Effective: June 1, 2009 |
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22.05.15ar4 - 120% FPG (Archive) |
Archived: June 1, 2010 |
FPG Chart - July 1, 2009, through June 30, 2010.
FPG Chart - July 1, 2008, through June 30, 2009.
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, 2009, through June 30, 2010
The figures in this chart are effective July 1, 2009, through June 30, 2010.
120% FPG Income Standards |
|||
Household Size |
Monthly Standard |
6-Month Standard |
Annual Standard |
1 |
$1,083 |
$6,498 |
$12,996 |
2 |
$1,457 |
$8,742 |
$17,484 |
3 |
$1,831 |
$10,986 |
$21,972 |
4 |
$2,205 |
$13,320 |
$26,460 |
5 |
$2,579 |
$15,474 |
$30,948 |
6 |
$2,953 |
$17,718 |
$35,436 |
7 |
$3,327 |
$19,962 |
$39,924 |
8 |
$3,701 |
$22,206 |
$44,412 |
9 |
$4,075 |
$24,450 |
$48,900 |
10 |
$4,449 |
$26,694 |
$53,388 |
Add'l |
$374 |
$2,244 |
$4,488 |
FPG Chart - July 1, 2008, through June 30, 2009
The figures in this chart are effective July 1, 2008, through June 30, 2009.
120% FPG Income Standards |
|||
Household Size |
Monthly Standard |
6-Month Standard |
Annual Standard |
1 |
$1,040 |
$6,240 |
$12,480 |
2 |
$1,400 |
$8,400 |
$16,800 |
3 |
$1,760 |
$10,560 |
$21,120 |
4 |
$2,120 |
$12,720 |
$25,440 |
5 |
$2,480 |
$14,880 |
$29,760 |
6 |
$2,840 |
$17,040 |
$34,080 |
7 |
$3,200 |
$19,200 |
$38,400 |
8 |
$3,560 |
$21,360 |
$42,720 |
9 |
$3,920 |
$23,520 |
$47,040 |
10 |
$4,280 |
$25,680 |
$51,360 |
Add'l |
$360 |
$2,160 |
$4,320 |