Members: Programs: Healthy Kids: Premium Categories and FPL
Healthy Kids Premium Categories & Federal Income Guidelines
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Healthy Kids Premium Categories
(APRIL 1, 2012 to MARCH 31, 2013)* |
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Category A
(0-150% FPL) |
Category B
(151%-200% FPL) |
Category C
(201%-300% FPL) |
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** Family Size
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min
|
max
|
min
|
max
|
min
|
max
|
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1
|
$0
|
$1,437
|
$1,437.01
|
$1,915
|
$1,915.01
|
$2,874
|
|
2
|
$0
|
$1,939
|
$1,939.01
|
$2,585
|
$2,585.01
|
$3,879
|
|
3
|
$0
|
$2,442
|
$2,422.01
|
$3,255
|
$3,255.01
|
$4,884
|
|
4
|
$0
|
$2,944
|
$2,944.01
|
$3,925
|
$3,925.01
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$5,889
|
|
5
|
$0
|
$3,447
|
$3,447.01
|
$4,595
|
$4,595.01
|
$6,894
|
|
6
|
$0
|
$3,949
|
$3,949.01
|
$5,265
|
$5,265.01
|
$7,899
|
*For reference only. Each program determinds final eligibility.
**A pregnant woman counts as a family of 2.
***For Heatlhy San Francisco, certain assets are counted in total income.
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HK Premiums*
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Category A (0-150%)
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Category B (151%-200%)
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Category C (201%-300%)
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$48 per year per applicant
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$117 per year per applicant
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$189 per year per applicant
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$0 with PA
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$69 with PA
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$72 with PA
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Premium Assistance (PA) available
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Premium Assistance (PA) available
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Premium Assistance (PA) available at or below 250% FIG or special circumstances
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*Premiums are subject to change.
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Federal Income Guideline Brackets
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Family Size
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100%
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150%
|
200%
|
250%
|
300%
|
|
|
1
|
$958
|
$1,1437
|
$1,915
|
$2,394
|
$2,874
|
|
|
2
|
$1,294
|
$1,939
|
$2,585
|
$3,232
|
$3,879
|
|
|
3
|
$1,628
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$2,442
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$3,255
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$4,069
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$4,884
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|
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4
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$1,963
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$2,944
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$3,925
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$4,907
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$5,889
|
|
|
5
|
$2,298
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$3,447
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$4,595
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$5,744
|
$6,894
|
|
|
6
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$2,633
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$3,949
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$5,265
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$6,582
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$7,899
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Accessibility Statement
