| Eligibility
Requirement for Medicaid, Medicare and Related Benefits
Effective
4/1/08
Medicaid & SSI
Dollar Amounts Effective as of January 1, 2008:
|
|
2007
|
2008
|
|
Medicaid
Single Income/Mo.
|
$1,869
|
$1,911
|
|
Medicaid
Couple Income/Mo.
|
$3,738
|
$3,822
|
|
SSI
Single Income/Mo.
|
$623
|
$637
|
|
SSI
Couple Income/Mo.
|
$934
|
$956
|
|
Protected
Resource Amt. Min.
|
$20,328
|
$20,880
|
|
Protected
Resource Amt. Max.*
|
$101,640
|
$104,400
|
|
Spousal
Monthly Allowance
|
$2,541
|
$2,610
|
|
Gift
Penalized**
|
$122.50/day
|
$122.50/day
|
|
Personal
Needs Allowance
|
$60
|
$60
|
*The
Community Spouse can sometimes keep more by applying for an increase. For example, if countable
income of both
spouses together is $1,500 per month, and the 1-yr. CD rate is 5.0%, they can
keep $280,800.
**For applications filed before 9/1/07, the divisor is
$117.08/day; thereafter it is $122.50/day. For transfers
discovered on or after
9/1/05 in applications filed previously, the divisor is $117.08/day.
|
Medicare
& Social Security & VA
Dollar Amounts Effective
January 1, 2008:
|
|
|
2007
|
2008
|
|
Part
A Premium/Mo.
|
$410
|
$423
|
|
Part
B Premium/Mo.
|
$93.50
|
$96.40
|
|
Skilled
Nursing Facility Copayment
|
$124
|
$128
|
|
Hospital
Stay (Part A) Deductible
|
$992
|
$1,024
|
|
Hospital
Copayment, Days 61-90
|
$248
|
$256
|
|
Hospital
Copayment, Days 91-150
|
$496
|
$512
|
|
Part
B (Medical) Annual Deductible
|
$131
|
$135
|
|
QMB max income single (gross incl. $20 exempt amt)
|
$871
|
$887*
|
|
QMB max income couple (gross incl. $20 exempt amt)
|
$1,161
|
$1,187*
|
|
SLMB max income single (gross incl. $20 exempt amt)
|
$1041
|
$1,060*
|
|
SLMB max couple (gross incl. $20 exempt amt)
|
$1,389
|
$1,420*
|
|
QI-1 max income single (gross incl. $20 exempt amt)
|
$1,169
|
$1,190*
|
|
QI-1 max income couple (gross incl. $20 exempt amt)
|
$1,560
|
$1,595*
|
|
“Substantial Gainful Employment” (Non-Blind)
|
$900
|
$940
|
|
Max
Earnings Taxed for SS
|
$97,500
|
$97,500
|
|
Max
Earnings/Yr, Under 65
|
$12,960
|
$12,960
|
|
Max
Earnings in Yr of Full Retirement Age**
|
$34,440
|
$34,440
|
|
Max
Earnings after Yr of Full Retirement Age**
|
No Max!
|
No Max!
|
|
SS
COLA
|
3.3%
|
3.3%
|
|
VA
Pension With "Aid & Attendance"--Married
|
$1,801
|
$1,843
|
|
VA
Pension With "Aid & Attendance"--Unmarried Vet
|
$1,520
|
$1,555
|
|
VA
Pension With "Aid & Attendance"--Widow(er)
|
$911
|
$999
|
*Effective
4/1/2008
**Full
Retirement = 65 and 10 months if born in 1942 or age 66 if born in 1943-1954. Full
retirement age will gradually increase
to age 67 for those born in 1960 and later.
FEDERAL POVERTY GUIDELINES 2008 Excluding Alaska & Hawaii
|
Family
|
100%
|
100%
|
120%
|
133%
|
135%
|
150%
|
158%
|
185%
|
200%
|
300%
|
|
Size
|
Annual
|
Monthly
|
Monthly
|
Monthly
|
Monthly
|
Monthly
|
Monthly
|
Monthly
|
Monthly
|
Monthly
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1
|
$10,400
|
$867
|
$1,040
|
$1,156
|
$1,170
|
$1,300
|
$1,369
|
$1,603
|
$1,733
|
$2,600
|
|
2
|
$14,000
|
$1,167
|
$1,400
|
$1,556
|
$1,575
|
$1,750
|
$1,843
|
$2,158
|
$2,333
|
$3,500
|
|
3
|
$17,600
|
$1,467
|
$1,760
|
$1,956
|
$1,980
|
$2,200
|
$2,317
|
$2,713
|
$2,933
|
$4,400
|
|
4
|
$21,200
|
$1,767
|
$2,120
|
$2,355
|
$2,385
|
$2,650
|
$2,791
|
$3,268
|
$3,533
|
$5,300
|
|
5
|
$24,800
|
$2,067
|
$2,480
|
$2,755
|
$2,790
|
$3,100
|
$3,265
|
$3,823
|
$4,133
|
$6,200
|
|
6
|
$28,400
|
$2,367
|
$2,840
|
$3,155
|
$3,195
|
$3,550
|
$3,739
|
$4,378
|
$4,733
|
$7,100
|
|
7
|
$32,000
|
$2,667
|
$3,200
|
$3,555
|
$3,600
|
$4,000
|
$4,213
|
$4,933
|
$5,333
|
$8,000
|
|
8
|
$35,600
|
$2,967
|
$3,560
|
$3,955
|
$4,005
|
$4,450
|
$4,687
|
$5,488
|
$5,933
|
$8,900
|
|
Each
|
|
|
|
|
|
|
|
|
|
|
|
Add'l:
|
$3,600
|
$300
|
$360
|
$400
|
$405
|
$450
|
$474
|
$555
|
$600
|
$900
|
Programs With
Poverty-Level-Related Income Limits
(Above limits effective
4/1/08-3/31/09
SLMB
|
120% of poverty + $20 ($4,000 resources unmarried, $6,000
married)
|
QI-1
|
135% of poverty +$20 ($4,000 resources unmarried, $6,000
married)
|
Part D Max
|
135% of poverty + $20 ($6,000 resources unmarried, $9,000
married)
|
Part D Min
|
150%
of poverty + $20 ($10,000 resources
unmarried, $20,000 married)
|
MERP Waiver
|
300% of poverty (up to
$100,000 tax appraised residence value, for shares of low-income descendants)
|
CPW* Under
|
185% of poverty ($2,000
resources/household, or $3,000 if any member disabled or age 60 or over)
|
CPW*
PregW
|
158% (no resource limit for
pregnant women)
|
CPW* 1-5
|
133% of poverty ($2,000
resources/household, or $3,000 if any member disabled or age 60 or over)
|
CPW* 6-18
|
100% of poverty ($2,000
resources/household, or $3,000 if any member disabled or age 60 or over)
|
*CPW = Children & Pregnant Women Medicaid. Pregnant
minors have same income limit as children
under age 1.
--TANF resource & income
methodology generally applies to CPW; SSI methodology to the other programs.
For example, SSI methodology
disregards $20 of income in every case and $65 of earned income plus 1/2 the rest of earned income.
--Multiples of poverty level income are rounded in
Excel. Agencies may round differently, creating a difference of $1.00 one way or the other in actual
income limits.
|
