Appendix A: Income and Resource Limits for Healthy Horizons

 

Income Limits - 100% of the Federal Poverty Guidelines
Effective 1/13/2021

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

 

Each additional person

$1,074.00

$1,452.00

$1,830.00

$2,209.00

$2,587.00

$2,965.00

$3,344.00

$3,722.00

 

$379.00

$12,880.00

$17,420.00

$21,960.00

$26,500.00

$31,040.00

$35,580.00

$40,120.00

$44,660.00

 

$4,540.00

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

 

Income Limits - 100% of the Federal Poverty Guidelines
Effective 1/14/2020

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

Each additional person

$1,064.00

$1,437.00

$1,810.00

$2,184.00

$2,557.00

$2,930.00

$3,304.00

$3,677.00

 

$374.00

$12,760.00

$17,240.00

$21,720.00

$26,200.00

$30,680.00

$35,160.00

$39,640.00

$44,120.00

 

$4,480.00

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

 

 

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

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.

 

Resource Limits
Effective 1/1/21

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

$7,970
$11,960

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

 

 

Resource Limits
Effective 1/1/20

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

$7,860

$11,800

* 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 March 1, 2021, Replacing January 12, 2021