Federal Poverty Guidelines 2011 and Sample Sliding Fee Scales
http://aspe.hhs.gov/poverty/11fedreg.shtml
Sample Schedule of Income Thresholds Based upon 2011 Federal Poverty Guidelines
Six Discounted/Sliding Fee Pay Classes
Annual Income Thresholds by Sliding Fee Discount Pay Class and % of Poverty |
Family Unit Size |
Minimum Fee |
20% pay |
40% pay |
60% pay |
80% pay |
100% pay |
| Poverty |
100% |
125% |
150% |
175% |
200% |
201% |
| 1 |
10,890 |
13,613 |
16,335 |
19,058 |
21,780 |
21,889 |
| 2 |
14,710 |
18,388 |
22,065 |
25,743 |
29,420 |
29,567 |
| 3 |
18,530 |
23,163 |
27,795 |
32,428 |
37,060 |
37,245 |
| 4 |
22,350 |
27,938 |
33,525 |
39,113 |
44,700 |
44,924 |
| 5 |
26,170 |
32,713 |
39,255 |
45,798 |
52,340 |
52,602 |
| 6 |
29,990 |
37,488 |
44,985 |
52,483 |
59,980 |
60,280 |
| 7 |
33,810 |
42,263 |
50,715 |
59,168 |
67,620 |
67,958 |
| 8 |
37,630 |
47,038 |
56,445 |
65,853 |
75,260 |
75,636 |
Note: The income ceiling for the minimum fee pay class is equal to the federal poverty level. The 2011 federal poverty guideline increases by $3,820 for each family member.
Monthly Income Thresholds by Sliding Fee Discount Pay Class and % of Poverty |
Family Unit Size |
Minimum Fee |
20% pay |
40% pay |
60% pay |
80% pay |
100% pay |
| Poverty |
100% |
125% |
150% |
175% |
200% |
201% |
| 1 |
908 |
1134 |
1,361 |
1,588 |
1,815 |
1,824 |
| 2 |
1,226 |
1532 |
1,839 |
2,145 |
2,452 |
2,464 |
| 3 |
1,544 |
1930 |
2,316 |
2,702 |
3,088 |
3,104 |
| 4 |
1,863 |
2328 |
2,794 |
3,259 |
3,725 |
3,744 |
| 5 |
2,181 |
2726 |
3,271 |
3,816 |
4,362 |
4,383 |
| 6 |
2,499 |
3124 |
3,749 |
4,374 |
4,998 |
5,023 |
| 7 |
2,818 |
3522 |
4,226 |
4,931 |
5,635 |
5,663 |
| 8 |
3,136 |
3920 |
4,704 |
5,488 |
6,272 |
6,303 |
Note: The monthly schedule is equal to the annual schedule divided by 12 months.
Sample Schedule of Income Thresholds Based upon 2011 Federal Poverty Guidelines
Five Discounted/Sliding Fee Pay Classes
Annual Income Thresholds by Sliding Fee Discount Pay Class and % of Poverty |
Family Unit Size |
Minimum Fee |
25% pay |
50% pay |
75% pay |
100% pay |
| Poverty |
100% |
133% |
166% |
200% |
201% |
| 1 |
10,890 |
14,484 |
18,077 |
21,780 |
21,889 |
| 2 |
14,710 |
19,564 |
24,419 |
29,420 |
29,567 |
| 3 |
18,530 |
24,645 |
30,760 |
37,060 |
37,245 |
| 4 |
22,350 |
29,726 |
37,101 |
44,700 |
44,924 |
| 5 |
26,170 |
34,806 |
43,442 |
52,340 |
52,602 |
| 6 |
29,990 |
39,887 |
49,783 |
59,980 |
60,280 |
| 7 |
33,810 |
44,967 |
56,125 |
67,620 |
67,958 |
| 8 |
37,630 |
50,048 |
62,466 |
75,260 |
75,636 |
Note: The income ceiling for the minimum fee pay class is equal to the federal poverty level. The 2011 federal poverty guideline increases by $3,600 for each family member.
Monthly Income Thresholds by Sliding Fee Discount Pay Class and % of Poverty |
Family Unit Size |
Minimum Fee |
25% pay |
50% pay |
75% pay |
100% pay |
| Poverty |
100% |
133% |
166% |
200% |
201% |
| 1 |
908 |
1,207 |
1,506 |
1,815 |
1,824 |
| 2 |
1,226 |
1,630 |
2,035 |
2,452 |
2,464 |
| 3 |
1,544 |
2,054 |
2,563 |
3,088 |
3,104 |
| 4 |
1,863 |
2,477 |
3,092 |
3,725 |
3,744 |
| 5 |
2,181 |
2,901 |
3,620 |
4,362 |
4,383 |
| 6 |
2,499 |
3,324 |
4,149 |
4,998 |
5,023 |
| 7 |
2,818 |
3,747 |
4,677 |
5,635 |
5,663 |
| 8 |
3,136 |
4,171 |
5,205 |
6,272 |
6,303 |
Note: The monthly schedule is equal to the annual schedule divided by 12 months.
Compiled by Montana Primary Care Association, February 2011
Montana Primary Care Association
1805 Euclid Avenue
Helena, MT 59601
Phone: (406) 442-2750
Fax: (406) 449-2460
Email:
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