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Page 2 of 2 Table 3: Gross Monthly Income Limit Where Elderly/Disabled Members Are a Separate Household (165% of Federal Poverty Level) Household Size 48 States, District of Columbia, Guam, Virgin Islands Alaska Hawaii 1 $2,152 $2,689 $2,474 2 $2,909 $3,635 $3,344 3 $3,665 $4,581 $4,215 4 $4,421 $5,527 $5,085 5 $5,177 $6,473 $5,956 6 $5,934 $7,419 $6,826 7 $6,690 $8,365 $7,696 8 $7,446 $9,311 $8,567 Each Additional Member $757 $946 $871