Federal Poverty Level Income Chart
The income chart is based on the 2021 Federal Poverty Level.
| Household size | Monthly income limit for HIP Basic eligibility | Monthly income limit for HIP Plus eligibility* |
|---|---|---|
| 1 | $1,074 | $1,482 |
| 2 | $1,452 | $2,004 |
| 3 | $1,830 | $2,526 |
| 4 | $2,209 | $3,048 |
| 5 | $2,587 | $3,570 |
| 6 | $2,965 | $4,092 |
| 7 | $3,344 | $4,614 |
| 8 | $3,722 | $5,136 |
| For each additional person, add: | $378.00 | $522.00 |
* 133 percent + 5 percent income disregard, income limit for HIP program. Eligibility threshold is not rounded.