48 States and the District of Columbia 2022 Federal Poverty Level (FPL) Guideline Table |
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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. |
Alaska 2022 Federal Poverty Level (FPL) Guidelines Table |
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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 |
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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. |
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 |
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 |