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. |
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 |
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 |