1
Lower out-of-pocket costs
Depending on your Medicaid level, the state may pay your Part B premium and, in many cases, your Medicare deductibles, coinsurance and copays.
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Medicare and Medicaid · Dual eligible
If you have Medicare and Medicaid, you may get more benefits
Many people qualify for both programs and don't know it. When you have both, Medicaid helps with costs Medicare doesn't cover and you can choose plans designed for you.
Benefits of having both programs
2
Automatic help with prescriptions
If you have Medicaid, you automatically qualify for Extra Help. In 2026 you pay no more than $12.65 per prescription.
3
D-SNP plans made for you
Dual Eligible Special Needs Plans (D-SNPs) coordinate your Medicare and Medicaid benefits. Many include extras like dental, vision, hearing, transportation or an allowance for over-the-counter items. Benefits vary by plan.
4
Long-term care
Medicaid may cover services Medicare doesn't, such as care at home or in a nursing home, if you meet the requirements.
5
More chances to change plans
People with Medicare and Medicaid have special periods during the year to change coverage, not just during annual enrollment.
6
One team to guide you
We help you make sure your doctors and medications are covered and explain how your two programs work together.
Don't have Medicaid but have a low income?
Medicare Savings Programs (MSPs) are part of Medicaid and help pay your Medicare costs. These are the 2026 federal limits:
| Program | What it pays | Monthly income (individual / couple) | Resources (individual / couple) |
|---|---|---|---|
| QMB | Part A and B premiums, deductibles, coinsurance and copays | $1,350 / $1,824 | $9,950 / $14,910 |
| SLMB | Part B premium | $1,616 / $2,184 | $9,950 / $14,910 |
| QI | Part B premium | $1,816 / $2,455 | $9,950 / $14,910 |
Source: Medicare.gov. The state makes the final decision, and some income or assets aren't counted, so you may qualify even if you're slightly above. Medicare.gov
How to apply for Medicaid in Texas
- 1Apply online at YourTexasBenefits.com or call 2-1-1.
- 2Have your Medicare card, proof of income and bank statements ready.
- 3Once you get your approval letter, call us to see whether a D-SNP plan is right for you.
We help you with your application
At no cost, we sit down with you and complete your application with Texas Health and Human Services (HHSC) together: we fill out the forms, review your documents and explain every step, in English or Spanish.
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Download our flyer with the 2026 limits for yourself or a family member who may qualify (flyer in Spanish).
Download flyer (PDF)Want to know if you qualify?
We'll review your situation at no cost and with no obligation, in English or Spanish.