Addendum 5
MAGI Income Standards
Effective April 1, 2016
Parents and Other Caretakers* – Under 21 Medicaid* |
|
Household Size |
Monthly Income Limit |
1 |
1,487 |
2 |
2,370 |
3 |
2,904 |
4 |
3,437 |
5 |
3,972 |
6 |
4,505 |
7 |
5,038 |
8 |
5,571 |
9 |
6,105 |
10 |
6,638 |
Each Additional Person |
534 |
*These income standards increase each year on January 1st
Expansion Group* |
|
Household Size |
Monthly Income Limit |
1 |
1,645 |
2 |
2,219 |
3 |
2,793 |
4 |
3,368 |
5 |
3,942 |
6 |
4,516 |
7 |
5,090 |
8 |
5,666 |
9 |
6,243 |
10 |
6,820 |
Each Additional Person |
577 |
*These income standards increase each year on April 1st
Pregnant Woman* |
|
Household Size |
Monthly Income Limit |
1 |
n/a |
2 |
3,337 |
3 |
4,200 |
4 |
5,064 |
5 |
5,927 |
6 |
6,790 |
7 |
7,654 |
8 |
8,520 |
9 |
9,387 |
10 |
10,254 |
Each Additional Person |
867 |
* These income standards increase each year on April 1st
Children Under Age 19 With Insurance * |
|
Household Size |
Monthly Income Limit |
1 |
2,189 |
2 |
2,953 |
3 |
3,717 |
4 |
4,482 |
5 |
5,246 |
6 |
6,010 |
7 |
6,774 |
8 |
7,541 |
9 |
8,308 |
10 |
9,075 |
Each Additional Person |
767 |
* These income standards increase each year on April 1st
Children Under Age 19 Without Insurance * |
|
Household Size |
Monthly Income Limit |
1 |
2,511 |
2 |
3,387 |
3 |
4,263 |
4 |
5,140 |
5 |
6,016 |
6 |
6,892 |
7 |
7,769 |
8 |
8,648 |
9 |
9,528 |
10 |
10,408 |
Each Additional Person |
880 |
* These income standards increase each year on April 1st
MAGI Income Disregard 5% of Federal Poverty Level* |
|
Household Size |
Monthly Income Limit |
1 |
62 |
2 |
84 |
3 |
105 |
4 |
127 |
5 |
149 |
6 |
170 |
7 |
192 |
8 |
213 |
9 |
235 |
10 |
257 |
Each Additional Person |
22 |
* These income disregards increase each year on April 1st
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