Appendix A: Income and Resource Limits for Healthy Horizons

Income Limits - 100% of the Federal Poverty Guidelines
Effective 1/25/16

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

Each additional person

$990.00

$1,335.00

$1,680.00

$2,025.00

$2,370.00

$2,715.00

$3,061.00

$3,408.00

$347.00

$11,880.00

$16,020.00

$20,160.00

$24,300.00

$28,440.00

$32,580.00

$36,730.00

$40,890.00

$4,160.00

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

Income Limits - 100% of the Federal Poverty Guidelines
Effective 1/22/15

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

Each additional person

$981.00

$1,328.00

$1,675.00

$2,021.00

$2,368.00

$2,715.00

$3,061.00

$3,408.00

$347.00

$11,770.00

$15,930.00

$20,090.00

$24,250.00

$28,410.00

$32,570.00

$36,730.00

$40,890.00

$4,160.00

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

Resource Limits Effective 1/1/01/16 (no change from 2015)
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	$7,280 $10,930
* Use the two-person limit when the Healthy Horizons family includes more than one individual, including unborn children.

Resource Limits Effective 1/1/2015
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	$7,280 $10,750
* 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 February 2, 2016 Replacing January 23, 2015