Table C: Qualified Medicare Beneficiary (QMB) SR 07-04, 03/07 (AAM-A)

Assistance Group Size

Monthly Net Income

<100%

1

$851

2

1,141

3

1,431

4

1,721

5

2,011

6

2,301

7

2,591

8

2,881

9

3,171

10

3,461

11

3,751

12

4,041

For each additional person add:

$290