Table C: Qualified Medicare Beneficiary (QMB) SR 23-14 Dated 03/23

Assistance Group Size

Monthly Net Income

<100%

1

$1,215

2

$1,644

3

$2,072

4

$2,500

5

$2,929

6

$3,357

7

$3,785

8

$4,214

9

$4,642

10

$5,070

11

$5,499

12

$5,927

For each additional person add:

$429