Federal Poverty Level (FPL) Guidelines

FPL Guidelines*
Family Size	Annual FPL	100% Monthly FPL	133% Monthly FPL	150% Monthly FPL	200% Monthly FPL	300% Monthly FPL
1	11,490	958	1,273	1,436	1,915	2,873
2	15,510	1,293	1,719	1,939	2,585	3,878
3	19,530	1,628	2,165	2,441	3,255	4,883
4	23,550	1,963	2,610	2,944	3,925	5,888
5	27,570	2,298	3,056	3,446	4,595	6,893
6	31,590	2,633	3,501	3,949	5,265	7,898
7	35,610	2,968	3,947	4,451	5,935	8,903
8	39,630	3,303	4,392	4,954	6,605	9,908
Each Additional Person	4020	335	445.55	502.5	670	1005
Coverage Information	PLEASE NOTE: as of July 1, 2012 premiums for adults on BadgerCare Plus begin at 133% FPL.	Qualified Medicare Beneficiary limit Co-pays for children on BC+ begin	Premiums for parents & relative caretakers on BC+ begin Premiums for adults on BC+ Core Plan begin BC+ backdating cutoff for non-pregnant, non-disabled adults Crowd-out tests begin for non-pregnant, non-disabled adults	BC+ Emergency Services limit for children ages 6 - 18	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.

ABC for Health, Inc.