Table C: Qualified Medicare Beneficiary (QMB) SR 16-14, 03/16 (MAM-A)

Assistance Group Size

Monthly Net Income

<100%

1

$990

2

$1,335

3

$1,680

4

$2,025

5

$2,370

6

$2,715

7

$3,061

8

$3,408

9

$3,755

10

$4,101

11

$4,448

12

$4,795

For each additional person add:

$347