Table D: Specified Low-Income Medicare Beneficiary: SLMB and SLMB135 SR 06-04, 03/06 (AAM-A)

Assistance Group Size

Monthly Net Income Limits

OÚ?Ü

>100% but <120%

>120% but <135%

1

$817 - $980

$980 - $1,103

2

$1,100 - $1,320

$1,320 - $1,485

3

$1,384 - $1,660

$1,660 - $1,868

4

$1,667 - $2,000

$2,000 - $2,250

5

$1,950 - $2,340

$2,340 - $2,633

6

$2,234 - $2,680

$2,680 - $3,015

7

$2,517 - $3,020

$3,020 - $3,398

8

$2,800 - $3,360

$3,360 - $3,780

9

$3,084 - $3,700

$3,700 - $4,163

10

$3,367 - $4,040

$4,040 - $4,545

11

$3,650 - $4,380

$4,380 - $4,928

12

$3,934 - $4,720

$4,720 - 5,310

For each additional person add:

$284 - $340

$340 - $383