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

Publish On 2012-07-09 , 1:41 PM

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

 
 


 

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