Standards - Medical Standards Based on the FPL
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Standards - Medical Standards Based on the FPL


Revised April 2, 2008



Purpose:

APPENDIX I

FAMILY  SIZE

100% FPL

133% FPL

135% FPL

150% FPL

185% FPL

200% FPL

220% FPL

250% FPL

1

$ 867

$1,153

$1,170

$1,300

$1,604

$1,734

$1,908

$2,167

2

$1,167

$1,552

$1,575

$1,750

$2,159

$2,334

$2,568

$2,917

3

$1,467

$1,951

$1,980

$2,200

$2,714

$2,934

$3,228

$3,667

4

$1,767

$2,350

$2,385

$2,650

$3,269

$3,534

$3,888

$4,417

5

$2,067

$2,749

$2,790

$3,100

$3,824

$4,134

$4,548

$5,167

6

$2,367

$3,148

$3,195

$3,550

$4,379

$4,734

$5,208

$5,917

7

$2,667

$3,547

$3,600

$4,000

$4,934

$5,334

$5,868

$6,667

8

$2,967

$3,946

$4,005

$4,450

$5,489

$5,934

$6,528

$7,417

9

$3,267

$4,345

$4,410

$4,900

$6,044

$6,534

$7,188

$8,167

10

$3,567

$4,744

$4,815

$5,350

$6,599

$7,134

$7,848

$8,917

Add to the ten person standard for each person over ten:

 

$ 300

$ 399

$ 405

$ 450

$ 555

$ 600

$ 660

$ 750

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Modification Date: April 2, 2008
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