Table C: Qualified Medicare Beneficiary (QMB) SR 13-14, 03/13 (AAM-A)

Assistance Group Size

Monthly Net Income

<100%

1

$958

2

1,293

3

1,628

4

1,963

5

2,298

6

2,633

7

2,968

8

3,303

9

3,638

10

3,973

11

4,308

12

4,643

For each additional person add:

$335