|
2005 Poverty Level Guidelines
All States (except Alaska and Hawaii) and D.C.
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MONTHLY INCOMES
|
|
2005
Family Size
|
Percent Payable
0%
|
Percent Payable
17%
|
Percent Payable
33%
|
Percent Payable
50%
|
Percent Payable
67%
|
Percent Payable
83%
|
Full
Pay
100%
|
Presumptive
Medicaid
Eligibility
|
Priority
Medicaid
Target
Group
|
|
1
|
798
|
799
967
|
958
1,117
|
1,118
1,276
|
1,277
1,436
|
1,437
1,595
|
1,596
+
|
1,475
|
1,061
|
|
2
|
1,069
|
1,070
1,283
|
1,284
1,497
|
1,498
1,711
|
1,712
1,925
|
1,926
2,138
|
2,139
+
|
1,978
|
1,422
|
|
3
|
1,341
|
1,342
1,609
|
1,610
1,877
|
1,878
2,145
|
2,146
2,414
|
2,415
2,682
|
2,683
+
|
2,481
|
1,783
|
|
4
|
1,613
|
1,614
1,935
|
1,936
2,258
|
2,259
2,580
|
2,581
2,903
|
2,904
3,225
|
3,226
+
|
2,983
|
2,145
|
|
5
|
1,884
|
1,885
2,261
|
2,262
2,638
|
2,639
3,015
|
3,016
3,392
|
3,393
3,768
|
3,769
+
|
3,486
|
2,506
|
|
6
|
2,156
|
2,157
2,587
|
2,588
3,018
|
3,019
3,449
|
3,450
3,881
|
3,882
4,312
|
4,313
+
|
3,988
|
2,867
|
|
7
|
2,428
|
2,429
2,913
|
2,914
3,399
|
3,400
3,884
|
3,885
4,370
|
4,371
4,855
|
4,856
+
|
4,491
|
3,229
|
|
8
|
2,699
|
2,700
3,239
|
3,240
3,779
|
3,780
4,319
|
4,320
4,859
|
4,860
5,398
|
5,399
+
|
4,993
|
3,590
|
|
9
|
2,971
|
2,972
3,565
|
3,566
4,159
|
4,160
4,753
|
4,754
5,348
|
5,349
5,942
|
5,943
+
|
5,496
|
3,951
|
|
10
|
3,243
|
3,244
3,891
|
3,892
4,540
|
4,541
5,188
|
5,189
5,837
|
5,838
6,485
|
6,486
+
|
5,999
|
4,313
|
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Percent
Poverty
|
<100%
|
101-120%
|
121-140%
|
141-160%
|
161-180%
|
181-200%
|
>200
|
<185%
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<133%
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|
The current nominal fee for service is $15.00
For family size over 10 members, add $272 for each additional family member
PRESUMPTIVE ELIGIBILITY: For family size over 10 members, add $503 for each additional family member
TARGET GROUP: For family size over 10 members, add $361 for each additional family member
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ANNUAL INCOMES
|
|
2005
Family Size
|
Percent Payable
0%
|
Percent Payable
17%
|
Percent Payable
33%
|
Percent Payable
50%
|
Percent Payable
67%
|
Percent Payable
83%
|
Full
Pay
100%
|
Presumptive
Medicaid
Eligibility
|
Priority
Medicaid
Target
Group
|
|
1
|
9,570
|
9,571
11,484
|
11,485
13,398
|
13,399
15,312
|
15,313
17,226
|
17,227
19,140
|
19,141
+
|
17,705
|
12,728
|
|
2
|
12,830
|
12,831
15,396
|
15,397
17,962
|
17,963
20,528
|
20,529
23,094
|
23,095
25,660
|
25,661
+
|
23,736
|
17,064
|
|
3
|
16,090
|
16,091
19,308
|
19,309
22,526
|
22,527
25,744
|
25,746
28,962
|
28,963
32,180
|
32,181
+
|
29,767
|
21,400
|
|
4
|
19,350
|
19,351
23,220
|
23,221
27,090
|
27,091
30,960
|
30,961
34,830
|
34,831
38,700
|
38,701
+
|
35,798
|
25,736
|
|
5
|
22,610
|
22,611
27,132
|
27,133
31,654
|
31,655
36,176
|
36,177
40,698
|
40,699
45,220
|
45,221
+
|
41,829
|
30,071
|
|
6
|
25,870
|
25,871
31,044
|
31,045
36,218
|
36,219
41,392
|
41,393
46,566
|
46,567
51,740
|
51,741
+
|
47,860
|
34,407
|
|
7
|
29,130
|
29,131
34,956
|
34,957
40,782
|
40,783
46,608
|
46,609
52,434
|
52,435
58,260
|
58,261
+
|
53,891
|
38,743
|
|
8
|
32,390
|
32,391
38,868
|
38,869
45,346
|
45,347
51,824
|
51,825
58,302
|
58,303
64,780
|
64,781
+
|
59,922
|
43,079
|
|
9
|
35,650
|
35,651
42,780
|
42,781
49,910
|
49,911
57,040
|
57,041
64,170
|
64,171
71,300
|
71,301
+
|
65,953
|
47,415
|
|
10
|
38,910
|
38,911
46,692
|
46,693
54,474
|
54,475
62,256
|
62,257
70,038
|
70,039
77,820
|
77,821
+
|
71,984
|
51,750
|
|
Percent
Poverty
|
<100%
|
101-120%
|
121-140%
|
141-160%
|
161-180%
|
181-200%
|
>200
|
<185%
|
<133%
|
|
The current nominal fee for service is $15.00
For family size over 10 members, add $3,260. for each additional family member
PRESUMPTIVE ELIGIBILITY: For family size over 10 members, add $6,031 for each additional family member
TARGET GROUP: For family size over 10 members, add $4,336. for each additional family member
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