Table D: Specified Low-Income Medicare Beneficiary: SLMB and SLMB135 SR 11-14, 03/11 (AAM-A)

Assistance Group Size

Monthly Net Income Limits

OÚ?Ü

>100% but <120%

>120% but <135%

1

$908 - $1,089

$1,089 - $1,226

2

$1,226 - $1,471

$1,471 - $1,655

3

$1,545 - $1,853

$1,853 - $2,085

4

$1,863 - $2,235

$2,235 - $2,515

5

$2,181 - $2,617

$2,617 - $2,945

6

$2,500 - $2,999

$2,999 - $3,374

7

$2,818 - $3,381

$3,381 - $3,804

8

$3,136 - $3,763

$3,763 - $4,234

9

$3,455 - $4,145

$4,145 - $4,664

10

$3,773 - $4,527

$4,527 - $5,093

11

$4,091 - $4,909

$4,909 - $5,523

12

$4,410 - $5,291

$5,291 - $5,953

For each additional person add:

$319 - $382

$382 - $430