)
The 2026 federal income and resource limits for the Medicare Savings Programs, by program, region and household, with the poverty guideline and percentage each is derived from. Download: CSV · JSON (the JSON also lists the more generous state rules with their official sources). Licence: CC BY 4.0.
| Program | Region | Household | % of poverty line | Guideline / yr | Exact / mo | Limit / mo | Resources |
|---|---|---|---|---|---|---|---|
| QMB | 48 states + DC | individual | 100% | $15,960 | $1,350.00 | $1,350 | $9,950 |
| QMB | 48 states + DC | couple | 100% | $21,640 | $1,823.33 | $1,824 | $14,910 |
| QMB | AK | individual | 100% | $19,950 | $1,682.50 | $1,683 | $9,950 |
| QMB | AK | couple | 100% | $27,050 | $2,274.17 | $2,275 | $14,910 |
| QMB | HI | individual | 100% | $18,360 | $1,550.00 | $1,550 | $9,950 |
| QMB | HI | couple | 100% | $24,890 | $2,094.17 | $2,095 | $14,910 |
| SLMB | 48 states + DC | individual | 120% | $15,960 | $1,616.00 | $1,616 | $9,950 |
| SLMB | 48 states + DC | couple | 120% | $21,640 | $2,184.00 | $2,184 | $14,910 |
| SLMB | AK | individual | 120% | $19,950 | $2,015.00 | $2,015 | $9,950 |
| SLMB | AK | couple | 120% | $27,050 | $2,725.00 | $2,725 | $14,910 |
| SLMB | HI | individual | 120% | $18,360 | $1,856.00 | $1,856 | $9,950 |
| SLMB | HI | couple | 120% | $24,890 | $2,509.00 | $2,509 | $14,910 |
| QI | 48 states + DC | individual | 135% | $15,960 | $1,815.50 | $1,816 | $9,950 |
| QI | 48 states + DC | couple | 135% | $21,640 | $2,454.50 | $2,455 | $14,910 |
| QI | AK | individual | 135% | $19,950 | $2,264.38 | $2,265 | $9,950 |
| QI | AK | couple | 135% | $27,050 | $3,063.13 | $3,064 | $14,910 |
| QI | HI | individual | 135% | $18,360 | $2,085.50 | $2,086 | $9,950 |
| QI | HI | couple | 135% | $24,890 | $2,820.13 | $2,821 | $14,910 |
| QDWI | 48 states + DC | individual | 200% | $15,960 | $5,405.00 | $5,405 | $4,000 |
| QDWI | 48 states + DC | couple | 200% | $21,640 | $7,298.33 | $7,299 | $6,000 |
| QDWI | AK | individual | 200% | $19,950 | $6,735.00 | $6,735 | $4,000 |
| QDWI | AK | couple | 200% | $27,050 | $9,101.67 | $9,102 | $6,000 |
| QDWI | HI | individual | 200% | $18,360 | $6,205.00 | $6,205 | $4,000 |
| QDWI | HI | couple | 200% | $24,890 | $8,381.67 | $8,382 | $6,000 |
Method. Monthly limit = annual guideline ÷ 12 × percentage + $20 (the SSI general income exclusion, 20 CFR §416.1124(c)(12)), rounded to the nearest dollar. Percentages: 42 U.S.C. §1396d(p), (s) (QMB 100%, QDWI 200%), 42 U.S.C. §1396a(a)(10)(E) (SLMB under 120%, QI under 135%). For the 48 states and DC each rounded figure equals the 2026 figure CMS publishes. Resource limits for QMB, SLMB and QI: CMS Informational Bulletin, 2026 SSI, Spousal Impoverishment and Medicare Savings Program Resource Standards (December 9, 2025); QDWI: twice the SSI limit (20 CFR §416.1205). This is the federal baseline: states may be more generous.
Explained, with a calculator: Medicare Savings Programs 2026 · All datasets