|
|
Federal Poverty Level Programs Monthly Income Comparison Chart
|
100% |
QMB Program |
142% |
ACA and Title XXI Expansion Children Ages 1 - 6 |
|
|
108% |
ACA Title XXI CHIP Expansion Children Ages 6 - 19 |
160% |
ACA OTLIC |
|
|
109% |
ACA Parents and Caretaker Relatives |
185% |
TMC (Pre-ACA) |
|
|
114% |
ACA Parents and Caretaker Relatives not eligible for the ACA Adult Group due to enrollment in Medicare Part A or B (109% FPL, Plus 5% MAGI Disregard) |
200% |
Qualified Working Disabled Individuals |
|
|
120% |
208% |
ACA and Title XXI Expansion Infants Ages 0 - 1 |
||
|
128% |
Disabled Individuals in New Adult Group |
213% |
ACA Pregnant Women, pregnancy related Medi-Cal |
|
|
133% |
ACA Children and Title XXI Expansion Children Ages 6 - 19 |
250% |
WDP | |
|
135% |
Qualified Individual 1 (QI-1) Program |
266% |
ACA OTLIC (Premiums) |
|
|
138% |
ACA New Adult Group Ages 19 - 64 Full-scope coverage for ACA Pregnant Women FPL Program for Aged and Disabled |
322% |
ACA MCAP Linked Infants |
|
|
Above 138% - 213% FPL = Pregnancy Related Medi-Cal Above 213% - 322% FPL = MCAP, MCAIP Above 266% - 322% FPL = CCHIP |
||||
|
Population Affected |
FPL Effective Date |
|||
|
MAGI applicants/recipients, MSP applicants/recipients that do not receive RSDI Title II income |
January 1, 2024 |
|||
|
MSP applicants/recipients that receive RSDI Title II income |
March 1, 2024 |
|||
|
ABD applicants/recipients, all other MC programs |
April 1, 2024 |
|||
2024 FPL CALCULATION CHART (Monthly Values)
| Eligible for APTC (> 100% to < 400%) | |
| Enhanced Silver Benefits/CSR 94% (> 100% to < 150% FPL) |
| Family Size | Children Ages 6-19 QMB | Children Ages 6-19 ACA Expansion | ACA Parents / Caretaker Relatives | ACA Parents / Caretaker Relatives enrolled in Medicare Part A/B | SLMB | Disabled Individuals Adult Group | Children Ages 1-6 ACA Expansion | QI-1 Program | ACA Adults Ages 19-64, Pregnant Women, A&D FPL | ACA Children Ages 1-6 | ACA OTLIC |
| 100% | 108% | 109% | 114% | 120% | 128% | 133% | 135% | 138% | 142% | 160% | |
|
1 |
1255 |
1356 | 1368 | 1431 | 1506 | 1607 | 1670 | 1695 | 1732 | 1783 |
1944 |
|
2 |
1704 |
1841 | 1858 | 1943 | 2045 | 2182 | 2267 | 2301 | 2352 | 2420 |
2631 |
|
2 Adults |
1704 |
1841 | 1858 | 1943 | 2045 | 2182 | 2267 | 2301 | 2352 | 2420 |
2631 |
|
3 |
2152 |
2325 | 2346 | 2454 | 2583 | 2755 | 2863 | 2906 | 2970 | 3056 |
3316 |
|
4 |
2600 |
2808 | 2834 | 2964 | 3120 | 3328 | 3458 | 3510 | 3588 | 3692 |
4000 |
|
5 |
3049 |
3293 | 3324 | 3476 | 3659 | 3903 | 4056 | 4117 | 4208 | 4330 |
4687 |
