Income Guidelines
Table A
Financial guidelines for applicants with no genetic or metabolic-related condition. (updated January 30, 2021)
Eligibility is determined using all income sources (taxable and nontaxable) of all persons (related or not) living in the same household. Please include this information to speed up the application process.
Persons in Family / Household | 100% Poverty Guidelines | 185% Poverty Guidelines | 15% Assets |
|---|---|---|---|
1 | $12,880 | $23,828 | $3,574 |
2 | $17,420 | $32,227 | $4,834 |
3 | $21,960 | $40,626 | $6,094 |
4 | $26,500 | $49,025 | $7,354 |
5 | $31,040 | $57,424 | $8,614 |
6 | $35,580 | $65,823 | $9,873 |
7 | $40,120 | $74,222 | $11,133 |
8 | $44,660 | $82,621 | $12,393 |
Plus | $4,540 | $8,399 | $1,260 |
Table B
Financial guidelines with a genetic or metabolic condition. (Updated January 30, 2021)
Eligibility is determined using all income sources (taxable and nontaxable) of all persons (related or not) living in the same household. Please include this information to speed up the application process.
Persons in Family / Household | 100% Poverty Guidelines | 100% | 50% | 25% | |||
|---|---|---|---|---|---|---|---|
N/A | N/A | 185% | 15% | 285% | 15% | 385% | 15% |
1 | $12,880 | $23,828 | $3,574 | $36,708 | $5,506 | $49,588 | $7,438 |
2 | $17,420 | $32,227 | $4,834 | $49,647 | $7,447 | $67,067 | $10,060 |
3 | $21,960 | $40,626 | $6,094 | $62,586 | $9,388 | $84,546 | $12,682 |
4 | $26,500 | $49,025 | $7,354 | $75,525 | $11,329 | $102,025 | $15,304 |
5 | $31,040 | $57,424 | $8,614 | $88,464 | $13,270 | $119,504 | $17,926 |
6 | $35,580 | $65,823 | $9,873 | $101,403 | $15,210 | $136,983 | $20,547 |
7 | $40,120 | $74,222 | $11,133 | $114,342 | $17,151 | $154,462 | $23,169 |
8 | $44,660 | $82,621 | $12,393 | $127,281 | $19,092 | $171,941 | $25,791 |
Plus | $4,540 | $8,399 | $1,260 | $12,939 | $1,941 | $17,479 | $2,622 |
| Normal - Up to 185% | Genetic Only | ||||||
| For families/households with more than 8 persons, add $4,540 for each additional person | |||||||
Note: Assets refers to economic resources such as bank accounts (savings/checking), goodwill, accounts receivable, bonds, stocks. SHCN does not include homes, cars, or retirement accounts.