Appendix C: Qualifying Individual (QI)

Income Limits - 135% 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

$1,796.00

$2,434.00

$3,074.00

$3,713.00

$4,352.00

$4,991.00

$5,630.00

$6,269.00

 $639.00

$21,546.00

$29,214.00

$36,882.00

$44,550.00

$52,218.00

$59,886.00

$67,554.00

$75,222.00

 $7,668.00

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

              **The income limit for QI-1's is at least 120% but less than 135%.  

                See chapter 388, Appendix B, Buy-In Desk Guide for additional information.

 

Income Limits - 135% 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

$1,761.00

$2,380.00

$2,999.00

$3,617.00

$4,236.00

$4,855.00

$5,474.00

$6,092.00

 $619.00

$21,128.00

$28,553.00

$35,978.00

$43,403.00

$50,828.00

$58,253.00

$65,678.00

$73,103.00

 $7,425.00

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

              **The income limit for QI-1's is at least 120% but less than 135%.  

                See chapter 388, Appendix B, Buy-In Desk Guide for additional information.

 

 

Income Limits - 135% 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

$1,695.00

$2,300.00

$2,905.00

$3,510.00

$4,116.00

$4,721.00

$5,326.00

$5,931.00

 $606.00

$20,331.00

$27,594.00

$34,857.00

$42,120.00

$49,383.00

$56,646.00

$63,909.00

$71,172.00

 $7,263.00

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

              **The income limit for QI-1's is at least 120% but less than 135%.  

                See chapter 388, Appendix B, Buy-In Desk Guide for additional information.

 

Income Limits - 135% 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

$1,641.00

$2,219.00

$2,797.00

$3,375.00

$3,954.00

$4,532.00

$5,110.00

$5,688.00

 

 $579.00

$19,683.00

$26,622.00

$33,561.00

$40,500.00

$47,439.00

$54,378.00

$61,317.00

$68,256.00

 

 $6,939.00

 

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

              **The income limit for QI-1's is at least 120% but less than 135%.  

                See chapter 388, Appendix B, Buy-In Desk Guide for additional information.

 

Resource Limits  Effective 1/1/2026

Family Size*

Resource Limit

1 person
2 or more

$9,950

$14,910

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

 

Resource Limits  Effective 1/1/2025

Family Size*

Resource Limit

1 person
2 or more

$9,660 
$14,470

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

 

Resource Limits  Effective 1/1/2024

Family Size*

Resource Limit

1 person
2 or more

$9,430
$14,130

* 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