Use this as a quick planning screen, not a final eligibility decision. Medicare says states can use higher limits or different counting rules.

The 2026 Medicare fact sheet says countable resources can include money in checking, savings, or retirement accounts. If you are unsure what your state counts, use your best estimate and ask your SHIP counselor or state Medicaid office.

Do not enter names, Medicare or Medicaid numbers, Social Security numbers, bank account numbers, claim numbers, exact notice identifiers, or other private details. Keep the real notice and application records in a secure private place.

This worksheet is educational and organizational only. It is not Medicare, Medicaid, Social Security, legal, financial, tax, insurance, or benefits advice. The responsible agency makes the official eligibility, enrollment, coverage, cost, and appeal decision.

Official references: Medicare Savings Programs, Extra Help with drug costs, Medicare help-with-costs notices, Apply for Extra Help through Social Security, Find your SHIP counselor.