Appendix A: Buy-in Limits

Buy-In Resource Limits: 2018

	One Person	Two Person
Qualified Medicare Beneficiaries (PAN 80, PJN 80, PMN 80, PVN 80)	$7,560.00	$11,340.00
Specified Low Income Medicare Beneficiaries (PAN 66, PJN 66, PMN 66, PVN 66)	$7,560.00	$11,340.00

Buy-In Resource Limits: 2017

2016	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

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: 2018

	One Person	Two person
Qualified Medicare Beneficiaries (PAN 80, PJN 80, PMN 80, PVN 80) 100% FPIGs	$1,012.00	$1,372.00
Specified Low Income Medicare Beneficiaries (PAN 66, PJN 66, PMN 66, PVN 66) More than 100% but less than 120% FPIG's	$1,012.01 - $1,213.99	$1,372.01 - $1,645.99

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

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 April 24, 2018, Replacing January 5, 2018