Appendix A: Income and Resource Limits for Healthy Horizons

 

Income Limits - 100% of the Federal Poverty Guidelines
Effective 1/11/19

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

Each additional person

$1,041.00

$1,410.00

$1,778.00

$2,146.00

$2,515.00

$2,883.00

$3,251.00

$3,620.00

 

$369.00

$12,490.00

$16,910.00

$21,330.00

$25,750.00

$30,170.00

$34,590.00

$39,010.00

$43,430.00

 

$4,420.00

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

 

 

Income Limits - 100% 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

$1,012.00

$1,372.00

$1,732.00

$2,092.00

$2,452.00

$2,812.00

$3,172.00

$3,532.00

 

$360.00

$12,140.00

$16,460.00

$20,780.00

$25,100.00

$29,420.00

$33,740.00

$38,060.00

$42,380.00

 

$4,320.00

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

 

 

 

Income Limits - 100% 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

$1,005.00

$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

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

 

 

Resource Limits
Effective 1/1/19

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

$7,730
$11,600

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

 

Resource Limits
Effective 1/1/2018

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

$7,560

$11,340

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

Citations:

55 Pa Code § 140.231

55 Pa Code § 140.301

 

Updated February 01, 2019,  Replacing November 29, 2018