How to apply for Medicare Savings Programs (QMB, SLMB, QI-1) in Alabama

Who it's for

Medicare Savings Programs help people with Medicare pay their Medicare costs. QMB pays Medicare premiums and the 20 percent coinsurance, and comes with a Medicaid card. SLMB and QI-1 pay the Medicare Part B premium. Alabama's monthly income limits (effective February 2026) are QMB $1,350 / $1,824 (one person / couple), SLMB $1,616 / $2,184, and QI-1 $1,816 / $2,455. In Alabama there is no resource (asset) limit for these programs. You must live in Alabama and be eligible for Medicare Part A. Mail or email the application (Form 211) to Alabama Medicaid, or call the Recipient Call Center.

What you'll need

• Medicare Savings Program application (Form 211)
• Medicare card
• Proof of income

Where to apply

What to say when you call

"Hello, I'm calling to ask about Medicare Savings Programs (QMB, SLMB, QI-1). I'd like to know whether I may qualify, what documents I need, and whether I can apply online, by mail, by phone, or in person. I understand I may need medicare Savings Program application (Form 211), medicare card, proof of income — is anything else required? What is the best next step?"

Tip: have a pen ready, ask for the person's name, and write down any case or reference number they give you.

Step by step

1. Check that you live in Alabama and are eligible for Medicare Part A. These programs are for people with Medicare in Alabama.
2. Review the income limits to see which level may fit. QMB is $1,350 for one person or $1,824 for a couple. SLMB is $1,616 for one person or $2,184 for a couple. QI-1 is $1,816 for one person or $2,455 for a couple.
3. Remember that lower income can qualify for more help. If only one spouse has Medicare, that spouse's income must be under the individual limit and the couple's combined income must be under the couple limit.
4. Gather your Medicare Savings Program application (Form 211), your Medicare card, and proof of income.
5. Apply online or apply by phone at 1-800-362-1504.
6. Complete the application fully and submit Form 211 with your Medicare card and proof of income as directed by Alabama Medicaid.

What to expect: After you apply, Alabama Medicaid makes the final decision. QMB pays Medicare premiums and the 20 percent coinsurance and comes with a Medicaid card. SLMB and QI-1 pay the Medicare Part B premium. QI-1 funding is limited. If approved, be ready to renew every year.

Renewals

annual