<p> COMMONWEALTH OF PENNSYLVANIA Revised 1/24/2013 INCOME COMPARISON OF SSI, NMP, MNO, AND 2013 FEDERAL POVERTY INCOME GUIDELINES (FPIGs)</p><p>Persons SSI NMP MNO 100% of 120% of 133% of 135% of FPIG FPIG FPIG FPIG Monthly Monthly Monthly 6 Month Monthly Annual Monthly Annual Monthly Annual Monthly Annual 1 $732.10 $205 $425 $2,550 $958 $11,490 $1,149 $13,788 $1,274 $15,282 $1,293 $15,512 2 $1,099.30 $316 $442 $2,650 $1,293 $15,510 $1,551 $18,612 $1,720 $20,629 $1,745 $20,939 3 $403 $467 $2,800 $1,628 $19,530 $1,953 $23,436 $2,165 $25,975 $2,198 $26,366 4 $497 $567 $3,400 $1,963 $23,550 $2,355 $28,260 $2,611 $31,322 $2,650 $31,793 5 $589 $675 $4,050 $2,298 $27,570 $2,757 $33,084 $3,056 $36,669 $3,102 $37,220 6 $670 $758 $4,550 $2,633 $31,590 $3,159 $37,908 $3,502 $42,015 $3,554 $42,647 7 $753 $850 $5,100 $2,968 $35,610 $3,561 $42,732 $3,947 $47,362 $4.007 $48,074 8 $836 $942 $5,650 $3,303 $39,630 $3,963 $47,556 $4,393 $52,708 $4,459 $53,501 Each Additional $83 $ 92 $ 550 $335 $4,020 $402 $4,824 $446 $5,347 $453 $5,427 Person Includes Group 2 Healthy SLMB  Healthy  QI-1 State Counties Beginnings Beginni Supplemen (age 6 & ngs t older and (age 1 under age through 5) 19) Healthy Horizons</p><p>Persons 185% of 200% of FPIG 235% of FPIG 275% of FPIG 300% of FPIG FPIG Monthly Annual Monthly Annual Monthly Annual Monthl Annual Monthly Annual Monthly Annual y 1 $31,59 $1,772 $21,257 $1,915 $22,980 $2,251 $27,002 $2,394 $28,725 $2,634 $2,873 $34,470 8 2 $42,65 $2,392 $28,694 $2,585 $31,020 $3,038 $36,449 $3,232 $38,775 $3,555 $3,878 $46,530 3 3 $53,70 $3,011 $36,131 $3,255 $39,060 $3,825 $45,896 $4,069 $48,825 $4,476 $4,883 $58,590 8 4 $64,76 $3,631 $43,568 $3,925 $47,100 $4,612 $55,343 $4,907 $58,875 $5,397 $5,888 $70,650 3 5 $75,81 $4,251 $51,005 $4,595 $55,140 $5,400 $64,790 $5,744 $68,925 $6,319 $6,893 $82,710 8 6 $86,87 $4,871 $58,442 $5,265 $63,180 $6,187 $74,237 $6,582 $78,975 $7,240 $7,898 $94,770 3 7 $97,92 $5,490 $65,879 $5,935 $71,220 $6,974 $83,684 $7,419 $89,025 $8,161 $8,903 $106,830 8 8 $108,9 $6,110 $73,316 $6,605 $79,260 $7,761 $93,131 $8,257 $99,075 $9,082 $9,908 $118,890 83 COMMONWEALTH OF PENNSYLVANIA Revised 1/24/2013 Each $11,05 Additional $620 $7,437 $670 $8,040 $788 $9,447 $838 $10,050 $922 $1,005 $12,060 Person 5  Extende  Qualified Disabled Working  Family Works  65% Subsidized  60% Subsidized d Individual CHIP CHIP Medical  CHIP (free) Coverag e  Healthy Beginni ngs (pregna nt women and children under 1)  SelectPl an</p><p>RESOURCE COMPARISON</p><p>No resource limitations for programs with children under 21, except SLMBs and QIs under the Healthy Horizons Program.</p><p>NMP PROGRAM MNO PROGRAM SSI PROGRAM TWICE SSI LIMIT Bureau of Policy GA related – one person= $ 250 One person = $2,400 One person = $2,000 One person = $4,000 Division of Health Services GA related – two or more = $1,000 Two person = $3,200 Two person = $3,000 Two person = $6,000 772-7809 Each add. person = $300</p>