Table D: Specified Low-Income Medicare Beneficiary (SLMB) and SLMB135 (MAM)

Assistance Group Size

Monthly Net Income Limits

SLMB

> 100% but < 120%

SLMB135

> 120% but < 135%

1

$1,255 - $1,506

$1,506 - $1,695

2

$1,704 - $2,044

$2,044 - $2,300

3

$2,152 - $2,582

$2,582 - $2,905

4

$2,600 - $3,120

$3,120 - $3,510

5

$3,049 - $3,658

$3,658 - $4,116

6

$3,497 - $4,196

$4,196 - $4,721

7

$3,945 - $4,734

$4,734 - $5,326

8

$4,394 - $5,272

$5,272 - $5,931

9

$4,842 - $5,810

$5,810 - $6,537

10

$5,290 - $6,348

$6,348 - $7,142

11

$5,739 - $6,886

$6,886 - $7,747

12

$6,187 - $7,424

$7,424 - $8,352

For each additional person add:

$449 - $538

$538 - $606