Appendix A: Income and Resource Limits for Healthy Horizons

Income Limits - 100% of the Federal Poverty Guidelines
Effective 1/24/13

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

Each additional person

$958
$1,293
$1,628
$1,963
$2,298
$2,633
$2,968
$3,303

$335

$11,490
$15,510
$19,530
$23,550
$27,570
$31,590
$35,610
$39,630

$4,020

* Count each individual, including unborn children, who is included in the Healthy Horizons family.

Resource Limits
Effective 1/1/2013

Family Size*

Healthy Horizons-Categorically Needy

1 person
2 or more

$2,000
$3,000

Family Size*

Healthy Horizons-Cost-Sharing

1 person
2 or more

$7,080
$10,620

* Use the two-person limit when the Healthy Horizons family includes more than one individual, including unborn children.

Citations:

55 Pa Code § 140.231

55 Pa Code § 140.301

Updated January 29, 2013  Replacing February 14, 2012