Medicare Savings Program in North Carolina — 2026 Guide
North Carolina residents with limited income may qualify for QMB, SLMB, or QI — programs that pay your Medicare premiums and, in some cases, all cost-sharing. Check your eligibility in 90 seconds, free.
2026 Income Limits for North Carolina
Monthly gross income limits after the $20 general income disregard.
Individual
$1,350/mo
Married couple
$1,824/mo
Covers Part A & B premiums, all deductibles, coinsurance, and copays. Automatically qualifies you for Extra Help on prescriptions.
Individual
$1,616/mo
Married couple
$2,184/mo
Covers your Medicare Part B premium ($202.90/month in 2026).
Individual
$1,820/mo
Married couple
$2,462/mo
Covers the Part B premium. Slots are limited and reset each January — apply early.
Asset Test
North Carolina applies an asset test. The 2026 limits are $9,950 for individuals and $14,910 for married couples.
Excluded: your primary home, one vehicle, household goods, and personal belongings.
Federal baseline income and asset limits apply.
How to Apply in North Carolina
MSP is administered by North Carolina's Medicaid office. You can apply online or by phone. Most applications are processed within 45 days, and benefits are often retroactive to the month you applied.
Frequently Asked Questions — North Carolina
What is the QMB income limit in North Carolina for 2026?
In 2026, the QMB income limit in North Carolina is $1,350/month for individuals and $1,824/month for married couples. These figures are after the $20 general income disregard applied to unearned income first.
Does North Carolina have an asset test for the Medicare Savings Program?
Yes. North Carolina has an asset test. The 2026 limits are $9,950 for individuals and $14,910 for married couples. Your home, one car, and personal belongings are excluded.
How do I apply for the Medicare Savings Program in North Carolina?
Apply through North Carolina's Medicaid office online at https://www.ncdhhs.gov/assistance/medicaid-and-health-choice or by calling 1-888-245-0179. Most states process applications within 45 days, and benefits are often retroactive to the month you applied.
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