48 States and the District of Columbia 2023 Federal Poverty Level (FPL) Guideline Table |
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Family Size | 100% | 135% | 140% | 145% | 150% |
1 | $14,580 | $19,683 | $20,412 | $21,141 | $21,870 |
2 | $19,720 | $26,622 | $27,608 | $28,594 | $29,580 |
3 | $24,860 | $33,561 | $34,804 | $36,047 | $37,290 |
4 | $30,000 | $40,500 | $42,000 | $43,500 | $45,000 |
5 | $35,140 | $47,439 | $49,196 | $50,953 | $52,710 |
6 | $40,280 | $54,378 | $56,392 | $58,406 | $60,420 |
7 | $45,420 | $61,317 | $63,588 | $65,859 | $68,130 |
8 | $50,560 | $68,256 | $70,784 | $73,312 | $75,840 |
9 | $55,700 | $75,195 | $77,980 | $80,765 | $83,550 |
10 | $60,840 | $82,134 | $85,176 | $88,218 | $91,260 |
Additional | $5,140 | $6,939 | $7,196 | $7,453 | $7,710 |
2023 Eligible for QMB/SLMB/QI, SSI or applied and
income at or below 135% FPL and resources* < $10,590 (individuals) or
< $16,630 (couples) See resource and income level premium benefits in the charts below. |
Alaska 2023 Federal Poverty Level (FPL) Guidelines Table |
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Family Size | 100% | 135% | 140% | 145% | 150% |
1 | $18,210 | $24,584 | $25,494 | $26,405 | $27,315 |
2 | $24,640 | $33,264 | $34,496 | $35,728 | $36,960 |
3 | $31,070 | $41,945 | $43,498 | $45,052 | $46,605 |
4 | $37,500 | $50,625 | $52,500 | $54,375 | $56,250 |
5 | $43,930 | $59,306 | $61,502 | $63,699 | $65,895 |
6 | $50,360 | $67,986 | $70,504 | $73,022 | $75,540 |
7 | $56,790 | $76,667 | $79,506 | $82,346 | $85,185 |
8 | $63,220 | $85,347 | $88,508 | $91,669 | $94,830 |
Additional | $6,430 | $8,681 | $9,002 | $9,324 | $9,645 |
2023 Eligible for QMB/SLMB/QI, SSI or applied and
income at or below 135% FPL and resources* < $10,590 (individuals) or
< $16,630 (couples) See resource and income level premium benefits in the charts below. |
Hawaii 2023 Federal Poverty Level (FPL) Guidelines Table |
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Family Size | 100% | 135% | 140% | 145% | 150% |
1 | $16,770 | $22,640 | $23,478 | $24,317 | $25,155 |
2 | $22,680 | $30,618 | $31,752 | $32,886 | $34,020 |
3 | $28,590 | $38,597 | $40,026 | $41,456 | $42,885 |
4 | $34,500 | $46,575 | $48,300 | $50,025 | $51,750 |
5 | $40,410 | $54,554 | $56,574 | $58,595 | $60,615 |
6 | $46,320 | $62,532 | $64,848 | $67,164 | $69,480 |
7 | $52,230 | $70,511 | $73,122 | $75,734 | $78,345 |
8 | $58,140 | $78,489 | $81,396 | $84,303 | $87,210 |
Additional | $5,910 | $7,979 | $8,274 | $8,570 | $8,865 |
2023 Eligible for QMB/SLMB/QI, SSI or applied and
income at or below 135% FPL and resources* < $10,590 (individuals) or
< $16,630 (couples) See resource and income level premium benefits in the charts below. |
Individual’s Countable Resources* | Individual’s Countable Income | Amount of the Premium Subsidy |
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$9,090 or less | At or below 135% FPL | 100% |
$9,090.01 to $15,160 | At or below 135% FPL | 100% but less help with co-pays or deductibles |
$15,160 or less | More than 135% of FPL, but at or below 140% | 75% |
$15,160 or less | More than 140% of FPL but at or below 145% | 50% |
$15,160 or less | More than 145% of FPL but less than 150% | 25% |
$15,160.01 or more | Any amount | Not eligible for subsidy |
Couple’s Countable Resources* |
Couple’s Countable Income | Amount of the Premium Subsidy |
---|---|---|
$13,630 or less | At or below 135% FPL | 100% |
$13,630.01 to $30,240 | At or below 135% FPL | 100% but less help with co-pays or deductibles |
$30,240 or less | More than 135% of FPL, but at or below 140% | 75% |
$30,240 or less | More than 140% of FPL, but at or below 145% | 50% |
$30,240 or less | More than 145% of FPL but less than 150% | 25% |
$30,240.01 or more | Any amount | Not eligible for subsidy |