

For CHIP eligibility, compare your adjusted monthly income to the charts below.
CHART #1
To figure adjusted income, start with gross monthly income and subtract the following:
CHART #2
To figure adjusted income, start with gross monthly income and subtract the following:
Family Size |
Adjusted Income Limit: CHART #1 |
Adjusted Income Limit: CHART #2 |
1 Person |
$1,214 |
$1,734 |
2 Persons |
$1,634 |
$2,334 |
3 Persons |
$2,054 |
$2,934 |
4 Persons |
$2,474 |
$3,534 |
5 Persons |
$2,894 |
$4,134 |
6 Persons |
$3,314 |
$4,734 |
7 Persons |
$3,734 |
$5,334 |
* Amount increases with each additional family member. |
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