Table D: Specified Low-Income Medicare Beneficiary: SLMB and SLMB135 SR 07-04, 03/07 (AAM-A)

Assistance Group Size

Monthly Net Income Limits

OÚ?Ü

>100% but <120%

>120% but <135%

1

$851 - $1,021

$1,021 - $1,149

2

$1,141 - $1,369

$1,369 - $1,541

3

$1,431 - $1,717

$1,717 - $1,932

4

$1,721 - $2,065

$2,065 - $2,324

5

$2,011 - $2,413

$2,413 - $2,715

6

$2,301 - $2,761

$2,761 - $3,107

7

$2,591 - $3,109

$3,109 - $3,498

8

$2,881 - $3,457

$3,457 - $3,890

9

$3,171 - $3,805

$3,805 - $4,281

10

$3,461 - $4,153

$4,153 - $4,673

11

$3,751 - $4,501

$4,501 - $5,064

12

$4,041 - $4,849

$4,849 - $5,456

For each additional person add:

$290 - $348

$348 - $392