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

 

Income Limits - 120% of the Federal Poverty Guidelines**
Effective 1/13/18

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

Each additional person

$1,214.00

$1,646.00

$2,078.00

$2,510.00

$2,942.00

$3,374.00

$3,806.00

$4,238.00

 

$432.00

 

$14,568.00

$19,752.00

$24,936.00

$30,120.00

$35,304.00

$40,488.00

$45,672.00

$50,856.00

 

$5,184.00

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

**The income limit for SLMB's is more than 100% but less than 120%.

See Chapter 388, Appendix B, Buy-In Desk Guide for additional information.

 

Income Limits - 120% of the Federal Poverty Guidelines**
Effective 1/26/17

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

Each additional person

$1,206.00

$1,624.00

$2,042.00

$2,460.00

$2,878.00

$3,296.00

$3,714.00

$4,132.00

 

$418.00

 

$14,472.00

$19,488.00

$24,504.00

$29,520.00

$34,536.00

$39,552.00

$44,568.00

$49,584.00

 

$5,016.00

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

**The income limit for SLMB's is more than 100% but less that 120%.

 

 

Resource Limits
Effective 1/1/2018

                              Resource Limits

                            Effective 1/1/2017

Family Size*

SLMB Eligible

1 person    $7,560


2 or more    $11,340

$7,390

 

  $11,090

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 January 23, 2018,  Replacing March 1, 2017