The 2018 Federal Poverty Level (FPL) Guidelines determine the income level requirements for people applying for the Medicare Part D Low Income Subsidy (LIS) program, also known as the "Extra Help" program.
If your income is below 135% of the FPL ($16,389 if you are single or $22,221 for married couples), you could qualify for the full Low Income Subsidy (resource limits also apply - see charts below).
Please notice that different income levels apply to residents of Alaska and Hawaii -- 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 or Extra Help may help pay your monthly Medicare Part D plan premiums and a portion of your formulary drug costs.
2018 Federal Poverty Level (FPL) Guideline Tables
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48 States and the District of Columbia
2018 Federal Poverty Level (FPL) Guideline TableFamily Size 100% 135% 140% 145% 150% 1 $12,140 $16,389 $16,996 $17,603 $18,210 2 $16,460 $22,221 $23,044 $23,867 $24,690 3 $20,780 $28,053 $29,092 $30,131 $31,170 4 $25,100 $33,885 $35,140 $36,395 $37,650 5 $29,420 $39,717 $41,188 $42,659 $44,130 6 $33,740 $45,549 $47,236 $48,923 $50,610 7 $38,060 $51,381 $53,284 $55,187 $57,090 8 $42,380 $57,213 $59,332 $61,451 $63,570 9 $46,700 $63,045 $65,380 $67,715 $70,050 10 $51,020 $68,877 $71,428 $73,979 $76,530 Additional $4,180.00 $5,643.00 $5,852.00 $6,061.00 $6,270.00 2018 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources < $9,060 (individuals) or < $14,340 (couples)*
See resource and income level premium benefits in the charts below.
Learn more about:- the Extra-Help program.
- resource limits and co-payment benefits for the full Low-Income Subsidy: 2018 & 2019, and the
- resource limits and benefits for the partial Low-Income Subsidy: 2018 & 2019
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Alaska
2018 Federal Poverty Level (FPL) Guidelines TableFamily Size 100% 135% 140% 145% 150% 1 $15,180 $20,493 $21,252 $22,011 $22,770 2 $20,580 $27,783 $28,812 $29,841 $30,870 3 $25,980 $35,073 $36,372 $37,671 $38,970 4 $31,380 $42,363 $43,932 $45,501 $47,070 5 $36,780 $49,653 $51,492 $53,331 $55,170 6 $42,180 $56,943 $59,052 $61,161 $63,270 7 $47,580 $64,233 $66,612 $68,991 $71,370 8 $52,980 $71,523 $74,172 $76,821 $79,470 Additional $5,400 $7,290 $7,560 $7,830 $8,100 2018 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources < $9,060 (individuals) or < $14,340 (couples)*
See 2018 resource and income level premium benefits in the charts below.
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Hawaii
2018 Federal Poverty Level (FPL) Guidelines TableFamily Size 100% 135% 140% 145% 150% 1 $13,960 $18,846 $19,544 $20,242 $20,940 2 $18,930 $25,556 $26,502 $27,449 $28,395 3 $23,900 $32,265 $33,460 $34,655 $35,850 4 $28,870 $38,975 $40,418 $41,862 $43,305 5 $33,840 $45,684 $47,376 $49,068 $50,760 6 $38,810 $52,394 $54,334 $56,275 $58,215 7 $43,780 $59,103 $61,292 $63,481 $65,670 8 $48,750 $65,813 $68,250 $70,688 $73,125 Additional $04,970 $06,710 $06,958 $07,207 $07,455 2018 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources and resources < $9,060 (individuals) or < $14,340 (couples)*
See 2018 resource and income level premium benefits in the charts below.
*This amount includes the $1,500 per person burial allowance. The resources allowable may be updated in April, 2018 for the remainder of contract year 2018 and contract year 2019. See 2018 figures in charts below.
Learn more about:
- the Extra-Help program.
- resource limits and co-payment benefits for the full Low-Income Subsidy: 2018 & 2019, and the
- resource limits and benefits for the partial Low-Income Subsidy: 2018 & 2019
2018 Premium Subsidy Resource/Income Limits for Individuals
| Individual’s Countable Resources* | Individual’s Countable Income | Amount of the Premium Subsidy |
|---|---|---|
| $7,560 or less | At or below 135% FPL | 100% |
| $7,560.01 to $12,600 | At or below 135% FPL | 100% but less help with co-pays or deductibles |
| $12,600 or less |
More than 135% of FPL, but at or below 140% |
75% |
| $12,600 or less |
More than 140% of FPL, but at or below 145% |
50% |
| $12,600 or less |
More than 145% of FPL, but less than 150% |
25% |
| $12,600.01 or more | Any amount | Not eligible for premium subsidy |
2018 Premium Subsidy Resource/Income Limits for Married Couples
|
Couple’s Countable Resources* |
Couple’s Countable Income | Amount of the Premium Subsidy |
|---|---|---|
| $11,340 or less | At or below 135% FPL | 100% |
| $11,340.01 to $25,150 | At or below 135% FPL | 100% but less help with co-pays or deductibles |
| $25,150 or less |
More than 135% of FPL, but at or below 140% |
75% |
| $25,150 or less |
More than 140% of FPL, but at or below 145% |
50% |
| $25,150 or less |
More than 145% of FPL, but less than 150% |
25% |
| $25,150.01 or more | Any amount | Not eligible for premium subsidy |
To review co-payments for both Full- and Partial-LIS, select the link below:
2019 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL2018 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL
2017 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL
2016 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL
2015 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL
2014 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL
2013 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL