Table C: Qualified Medicare Beneficiary (QMB) SR 05-10, 04/05 (AAM-A)

Assistance Group Size

Monthly Net Income

<100%

1

$798

2

1,070

3

1,341

4

1,613

5

1,885

6

2,156

7

2,428

8

2,700

9

2,971

10

3,243

11

3,515

12

3,786

For each additional person add:

$272