Table C: Qualified Medicare Beneficiary (QMB) SR 21-14, 03/21 (MAM-A)

Assistance Group Size

Monthly Net Income

<100%

1

$1,074

2

$1,452

3

$1,830

4

$2,209

5

$2,587

6

$2,965

7

$3,344

8

$3,722

9

$4,100

10

$4,479

11

$4,857

12

$5,235

For each additional person add:

$379