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Income Guidelines


Table A: Financial guidelines for applicants with NO genetic or metabolic related condition. (updated 03/07/2017)

Eligibility is determined using all income sources (taxable and nontaxable) of all persons (related or not) living in the same household. Please include this information to speed up the application process.

Persons in Family/ Household

100%
Poverty Guidelines

185%
Poverty Guidelines

15%
Assets

1

$12,060

$22,311

$3,347

2

$16,240

$30,044

$4,507

3

$20,420

$37,777

$5,667

4

$24,600

$45,510

$6,827

5

$28,780

$53,243

$7,986

6

$32,960

$60,976

$9,146

7

$37,140

$68,709

$10,306

8

$41,320

$76,442

$11,466

+

$4,180

$7,733

$1,160


Table B: Financial guidelines with a genetic or metabolic condition. (Updated 03/07/2017)

Eligibility is determined using all income sources (taxable and nontaxable) of all persons (related or not) living in the same household. Please include this information to speed up the application process.

 

100%

50%

25%

Persons in Family/ Household

100%
Poverty Guidelines

185%
Poverty Guidelines

15%
Assets

285%
Poverty Guidelines

15%
Assets

385%
Poverty Guidelines

15%
Assets

1

$12,060

$22,311

$3,347

$34,371

$5,156

$46,431

$6,965

2

$16,240

$30,044

$4,507

$46,284

$6,943

$62,524

$9,379

3

$20,420

$37,777

$5,667

$58,197

$8,730

$78,617

$11,793

4

$24,600

$45,510

$6,827

$70,110

$10,517

$94,710

$14,207

5

$28,780

$53,243

$7,986

$82,023

$12,303

$110,803

$16,620

6

$32,960

$60,976

$9,146

$93,936

$14,090

$126,896

$19,034

7

$37,140

$68,709

$10,306

$105,849

$15,877

$142,989

$21,448

8

$41,320

$76,442

$11,466

$117,762

$17,664

$159,082

$23,862

+

$4,180

$7,733

$1,160

$11,913

$1,787

$16,093

$2,414

Normal - Up to 185% Genetic Only
For families/households with more than 8 persons, add $4,180 for each additional person

Note: Assets refers to economic resources such as bank accounts (savings/checking), goodwill, accounts receivable, bonds, stocks. SHCN does NOT include homes, cars or retirement accounts.