Table D: Specified Low-Income Medicare Beneficiary (SLMB) and SLMB135 SR 18-14, 03/18 (MAM-A)

Assistance Group Size

Monthly Net Income Limits

SLMB

> 100% but < 120%

SLMB135

> 120% but < 135%

1

$1,012 - $1,214

$1,214 - $1,366

2

$1,372 - $1,646

$1,646 - $1,852

3

$1,732 - $2,078

$2,078 - $2,338

4

$2,092 - $2,510

$2,510 - $2,824

5

$2,452 - $2,942

$2,942 - $3,310

6

$2,812 - $3,374

$3,374 - $3,796

7

$3,172 - $3,806

$3,806 - $4,282

8

$3,532 - $4,238

$4,238 - $4,768

9

$3,892 - $4,670

$4,670 - $5,254

10

$4,252 - $5,102

$5,102 - $5,740

11

$4,612 - $5,534

$5,534 - $6,226

12

$4,972 - $5,966

$5,966 - $6,712

For each additional person add:

$360 - $432

$432 - $486