|
|
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 |
|||
2025 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 |
1305 |
1410 |
1423 |
1488 |
1566 |
1671 |
1736 |
1762 |
1801 |
1854 |
2088 |
|
2 |
1763 |
1905 |
1922 |
2010 |
2116 |
2257 |
2345 |
2381 |
2433 |
2504 |
2821 |
|
2 Adults |
1763 |
1905 |
1922 |
2010 |
2116 |
2257 |
2345 |
2381 |
2433 |
2504 |
2821 |
|
3 |
2221 |
2399 |
2421 |
2532 |
2666 |
2843 |
2954 |
2999 |
3065 |
3154 |
3554 |
|
4 |
2680 |
2895 |
2922 |
3056 |
3216 |
3431 |
3565 |
3618 |
3699 |
3806 |
4288 |
|
5 |
3138 |
3390 |
3421 |
3578 |
3766 |
4017 |
4174 |
4237 |
4331 |
4456 |
5021 |
|
6 |
3596 |
3884 |
3920 |
4100 |
4316 |
4603 |
4783 |
4855 |
4963 |
5107 |
5754 |
|
7 |
4055 |
4380 |
4420 |
4623 |
4866 |
5191 |
5394 |
5475 |
5596 |
5759 |
6488 |
|
8 |
4513 |
4875 |
4920 |
5145 |
5416 |
5777 |
6003 |
6093 |
6228 |
6409 |
7221 |
|
9 |
4971 |
5369 |
5419 |
5667 |
5966 |
6363 |
6612 |
6711 |
6860 |
7059 |
7954 |
|
10 |
5430 |
5865 |
5919 |
6191 |
6516 |
6951 |
7222 |
7331 |
7494 |
7711 |
8688 |
|
11 |
5888 |
6360 |
6418 |
6713 |
7066 |
7537 |
7832 |
7949 |
8126 |
8361 |
9421 |
|
12 |
6346 |
6854 |
6918 |
7235 |
7616 |
8123 |
8441 |
8568 |
8758 |
9012 |
10154 |
|
EA Add’l |
+459 |
+496 |
+501 |
+524 |
+551 |
+588 |
+611 |
+620 |
+634 |
+652 |
+735 |
| 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 |
2415 | 2610 | 2637 | 2715 | 2780 | 3263 | 3472 | 4203 | 5220 | 7830 |
|
2 |
3262 | 3526 | 3562 | 3668 | 3756 | 4408 | 4690 | 5677 | 7052 | 10578 |
|
2 Adults |
3262 | 3526 | 3562 | 3668 | 3756 | 4408 | 4690 | 5677 | 7052 | 10578 |
|
3 |
4109 | 4442 | 4487 | 4620 | 4731 | 5553 | 5908 | 7152 | 8884 | 13326 |
|
4 |
4958 | 5360 | 5414 | 5575 | 5709 | 6700 | 7129 | 8630 | 10720 | 16080 |
|
5 |
5806 | 6276 | 6339 | 6528 | 6684 | 7845 | 8348 | 10105 | 12552 | 18828 |
|
6 |
6653 | 7192 | 7264 | 7480 | 7660 | 8990 | 9566 | 11580 | 14384 | 21576 |
|
7 |
7502 | 8110 | 8192 | 8435 | 8638 | 10138 | 10787 | 13058 | 16220 | 24330 |
|
8 |
8350 | 9026 | 9117 | 9388 | 9613 | 11283 | 12005 | 14532 | 18052 | 27078 |
|
9 |
9197 | 9942 | 10042 | 10340 | 10589 | 12428 | 13223 | 16007 | 19884 | 29826 |
|
10 |
10046 | 10860 | 10969 | 11295 | 11566 | 13575 | 14444 | 17485 | 21720 | 32580 |
|
11 |
10893 | 11776 | 11894 | 12248 | 12542 | 14720 | 15663 | 18960 | 23552 | 35328 |
|
12 |
11741 | 12692 | 12819 | 13200 | 13517 | 15865 | 16881 | 20435 | 25384 | 38076 |
|
Ea Add’l |
+850 | +918 | +928 | +955 | +978 | +1148 | +1221 | +1478 | +1836 | +2754 |
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.
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