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Schedule of Discounts

(Revised Annually)

Medical

Based on Monthly Household Income
Size of Household Nominal Rate Pay 25% Pay 50% Pay 75% Pay 100% Poverty Rates
1 $1,133 $1,134 - 1,511 $1,512 - 1,889 $1,890 - 2,267 $2,268 $1,133
2
1,532
1,533 - 2,042 2,043 - 2,553 2,554 - 3,063
3,064
 1,532
3
1,930
1,931 - 2,573 2,574 - 3,217 3,218 - 3,860
3,861
1,930
4
2,328
 2,329 - 3,104 3,105 - 3,881 3,882 - 4,657
4,658
 2,328
5
2,727
 2,728 - 3,636 3,637 - 4,544 4,545 - 5,453
5,454
 2,727
6
3,125
 3,126 - 4,167 4,168 - 5,208 5,209 - 6,250
6,251
 3,125
7
3,523
 3,524 - 4,698 4,699 - 5,872 5,873 - 7,047
7,048
 3,523
8
3,922
 3,923 - 5,229 5,230 - 6,536 6,537 - 7,843
7,844
 3,922
9
4,320
 4,321 - 5,760 5,761 - 7,200 7,201 - 8,640
8,641
 4,320
10
4,718
 4,719 - 6,291 6,292 - 7,864 7,865 - 9,437
9,438
 4,718

 

Dental

Based on Monthly Household Income
Size of Household Nominal Rate Pay 75% Pay 100% Poverty Rates
1 $1,133 $1,134 - 2,267 $2,268 $1,133
2
1,532
 1,533 - 3,063 3,064 1,532
3
1,930
 1,931 - 3,860 3,861 1,930
4
2,328
 2,329 - 4,657 4,658 2,328
5
2,727
 2,728 - 5,453 5,454 2,727
6
3,125
 3,126 - 6,250 6,251 3,125
7
3,523
 3,524 - 7,047 7,048 3,523
8
3,922
 3,923 - 7,843 7,844 3,922
9
4,320
 4,321 - 8,640 8,641 4,320
10
4,718
 4,719 - 9,437 9,438 4,718

Effective 2/1/11

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    Photography: Brian Allen; Nelsons Photography

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