Federal Poverty Level (FPL) Guidelines

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You may qualify for Financial Assistance based on your family size and income, even if you have health insurance. UW Medicine will provide Financial Assistance for full charges for any patient/guarantor whose gross family income is at or below 300% of the current federal poverty guidelines.


 2018 Federal Poverty Limits

 
 Family Size   100% FPL   Gross Annual Income ≤ to 138% FPL
(Medicaid Eligible)  
Gross Annual Income ≤ to 300% FPL  
1   $12,140 $16,753 $36,420
2   $16,460 $22,715 $49,380
3   $20,780 $28,676 $62,340
4   $25,100 $34,638 $75,300
5   $29,420 $40,600 $88,260
6   $33,740 $46,561 $101,220
7   $38,060 $52,523 $114,180
8   $42,380 $58,484 $127,140
For each additional person, add $4,320  


Note: For assistance, contact a UW Medicine representative noted on the Financial Assistance Application or Plain Language Summary.

A family size greater than one person refers to persons related by birth, marriage, or adoption who live together; all such related persons are considered members of one family. In addition, included family member(s) must be claimed as dependents on federal income taxes for the most recent filed return. Information to support inclusion of family members will be requested when completing the Financial Assistance application.


Effective: 2/1/2018