Texas Medicare Savings Programs Forms 2026
Download the 1 form required to apply for Texas Medicare Savings Programs in Texas. All forms are free and can be submitted online, by mail, or in person at your local Health and Human Services office.
Texas Medicare Savings Programs
View program detailsState-administered programs that pay Medicare premiums and costs for low-income beneficiaries.
1 form availableLast updated Mar 2026
Medicare Savings Program Application
Apply for QMB, SLMB, or QI coverage to help pay Medicare premiums, deductibles, and copays.
How to use these forms
- Download and complete each form above, making sure to fill in all required fields and sign where indicated.
- Attach supporting documents from your document checklist — including proof of identity, income, and Texas residency.
- Submit your completed forms online at YourTexasBenefits.com, by mail to your local HHS office, or in person — processing typically takes 30 to 90 days.
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