Table C: Qualified Medicare Beneficiary (QMB) SR 20-14 03/20 (MAM-A)

Assistance Group Size

Monthly Net Income

<100%

1

$1,064

2

$1,437

3

$1,810

4

$2,184

5

$2,557

6

$2,930

7

$3,304

8

$3,677

9

$4,050

10

$4,424

11

$4,797

12

$5,170

For each additional person add:

$374