Table C: Qualified Medicare Beneficiary (QMB) SR 09-03, 03/09 (AAM-A)

Assistance Group Size

Monthly Net Income

<100%

1

$903

2

1,215

3

1,526

4

1,838

5

2,150

6

2,461

7

2,773

8

3,085

9

3,396

10

3,708

11

4,020

12

4,331

For each additional person add:

$312