Table D: Specified Low-Income Medicare Beneficiary: SLMB, SLMB135, and SLMB175 SR 00-13, 04/00 (AAM-A)

Assistance Group Size

Monthly Net Income Limit

SLMB

SLMB135

SLMB175

1

$ 835

$ 940

$1,218

2

1,125

1,266

1,641

3

1,415

1,592

2,064

4

1,705

1,919

2,487

5

1,995

2,245

2,910

6

2,285

2,571

3,333

7

2,575

2,897

3,756

8

2,865

3,224

4,179

9

3,155

3,550

4,602

10

3,445

3,876

5,024

11

3,735

4,202

5,447

12

4,025

4,529

5,870

For each additional person add:

$290

$327

$423