|
6 |
3497 |
3777 | 3812 | 3987 | 4197 | 4477 | 4652 | 4721 | 4826 | 4966 |
5372 |
|
7 |
3945 |
4261 | 4301 | 4498 | 4734 | 5050 | 5247 | 5326 | 5445 | 5602 |
6056 |
|
8 |
4394 |
4746 | 4790 | 5010 | 5273 | 5625 | 5845 | 5932 | 6064 | 6240 |
6743 |
|
9 |
4842 |
5230 | 5278 | 5520 | 5811 | 6198 | 6440 | 6537 | 6682 | 6876 |
7428 |
|
10 |
5290 |
5714 | 5767 | 6031 | 6348 | 6772 | 7036 | 7142 | 7301 | 7512 |
8112 |
|
11 |
5739 |
6199 | 6256 | 6543 | 6887 | 7346 | 7633 | 7748 | 7920 | 8150 |
8799 |
|
12 |
6187 |
6682 | 6744 | 7054 | 7425 | 7920 | 8229 | 8353 | 8539 | 8786 |
9484 |
|
EA Add’l |
+449 |
+485 |
+490 |
+512 |
+539 |
+575 |
+598 |
+607 |
+620 |
+638 |
+687 |
| Eligible for APTC (> 100% to < 400%) | |||
| Enhanced Silver Benefits/CSR | |||
| 87% (>150% to £ 200% FPL) | 73% (> 200% to £ 250% FPL) | ||
| Family Size | TMC (Pre-ACA) | Qualified WD Indiv. RMA | Post ACA TMC | ACA Infants Ages 0-1 | ACA Pregnant Women & Infants up to Age 1 | WDP | ACA OTLIC | ACA MCAP Infants & CCHIP | APTC | CA Premium Subsidy |
| 185% | 200% | 202% | 208% | 213% | 250% | 266% | 322% | 400% | 600% | |
|
1 |
2322 |
2510 | 2536 | 2611 | 2674 | 3138 | 3339 | 4042 | 5020 |
7530 |
|
2 |
3153 |
3408 |
3443 | 3545 | 3630 | 4260 | 4533 | 5487 | 6816 | 10224 |
|
2 Adults |
3153 |
3408 | 3443 | 3545 | 3630 | 4260 | 4533 | 5487 | 6816 |
10224 |
|
3 |
3982 |
4304 | 4348 | 4477 | 4584 | 5380 | 5725 | 6930 | 8608 |
12912 |
|
4 |
4810 |
5200 | 5252 | 5408 | 5538 | 6500 | 6916 | 8372 | 10400 |
15600 |
|
5 |
5641 |
6098 | 6159 | 6342 | 6495 | 7623 | 8111 | 9818 | 12196 |
18294 |
|
6 |
6470 |
6994 | 7064 | 7274 | 7449 | 8743 | 9303 | 11261 | 13988 |
20982 |
|
7 |
7299 |
7890 | 7969 | 8206 | 8403 | 9863 | 10494 | 12703 | 15780 | 23670 |
|
8 |
8129 |
8788 | 8876 | 9140 | 9360 | 10985 | 11689 | 14149 | 17576 |
26364 |
|
9 |
8958 |
9684 | 9781 | 10072 | 10314 | 12105 | 12880 | 15592 | 19368 | 29052 |
|
10 |
9787 |
10580 | 10686 | 11004 | 11268 | 13225 | 14072 | 17034 | 21160 | 31740 |
|
11 |
10618 |
11478 | 11593 | 11938 | 12225 | 14348 | 15266 | 18480 | 22956 |
34434 |
|
12 |
11446 |
12374 | 12498 | 12869 | 13179 | 15468 | 16458 | 19923 | 24748 |
37122 |
|
Ea Add’l |
+831 |
+898 |
+907 |
+934 |
+957 |
+1123 |
+1195 |
+1446 |
+1796 |
+2694 |
Note: Compare the monthly net non-exempt income of the entire family (AFDC-MN/MI MFBU with no Sneede Class Members), after adding back any deduction for private health coverage. Only AFDC-MN/MI deductions are allowed.
Contact the Medi-Cal Program Coordinator if prior FPL amounts are needed.
Related Topics