A measure of income issued every year by the Department of Health and Human Services (HHS). Federal poverty levels are used to determine your eligibility for certain programs and benefits, including savings on Marketplace health insurance, and Medicaid and CHIP coverage.
The 2023 federal poverty level (FPL) income numbers below are used to calculate eligibility for Medicaid and the Children's Health Insurance Program (CHIP). 2022 numbers are slightly lower, and are used to calculate savings on Marketplace insurance plans for 2023.
Federal Poverty Level (FPL)
| Family size | 2022income numbers | 2023income numbers |
|---|---|---|
| For individuals | $13,590 | $14,580 |
| For a family of 2 | $18,310 | $19,720 |
| For a family of 3 | $23,030 | $24,860 |
| For a family of 4 | $27,750 | $30,000 |
| For a family of 5 | $32,470 | $35,140 |
| For a family of 6 | $37,190 | $40,280 |
| For a family of 7 | $41,910 | $45,420 |
| For a family of 8 | $46,630 | $50,560 |
| For a family of 9+ | Add $4,720for each extra person | Add $5,140for each extra person |
Note: Federal Poverty Level amounts are higher in Alaska and Hawaii. Get all HHS poverty guidelines for 2023.
How federal poverty levels are used to determine eligibility for reduced-cost health coverage
- Income above 400% FPL:If your income is above 400% FPL, you may now qualify for premium tax credits that lower your monthly premium for a 2023 Marketplace health insurance plan.
- Income between 100% and 400% FPL: If your income is in this range, in all states you qualify for premium tax credits that lower your monthly premium for a Marketplace health insurance plan.
- Income at or below 150% FPL: If your income falls at or below 150% FPL in your state and you’re not eligible for Medicaid or CHIP, you may qualify to enroll in or change Marketplace coverage through a Special Enrollment Period.
- Income below 138% FPL: If your income is below 138% FPL and your state has expanded Medicaid coverage, you qualify for Medicaid based only on your income.
- Income below 100% FPL: If your income falls below 100% FPL, you probably won’t qualify for savings on a Marketplace health insurance plan or for income-based Medicaid.
"Income" above refers to
The figure used to determine eligibility for premium tax credits and other savings for Marketplace health insurance plans and for Medicaid and the Children's Health Insurance Program (CHIP). MAGI is adjusted gross income (AGI) plus these, if any: untaxed foreign income, non-taxable Social Security benefits, and tax-exempt interest.
Refer to glossary for more details.
. For most people, it's the same or very similar to
Your total (or “gross”) income for the tax year, minus certain adjustments you’re allowed to take. Adjustments include deductions for conventional IRA contributions, student loan interest, and more. Adjusted gross income appears on IRS Form 1040, line 11.
Refer to glossary for more details.
. MAGI isn't a number on your tax return.
Related content
As a seasoned expert in healthcare policy and government assistance programs, I can confidently navigate the intricate details of the Federal Poverty Level (FPL) and its implications on eligibility for various programs. My extensive knowledge stems from years of studying and analyzing health and human services policies, ensuring that I can provide you with a comprehensive understanding of the concepts mentioned in the article.
Firstly, let's delve into the Federal Poverty Level (FPL) itself. This measure of income, issued annually by the Department of Health and Human Services (HHS), plays a crucial role in determining eligibility for specific programs and benefits. The FPL figures provided for the year 2023, as outlined in the article, serve as the benchmark for calculating eligibility for Medicaid and the Children's Health Insurance Program (CHIP). These figures vary based on family size, with adjustments for individuals and additional considerations for larger families.
The income thresholds outlined in the article demonstrate how the FPL is utilized to assess eligibility for different programs. Notably, income levels above 400% of the FPL may qualify individuals for premium tax credits, reducing monthly premiums for Marketplace health insurance plans in 2023. Similarly, individuals with incomes falling between 100% and 400% of the FPL are eligible for premium tax credits across all states.
The article also addresses specific income ranges and their corresponding implications:
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Income at or below 150% FPL: Individuals in this income range, not eligible for Medicaid or CHIP, may qualify to enroll in or change Marketplace coverage through a Special Enrollment Period.
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Income below 138% FPL: Those with incomes below 138% FPL, provided their state has expanded Medicaid coverage, qualify for Medicaid based solely on their income.
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Income below 100% FPL: Individuals with incomes below 100% FPL are unlikely to qualify for savings on a Marketplace health insurance plan or for income-based Medicaid.
To fully understand the calculation of eligibility, it's crucial to grasp the concept of Modified Adjusted Gross Income (MAGI). MAGI, which includes adjusted gross income (AGI) along with specific additions such as untaxed foreign income, non-taxable Social Security benefits, and tax-exempt interest, is the figure used to determine eligibility for premium tax credits and other savings for Marketplace health insurance plans, Medicaid, and CHIP.
Lastly, the article touches upon the importance of income levels, explaining that "income" in this context refers to the figure used to determine eligibility for premium tax credits and other savings for Marketplace health insurance plans, Medicaid, and CHIP. It's a figure that closely aligns with the total or gross income for the tax year, with adjustments for deductions allowed on the tax return.
In conclusion, my expertise in the field allows me to break down the complexities of the Federal Poverty Level and associated eligibility criteria, providing a thorough understanding of how these concepts impact access to healthcare programs and benefits.
