|
|
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, 2026 |
|||
|
MSP applicants/recipients that receive RSDI Title II income |
March 1, 2026 |
|||
|
ABD applicants/recipients, all other MC programs |
April 1, 2026 |
|||
2026 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 |
1330 |
1437 | 1450 | 1517 | 1596 | 1703 | 1769 | 1796 | 1836 | 1889 | 2128 |
|
2 |
1804 |
1949 | 1967 | 2057 | 2165 | 2310 | 2400 | 2436 | 2490 | 2562 | 2887 |
|
2 Adults |
1804 |
1949 | 1967 | 2057 | 2165 | 2310 | 2400 | 2436 | 2490 | 2562 | 2887 |
|
3 |
2277 |
2460 | 2482 | 2596 | 2733 | 2915 | 3029 | 3074 | 3143 | 3234 | 3644 |
|
4 |
2750 |
2970 | 2998 | 3135 | 3300 | 3520 | 3658 | 3713 | 3795 | 3905 | 4400 |
|
5 |
3224 |
3482 | 3515 | 3676 | 3869 | 4127 | 4288 | 4353 | 4450 | 4579 | 5159 |
|
6 |
3697 |
3993 | 4030 | 4215 | 4437 | 4733 | 4918 | 4991 | 5102 | 5250 | 5916 |
|
7 |
4170 |
4504 | 4546 | 4754 | 5004 | 5338 | 5547 | 5630 | 5755 | 5922 | 6672 |
|
8 |
4644 |
5016 | 5062 | 5295 | 5573 | 5945 | 6177 | 6270 | 6409 | 6595 | 7431 |
|
9 |
5117 |
5527 | 5578 | 5834 | 6141 | 6550 | 6806 | 6908 | 7062 | 7267 | 8188 |
|
10 |
5590 |
6038 | 6094 | 6373 | 6708 | 7156 | 7435 | 7547 | 7715 | 7938 | 8944 |
|
11 |
6064 |
6550 | 6610 | 6913 | 7277 | 7762 | 8066 | 8187 | 8369 | 8611 | 9703 |
|
12 |
6537 |
7060 | 7126 | 7453 | 7845 | 8368 | 8695 | 8825 | 9022 | 9283 | 10460 |
|
EA Add’l |
+474 |
+512 | +517 | +541 | +569 | +607 | +631 | +640 | +655 | +674 |
+759 |
| 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 |
| 185% | 200% | 202% | 208% | 213% | 250% | 266% | 322% | 400% | |
|
1 |
2461 | 2660 | 2687 | 2767 | 2833 | 3325 | 3538 | 4283 | 5320 |
|
2 |
3338 | 3608 | 3645 | 3753 | 3843 | 4510 | 4799 | 5809 | 7216 |
|
2 Adults |
3338 | 3608 | 3645 | 3753 | 3843 | 4510 | 4799 | 5809 | 7216 |
|
3 |
4213 | 4554 | 4600 | 4737 | 4851 | 5693 | 6057 | 7332 | 9108 |
|
4 |
5088 | 5500 | 5555 | 5720 | 5858 | 6875 | 7315 | 8855 | 11000 |
|
5 |
5965 | 6448 | 6513 | 6706 | 6868 | 8060 | 8576 | 10382 | 12896 |
|
6 |
6840 | 7394 | 7468 | 7690 | 7875 | 9243 | 9835 | 11905 | 14788 |
|
7 |
7715 | 8340 | 8424 | 8674 | 8883 | 10425 | 11093 | 13428 | 16680 |
|
8 |
8592 | 9288 | 9381 | 9660 | 9892 | 11610 | 12354 | 14964 | 18576 |
|
9 |
9467 | 10234 | 10337 | 10644 | 10900 | 12793 | 13612 | 16477 | 20468 |
|
10 |
10342 | 11180 | 11292 | 11628 | 11907 | 13975 | 14870 | 18000 | 22360 |
|
11 |
11219 | 12128 | 12250 | 12614 | 12917 | 15160 | 16131 | 19527 | 24256 |
|
12 |
12094 | 13074 | 13205 | 13597 | 13924 | 16343 | 17389 | 21050 | 26148 |
|
Ea Add’l |
+877 | +948 | +958 | +986 | +1010 | +1185 | +1261 | +1527 | +1896 |
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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