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

 

Income Limits - 120% 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

$1,188.00

$1,602.00

$2,016.00

$2,430.00

$2,844.00

$3,258.00

$3,673.00

$4,089.00

 

$416.00.00

 

$14,256.00

$19,224.00

$24,192.00

$29,160.00

$34,128.00

$39,096.00

$44,076.00

$49,068.00

 

$4,992.00

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

 

Income Limits - 120% 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

$1,177.00

$1,593.00

$2,009.00

$2,425.00

$2,841.00

$3,257.00

$3,673.00

$4,089.00

 

$416.00

 

$14,124.00

$19,116.00

$24,108.00

$29,100.00

$34,092.00

$39,084.00

$44,076.00

$49,068.00

 

$4,992.00

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

 

 

Resource Limits
Effective 1/1/2016

               Resource Limits

               Effective 1/1/2015

Family Size*

                          SLMB Eligible

1 person    $7,280


2 or more    $10,930

$7,280

 

  $10,930

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 2, 2016   Replacing January 23, 2015