Table C: Qualified Medicare Beneficiary (QMB) SR 14-14, 03/14 (MAM-A) |
Assistance Group Size |
Monthly Net Income <100% |
1 |
$973 |
2 |
1,311 |
3 |
1,650 |
4 |
1,988 |
5 |
2,326 |
6 |
2,665 |
7 |
3,003 |
8 |
3,341 |
9 |
3,680 |
10 |
4,018 |
11 |
4,356 |
12 |
4,695 |
For each additional person add: |
$339 |
References: 42 CFR 406, Section 1905(p)(1) & (p)(2)(C) of the Social Security Act (SSA), 42 USC 1396d(p)(2)(C), 42 USC 9902(2)