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2015 Federal Poverty Level Guidelines: 2015 through Feb 2016 LIS Qualifications and Benefits

Medicaid, LIS, & Extra Help · published Feb 10, 2015

The 2015 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. For the remainder of 2015, if your income is below 135% of the FPL ($15,889.50 if you are single or $21,505.50 for married couples), you could qualify for the full Low Income Subsidy (resource limits also apply - see charts below). 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 helps to pay both your monthly plan premiums and drug costs.

Full Low-Income Subsidy Income Requirements (100% of FPL)
Persons
in Family
48 Contiguous
States & D.C.
Alaska Hawaii
1 $11,770 $14,720 $13,550
2 $15,930 $19,920 $18,330
3 $20,090 $25,120 $23,110
4 $24,250 $30,320 $27,890
5 $28,410 $35,520 $32,670
6 $32,570 $40,720 $37,450
7 $36,730 $45,920 $42,230
8 $40,890 $51,120 $47,010
For each additional
Person, add
$4,160 $5,200 $4,780

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 $15,889.50 $19,872.00 $18,292.50
2 $21,505.50 $26,892.00 $24,745.50
3 $27,121.50 $33,912.00 $31,198.50
4 $32,737.50 $40,932.00 $37,651.50
5 $38,353.50 $47,952.00 $44,104.50
6 $43,969.50 $54,972.00 $50,557.50
7 $49,585.50 $61,992.00 $57,010.50
8 $55,201.50 $69,012.00 $63,463.50
2015 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources < $7,280 (individuals) or < $10,930 (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 $17,655 $22,080 $20,325
2 $23,895 $29,880 $27,495
3 $30,135 $37,680 $34,665
4 $36,375 $45,480 $41,835
5 $42,615 $53,280 $49,005
6 $48,855 $61,080 $56,175
7 $55,095 $68,880 $63,345
8 $61,335 $76,680 $70,515
Applied and income below 150% FPL and resources between $7,280-$12,140 (individuals) or $10,930-$24,250 (couples)***
(category code 4). 
See resource and income level premium benefits in the charts below.

*** The actual amount of resources allowable may be updated for contract year 2015.

2015 Premium Subsidy Resource/Income Limits for Individuals

Individual’s Countable Resources

Individual’s Countable Income

Amount of the Premium Subsidy

$7,280 or less

At or below 135% FPL

100%

$7,280.01 to $12,140

At or below 135% FPL

100% but less help with co-pays or deductibles

$12,140 or less

More than 135% of FPL, but at or below 140%

75%

$12,1140 or less

More than 140% of FPL but at or below 145%

50%

$12,140 or less

More than 145% of FPL but less than 150%

25%

$12,140.01 or more

Any amount

Not eligible for subsidy

2015 Premium Subsidy Resource/Income Limits for Married Couples

Couple’s Countable Resources

Couple’s Countable Income

Amount of the Premium Subsidy

$10,930 or less

At or below 135% FPL

100%

$10,930.01 to $24,250

At or below 135% FPL

100% but less help with co-pays or deductibles

$24,250 or less

More than 135% of FPL, but at or below 140%

75%

$24,250 or less

More than 140% of FPL, but at or below 145%

50%

$24,250 or less

More than 145% of FPL but less than 150%

25%

$24,250.01 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% 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