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2018 Federal Poverty Level Guidelines (FPL): 2018/2019 LIS Qualifications and Benefits


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2018 Federal Poverty Level Guidelines (FPL): 2018/2019 LIS Qualifications and Benefits
Published on 2018-02-24 13:55:29
Category: Medicaid, LIS, & Extra Help


The 2018 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.

If your income is below 135% of the FPL ($16,389 if you are single or $22,221 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 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 or Extra Help may help pay your monthly Medicare Part D plan premiums and a portion of your formulary drug costs.

2018 Federal Poverty Level (FPL) Guideline Tables

  • 48 States and the District of Columbia
    2018 Federal Poverty Level (FPL) Guideline Table
    Family Size 100% 135% 140% 145% 150%
    1 $12,140 $16,389 $16,996 $17,603 $18,210
    2 $16,460 $22,221 $23,044 $23,867 $24,690
    3 $20,780 $28,053 $29,092 $30,131 $31,170
    4 $25,100 $33,885 $35,140 $36,395 $37,650
    5 $29,420 $39,717 $41,188 $42,659 $44,130
    6 $33,740 $45,549 $47,236 $48,923 $50,610
    7 $38,060 $51,381 $53,284 $55,187 $57,090
    8 $42,380 $57,213 $59,332 $61,451 $63,570
    9 $46,700 $63,045 $65,380 $67,715 $70,050
    10 $51,020 $68,877 $71,428 $73,979 $76,530
    Additional $4,180.00 $5,643.00 $5,852.00 $6,061.00 $6,270.00
    2018 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources < $9,060 (individuals) or < $14,340 (couples)* 
    See resource and income level premium benefits in the charts below.


    Learn more about:
    • the Extra-Help program.
    • resource limits and co-payment benefits for the full Low-Income Subsidy:  2018 & 2019, and the
    • resource limits and benefits for the partial Low-Income Subsidy:  2018 & 2019


  • Alaska
    2018 Federal Poverty Level (FPL) Guidelines Table
    Family Size 100% 135% 140% 145% 150%
    1 $15,180 $20,493 $21,252 $22,011 $22,770
    2 $20,580 $27,783 $28,812 $29,841 $30,870
    3 $25,980 $35,073 $36,372 $37,671 $38,970
    4 $31,380 $42,363 $43,932 $45,501 $47,070
    5 $36,780 $49,653 $51,492 $53,331 $55,170
    6 $42,180 $56,943 $59,052 $61,161 $63,270
    7 $47,580 $64,233 $66,612 $68,991 $71,370
    8 $52,980 $71,523 $74,172 $76,821 $79,470
    Additional $5,400 $7,290 $7,560 $7,830 $8,100
    2018 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources < $9,060 (individuals) or < $14,340 (couples)*
    See 2018 resource and income level premium benefits in the charts below.


  • Hawaii
    2018 Federal Poverty Level (FPL) Guidelines Table
    Family Size 100% 135% 140% 145% 150%
    1 $13,960 $18,846 $19,544 $20,242 $20,940
    2 $18,930 $25,556 $26,502 $27,449 $28,395
    3 $23,900 $32,265 $33,460 $34,655 $35,850
    4 $28,870 $38,975 $40,418 $41,862 $43,305
    5 $33,840 $45,684 $47,376 $49,068 $50,760
    6 $38,810 $52,394 $54,334 $56,275 $58,215
    7 $43,780 $59,103 $61,292 $63,481 $65,670
    8 $48,750 $65,813 $68,250 $70,688 $73,125
    Additional $04,970 $06,710 $06,958 $07,207 $07,455
    2018 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources and resources < $9,060 (individuals) or < $14,340 (couples)*
    See 2018 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, 2018 for the remainder of contract year 2018 and contract year 2019.  See 2018 figures in charts below.

Learn more about:
  • the Extra-Help program.
  • resource limits and co-payment benefits for the full Low-Income Subsidy:  2018 & 2019, and the
  • resource limits and benefits for the partial Low-Income Subsidy:  2018 & 2019

2018 Premium Subsidy Resource/Income Limits for Individuals

Individual’s Countable Resources* Individual’s Countable Income Amount of the Premium Subsidy
$7,560 or less At or below 135% FPL 100%
$7,560.01 to $12,600 At or below 135% FPL 100% but less help with co-pays or deductibles
$12,600 or less More than 135% of FPL,
but at or below 140%
75%
$12,600 or less More than 140% of FPL,
but at or below 145%
50%
$12,600 or less More than 145% of FPL,
but less than 150%
25%
$12,600.01 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.

2018 Premium Subsidy Resource/Income Limits for Married Couples

Couple’s Countable
Resources*
Couple’s Countable Income Amount of the Premium Subsidy
$11,340 or less At or below 135% FPL 100%
$11,340.01 to $25,150 At or below 135% FPL 100% but less help with co-pays or deductibles
$25,150 or less More than 135% of FPL,
but at or below 140%
75%
$25,150 or less More than 140% of FPL,
but at or below 145%
50%
$25,150 or less More than 145% of FPL,
but less than 150%
25%
$25,150.01 or more Any amount Not eligible for premium subsidy
*NOTE: If a couple expects to use some of their resources for funeral or burial expenses REDUCE the couple's countable resources by $3,000 before applying them to the chart limits. Meaning, you can take $3,000 off of your resources before determining your level of subsidy.

To review co-payments for both Full- and Partial-LIS, select the link below:

2019 LIS Copayment Benefits100% FPL    135% FPL     150% FPL
2018 LIS Copayment Benefits100% FPL    135% FPL     150% FPL
2017 LIS Copayment Benefits100% FPL    135% FPL     150% FPL
2016 LIS Copayment Benefits100% FPL    135% FPL     150% FPL
2015 LIS Copayment Benefits100% FPL    135% FPL     150% FPL
2014 LIS Copayment Benefits100% FPL    135% FPL     150% FPL
2013 LIS Copayment Benefits100% FPL    135% FPL     150% FPL


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