Page 5

Kansas Medical Assistance Standards 5 of 9

F-8

07-26

Working Healthy Premiums - Updated 4/1/2026 1 person household 2 person household 3 person household Net Income Monthly Premium Net Income Monthly Premium Net Income Monthly Premium 0 – 2,993 $0 0 - 4,058 $0 0 – 4,058 $0 2,993.01 to 3,325 $124 4,058.01 to 4,509 $168 4,058.01 to 4,509 $168 3,325.01 to 3,658 $138 4,509.01 to 4,960 $186 4,509.01 to 4,960 $186 3,658.01 to 3,990 $152 4,960.01 to 5,410 $205 4,960.01 to 5,410 $205

5,410.01 - $6,830 $205

Income Standards for Working Healthy - Updated 4/1/2026 Number of Persons in Plan Monthly 300% Poverty Level Index 1 $3,990 2 $5,410 3 $6,830 Extra Person $1,420

Note: To be eligible, total countable income must not exceed the monthly 300% poverty level standard for the number of persons in the assistance program.