48 States and the District of Columbia 2017 Federal Poverty Level (FPL) Table |
|||||
Family Size | 100% | 135% | 140% | 145% | 150% |
1 | $12,060.00 | $16,281.00 | $16,884.00 | $17,487.00 | $18,090.00 |
2 | $16,240.00 | $21,924.00 | $22,736.00 | $23,548.00 | $24,360.00 |
3 | $20,420.00 | $27,567.00 | $28,588.00 | $29,609.00 | $30,630.00 |
4 | $24,600.00 | $33,210.00 | $34,440.00 | $35,670.00 | $36,900.00 |
5 | $28,780.00 | $38,853.00 | $40,292.00 | $41,731.00 | $43,170.00 |
6 | $32,960.00 | $44,496.00 | $46,144.00 | $47,792.00 | $49,440.00 |
7 | $37,140.00 | $50,139.00 | $51,996.00 | $53,853.00 | $55,710.00 |
8 | $41,320.00 | $55,782.00 | $57,848.00 | $59,914.00 | $61,980.00 |
9 | $45,500.00 | $61,425.00 | $63,700.00 | $65,975.00 | $68,250.00 |
10 | $49,680.00 | $67,068.00 | $69,552.00 | $72,036.00 | $74,520.00 |
Additional | $4,180.00 | $5,643.00 | $5,852.00 | $6,061.00 | $6,270.00 |
2017 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources < $7,390 (individuals) or < $12,320 (couples)* See resource and income level premium benefits in the charts below. |
Alaska 2017 Federal Poverty Level (FPL) Table |
|||||
Family Size | 100% | 135% | 140% | 145% | 150% |
1 | $15,060.00 | $20,331.00 | $21,084.00 | $21,837.00 | $22,590.00 |
2 | $20,290.00 | $27,391.50 | $28,406.00 | $29,420.50 | $30,435.00 |
3 | $25,520.00 | $34,452.00 | $35,728.00 | $37,004.00 | $38,280.00 |
4 | $30,750.00 | $41,512.50 | $43,050.00 | $44,587.50 | $46,125.00 |
5 | $35,980.00 | $48,573.00 | $50,372.00 | $52,171.00 | $53,970.00 |
6 | $41,210.00 | $55,633.50 | $57,694.00 | $59,754.50 | $61,815.00 |
7 | $46,440.00 | $62,694.00 | $65,016.00 | $67,338.00 | $69,660.00 |
8 | $51,670.00 | $69,754.50 | $72,338.00 | $74,921.50 | $77,505.00 |
9 | $56,900.00 | $76,815.00 | $79,660.00 | $82,505.00 | $85,350.00 |
10 | $62,130.00 | $83,875.50 | $86,982.00 | $90,088.50 | $93,195.00 |
Additional | $5,230.00 | $7,060.50 | $7,322.00 | $7,583.50 | $7,845.00 |
2017 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources < $7,390 (individuals) or < $12,320 (couples)* See 2017 resource and income level premium benefits in the charts below. |
Hawaii 2017 Federal Poverty Level (FPL) Table |
|||||
Family Size | 100% | 135% | 140% | 145% | 150% |
1 | $13,860.00 | $18,711.00 | $19,404.00 | $20,097.00 | $20,790.00 |
2 | $18,670.00 | $25,204.50 | $26,138.00 | $27,071.50 | $28,005.00 |
3 | $23,480.00 | $31,698.00 | $32,872.00 | $34,046.00 | $35,220.00 |
4 | $28,290.00 | $38,191.50 | $39,606.00 | $41,020.50 | $42,435.00 |
5 | $33,100.00 | $44,685.00 | $46,340.00 | $47,995.00 | $49,650.00 |
6 | $37,910.00 | $51,178.50 | $53,074.00 | $54,969.50 | $56,865.00 |
7 | $42,720.00 | $57,672.00 | $59,808.00 | $61,944.00 | $64,080.00 |
8 | $47,530.00 | $64,165.50 | $66,542.00 | $68,918.50 | $71,295.00 |
9 | $51,790.00 | $69,916.50 | $72,506.00 | $75,095.50 | $77,685.00 |
10 | $56,570.00 | $76,369.50 | $79,198.00 | $82,026.50 | $84,855.00 |
Additional | $4,810.00 | $6,493.50 | $6,734.00 | $6,974.50 | $7,215.00 |
2017 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources < $7,390 (individuals) or < $12,320 (couples)* See 2017 resource and income level premium benefits in the charts below. |
Individual’s Countable Resources | Individual’s Countable Income | Amount of the Premium Subsidy |
---|---|---|
$7,390 or less | At or below 135% FPL | 100% |
$7,390.01 to $12,320 | At or below 135% FPL | 100% but less help with co-pays or deductibles |
$12,320 or less |
More than 135% of FPL, but at or below 140% |
75% |
$12,320 or less |
More than 140% of FPL, but at or below 145% |
50% |
$12,320 or less |
More than 145% of FPL, but less than 150% |
25% |
$12,320.01 or more | Any amount | Not eligible for premium subsidy |
Couple’s Countable Resources |
Couple’s Countable Income | Amount of the Premium Subsidy |
---|---|---|
$11,090 or less | At or below 135% FPL | 100% |
$11,090.01 to $24,600 | At or below 135% FPL | 100% but less help with co-pays or deductibles |
$24,600 or less |
More than 135% of FPL, but at or below 140% |
75% |
$24,600 or less |
More than 140% of FPL, but at or below 145% |
50% |
$24,600 or less |
More than 145% of FPL, but less than 150% |
25% |
$24,600.01 or more | Any amount | Not eligible for premium subsidy |