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2022 Federal Poverty Level Guidelines (FPL): 2022 LIS Qualifications and Benefits

Category: Medicaid, LIS, & Extra Help
Published: Jan, 16 2022 07:01:00


The 2022 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.

Update 1/15/2023: The 2023 Federal Poverty Level (FPL) Guidelines have been released and will be used to determine the income level requirements for 2023 and early January, 2024.

Remember:  The Medicare Part D Extra-Help or Low-Income Subsidy program helps pay both your monthly Medicare prescription drug plan premiums and Medicare Part D drug costs.  People who qualify for Medicaid automatically qualify for Medicare Part D Extra Help.

Qualifying for full-LIS benefits:

If your income is below 135% of the FPL ($18,347 if you are single or $24,719 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 LIS benefits for residents of Alaska and Hawaii -- please see the charts below.


Qualifying for Partial-LIS benefits:

Even if you do not qualify for full-LIS benefits, you might be eligible for partial-LIS benefits if your income level is at or below 150% FPL (resource limits also apply - see charts below).


Applying for the Medicare Part D Extra Help program:

To apply for Extra Help go to: https://secure.ssa.gov/i1020/start. You could receive Extra Help for the remainder of 2022, even if your income or assets no longer meet the requirements later in the year.

2022 Federal Poverty Level (FPL) Guideline Tables

  • 48 States and the District of Columbia
    2022 Federal Poverty Level (FPL) Guideline Table
    Family Size 100% 135% 140% 145% 150%
    1 $13,590 $18,347 $19,026 $19,706 $20,385
    2 $18,310 $24,719 $25,634 $26,550 $27,465
    3 $23,030 $31,091 $32,242 $33,394 $34,545
    4 $27,750 $37,463 $38,850 $40,238 $41,625
    5 $32,470 $43,835 $45,458 $47,082 $48,705
    6 $37,190 $50,207 $52,066 $53,926 $55,785
    7 $41,910 $56,579 $58,674 $60,770 $62,865
    8 $46,630 $62,951 $65,282 $67,614 $69,945
    9 $51,350 $69,323 $71,890 $74,458 $77,025
    10 $56,070 $75,695 $78,498 $81,302 $84,105
    Additional $4,720 $6,372 $6,608 $6,844 $7,080
    2022 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources*  < $9,900 (individuals) or < $15,600 (couples)
    See resource and income level premium benefits in the charts below.

    For more information and to learn more about:



  • Alaska
    2022 Federal Poverty Level (FPL) Guidelines Table
    Family Size 100% 135% 140% 145% 150%
    1 $16,990 $22,937 $23,786 $24,636 $25,485
    2 $22,890 $30,902 $32,046 $33,191 $34,335
    3 $28,790 $38,867 $40,306 $41,746 $43,185
    4 $34,690 $46,832 $48,566 $50,301 $52,035
    5 $40,590 $54,797 $56,826 $58,856 $60,885
    6 $46,490 $62,762 $65,086 $67,411 $69,735
    7 $52,390 $70,727 $73,346 $75,966 $78,585
    8 $58,290 $78,692 $81,606 $84,521 $87,435
    Additional $5,900 $7,965 $8,260 $8,555 $8,850
    2022 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources*  < $9,900 (individuals) or < $15,600 (couples)
    See resource and income level premium benefits in the charts below.


  • Hawaii
    2022 Federal Poverty Level (FPL) Guidelines Table
    Family Size 100% 135% 140% 145% 150%
    1 $15,630 $21,101 $21,882 $22,664 $23,445
    2 $21,060 $28,431 $29,484 $30,537 $31,590
    3 $26,490 $35,762 $37,086 $38,411 $39,735
    4 $31,920 $43,092 $44,688 $46,284 $47,880
    5 $37,350 $50,423 $52,290 $54,158 $56,025
    6 $42,780 $57,753 $59,892 $62,031 $64,170
    7 $48,210 $65,084 $67,494 $69,905 $72,315
    8 $53,640 $72,414 $75,096 $77,778 $80,460
    Additional $5,430 $7,331 $7,602 $7,874 $8,145
    2022 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources*  < $9,900 (individuals) or < $15,600 (couples)
    See 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, 2022 for the remainder of contract year 2022 and early January 2023.

Learn more about:
  • The Extra-Help program.
  • The resource limits and co-payment benefits for the full Low-Income Subsidy:  2022 | 2023, and
  • The resource limits and benefits for the partial Low-Income Subsidy:  2022 | 2023
Note on Resource limits: CMS (Medicare) adds the burial allowance to the resource limit. So, the resource limits in the tables above have been increased by $1,500 per person.  Social Security does not include the burial allowance to their resources tables and states that you should reduce your resources by $1,500 per person.


2022 Premium Subsidy Resource/Income Limits for Individuals

Individual’s Countable Resources* Individual’s Countable Income Amount of the Premium Subsidy
$8,400 or less At or below 135% FPL 100%
$8,400.01 to $14,010 At or below 135% FPL 100% but less help with co-pays or deductibles
$14,010 or less More than 135% of FPL,
but at or below 140%
75%
$14,010 or less More than 140% of FPL,
but at or below 145%
50%
$14,010 or less More than 145% of FPL,
but less than 150%
25%
$14,010.01 or more Any amount Not eligible for premium subsidy

*NOTE: If an individual expects to use some of his or her resources for funeral or burial expenses, REDUCE the individual's countable resources by $1,500 before applying them to the chart limits.  Meaning, you can take $1,500 off of your resources before determining your level of subsidy.

2022 Premium Subsidy Resource/Income Limits for Married Couples

Couple’s Countable
Resources*
Couple’s Countable Income Amount of the Premium Subsidy
$12,600 or less At or below 135% FPL 100%
$12,600.01 to $27,950 At or below 135% FPL 100% but less help with co-pays or deductibles
$27,950 or less More than 135% of FPL,
but at or below 140%
75%
$27,950 or less More than 140% of FPL,
but at or below 145%
50%
$27,950 or less More than 145% of FPL,
but less than 150%
25%
$27,950.01 or more Any amount Not eligible for premium subsidy










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