Addendum A | Phelps Health

Financial Assistance Annual Income Guidelines
Effective Date: 4-1-2019
Percent of Guidelines		100%	150%	175%	200%	225%
% of Reduction if Less than Guideline	Household	100%	100%	80%	75%	72%
Size of Household	1	$12,490	$18,735	$21,858	$24,980	$28,103
	2	$16,910	$25,365	$29,593	$33,820	$38,048
	3	$21,330	$31,995	$37,328	$42,660	$47,993
	4	$25,750	$38,625	$45,063	$51,500	$57,938
	5	$30,170	$45,255	$52,798	$60,340	$67,883
	6	$34,590	$51,855	$60,533	$69,180	$77,828
	7	$39,010	$58,515	$68,268	$78,020	$87,773
	8	$43,430	$65,145	$76,003	$86,860	$97,718
$4,420 for each additional person