Table D: Specified Low-Income Medicare Beneficiary: SLMB, SLMB135, and SLMB175 SR 02-10, 04/02 (AAM-A)

Assistance Group Size

Monthly Net Income Limit

SLMB

SLMB135

SLMB175

1

$ 886

$ 997

$1,293

2

1,194

1,344

1,742

3

1,502

1,690

2,191

4

1,810

2,037

2,640

5

2,118

2,383

3,089

6

2,426

2,730

3,538

7

2,734

3,076

3,988

8

3,042

3,423

4,437

9

3,350

3,769

4,886

10

3,658

4,116

5,335

11

3,966

4,462

5,784

12

4,274

4,809

6,233

For each additional person add:

$308

$347

$450