WAG 25-03-02 Medical

  1. Program Standards
    1. Family Health Plans - 1
    2. 2021 Income Standard for MPE and Moms & Babies
  2. Threshold at Which a Child or Tax Dependent is Expected to be Required to File a Tax Return (MAGI)
  3. MAGI Deduction Limits
  4. AABD Medical/Medicare Savings Programs/HBWD
    1. Resources

Program Standards

Family Health Plans - 1

# In

Unit

Family Assist

Effective 10/01/2021

Family Health

Spenddown

All Kids Assist

MAGI - 147% FPL

 (includes 5% disregard)

(Children)

FamilyCare and ACA Adults

MAGI - 138% FPL

(includes 5% disregard)

(Adults)

1 $ 322 $ 283 $ 1,578 $ 1,481
2 435 375 2,134 2,003
3 549 508 2,690 2,525
4 662 558 3,246 3,048
5 776 650 3,802 3,570
6 890 733 4,359 4,092
7 1,003 767 4,915 4,614
8 1,116 808 5,471 5,136
9 1,230 850 6,027 5,658
10 1,343 900 6,583 6,180

Each

add'l

See

PM 15-06-01-a

 for additional members in the household.   

+ 67 + 555 + 521

2021 Income Standard for MPE and Moms & Babies

MAGI - 213% FPL

Family Size Monthly Income
2 $ 3,092
3 3,898
4 4,704
5 5,510
6 6,316
7 7,121
8 7,927
9 8,733
10 9,539

Each

add'l

+ 805

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 2020.

Tax Year 2014 2015 2016 2017 2018 2019 2020 2021
Monthly Earned Income $ 508 $ 517 $ 525 $ 529 $ 1,000 $ 1,000 $ 1,000 $ 1,033
Monthly Unearned Income* 83 83 87 88 88 88 88 91

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

MAGI Deduction Limits

The MAGI deductions listed below are the ones with limits.  To see all of the MAGI deductions, go to

PM 08-03-03.

MAGI Deductions that are Limited Year 2021
Health Savings Account contribution limit

Single person:  $300 per month

Family:  $600 per month

Moving expense limit The new workplace must be 50 miles or more further from the person's old home. No longer an allowable deduction beginning with tax year 2018 through 2025.
Student loan interest limit $2,500 in a tax year.  Certain rules apply, see PM 08-03-03.
Educator Expense

Single Person: $250 per year

Family: $500 per year

IRA Deduction

Age: less than 50: $6,000

  greater than 50: $7,000 

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. The Tuition and Fees Deduction was set to end after 2017 but has been extended through 2020.

AABD Medical/Medicare Savings Programs/HBWD

2021 Income Standards
# In Unit AABD
100% FPL

QMB

100% FPL

SLIB

Over 100% to $1

less than 120%

QI-1

120% to $1

less than 135% FPL

HBWD (LO 250)

Less than or Equal to

350% FPL

1 $ 1,073 $ 1,073 $ 1,074 - 1,287 $ 1,288 - 1,448 $  3,757
2 1,452 1,452 1,453 - 1,741 1,742 - 1,959 5,081
3 1,830 NA NA NA 6,405
4 2,208 NA NA NA 7,729
5 2,587 NA NA NA 9,053
6 2,965 NA NA NA 10,378
7 3,343 NA NA NA 11,702
8 3,722 NA NA NA 13,026
9 4,100 NA NA NA 14,350
10 4,478 NA NA NA 15,674
Each
add'l
+378 NA NA NA +1,323
ITEM 2013 2014 2015 2016 2017 2018 2019 2020 2021
Grant Adjustment
Changes in January
531.90 542.90 554.90 554.90 556.90 571.90 592.90 604.90 615.90

Spousal Impoverishment

Resources

109,560 109,560 109,560 109,560 109,560 109,560 109,560 109,560 109,560
Spousal Income 2,739 2,739 2,739 2,739 2,739 2,739 2,739 2,739 2,739
Family Maintenance (MMMNA)
1,891.25 1,938.75 1,966.25 1,966.25 2,030 2,058 2,058 2,113.75 2,155
Home Equity Limit NA NA NA NA NA NA 585,000 595,000 603,000
SLP, Single 710 721 733 733 735 750 771 783 794
SLP, Shared Room 533 541 550 550 551.50 562.50 578.50 587.50 595.50
SSI - Individual 710 721 733 733 735 750 771 783 794
SSI - Couple 1,066 1,082 1,100 1,100 1,103 1,125 1,157 1,175 1,191

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
SNAP $ 2,250** $ 2,250** $ 2,250**
AABD Cash/Medical $ 2,000 $ 3,000 Add $ 50 for each add'l

Medicare Savings

 Programs

$ 7,080 (2013)

7,160 (2014)

7,280 (2015)

7,280 (2016)

7,390 (2017)

7,560 (2018)

7,730 (2019)

7,730 (2020)

7,970 (2021)

$ 10,620 (2013)

10,750 (2014)

10,930 (2015)

10,930 (2016)

11,090 (2017)

11,340 (2018)

11,600 (2019)

11,600 (2020)

11,960 (2021)

$ 10,620 (2013)

10,750 (2014)

10,930 (2015)

10,930 (2016)

11,090 (2017)

11,340 (2018)

11,600 (2019)

11,600 (2020)

11,960 (2021)

HBWD

(see PM 06-24-05)

$ 25,000 $ 25,000 $ 25,000

*Family Health Plans & TANF - Resources not considered. 

**$3,500 if at least one person is a qualifying member (see PM 07-04-00).