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Effective: July 1, 2008 |
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22.05.15ar3 - 120% FPG (Archive) |
Archived: June 1, 2009 |
FPG Chart - July 1, 2008 through June 30, 2009.
FPG Chart - July 1, 2007 through June 30, 2008.
120% FPG is the maximum income allowed for the following:
l Service Limited Medicare Beneficiary (SLMB).
Note: Income for SLMB must be greater than 100% FPG.
Exception: People with incomes less than 100% FPG may receive SLMB for months before QMB is approved. See SLMB - Eligibility Begin Date.
Income for the following must be greater than 120% FPG:
l Qualified Individuals (QI).
Note: The maximum income allowed for QI is 135% FPG.
FPG Chart - July 1, 2008 through June 30, 2009
The figures in this chart are effective July 1, 2008 through June 30, 2009.
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120% FPG Income Standards |
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Household Size |
Monthly Standard |
6-Month Standard |
Annual Standard |
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1 |
1040 |
6240 |
12,480 |
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2 |
1400 |
8400 |
16,800 |
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3 |
1760 |
10,560 |
21,120 |
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4 |
2120 |
12,720 |
25,440 |
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5 |
2480 |
14,880 |
29,760 |
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6 |
2840 |
17,040 |
34,080 |
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7 |
3200 |
19,200 |
38,400 |
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8 |
3560 |
21,360 |
42,720 |
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9 |
3920 |
23,520 |
47,040 |
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10 |
4280 |
25,680 |
51,360 |
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Add'l |
360 |
2160 |
4320 |
FPG Chart - July 1, 2007 through June 30, 2008
The figures in this chart are effective July 1, 2007 through June 30, 2008.
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120% FPG Income Standards |
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Household Size |
Monthly Standard |
6-Month Standard |
Annual Standard |
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1 |
1021 |
6126 |
12,252 |
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2 |
1369 |
8214 |
16,428 |
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3 |
1717 |
10,302 |
20,604 |
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4 |
2065 |
12,390 |
24,780 |
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5 |
2413 |
14,478 |
28,956 |
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6 |
2761 |
16,566 |
33,132 |
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7 |
3109 |
18,654 |
37,308 |
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8 |
3457 |
20,742 |
41,484 |
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9 |
3805 |
22,830 |
45,660 |
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10 |
4153 |
24,918 |
49,836 |
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Add'l |
348 |
2088 |
4176 |