Table D: Specified Low-Income Medicare Beneficiary: SLMB, SLMB135, and SLMB175 SR 99-14, 05/99 (AAM-A)

Assistance Group Size

Monthly Net Income Limit

SLMB

SLMB135

SLMB175

1

$ 824

$ 927

$1,202

2

1,106

1,245

1,613

3

1,388

1,562

2,025

4

1,670

1,879

2,436

5

1,952

2,196

2,847

6

2,234

2,514

3,258

7

2,516

2,831

3,670

8

2,798

3,148

4,081

9

3,080

3,465

4,492

10

3,362

3,783

4,903

11

3,644

4,100

5,315

12

3,926

4,417

5,726

For each additional person add:

$282

$318

$412