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pers on

QMB BC+ Exte nsio ns trigg er limit BC+ Adul ts limit MAP P pre miu m limit SLM B BC+ adult pre miu m limit QI-1 (SLM B+)

MAG I/BC + Limit for kids 6-18 subj ect to acce ss / back date / EE Seni orCa re tier one limit BC+ EE for kids ages 1-5 MAG I/BC + limit for kids 1-5 subj ect to acce ss / back date / EE QD WI & lowe r SI Inc Alloc BC+ kids pre miu ms BC+ adult s limit MAG I/BC + kids pre miu ms Seni orCa re tier thre e limit MAP P BC+ preg nant wom en kids limit MAG I/BC + preg nant wom en kids limit

Annual figures for SeniorCare $25,536.00 $31,920.00 $38,304.00 $34,624.00 $43,280.00 $51,936.00

This page last updated in Release Number: 26-01 Release Date: 02/13/2026 Effective Date: 02/01/2026 39.6 COLA Disregard See SECTION 25.3.3 DETERMINING THE COLA DISREGARD FOR 503 GROUPS. For more information about annual COLA updates and disregards see SECTION 15.3.35 TEMPORARY COLA DISREGARD FOR SOCIAL SECURITY RECIPIENTS and Process Help Federal Poverty Limit (FPL), Cost of Living Adjustment (COLA) Mass Changes and Other Annual Updates. This page last updated in Release Number: 26-02 Release Date: 04/15/2026 Effective Date: 04/15/2026 39.7 Hospital Daily Rates >City Hospital Name Average IP Daily Charge Based on Gross Inpatient Revenue* Amery Amery Regional Medical Center 2,089.80 Antigo Langlade Memorial Hospital 2,138.75