Appendix A: Buy-in Limits

Buy-In Resource Limits: 2025

	One Person	Two Person
Qualified Medicare Beneficiaries (PAN 80, PJN 80, PMN 80, PVN 80)	*$9,660.00*	*$14,470.00*
Specified Low Income Medicare Beneficiaries (PAN 66, PJN 66, PMN 66, PVN 66)	*$9,660.00*	*$14,470.00*

NOTE: In 2022 the buy-in limit for one-person increased above the LTC facility/HCBS resource limit of $2,000.00 with a standard $6,000.00 disregard. Since an applicant or recipient cannot have countable resources exceeding $8,000.00 and be eligible for LTC facility services or HCBS, the buy-in resource limit for LTC facility/HCBS applicants/recipients is $8,000.00.

Buy-In Resource Limits: 2024

	One Person	Two Person
Qualified Medicare Beneficiaries (PAN 80, PJN 80, PMN 80, PVN 80)	$9,430.00	$14,130.00
Specified Low Income Medicare Beneficiaries (PAN 66, PJN 66, PMN 66, PVN 66)	$9,430.00	$14,130.00

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: 2025

	One Person	Two person
Qualified Medicare Beneficiaries (PAN 80, PJN 80, PMN 80, PVN 80) 100% FPIGs	*$1,305.00*	*$1,763.00*
Specified Low Income Medicare Beneficiaries (PAN 66, PJN 66, PMN 66, PVN 66) More than 100% but less than 120% FPIG's	*$1,305.01 - $1,564.99*	*$1,763.01 - $2,114.99*

Buy-In Income Limits: 2024

	One Person	Two person
Qualified Medicare Beneficiaries (PAN 80, PJN 80, PMN 80, PVN 80) 100% FPIGs	$1,255.00	$1,704.00
Specified Low Income Medicare Beneficiaries (PAN 66, PJN 66, PMN 66, PVN 66) More than 100% but less than 120% FPIG's	$1,255.01 - $1,505.99	$1,704.01 - $2,043.99

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 March 10, 2025, Replacing February 6, 2024