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

Income Limits - 120% of the Federal Poverty Guidelines**
Effective 1/15/2026

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

 

Each additional person

$1,596.00

$2,164.00

$2,732.00

$3,300.00

$3,868.00

$4,436.00

$5,004.00

$5,572.00

 

$568.00

 

$19,512.00

$25,968.00

$32,784.00

$39,600.00

$46,416.00

$53,232.00

$60,048.00

$66,864.00

 $6,816.00

* 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 1/15/2025

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

 

Each additional person

$1,565.00

$2,115.00

$2,665.00

$3,215.00

$3,765.00

$4,315.00

$4,865.00

$5,415.00

 

$550.00

 

$18,780.00

$25,380.00

$31,980.00

$38,580.00

$45,180.00

$51,780.00

$58,380.00

$64,980.00

 $6,600.00

* 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 1/13/2024

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.

 

Resource Limits
Effective 1/1/2026

                              Resource Limits

                            Effective 1/1/2025

Family Size*

SLMB Eligible

1 person    $9,950 


2 or more    $14,910  

$9,660

  $14,470

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 5, 2026, Replacing December 23, 2025