Effective April, 2015 Florida KidCare Income Guidelines for Family

Effective April, 2015
Florida KidCare Income Guidelines for
Family Gross - Monthly Income
April 2015 – April 2016
Medicaid Federal Poverty Level Guidelines
(Premium Payments are not required for this program)
100% FPL
133% FPL
Family Size
1
2
3
4
5
6
7
8
9
10
11
12
Notes:
158% FPL
200% FPL
Standard 7%
Disregard*
$981
$1,328
$1,675
$2,021
$2,368
$2,715
$3,061
$3,408
$3,755
$4,101
$4,448
$4,795
$1,305
$1,766
$2,227
$2,688
$3,149
$3,610
$4,071
$4,532
$4,994
$5,455
$5,916
$6,377
$69
$93
$117
$141
$166
$190
$214
$239
$263
$287
$311
$336
Standard 10%
Disregard
$1,550
$2,098
$2,646
$3,193
$3,741
$4,289
$4,837
$5,384
$5,932
$6,480
$7,028
$7,575
$1,962
$2,655
$3,349
$4,042
$4,735
$5,429
$6,122
$6,815
$7,509
$8,202
$8,895
$9,589
$98
$133
$168
$202
$237
$272
$306
$341
$376
$410
$445
$480
MAGI 5%
Disregard**
$49
$66
$84
$101
$118
$136
$153
$170
$188
$205
$222
$240
*Only children aged 1 through 5 receive the standard disregard. All children get the 5% MAGI disregard if needed.
**MAGI – The 5% MAGI disregard is used in a budget only, if it makes a “failing individual” pass.
MediKids, CMS and Healthy Kids Poverty Guidelines
Family Size
1
2
3
4
5
6
7
8
9
10
11
12
(Premium Payments are required for this program)
Plan Two
Plan Three
133.01-158% FPL
158.01-200% FPL
$15/Family
$20/Family
$1,305.01 - $1,550
$1,550.01 - $1,962
$1,766.01 - $2,098
$2,098.01 - $2,655
$2,227.01 - $2,646
$2,646.01 - $3,349
$2,688.01 - $3,193
$3,193.01 - $4,042
$3,149.01 - $3,741
$3,741.01 - $4,735
$3,610.01 - $4,289
$4,289.01 - $5,429
$4,071.01 - $4,837
$4,837.01 - $6,122
$4,532.01 - $5,384
$5,384.01 - $6,815
$4,994.01 - $5,932
$5,932.01 - $7,509
$5,455.01 - $6,480
$6,480.01 - $8,202
$5,916.01 - $7,028
$7,028.01 - $8,895
$6,377.01 - $7,575
$7,575.01 - $9,589
Plan Four (HK & MK only)
200.01% FPL and over
Full Pay Premium/Child
$1,962.01 & over
$2,655.01 & over
$3,349.01 & over
$4,042.01 & over
$4,735.01 & over
$5,429.01 & over
$6,122.01 & over
$6,815.01 & over
$7,509.01 & over
$8,202.01 & over
$8,895.01 & over
$9,589.01 & over