Appendix A: Buy-in Limits

Buy-In Resource Limits: 2017

	One Person	Two Person
Qualified Medicare Beneficiaries (PAN 80, PJN 80, PMN 80, PVN 80)	$7,390.00	$11,090.00
Specified Low Income Medicare Beneficiaries (PAN 66, PJN 66, PMN 66, PVN 66)	$7,390.00	$11,090.00

BUY-In Resource Limits: 2016

2016	One Person	Two Person
Qualified Medicare Beneficiaries (PAN 80, PJN 80, PMN 80, PVN 80)	$7,280.00	$10,930.00
Specified Low Income Medicare Beneficiaries (PAN 66, PJN 66, PMN 66, PVN 66)	$7,280.00	$10,930.00

NOTE: For married applicants or recipients of HCBS, the income and resources of the non-applicant/non-recipient spouse must be used to determine Buy-In eligibility.

Buy-In Income Limits: 2017

	One Person	Two person
Qualified Medicare Beneficiaries (PAN 80, PJN 80, PMN 80, PVN 80) 100% FPIGs	$1,005.00	$1,354.00
Specified Low Income Medicare Beneficiaries (PAN 66, PJN 66, PMN 66, PVN 66) More than 100% but less than 120% FPIG's	$1,005.01 - $1,205.99	$1,354.01 - $1,623.99

Buy-In Income Limits: 2016

	One Person	Two person
Qualified Medicare Beneficiaries (PAN 80, PJN 80, PMN 80, PVN 80) 100% FPIGs	$990.00	$1,335.00
Specified Low Income Medicare Beneficiaries (PAN 66, PJN 66, PMN 66, PVN 66) More than 100% but less than 120% FPIG's	$990.01 - $1,187.99	$1,335.01 - $1,601.99

NOTE: For married applicants or recipients of HCBS, the income and resources of the non-applicant/non-recipient spouse must be used to determine Buy-In eligibility.

Updated February 21, 2017, Replacing January 4, 2017