.
.
.
. . .
. . .
Q1 Medicare.com Click to Enter Your Drugs and Compare Medicare Part D Plans
Powered by Q1Group LLC Powered by Q1Group LLC.
Education and Decision Support Tools for the Medicare Community
.
.
. . .
. . .
. . .
.
. Home Contact Us Enroll . .
. . MAPD PDP 2015 FAQ Blog
.
. . .
. . . . . . .
.
.
: : 2015 Medicare Part D Rx plans
: : PDP plan changes 2014 to 2015
: : 2015 Medicare Advantage plans
: : MA plan changes 2014 to 2015
: : Browse any 2015 Drug Formulary
: : Find a 2015 Medicare drug plan by drug cost
: : Compare Medicare Rx and Health plans by drug costs
: : Newsletter Sign-up
. . . .


.

:: Click here to link to this page on your website
.

    Follow Q1Medicare on Twitter
.

   
. .

Medicare Part D Blog

Browse the Medicare Part D "Medicaid, LIS and Extra Help" Blogs
Any thoughts?  If you wish to add your comments, please submit your comments to us through our Online Help Desk.


Back To Blog Home Blog 11 of 21 in this Category Prev   Next


2012 Federal Poverty Level Guidelines: 2012-2013 LIS Qualifications and Benefits

Published on 2012-07-09 13:41:36Category: Medicaid, LIS and Extra Help

The 2012 Federal Poverty Level (FPL) Guidelines determine the income level requirements for people applying for the Low Income Subsidy (LIS) program. If your income is below 135% of the FPL ($15,079.50 if you are single or $20,425.50 for married couples), you could qualify for the full Low Income Subsidy (resource limits also apply - see charts below). Even if you don’t qualify for full LIS benefits, you could be eligible for partial LIS benefits if your income level is at or below 150% FPL (resource limits also apply - see charts below). Remember, the LIS subsidy helps to pay both your monthly plan premiums and drug costs.

Full Low-Income Subsidy Income Requirements (100% of FPL)
Persons
in Family
48 Contiguous
States & D.C.
Alaska Hawaii
1 $11,170 $13,970 $12,860
2 $15,130 $18,920 $17,410
3 $19,090 $23,870 $21,960
4 $23,050 $28,820 $26,510
5 $27,010 $33,770 $31,060
6 $30,970 $38,720 $35,610
7 $34,930 $43,670 $40,160
8 $38,890 $48,620 $44,710
For each additional
Person, add
$3,960 $4,950 $4,550
Federal Register Volume 77, Number 17 (Thursday, January 26, 2012), pp. 4034-4035
Resource Limits for Full-LIS

 
 
Full Low-Income Subsidy Income Requirements (135% of FPL)
Persons
in Family
48 Contiguous
States & D.C.
Alaska Hawaii
1 $15,079.50 $18,859.50 $17,361.00
2 $20,425.50 $25,542.00 $23,503.50
3 $25,771.50 $32,224.50 $29,646.00
4 $31,117.50 $38,907.00 $35,788.50
5 $36,463.50 $45,589.50 $41,931.00
6 $41,809.50 $52,272.00 $48,073.50
7 $47,155.50 $58,954.50 $54,216.00
8 $52,501.50 $65,637.00 $60,358.50
Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL
and resources < $6,940 (individuals) or < $10,410 (couples)*** 
See resource and income level premium benefits in the charts below.

 
 
Partial Low-Income Subsidy Income Requirements (150% of FPL)
Persons
in Family
48 Contiguous
States & D.C.
Alaska Hawaii
1 $16,755.00 $20,955.00 $19,290.00
2 $22,695.00 $28,380.00 $26,115.00
3 $28,635.00 $35,805.00 $32,940.00
4 $34,575.00 $43,230.00 $39,765.00
5 $40,515.00 $50,655.00 $46,590.00
6 $46,455.00 $58,080.00 $53,415.00
7 $52,395.00 $65,505.00 $60,240.00
8 $58,335.00 $72,930.00 $67,065.00
Applied and income below 150% FPL
and resources between $6,941-$11,570 (individuals) or $10,411-$23,120 (couples)***
(category code 4). 
See resource and income level premium benefits in the charts below.

