Appendix B: Income and Resource Limits for Specified Low-Income MA Beneficiaries (SLMB)

 

Income Limits - 120% of the Federal Poverty Guidelines
Effective 1/22/14

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

Each additional person

$1,167
$1,573
$1,979
$2,385
$2,791
$3,197
$3,603
$4,009

$406

$14,004
$18,876
$23,748
$28,620
$33,492

$38,364
$43,236
$48,108

$4,872

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

Income Limits - 120% 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

$1,149
$1,551
$1,953
$2,355
$2,757
$3,159
$3,561
$3,963

$402

$13,788
$18,612
$23,436
$28,260
$33,084
$37,908
$42,732
$47,556

$4,824

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

Resource Limits
Effective 1/1/2013

               Resource Limits

               Effective 1/1/2014

Family Size*

                          SLMB Eligible

1 person    $7,080


2 or more    $10,620

$7,160

 

  $10,750

Family Size*

SLMB and MNO Eligible

1 person     $2,400


2 or more   $3,200

$2,400


$3,200

Each additional individual $300

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

 

Updated  February  6, 2014   Replacing  January 3, 2014