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 Benefits: 100% FPL 135% FPL 150% FPL
2013 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL
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