View History

8.1.6 Federal Poverty Level (FPL) Table

group

size

100%

FPL

120%

FPL

133%

FPL

135%

FPL

150%

FPL

185%

FPL

200%

FPL

250%

FPL

1

$850.83

$1,021.00

$1,131.61

$1,148.63

$1,276.25

$1,574.04

$1,701.67

$2,127.08

2

$1,140.83

$1,369.00

$1,517.31

$1,540.13

$1,711.25

$2,110.54

$2,281.67

$2,852.08

3

$1,430.83

$1,717.00

$1,903.01

$1,931.63

$2,146.25

$2,647.04

$2,861.67

$3,577.08

4

$1,720.83

$2,065.00

$2,288.71

$2,323.13

$2,581.25

$3,183.54

$3,441.67

$4,302.08

5

$2,010.83

$2,413.00

$2,674.41

$2,714.63

$3,016.25

$3,720.04

$4,021.67

$5,027.08

6

$2,300.83

$2,761.00

$3,060.11

$3,106.13

$3,451.25

$4,256.54

$4,601.67

$5,752.08

7

$2,590.83

$3,109.00

$3,445.81

$3,497.63

$3,886.25

$4,793.04

$5,181.67

$6,477.08

8

$2,880.83

$3,457.00

$3,831.51

$3,889.13

$4,321.25

$5,329.54

$5,761.67

$7,202.08

9

$3,170.83

$3,805.00

$4,217.21

$4,280.63

$4,756.25

$5,866.04

$6,341.67

$7,927.08

10

$3,460.83

$4,153.00

$4,602.91

$4,672.13

$5,191.25

$6,402.54

$6,921.67

$8,652.08

11

$3,750.83

$4,501.00

$4,988.61

$5,063.63

$5,626.25

$6,939.04

$7,501.67

$9,377.08

12

$4,040.83

$4,849.00

$5,374.31

$5,455.13

$6,061.25

$7,475.54

$8,081.67

$10,102.08

13

$4,330.83

$5,197.00

$5,760.01

$5,846.63

$6,496.25

$8,012.04

$8,661.67

$10,827.08

14

$4,620.83

$5,545.00

$6,145.71

$6,238.13

$6,931.25

$8,548.54

$9,241.67

$11,552.08

15

$4,910.83

$5,893.00

$6,531.41

$6,629.63

$7,366.25

$9,085.04

$9,821.67

$12,277.08

16

$5,200.83

$6,241.00

$6,917.11

$7,021.13

$7,801.25

$9,621.54

$10,401.67

$13,002.08

17

$5,490.83

$6,589.00

$7,302.81

$7,412.63

$8,236.25

$10,158.04

$10,981.67

$13,727.08

18

$5,780.83

$6,937.00

$7,688.51

$7,804.13

$8,671.25

$10,694.54

$11,561.67

$14,452.08

each additional person

$290.00

$348.00

$385.70

$391.50

$435.00

$536.50

$580.00

$725.00

 

• Kids 6  through 18 • SLMB • Cat Needy 
 Pregnant 
 Women
•SLMB+ • BC
 premium
 limit

• Med Needy

 Pregnant 

 Women

• QDWI 

• MAPP

 
• QMB

 

 

• BC

 recipient

 limit

• PE • MAPP
 premium
 limit

• PE

• kids <6

• kids <6

 

 

• BC 

 applicant

 limit

 

 

 

 

 

 

 

 

 

 

 

 

This page last updated in Release Number: 07-02

Release Date: 02/01/07

Effective Date: 02/01/07