*** The actual amount of resources allowable may be updated for contract year 2013.

2012 Premium Subsidy Resource/Income Limits for Individuals

Individual’s Countable Resources

Individual’s Countable Income

Amount of the Premium Subsidy

$6,940 or less

At or below 135% FPL

100%

$6,940.01 to $11,570

At or below 135% FPL

100% but less help with co-pays or deductibles

$11,570 or less

More than 135% of FPL, but at or below 140%

75%

$11,570 or less

More than 140% of FPL but at or below 145%

50%

$11,570 or less

More than 145% of FPL but less than 150%

25%

$11,570.01 or more

Any amount

Not eligible for subsidy

2012 Premium Subsidy Resource/Income Limits for Married Couples

Couple’s Countable Resources

Couple’s Countable Income

Amount of the Premium Subsidy

$10,410 or less

At or below 135% FPL

100%

$10,410.01 to $23,120

At or below 135% FPL

100% but less help with co-pays or deductibles

$23,120 or less

More than 135% of FPL, but at or below 140%

75%

$23,120 or less

More than 140% of FPL, but at or below 145%

50%

$23,120 or less

More than 145% of FPL but less than 150%

25%

$23,120.01 or more

Any amount

Not eligible for subsidy


 

To review co-payments for both Full- and Partial-LIS, select the link below:

2012 LIS Copayment Benefits100% FPL    135% FPL     150% FPL  
2013 LIS Copayment Benefits100% FPL    135% FPL     150% FPL

 
 


: : 2015 PDP-Finder - Medicare Part D Plan Finder
The 2015 PDP-Finder is now available, displaying Medicare Part D plan information, including plan premium, deductible, type of gap coverage and if the plan qualifies for the $0 premium for those persons with a low income subsidy (LIS).

: : Click here to receive an email when the 2016 Medicare plan information becomes available.
: : Sign-up for our FREE Medicare Part D Newsletter.
: : Have a question? Click here to let us know.

Back To Blog Home Blog 11 of 21 in this Category Prev   Next




Click the +1 button if you have found this page useful:  



.
.
.
Browse Categories
Selecting your Medicare Plan
Plan Quality Star Ratings
Annual Medicare Plan Changes
Enrollment Topics
Late Enrollment Penalty
Your Formulary (Drug List)
Monthly Formulary Changes
Your Medicare plan Coverage
Pharmacies and Providers
Switching Medicare Plans
Special Enrollment Periods SEP
The Donut Hole or Coverge Gap
Donut Hole Discount
Straddle Claims
Medicaid, LIS and Extra Help
IRMAA - for Higher Incomes
Medicare Advantage Plans
Medicare Supplements
Medicare Plan Providers
Marketing Medicare Products
General Medicare Part D
General Medicare
Your Health and Wellness
About Q1Medicare.com

.
.

Medicare Supplements
fill the gaps in your
Original Medicare
1. Select Your State:


Quick Links
: : 2015 Part D PDP-Finder (Drug Only) Plan Finder
: : Compare 2014/2015 PDP plans
: : 2015 MA-Finder: Medicare Advantage Plan Finder
: : Compare 2014/2015 Medicare Advantage plans
: : 2015 Part D Drug Finder
: : Browse Any 2015 Plan Formulary
: : 2015 Browse Drugs By Letter
: : Find a 2015 Plan by Drug Costs
: : 2015 Part D plan Facts & Figures
: : Medicare Part D Reminder Service: 2016
.

. . .
. . .
.
.
What’s New Most Viewed Press . .
.
. . .
.
Sitemap About Us Privacy Policy Newsletter Sign-up Blog FAQ Contact Us Terms Of Use Newsroom
. Enroll in Medicare Part D © Q1Group LLC 2005 - 2014 . .
. . .
. . .
.
.
. .

.
.