Household Size and Income Worksheet - HealthWell Foundation

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Household Size and Income Worksheet

Household Size and Income Worksheet

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When health insurance is not enough.®

501(c)(3) independent non-profit organization providing financial assistance to adults and children to cover the cost of prescription drug coinsurance, copayments, deductibles, health insurance premiums and other selected out-of-pocket health care costs.

Contact Center

P.O. Box 489
Buckeystown, MD 21717

Hours: M-F 9 am - 5 pm ET
Phone: (800) 675-8416
Fax: (800) 282-7692

Headquarters

20440 Century Blvd., Suite 250
Germantown, MD 20874

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Federal Poverty Level Calculator

Enter your income:

Your income is:

Yearly
Monthly
Weekly

Your family size, including yourself:

You're living in:

Continential U.S.
Alaska
Hawaii

Your yearly income is % of the Federal Poverty Level.

There was an error calculating your Federal Poverty Level. Please check that your inputs are valid and try again.

Our Federal Poverty Level (FPL) Calculator is for determining your eligibility for financial assistance programs offered by The HealthWell Foundation.

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