Medicare Application

Get Help Paying for Medicare Costs with the MSP

Up to $7,000 back in your pocket for health care costs. Learn if you are eligible.


Apply for the MSP Today

Learn how the MSP could put up to $7,000 back in your pocket. 


The Medicare Savings Program, or MSP, is estimated to save Medicare beneficiaries an average of up to $7,000 annually.

Free, objective, statewide assistance is also available to help you in the application process through the Health Insurance Information, Counseling and Assistance Program (HIICAP). Simply call the statewide helpline at 1-800-701-0501.

New Income Levels: 2024
Individual Income Level

$2,355 per month

Income Level for Couples

$3,189 per month

More Info

How it Works
  • The MSP helps pay out-of-pocket Medicare costs, such as your Part B premium.
  • To be eligible, you must already be a Medicare beneficiary, meet the income requirements, and apply for this assistance,
  • You can print an application online. You can also pick up a printed application through your local HIICAP program.

To apply, you’ll need photocopies of:

  • Your Medicare Card
  • Proof of income
  • Documentation about health insurance premiums that you pay other than Medicare
  • Proof of your date of birth
  • Proof of residence


Income information can include your social security award letter, monthly pension statement, or any other earned income such as paystubs. Please refer to page two of the application form for more detailed information about documentation.

Application Assistance
Get free and objective statewide application assistance. For help, call New York's HIICAP Program at 1-800-701-0501.