Federal Poverty Level (FPL) Guidelines

Effective January 2012


FPL Calculator
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Please round to the nearest whole number

monthly biweekly weekly
FPL Guidelines*
Family Size Annual FPL 100% Monthly FPL 150% Monthly FPL 200% Monthly FPL 300% Monthly FPL
1 11,170 931 1,396 1,862 2,793
2 15,130 1,261 1,891 2,522 3,783
3 19,090 1,591 2,386 3,182 4,773
4 23,050 1,921 2,881 3,842 5,763
5 27,010 2,251 3,376 4,502 6,753
6 30,970 2,581 3,871 5,162 7,743
7 34,930 2,911 4,366 5,822 8,733
8 38,890 3,241 4,861 6,482 9,723
Each Additional Person 3960 330 495 660 990
Coverage Information  
  • Qualified Medicare Beneficiary limit
  • Co-pays for children on BC+ begin
  • BC+ Emergency Services limit for children ages 6 - 18
  • Premiums for parents & relative caretakers on BC+ begin
  • BC+ Standard Plan limit for children, pregnant women, and parents/relative caretakers
  • BC+ Prenatal Program Standard Plan Limit
  • BC+ Family Planning Services limit
  • Qualified Disabled and Working Individual limit
  • Premiums for children on BC+ begin
  • BC+ Benchmark Plan limit for pregnant women
  • BC+ Prenatal Program Benchmark Plan limit

*These guidelines apply to the 48 contiguous states and the District of Columbia.