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Medicare and health costs

Medicare Savings Programs in North Dakota

North Dakota Medicaid's Medicare Savings Program, also called the Medicare Premium Assistance Program, pays your Medicare Part B premium, and with QMB also your Medicare deductibles and coinsurance.

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From the North Dakota Department of Health and Human Services
An older woman in her kitchen reads a letter from the day's mail

North Dakota uses the federal income and savings limits. You can apply online, on the paper Health Care Application for the Elderly and Disabled, or at a human service zone office.

How to apply in North Dakota

In person
At a human service zone office. North Dakota HHS has a zone office finder on its website.
By mail
Fill out the Health Care Application for the Elderly and Disabled (SFN 958) and return it to a human service zone office, or call the Customer Support Center to have an application mailed to you. Customer Support Center, P.O. Box 5562, Bismarck, ND 58506.

Applying is free. Nobody should charge you to apply.

Apply on the official site

Who may qualify in North Dakota

Who may qualify for Medicare Savings Program
2026 figuresOne personMarried couple
QMB income limit$1,330 a month (after the first $20 of income is set aside)$1,804 a month (after the first $20 of income is set aside)
SLMB income limit$1,596 a month (after the first $20 of income is set aside)$2,164 a month (after the first $20 of income is set aside)
QI income limit$1,796 a month (after the first $20 of income is set aside)$2,435 a month (after the first $20 of income is set aside)
Savings limit$9,950$14,910

Source: North Dakota Department of Health and Human Services (source 1)

What you may get

What Medicare Savings Program pays
What QMB paysYour Part B premium, the Part A premium in some cases, and Medicare cost sharing such as deductibles and coinsurance
What SLMB paysYour Part B premium only
What QI paysYour Part B premium only

Source: North Dakota Department of Health and Human Services (source 4)

Good to know

  • North Dakota's tables list the poverty-level amounts. The first $20 of monthly income isn't counted, so the $1,330 QMB limit lines up with the federal $1,350 (and the same for the other limits).
  • You can't get QI and other Medicaid coverage for the same months.

Source: North Dakota Department of Health and Human Services (source 3)

Free help

Free help with this in North Dakota

More help in North Dakota

Medicare Savings Programs in another state

Sources

  1. North Dakota Department of Health and Human Services, Income Levels 510-05-85-40 (Non-ACA Medicaid Policy Manual) (official government site). Checked Oct 28, 2026.
  2. North Dakota Department of Health and Human Services, Asset Limits for the Medicare Premium Assistance Program 510-05-60-20 (official government site). Checked Oct 28, 2026.
  3. North Dakota Department of Health and Human Services, Income Considerations for the Medicare Premium Assistance Program 510-05-60-30 (official government site). Checked Oct 28, 2026.
  4. North Dakota Department of Health and Human Services, Individuals Covered and Benefits 510-05-60-10 (official government site). Checked Oct 28, 2026.
  5. North Dakota Department of Health and Human Services, Ways to Apply (North Dakota Medicaid) (official government site). Checked Oct 28, 2026.

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