Table C: Qualified Medicare Beneficiary (QMB) SR 17-14, 03/17 (MAM-A)

Assistance Group Size

Monthly Net Income

<100%

1

$1005

2

$1,354

3

$1,702

4

$2,050

5

$2,399

6

$2,747

7

$3,095

8

$3,444

9

$3,792

10

$4,140

11

$4,489

12

$4,837

For each additional person add:

$349