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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
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