Full Low-Income Subsidy Income Requirements (100% of FPL) | |||
Persons in Family |
48 Contiguous States & D.C. |
Alaska | Hawaii |
1 | $11,490 | $14,350 | $13,230 |
2 | $15,510 | $19,380 | $17,850 |
3 | $19,530 | $24,410 | $22,470 |
4 | $23,550 | $29,440 | $27,090 |
5 | $27,570 | $34,470 | $31,710 |
6 | $31,590 | $39,500 | $36,330 |
7 | $35,610 | $44,530 | $40,950 |
8 | $39,630 | $49,560 | $45,570 |
For each additional Person, add |
$4,020 | $5,030 | $4,620 |
Federal Register 78 FR 5182 (Thursday, January 24, 2013), pp. 5182 -5183 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 | $15,511.50 | $19,372.50 | $17,860.50 |
2 | $20,938.50 | $26,163.00 | $24,097.50 |
3 | $26,365.50 | $32,953.50 | $30,334.50 |
4 | $31,792.50 | $39,744.00 | $36,571.50 |
5 | $37,219.50 | $46,534.50 | $42,808.50 |
6 | $42,646.50 | $53,325.00 | $49,045.50 |
7 | $48,073.50 | $60,115.50 | $55,282.50 |
8 | $53,500.50 | $66,906.00 | $61,519.50 |
2013 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources < $8,580 (individuals) or < $13,620 (couples)*** See resource and income level premium benefits in the charts below. |
Partial Low-Income Subsidy Income Requirements (138% of FPL)* | |||
Persons in Family |
48 Contiguous States & D.C. |
Alaska | Hawaii |
1 | $15,856.20 | $19,803.00 | $18,257.40 |
2 | $21,403.80 | $26,744.40 | $24,633.00 |
3 | $26,951.40 | $33,685.80 | $31,008.60 |
4 | $32,499.00 | $40,627.20 | $37,384.20 |
5 | $38,046.60 | $47,568.60 | $43,759.80 |
6 | $43,594.20 | $54,510.00 | $50,135.40 |
7 | $49,141.80 | $61,451.40 | $56,511.00 |
8 | $54,689.40 | $68,392.80 | $62,886.60 |
*Beginning in 2014, Eligibility for QMB/SLMB/QI, SSI or applied and income at or below 138% FPL rather than income at or below 135% FPL and resources < $8,580 (individuals) or < $13,620 (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 | $17,235 | $21,525 | $19,845 |
2 | $23,265 | $29,070 | $26,775 |
3 | $29,295 | $36,615 | $33,705 |
4 | $35,325 | $44,160 | $40,635 |
5 | $41,355 | $51,705 | $47,565 |
6 | $47,385 | $59,250 | $54,495 |
7 | $53,415 | $66,795 | $61,425 |
8 | $59,445 | $74,340 | $68,355 |
Applied and income below 150% FPL and resources between $8,581-$13,300 (individuals) or $13,621-$26,580 (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 |
---|---|---|
$7,080 or less |
At or below 135% FPL |
100% |
$7,080.01 to $11,800 |
At or below 135% FPL |
100% but less help with co-pays or deductibles |
$11,800 or less |
More than 135% of FPL, but at or below 140% |
75% |
$11,800 or less |
More than 140% of FPL but at or below 145% |
50% |
$11,800 or less |
More than 145% of FPL but less than 150% |
25% |
$11,800.01 or more |
Any amount |
Not eligible for subsidy |
Couple’s Countable Resources |
Couple’s Countable Income |
Amount of the Premium Subsidy |
---|---|---|
$10,620 or less |
At or below 135% FPL |
100% |
$10,620.01 to $23,580 |
At or below 135% FPL |
100% but less help with co-pays or deductibles |
$23,580 or less |
More than 135% of FPL, but at or below 140% |
75% |
$23,580 or less |
More than 140% of FPL, but at or below 145% |
50% |
$23,580 or less |
More than 145% of FPL but less than 150% |
25% |
$23,580.01 or more |
Any amount |
Not eligible for subsidy |