Federal Poverty Level
2010
100%
125%
150%
175%
200%
250%
People in
Home
Year
Monthly
Year
Monthly
Year
Monthly
Year
Monthly
Year
Monthly
Year
Monthly
One 1
$10,830
$903
$13,538
$1,128
$16,245
$1,354
$18,953
$1,579
$21,660
$1,805
$27,075
$2,256
Two 2
$14,570
$1,214
$18,213
$1,518
$21,855
$1,821
$25,498
$2,125
$29,140
$2,428
$36,425
$3,035
Three 3
$18,310
$1,526
$22,888
$1,907
$27,465
$2,289
$32,043
$2,670
$36,620
$3,052
$45,775
$3,815
Four 4
$22,050
$1,838
$27,563
$2,297
$33,075
$2,756
$38,588
$3,216
$44,100
$3,675
$55,125
$4,594
Five 5
$25,790
$2,149
$32,238
$2,687
$38,685
$3,224
$45,133
$3,761
$51,580
$4,298
$64,475
$5,373
Six 6
$29,530
$2,461
$36,913
$3,076
$44,295
$3,691
$51,678
$4,307
$59,060
$4,922
$73,825
$6,152
Seven 7
$33,270
$2,773
$41,588
$3,466
$49,905
$4,159
$58,223
$4,852
$66,540
$5,545
$83,175
$6,931
Eight 8
$37,010
$3,084
$46,263
$3,855
$55,515
$4,626
$64,768
$5,397
$74,020
$6,168
$92,525
$7,710
Add+
for extra
people
$3,740
$312
$4,675
$390
$5,610
$468
$6,545
$545
$7,480
$623
$9,350
$779
Medicaid/Hoosier Healthwise-Full Package/Benefits and No Premium/Cost. Meet
income and resource requirements. (up to 150%)
Medicaid/Hoosier Healthwise-Must Pay/Premium. Meet income and
resources requirements, no other insurance and under 19 years.
(From 151% to 250%)
Medicaid Disability/Traditional/Select-Comprehensive Package/Benefits. Must also meet resource and disability requirements. “must have a physical or
mental impairment, disease or loss that has lasted or appears reasonably certain to last for a continuous period of 4 years that substantially impairs
ability to perform labor or services or to engage in a useful occupation.” (Up to 250%)
Healthy Indiana Plan (HIP)-Ages 19-64 only. Must not have ability to get insurance through employment.
No insurance for the last 6 months. Pay 5% of income towards cost. Once annual medical costs exceed
$1,100 then receives a basic commercial package. (Up to 200%)
 
Children's Special Health Care Services (CSHCS)-Up to 21 yrs with serious, chronic medical condition. [i.e. severe asthma, autism, sickle cell, seizure
disorder]
Hoosier Assurance Plan-Adults with chemical/gambling addictions or youth with serious emotional disturbance. Mental Health
and Substance Abuse treatment only. Provides sliding scale fee.
 
Community Alternatives to Psychiatric Residential Treatment Facilities-Ages 6-21
years, on or able to receive Medicaid and have a high level of mental health
needs.