48 States and the District of Columbia 2020 Federal Poverty Level (FPL) Guideline Table |
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Family Size | 100% | 135% | 140% | 145% | 150% |
1 | $12,760 | $17,226 | $17,864 | $18,502 | $19,140 |
2 | $17,240 | $23,274 | $24,136 | $24,998 | $25,860 |
3 | $21,720 | $29,322 | $30,408 | $31,494 | $32,580 |
4 | $26,200 | $35,370 | $36,680 | $37,990 | $39,300 |
5 | $30,680 | $41,418 | $42,952 | $44,486 | $46,020 |
6 | $35,160 | $47,466 | $49,224 | $50,982 | $52,740 |
7 | $39,640 | $53,514 | $55,496 | $57,478 | $59,460 |
8 | $44,120 | $59,562 | $61,768 | $63,974 | $66,180 |
9 | $48,600 | $65,610 | $68,040 | $70,470 | $72,900 |
10 | $53,080 | $71,658 | $74,312 | $76,966 | $79,620 |
Additional | $4,480 | $6,048 | $6,272 | $6,496 | $6,720 |
2020 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources < $9,360 (individuals) or < $14,800 (couples)* See resource and income level premium benefits in the charts below. |
Alaska 2020 Federal Poverty Level (FPL) Guidelines Table |
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Family Size | 100% | 135% | 140% | 145% | 150% |
1 | $15,950 | $21,533 | $22,330 | $23,128 | $23,925 |
2 | $21,550 | $29,093 | $30,170 | $31,248 | $32,325 |
3 | $27,150 | $36,653 | $38,010 | $39,368 | $40,725 |
4 | $32,750 | $44,213 | $45,850 | $47,488 | $49,125 |
5 | $38,350 | $51,773 | $53,690 | $55,608 | $57,525 |
6 | $43,950 | $59,333 | $61,530 | $63,728 | $65,925 |
7 | $49,550 | $66,893 | $69,370 | $71,848 | $74,325 |
8 | $55,150 | $74,453 | $77,210 | $79,968 | $82,725 |
Additional | $5,600 | $7,560 | $7,840 | $8,120 | $8,400 |
2020 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources < $9,360 (individuals) or < $14,800 (couples)* See resource and income level premium benefits in the charts below. |
Hawaii 2020 Federal Poverty Level (FPL) Guidelines Table |
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Family Size | 100% | 135% | 140% | 145% | 150% |
1 | $14,680 | $19,818 | $20,552 | $21,286 | $22,020 |
2 | $19,830 | $26,771 | $27,762 | $28,754 | $29,745 |
3 | $24,980 | $33,723 | $34,972 | $36,221 | $37,470 |
4 | $30,130 | $40,676 | $42,182 | $43,689 | $45,195 |
5 | $35,280 | $47,628 | $49,392 | $51,156 | $52,920 |
6 | $40,430 | $54,581 | $56,602 | $58,624 | $60,645 |
7 | $45,580 | $61,533 | $63,812 | $66,091 | $68,370 |
8 | $50,730 | $68,486 | $71,022 | $73,559 | $76,095 |
Additional | $5,150 | $6,953 | $7,210 | $7,468 | $7,725 |
2020 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources < $9,360 (individuals) or < $14,800 (couples)* See resource and income level premium benefits in the charts below. |
Individual’s Countable Resources* | Individual’s Countable Income | Amount of the Premium Subsidy |
---|---|---|
$7,860 or less | At or below 135% FPL | 100% |
$7,860.01 to $13,110 | At or below 135% FPL | 100% but less help with co-pays or deductibles |
$13,110 or less |
More than 135% of FPL, but at or below 140% |
75% |
$13,110 or less |
More than 140% of FPL, but at or below 145% |
50% |
$13,110 or less |
More than 145% of FPL, but less than 150% |
25% |
$13,110.01 or more | Any amount | Not eligible for premium subsidy |
Couple’s Countable Resources* |
Couple’s Countable Income | Amount of the Premium Subsidy |
---|---|---|
$11,800 or less | At or below 135% FPL | 100% |
$11,800.01 to $26,160 | At or below 135% FPL | 100% but less help with co-pays or deductibles |
$26,160 or less |
More than 135% of FPL, but at or below 140% |
75% |
$26,160 or less |
More than 140% of FPL, but at or below 145% |
50% |
$26,160 or less |
More than 145% of FPL, but less than 150% |
25% |
$26,160.01 or more | Any amount | Not eligible for premium subsidy |