|
Family Size
|
< FPG (100%)
|
|
|---|---|---|
|
If income is less than:
|
||
|
Year
|
Month
|
|
|
1
|
$12,760
|
$1,063
|
|
2
|
$17,240
|
$1,437
|
|
3
|
$21,720
|
$1,810
|
|
4
|
$26,200
|
$2,183
|
|
5
|
$30,680
|
$2,557
|
|
6
|
$35,160
|
$2,930
|
|
7
|
$39,640
|
$3,303
|
|
8
|
$44,120
|
$3,677
|
|
*
|
$4,480
|
$373
|
*For family units over 8, add the following amount for each additional family member. $40 nominal charge. Not to exceed Plan 2 (40% of normal charge) + lab fee.
|
Family Size
|
From 100% to 133% of FPG
|
||||
|---|---|---|---|---|---|
|
If income is less than:
|
|||||
|
Year
|
Month
|
to
|
Year
|
Month
|
|
|
1
|
$12,761
|
$1,063
|
to
|
$16,971
|
$1,414
|
|
2
|
$17,241
|
$1,437
|
to
|
$22,929
|
$1,911
|
|
3
|
$21,721
|
$1,810
|
to
|
$28,888
|
$2,407
|
|
4
|
$26,201
|
$2,183
|
to
|
$34,846
|
$2,904
|
|
5
|
$30,681
|
$2,557
|
to
|
$40,804
|
$3,400
|
|
6
|
$35,161
|
$2,930
|
to
|
$46,763
|
$3,897
|
|
7
|
$39,641
|
$3,303
|
to
|
$52,721
|
$4,393
|
|
8
|
$44,121
|
$3,677
|
to
|
$58,680
|
$4,890
|
*For family units over 8, add the following amount for each additional family member.
40% nominal charge + lab fee.
|
Family Size
|
From 134% to 150% of FPG
|
||||
|---|---|---|---|---|---|
|
If income is less than:
|
|||||
|
Year
|
Month
|
to
|
Year
|
Month
|
|
|
1
|
$16,972
|
$1,414
|
to
|
$19,140
|
$1,595
|
|
2
|
$22,930
|
$1,911
|
to
|
$25,860
|
$2,155
|
|
3
|
$28,889
|
$2,407
|
to
|
$32,580
|
$2,715
|
|
4
|
$34,847
|
$2,904
|
to
|
$39,300
|
$3,275
|
|
5
|
$40,805
|
$3,400
|
to
|
$46,020
|
$3,835
|
|
6
|
$46,764
|
$3,897
|
to
|
$52,740
|
$4,395
|
|
7
|
$52,722
|
$4,394
|
to
|
$59,460
|
$4,955
|
|
8
|
$58,681
|
$4,890
|
to
|
$66,180
|
$5,515
|
*For family units over 8, add the following amount for each additional family member.
60% nominal charge + lab fee.
|
Family Size
|
From 151% to 199% of FPG
|
||||
|---|---|---|---|---|---|
|
If income is less than:
|
|||||
|
Year
|
Month
|
to
|
Year
|
Month
|
|
|
1
|
$19,141
|
$1,595
|
to
|
$25,520
|
$2,127
|
|
2
|
$25,861
|
$2,155
|
to
|
$34,480
|
$2,873
|
|
3
|
$32,581
|
$2,715
|
to
|
$43,440
|
$3,620
|
|
4
|
$39,301
|
$3,275
|
to
|
$52,400
|
$4,367
|
|
5
|
$46,021
|
$3,835
|
to
|
$61,360
|
$5,113
|
|
6
|
$52,741
|
$4,395
|
to
|
$70,320
|
$5,860
|
|
7
|
$59,461
|
$4,955
|
to
|
$79,280
|
$6,607
|
|
8
|
$66,181
|
$5,515
|
to
|
$88,240
|
$7,353
|
*For family units over 8, add the following amount for each additional family member.
80% nominal charge + lab fee.
|
Family Size
|
> 200% of FPG
|
|
|---|---|---|
|
If income is greater than:
|
||
|
Year
|
Month
|
|
|
1
|
$25,521
|
$2,127
|
|
2
|
$34,481
|
$2,873
|
|
3
|
$43,441
|
$3,620
|
|
4
|
$52,401
|
$4,367
|
|
5
|
$61,361
|
$5,113
|
|
6
|
$70,321
|
$5,860
|
|
7
|
$79,281
|
$6,607
|
|
8
|
$88,241
|
$7,353
|
No discount.