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MO HealthNet for Kids - CHIP Premium Chart Effective July 1, 2026 Family Size Percent of FPL Monthly Income Premium Amount 1 >150 $1,995.00 to $2,461.00 $19 1 >185 $2,461.01 to $2,993.00 $62 1 >225 $2,993.01 to $3,990.00 $150 2 >150 $2,705.00 to $3,337.00 $25 2 >185 $3,337.01 to $4,058.00 $83 2 >225 $4,058.01 to $5,410.00 $203 3 >150 $3,415.00 to $4,212.00 $32 3 >185 $4,212.01 to $5,123.00 $105 3 >225 $5,123.01 to $6,830.00 $256 4 >150 $4,125.00 to $5,088.00 $39 4 >185 $5,088.01 to $6,188.00 $127 4 >225 $6,188.01 to $8,250.00 $309 5 >150 $4,835.00 to $5,964.00 $45 5 >185 $5,964.01 to $7,253.00 $148 5 >225 $7,253.01 to $9,670.00 $363 6 >150 $5,545.00 to $6,839.00 $52 6 >185 $6,839.01 to $8,318.00 $170 6 >225 $8,318.01 to $11,090.00 $416 7 >150 $6,255.00 to $7,715.00 $58 7 >185 $7,715.01 to $9,383.00 $191 7 >225 $9,383.01 to $12,510.00 $469 8 >150 $6,965.00 to $8,591.00 $65 8 >185 $8,591.01 to $10,448.00 $214 8 >225 $10,448.01 to $13,930.00 $522 9 >150 $7,675.00 to $9,466.00 $72 9 >185 $9,466.01 to $11,513.00 $236 9 >225 $11,513.01 to $15,350.00 $576 10 >150 $8,385.00 to $10,342.00 $78 10 >185 $10,342.01 to $12,578.00 $257 10 >225 $12,578.01 to $16,770.00 $629 11 >150

$9,095.00 to $11,218.00 $85 11 >185 $11,218.01 to $13,643.00 $279 11 >225 $13,643.01 to $18,190.00 $682 12 >150 $9,805.00 to $12,093.00 $92 12 >185 $12,093.01 to $14,708.00 $301 12 >225 $14,708.01 to $19,610.00 $735 Premium information for family sizes of 13+ is available upon request.

IM-4(PRM) (07-26)