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Federal Poverty Level Guidelines for Premium Assistance
Effective February 2008
Group
Size |
Annual
FPL |
120% Monthly
FPL |
135% Monthly
FPL |
175% Monthly
FPL |
200%
Monthly
FPL |
| 1 |
$10,400 |
$1,040.00 |
$1,170.00 |
$1,516.67 |
$1,733.33 |
| 2 |
$14,000 |
$1,400.00 |
$1,575.00 |
$2,041.67 |
$2,333.33 |
| 3 |
$17,600 |
$1,760.00 |
$1,980.00 |
$2,566.67 |
$2,933.33 |
| 4 |
$21,200 |
$2,120.00 |
$2,385.00 |
$3,091.67 |
$3,533.33 |
| 5 |
$24,800 |
$2,480.00 |
$2,790.00 |
$3,616.67 |
$4,133.33 |
| 6 |
$28,400 |
$2,840.00 |
$3,195.00 |
$4,141.67 |
$4,733.33 |
| 7 |
$32,000 |
$3,200.00 |
$3,600.00 |
$4,666.67 |
$5,333.33 |
| 8 |
$35,600 |
$3,560.00 |
$4,005.00 |
$5,191.67 |
$5,933.33 |
| 9 |
$39,200 |
$3,920.00 |
$4,410.00 |
$5,716.67 |
$6,533.33 |
| 10 |
$42,800 |
$4,280.00 |
$4,815.00 |
$6,241.67 |
$7,133.33 |
Each
Additional
Person |
$3,600 |
$360.00 |
$405.00 |
$525.00 |
$600.00 |
| |
|
SLMB |
QI-1
(SLMB+) |
QI-2
(ALMB) |
QDWI & Lower
SI Inc. Allowance |
Wisconsin Medicaid and BadgerCare Plus Federal Poverty Level Guidelines (FPL)
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