Federal Poverty Guidelines
| Household Members |
FPL
|
200%
|
250%
|
300%
|
350%
|
400%
|
| 1 |
$10,890 |
$21,780 |
$27,225 |
$32,670 |
$38,115 |
$43,560 |
| 2 |
$14,710 |
$29,420 |
$36,775 |
$44,130 |
$51,485 |
$58,840 |
| 3 |
$18,530 |
$37,060 |
$46,325 |
$55,590 |
$64,855 |
$74,120 |
| 4 |
$22,350 |
$44,700 |
$55,875 |
$67,050 |
$78,225 |
$89,400 |
| 5 |
$26,170 |
$52,340 |
$65,425 |
$78,510 |
$91,595 |
$104,680 |
| 6 |
$29,990 |
$59,980 |
$74,975 |
$89,970 |
$104,965 |
$119,960 |
| 7 |
$33,810 |
$67,620 |
$84,525 |
$101,430 |
$118,335 |
$135,240 |
| 8 |
$37,630 |
$75,260 |
$94,075 |
$112,890 |
$131,705 |
$150,520 |
For each additional person add $3,820
| Income % FPL |
Patient Responsibility as % of Medicare |
Discount from billed charges equivalent for OP |
Discount % Medicare IP DRG Amt. |
| 0-200% |
0% |
100% |
0% |
| 201%-250% |
25% |
92% |
25% |
| 251%-300% |
50% |
84% |
50% |
| 301%-350% |
75% |
76% |
75% |
| 351%-400% |
100% |
67% |
100% |
|
Locations
|