Appendix A: Income and Resource Limits for Healthy Horizons

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

Each additional person

$1,005.00

$1,354.00

$1,702.00

$2,050.00

$2,399.00

$2,747.00

$3,095.00

$3,444.00

$349.00

$12,060.00

$16,240.00

$20,420.00

$24,600.00

$28,780.00

$32,960.00

$37,140.00

$41,320.00

$4,180.00

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

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

$7,390
$11,090

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

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.