Table C: Qualified Medicare Beneficiary (QMB) SR 12-14, 03/12 (AAM-A)

Assistance Group Size

Monthly Net Income

<100%

1

$931

2

1,261

3

1,591

4

1,921

5

2,251

6

2,581

7

2,911

8

3,241

9

3,571

10

3,901

11

4,231

12

4,561

For each additional person add:

$330