Free or low-cost health insurance for adults 65 years of age and over

• Qualified Medicare Beneficiary Program (QMB)
• Specified Low-Income Medicare Beneficiary Program (SLMB)
• Qualified Individual(QI-1) Program

For any of the cost-sharing programs your resources (assets) must be under $6,600 for an individual and $9,910 for a couple.

• Cash
• Bank accounts
• Certificates of deposits
• Savings bonds
• Stocks
• Real property (except the home you live in)
• Recreational vehicle

QMB pays your Part B Medicare premium, and the cost, if any, of your Part A premium. QMB also pays your Medicare co-payments and deductibles. To be eligible your income must be no more than:

• $931 per month for one person, or
• $1,251 per month for a couple

Specified Low-Income Medicare Beneficiary (SLMB):

• $1,117 per month for one person, or
• $1,513 per month for a couple

Qualified Individual (QI-1) program:

• $1,257 per month for one person, or
• $1,703 per month for a couple

• Download the application (PDF)
• Consent form (PDF): This allows Public Health staff to process and follow-up on your application

• Application
• Consent form (this allows Public Health staff to process and follow-up on your application)
• Proof of income
• Bank statements for everyone in household
• Citizen requirements (include U.S. citizens & lawfully admitted residents who meet the 5-year residency requirement and some non-citizens.)

Access & Outreach
Public Health - Seattle & King County
401 5th Avenue #1000
Seattle, WA 98104

NOTE: SUBMITTING AN APPLICATION DOES NOT GUARANTEE YOUR ELIGIBILITY.