120 Percent of FPG (Archive)

Maximum Income Limit.

Minimum Income Limit.

FPG Chart - July 1, 2009, through June 30, 2010.

FPG Chart - July 1, 2008, through June 30, 2009.

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Maximum Income Limit

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.

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Minimum Income Limit

Income for the following must be greater than 120% FPG:

l  Qualified Individuals (QI).

Note:  The maximum income allowed for QI is 135% FPG.

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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
(Standard S)

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

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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
(Standard S)

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

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