WAG 25-03-02 (2) Medical FPLs

  1. Program Standards
    1. 2025 Family Health Plans Monthly Income Standards
    2. Threshold at Which a Child or Tax Dependent is Expected to be Required to File a Tax Return (MAGI)
  2. MAGI Deduction Limits
  3. AABD Medical/Medicare Savings Programs/HBWD
  4. Resources

Program Standards

2025 Family Health Plans Monthly Income Standards

# In
Unit		 New TextFamily Assist
Effective 10/01/2024		 Family Health
Spenddown		 New Text.All Kids Assist
MAGI - 318% FPL
(includes 5% disregard)
(Children)		 New Text.FamilyCare and ACA Adults
MAGI - 138% FPL
(includes 5% disregard)
(Adults)		 New Text.MPE and Moms & Babies MAGI - 213% FPL (includes 5% disregard) New Text.Family Planning 213% FPL
Household Size = 2		 New Text.Medical Extension
185% FPL
1 $439 $283 $4,147 $1,799 NA NA NA
2 596 375 5,604 2,432 $3,754 $3,754 $3,260
3 753 508 7,062 3,064 4,730 NA 4,108
4 910 558 8,519 3,697 5,706 NA 4,956
5 1,067 650 9,977 4,329 6,682 NA 5,804
6 1,224 733 11,434 4,962 7,659 NA 6,652
7 1,381 767 12,892 5,594 8,635 NA 7,500
8 1,538 808 14,349 6,227 9,611 NA 8,348
9 1,695 850 15,807 6,859 10,587 NA 9,196
10 1,852 900 17,264 7,492 11,564 NA 10,043
Each
additional		 See
PM 15-06-01-a
 for additional members in the household.   		 + 67 +1,456 +632 +975 NA +847

Threshold at Which a Child or Tax Dependent is Expected to be Required to File a Tax Return (MAGI)

Use "last year's" tax information. The table below is updated for Revised Text.2025. Deleted Text.

Tax Year 2020 2021 2022 2023 2024
Monthly Earned Income $1,033 $1,046 $1,079 $1,154 $1,217
Monthly Unearned Income* 91 92 95 104 109

*Excluding SSA Income.  See PM 15-06-01-h.

MAGI Deduction Limits

The MAGI deductions listed below have an annual cap.  To see all the MAGI deductions, go to PM 08-03-03.

MAGI Deductions that are Limited New Text.For Tax Year 2024
Health Savings Account Contribution Limit
IRS Form 8889		 Single person:  Revised Text.$4,150 per tax year
Family:  Revised Text.$8,300 per tax year

Moving Expense Limit

Form 3903

 The new workplace must be 50 miles or more further from the person's old home.

Student Loan Interest Limit

1098-E

 $2,500 in a tax year. Certain rules apply, see PM 08-03-03.
IRA Deduction

Age: less than 50: Revised Text.$7,000 per year

 50 and older: Revised Text.$8,000 per year
Educator Expense

Single Person: Revised. $300 per year

Family: Revised. $600 per year

Tuition and Fees Limit

Form 1098-T

 $4,000 per year. Annual MAGI income cannot be more than $80,000 for single or $160,000 for a joint return.

AABD Medical/Medicare Savings Programs/HBWD

2025 Monthly Income Standards
# In Unit New Text.AABD
100% FPL		 New Text.QMB
100% FPL		 New Text.SLIB
Over 100% to $1
less than 120%		 New Text.QI-1
120% to $1
less than 135% FPL		 New Text.HBWD (LO 250)
Less than or Equal to
350% FPL
1 $ 1,304 $ 1,304 $ 1,305 - 1,564 $ 1,565 - 1,759 $ 4,564
2 1,762 1,762 1,763 - 2,114 2,115 - 2,378 6,168
3 2,220 NA NA NA 7,772
4 2,679 NA NA NA 9,377
5 3,137 NA NA NA 10,981
6 3,595 NA NA NA 12,585
7 4,054 NA NA NA 14,189
8 4,512 NA NA NA 15,793
9 4,970 NA NA NA 17,397
10 5,429 NA NA NA 19,002
Each
additional		 +458 NA NA NA +1,603
ITEM 2020 2021 2022 2023 2024 New Text.2025
Grant Adjustment
Changes in January		 604.90 615.90 662.90 735.90 764.90 788.90
Community Spouse Resource Allowance (CSRA) 109,560 109,560 109,560 120,780 129,084 135,648
Spousal Income (CSMNA) 2,739 2,739 2,739 3,715.50 3,853.50 3,948
Family Maintenance (MMMNA)
 2,113.75 2,155 2,178 2,288.75 2,465 2,555
Home Equity Limit 595,000 603,000 636,000 688,000 713,000 730,000
SLP, Single - includes Revised Text.$120 PNA. 783 794 841 914 943 967
SLP, Shared Room - includes Revised Text.$120 PNA. 587.50 595.50 630.50 685.50 707.50 725
SSI - Individual 783 794 841 914 943 967
SSI - Couple 1,175 1,191 1,261 1,371 1,415 1,450

The Medicare Part B premium deduction is based on the individual's income as well as the initial year of enrollment.  Check SOLQ to confirm the correct amount for the Medicare Part B premium deduction.

Resources

Program One person 2 people More than 2
AABD Cash $ 2,000 $ 3,000 Add $ 50 for each additional
AABD Medical 17,500 17,500 NA
Medicare Savings
Programs

$7,730 (2020)

7,970 (2021)

8,400 (2022)

9,090 (2023)

9,430 (2024)

New Text.9,660 (2025)

$ 11,600 (2020)

11,960 (2021)

12,600 (2022)

13,630 (2023)**

14,130 (2024)

New Text.14,470 (2025)

$ 11,600 (2020)

11,960 (2021)

12,600 (2022)

13,630 (2023)**

14,130 (2024)

New Text.14,470 (2025)
HBWD
(see PM 06-24-05)		 $ 25,000 $ 25,000 $ 25,000

Deleted Text.

*Family Health Plans & TANF - Resources not considered. 

**2023 MSP Resource limits recorded in error. Corrected amount shown in table.