Household Size and Income chart

This table is used to determine eligibility for assistance in setting appointments.

Household Size Monthly Income 1 $1,823 2 $2,465 3 $3,108 4 $3,750 5 $4,393 6 $5,035 7 $5,678 8 $6,320

Household Size Monthly Income 9 $6,962 10 $7,604 11 $8,246 12 $8,888 13 $9,530 14 $10,172 15 $10,814 16 $11,456

Household Size Monthly Income 17 $12,098 18 $12,740 19 $13,382 20 $14,024 21 $14,666 22 $15,308 23 $15,950 24 $16,592

Household Size Monthly Income 1 $1,823 2 $2,465 3 $3,108 4 $3,750 5 $4,393 6 $5,035 7 $5,678 8 $6,320 9 $6,962 10 $7,604 11 $8,246 12 $8,888

Household Size Monthly Income 13 $9,530 14 $10,172 15 $10,814 16 $11,456 17 $12,098 18 $12,740 19 $13,382 20 $14,024 21 $14,666 22 $15,308 23 $15,950 24 $16,592