Table D: Specified Low-Income Medicare Beneficiary: SLMB, SLMB135, and SLMB175 SR 01-08, 04/01 (AAM-A)

Assistance Group Size

Monthly Net Income Limit

SLMB

SLMB135

SLMB175

1

$ 859

$ 967

$1,253

2

1,161

1,307

1,694

3

1,463

1,646

2,134

4

1,765

1,986

2,574

5

2,067

2,326

3,015

6

2,369

2,666

3,455

7

2,671

3,005

3,896

8

2,973

3,345

4,336

9

3,275

3,685

4,777

10

3,577

4,025

5,217

11

3,879

4,364

5,657

12

4,181

4,704

6,098

For each additional person add:

$302

$340

$441