The 2023 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.
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 in 2023:
If your income is below 135% of the FPL in 2023 ($19,683 if you are single or $26,622 for married couples), you could qualify for the full Low-Income Subsidy (resource limits also apply - see charts below). In 2024, the full-LIS income limit will increase to 150% of FPL ($21,870 if you are single or $29,580 for married couples -- and these limits may increase again in mid-January, 2024 when the 2024 FPL is announced).
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 in 2023:
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 ($21,870 if you are single or $29,580 for married couples), resource limits also apply - see charts below.
Keep in mind that 2023 is the last year for partial Extra Help. For plan year 2024, the Inflation Reduction Act (IRA) of 2022 increases full-Extra Help benefits to people at or below 150% of FPL and consequently, the current partial Extra Help (135% to 150% of FPL) designation will be eliminated.
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 2023, even if your income or assets no longer meet the requirements later in the year.
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 in 2023:
If your income is below 135% of the FPL in 2023 ($19,683 if you are single or $26,622 for married couples), you could qualify for the full Low-Income Subsidy (resource limits also apply - see charts below). In 2024, the full-LIS income limit will increase to 150% of FPL ($21,870 if you are single or $29,580 for married couples -- and these limits may increase again in mid-January, 2024 when the 2024 FPL is announced).
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 in 2023:
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 ($21,870 if you are single or $29,580 for married couples), resource limits also apply - see charts below.
Keep in mind that 2023 is the last year for partial Extra Help. For plan year 2024, the Inflation Reduction Act (IRA) of 2022 increases full-Extra Help benefits to people at or below 150% of FPL and consequently, the current partial Extra Help (135% to 150% of FPL) designation will be eliminated.
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 2023, even if your income or assets no longer meet the requirements later in the year.
2023 Federal Poverty Level (FPL) Guideline Tables
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48 States and the District of Columbia
2023 Federal Poverty Level (FPL) Guideline TableFamily Size 100% 135% 140% 145% 150% 1 $14,580 $19,683 $20,412 $21,141 $21,870 2 $19,720 $26,622 $27,608 $28,594 $29,580 3 $24,860 $33,561 $34,804 $36,047 $37,290 4 $30,000 $40,500 $42,000 $43,500 $45,000 5 $35,140 $47,439 $49,196 $50,953 $52,710 6 $40,280 $54,378 $56,392 $58,406 $60,420 7 $45,420 $61,317 $63,588 $65,859 $68,130 8 $50,560 $68,256 $70,784 $73,312 $75,840 9 $55,700 $75,195 $77,980 $80,765 $83,550 10 $60,840 $82,134 $85,176 $88,218 $91,260 Additional $5,140 $6,939 $7,196 $7,453 $7,710 2023 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources* < $10,590 (individuals) or < $16,630 (couples)
See resource and income level premium benefits in the charts below.
For more information and to learn more about:
- The Extra-Help program on this site
- The resource limits and co-payment benefits for the full Low-Income Subsidy: 2023 | 2024, and
- The resource limits and benefits for the partial Low-Income Subsidy: 2023
- The Extra-Help program on this site
-
Alaska
2023 Federal Poverty Level (FPL) Guidelines TableFamily Size 100% 135% 140% 145% 150% 1 $18,210 $24,584 $25,494 $26,405 $27,315 2 $24,640 $33,264 $34,496 $35,728 $36,960 3 $31,070 $41,945 $43,498 $45,052 $46,605 4 $37,500 $50,625 $52,500 $54,375 $56,250 5 $43,930 $59,306 $61,502 $63,699 $65,895 6 $50,360 $67,986 $70,504 $73,022 $75,540 7 $56,790 $76,667 $79,506 $82,346 $85,185 8 $63,220 $85,347 $88,508 $91,669 $94,830 Additional $6,430 $8,681 $9,002 $9,324 $9,645 2023 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources* < $10,590 (individuals) or < $16,630 (couples)
See resource and income level premium benefits in the charts below.
-
Hawaii
2023 Federal Poverty Level (FPL) Guidelines TableFamily Size 100% 135% 140% 145% 150% 1 $16,770 $22,640 $23,478 $24,317 $25,155 2 $22,680 $30,618 $31,752 $32,886 $34,020 3 $28,590 $38,597 $40,026 $41,456 $42,885 4 $34,500 $46,575 $48,300 $50,025 $51,750 5 $40,410 $54,554 $56,574 $58,595 $60,615 6 $46,320 $62,532 $64,848 $67,164 $69,480 7 $52,230 $70,511 $73,122 $75,734 $78,345 8 $58,140 $78,489 $81,396 $84,303 $87,210 Additional $5,910 $7,979 $8,274 $8,570 $8,865 2023 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources* < $10,590 (individuals) or < $16,630 (couples)
See resource and income level premium benefits in the charts below.
Learn more about:
- The Extra-Help program.
- The resource limits and co-payment benefits for the full Low-Income Subsidy: 2023 | 2024, and
- The resource limits and benefits for the partial Low-Income Subsidy: 2023
2023 Premium Subsidy Resource/Income Limits for Individuals
| Individual’s Countable Resources* | Individual’s Countable Income | Amount of the Premium Subsidy |
|---|---|---|
| $9,090 or less | At or below 135% FPL | 100% |
| $9,090.01 to $15,160 | At or below 135% FPL | 100% but less help with co-pays or deductibles |
| $15,160 or less | More than 135% of FPL, but at or below 140% | 75% |
| $15,160 or less | More than 140% of FPL but at or below 145% | 50% |
| $15,160 or less | More than 145% of FPL but less than 150% | 25% |
| $15,160.01 or more | Any amount | Not eligible for 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.
2023 Premium Subsidy Resource/Income Limits for Married Couples
|
Couple’s Countable Resources* |
Couple’s Countable Income | Amount of the Premium Subsidy |
|---|---|---|
| $13,630 or less | At or below 135% FPL | 100% |
| $13,630.01 to $30,240 | At or below 135% FPL | 100% but less help with co-pays or deductibles |
| $30,240 or less | More than 135% of FPL, but at or below 140% | 75% |
| $30,240 or less | More than 140% of FPL, but at or below 145% | 50% |
| $30,240 or less | More than 145% of FPL but less than 150% | 25% |
| $30,240.01 or more | Any amount | Not eligible for subsidy |
To review co-payments for both Full- and Partial-LIS, select the year-related link below:
2024 LIS Copayment Benefits: 100% FPL 150% FPL2023 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL
2022 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL
2021 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL
2020 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL
2019 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL
2018 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
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