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

Income Limits - 120% of the Federal Poverty Guidelines**
Effective 1/13/2024

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

 

Each additional person

$1,506.00

$2,044.00

$2,582.00

$3,120.00

$3,658.00

$4,196.00

$4,734.00

$5,272.00

 

$538.00

 

$18,072.00

$24,528.00

$30,984.00

$37,440.00

$43,896.00

$50,352.00

$56,808.00

$63,264.00

 $6,456.00

* 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 1/13/2023

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

 

Each additional person

$1,458.00

$1,972.00

$2,486.00

$3,000.00

$3,514.00

$4,028.00

$4,542.00

$5,056.00

 

$514.00

 

$17,496.00

$23,664.00

$29,832.00

$36,000.00

$42,168.00

$48,336.00

$54,504.00

$60,672.00

 $6,168.00

* 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 1/13/2022

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

 

Each additional person

$1,359.00

$1,831.00

$2,303.00

$2,775.00

$3,247.00

$3,719.00

$4,191.00

$4,663.00

 

$472.00

 

$16,308.00

$21,972.00

$27,636.00

$33,300.00

$38,964.00

$44,628.00

$50,292.00

$55,956.00

 $5,664.00

* 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 1/13/2021

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

 

Each additional person

$1,288.00

$1,742.00

$2,196.00

$2,650.00

$3,104.00

$3,558.00

$4,012.00

$4,466.00

 

$454.00

 

$15,456.00

$20,904.00

$26,352.00

$31,800.00

$37,248.00

$42,696.00

$48,144.00

$53,592.00

 $5,448.00

* 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.

 

Resource Limits
Effective 1/1/2024

                              Resource Limits

                            Effective 1/1/2023

Family Size*

SLMB Eligible

1 person    $9,430


2 or more    $14,130

$9,090

  $13,630

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 February 8, 2024,  Replacing December 21, 2023