Medicaid for Older People and People with Disabilities | Department of Human Services | Commonwealth of Pennsylvania Medicaid for Older People and People with Disabilities Pennsylvania's Medical Assistance (Medicaid) program provides health care benefits for older people (ages 65 and older), people with disabilities, or people who are blind. Information on this page describes general eligibility requirements and benefits Non-Money Payment (NMP) Number of People NMP Categories Net Monthly Income Limit $1,016.10 $1,524.30 Medically Needy Only (MNO) Number of People MNO Categories Net Monthly Income Limits MNO Categories Net 6-Month Income Limits $ 425 $ 2,550 $ 442 $ 2,650 $ 467 $ 2,800 $ 567 $ 3,400 $ 675 $ 4,050 $ 758 $ 4,550 $ 850 $ 5,100 $ 942 $ 5,600 Each Additional Person $ 92 $ 550 State Blind Pension State-funded program dedicated to helping low-income individuals and families who meet visual and other eligibility requirements move to independence. View additional information on the State Blind Pension program. Healthy Horizons Eligible persons may be eligible to receive help to pay their Medicare premiums. The Medical Assistance program (also referred to as Medicaid) includes a coverage plan designed to help elderly individuals or individuals with disabilities who are eligible for Medicare to pay some or all of their Medicare premiums. Individuals must meet income and resource limits. Income limits are based on a percentage of the Federal Poverty Income Guidelines (FPIG), which are revised annually. Healthy Horizons includes the following: Qualified Medicare Beneficiary (QMB) — Categorically Needy Program Also known as Healthy Horizons in Pennsylvania, individuals who qualify for these benefits are eligible for Medical Assistance payments of their Medicare Part A and Part B premiums and payment of Medicare deductibles and coinsurance. They are also eligible for medical coverage through the Medical Assistance program. Income and resource limits are as follows: Number of People 2025 Federal Poverty Level (FPIG) Monthly Income Limit (FPIG + $20 Deductible = Limit Resource Limit 100 percent or less $1,330 + $20 = $1,350 $2,000 100 percent or less $1,804 + $20 = $1824 $3,000 Qualified Medicare Beneficiary (QMB) — Medicare Cost-Sharing Program Also known as Healthy Horizons-Medicare Cost-Sharing in Pennsylvania, individuals who qualify for these benefits are eligible for payment of their Medicare Part A and Part B premiums and payment of Medicare deductibles and coinsurance. Income and resource limits are as follows: Number of Persons 2025 Federal Poverty Level (FPIG) Monthly Income Limit (FPIG + $20 Deductible = Limit) Resource Limit 100 percent or less $1,330 + $20 = $1,350 $9,950 100 percent or less $1,804 + $20 = $1,824 $14,910 Specified Low-Income Medicare Beneficiary (SLMB) Program Individuals who qualify for these benefits are eligible for payment of their Medicare Part B premium only. Income and resource limits are as follows: ​Number of People 2025 Federal Poverty Level (FPIG) Monthly Income Limit (FPIG + $20 Deductible = Limit) Resource Limit ​1 At least 100 percent but less than 120 percent $1,330 + $20 = $1,350 Less than $1,596 + $20 = $1,616 $9,950 ​2 At least 100 percent but less than 120 percent $1,1804 + $20 = $1,824 Less than $2,164 + $20 = $2,184 $14,910 Qualifying Individuals Group 1 (QI-1) Individuals who qualify for these benefits are eligible for payment of their Medicare Part B premium only. Income and resource limits are as follows: Number of People 2025 Federal Poverty Level (FPIG) Monthly Income Limit (FPIG + $20 Deductible) Resource Limit At least 120 percent but less than 135 percent $1,596 + $20 = $1,616 Less than $ 1,796 + $20 = $1,816 $9,950 At least 120 percent but less than 135 percent $2,164 + $20 = $2,184 Less than $2,435 + $20 = $2,455 $14,910