| Full Low-Income Subsidy Income Requirements (100% of FPL) | |||
| Persons in Family |
48 Contiguous States & D.C. |
Alaska | Hawaii |
| 1 | $11,670 | $14,580 | $13,420 |
| 2 | $15,730 | $19,660 | $18,090 |
| 3 | $19,790 | $24,740 | $22,760 |
| 4 | $23,850 | $29,820 | $27,430 |
| 5 | $27,910 | $34,900 | $32,100 |
| 6 | $31,970 | $39,980 | $36,770 |
| 7 | $36,030 | $45,060 | $41,440 |
| 8 | $40,090 | $50,140 | $46,110 |
| For each additional Person, add |
$4,060 | $5,080 | $4,670 |
Learn more about the Extra-Help program.
Learn more about the resource limits for the full Low-Income Subsidy and the resource limits for the partial Low-Income Subsidy.
| Full Low-Income Subsidy Income Requirements (135% of FPL) | |||
| Persons in Family |
48 Contiguous States & D.C. |
Alaska | Hawaii |
| 1 | $15,754.50 | $19,683.00 | $18,117.00 |
| 2 | $21,235.50 | $26,541.00 | $24,421.50 |
| 3 | $26,716.50 | $33,399.00 | $30,726.00 |
| 4 | $32,197.50 | $40,257.00 | $37,030.50 |
| 5 | $37,678.50 | $47,115.00 | $43,335.00 |
| 6 | $43,159.50 | $53,973.00 | $49,639.50 |
| 7 | $48,640.50 | $60,831.00 | $55,944.00 |
| 8 | $54,121.50 | $67,689.00 | $62,248.50 |
| 2014 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources < $7,160 (individuals) or < $10,750 (couples)*** See resource and income level premium benefits in the charts below. |
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| Partial Low-Income Subsidy Income Requirements (150% of FPL) | |||
| Persons in Family |
48 Contiguous States & D.C. |
Alaska | Hawaii |
| 1 | $17,505 | $21,870 | $20,130 |
| 2 | $23,595 | $29,490 | $27,135 |
| 3 | $29,685 | $37,110 | $34,140 |
| 4 | $35,775 | $44,730 | $41,145 |
| 5 | $41,865 | $52,350 | $48,150 |
| 6 | $47,955 | $59,970 | $55,155 |
| 7 | $54,045 | $67,590 | $62,160 |
| 8 | $60,135 | $75,210 | $69,165 |
| Applied and income below 150% FPL and resources between $7,161-$13,440 (individuals) or $10,751-$26,860 (couples)*** (category code 4). See resource and income level premium benefits in the charts below. |
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*** The actual amount of resources allowable may be updated for contract year 2015.
2014 Premium Subsidy Resource/Income Limits for Individuals (will be updated in July for 2015)
|
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 |
2014 Premium Subsidy Resource/Income Limits for Married Couples (will be updated in July for 2015)
|
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 |
To review co-payments for both Full- and Partial-LIS, select the link below:
2016 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL2015 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