2013 MassHealth Income Standards and Federal Poverty Guidelines

		MassHealth 			100% Federal		120% Federal		133% Federal	135% Federal
Family Size	Income Standards		Poverty Level		Poverty Level		Poverty Level	Poverty Level
	

	Monthly	Yearly	Monthly	Yearly	Monthly	Yearly 	Monthly	Yearly	Monthly	Yearly
										
1	$522 	$6,264 	$958 	$11,496 	$1,149 	$13,788 	$1,274 	$15,288 	$1,293 		$15,516

2	$650 	$7,800 	$1,293	$15,516 	$1,551 	$18,612	$1,720 	$20,640 	$1,745 		$20,940

3	$775 	$9,300 	$1,628 	$19,536 			$2,165	$25,980

4	$891 	$10,692 	$1,963 	$23,556 			$2,611 	$31,332

5	$1,016 	$12,192 	$2,298 	$27,576 			$3,056 	$36,672

6	$1,141 	$13,692 	$2,633 	$31,596 			$3,502 	$42,024

7	$1,266 	$15,192 	$2,968 	$35,616 			$3,947 	$47,364

8	$1,383 	$16,596 	$3,303 	$39,636 			$4,393 	$52,716

For each	+$133 	+$1,596 	$335 	$4,020 			$446	$5,352
additional 
person add										


DG-FPL (Rev. 03/13)

			2013 MassHealth Income Standards and Federal Poverty Guidelines

		150% 			200% Federal		250% Federal		300% Federal	400% Federal
Family Size	Poverty Level	Poverty Level		Poverty Level		Poverty Level	Poverty Level
											
									
1	$1,437	$17,244	$1,915	$22,980 	$2,394 	$28,728 	$2,873 	$34,476 	$3,830	$45,960

2	$1,939	$23,268	$2,585	$31,020	$3,232	$38,784	$3,878	$46,536	$5,170	$62,040
										
3	$2,442	$29,304	$3,255	$39,060	$4,069	$48,828	$4,883	$58,596	$6,510	$78,120
										
4	$2,944	$35,328	$3,925	$47,100	$4,907	$58,884	$5,888	$70,656	$7,850	$94,200
										
5	$3,447	$41,364	$4,595	$55,140	$5,744	$68,928	$6,893	$82,716	$9,190	$110,280	
									
6	$3,949	$47,388	$5,265	$63,180	$6,582	$78,984	$7,898	$94,776	$10,530	$126,360
										
7	$4,452	$53,424	$5,935	$71,220	$7,419	$89,028	$8,903	$106,836	$11,870	$142,440
										
8	$4,954	$59,448	$6,605	$79,260	$8,257	$99,084	$9,908	$118,896	$13,210	$158,520
								
For each	$503	$6,036	$670	$8,040	$838	$10,056	$1,005	$12,060	$1,340	$16,080
additional 
person add

Institutional Income Standard $72.80
										
DG-FPL (Rev. 03/13)