How to Calculate My Federal Poverty Level
For individuals living with HIV, the FPL percentage range on the sliding fee scale is between 0% – 500%. You will need to calculate your percentage of FPL to find your fee rates.
- You will need the number of people in your household and your total household income. See this link to determine who should be included as part of your household.
- Find your poverty level amount by looking at the Federal Poverty Levels chart below. Match your household number in the first column. Your poverty level amount is the number to the right.
Example: Taylor has five people in their household. Based on the chart below, their poverty level amount is $35,140.
- Next, take your household income and divide it by your poverty level amount. Then multiply that answer by 100. The final answer is your percentage of FPL.
Formula: (Household Income ÷ Poverty Level Amount) x 100 = Percentage of FPL
Example: Taylor’s household income is $80,000, and their poverty level amount is $35,140.
($80,000 ÷ $35,140) x 100 = 227.66% FPL
- Then, find your Percentage of FPL in the first column of the Sliding Fee Rates chart below. Your costs for the corresponding services are on that row.
Federal Poverty Levels 2023
People in Family/Household |
Federal Poverty Level (100%) |
1 |
$14,580 |
2 |
$19,720 |
3 |
$24,860 |
4 |
$30,000 |
5 |
$35,140 |
6 |
$40,280 |
7 |
$45,420 |
8 |
$50,560 |
Note: For families/households with more than eight persons, add $5,140 for each additional person.
Sliding Fee Rates
Federal Poverty Level |
Health Services |
Oral Health Care |
Mental Health Services |
Prescription Medications⁴ |
< 100% |
$0 |
$0 |
$0 |
$0 |
101 – 200% |
$5 |
$5 |
$5 |
$5 |
201 – 250% |
$5 |
$5 |
$5 |
$5 |
251 – 300% |
$10 |
$5 |
$10 |
$10 |
301 – 350% |
$20 |
$5 |
$20 |
$20 |
351 – 400% |
$20 |
$5 |
$20 |
$20 |
401 – 450% |
$30 |
Not Eligible |
$20 |
$20 |
451 – 500% |
$30 |
Not Eligible |
$20 |
$20 |
> 500% |
Not Eligible |
Not Eligible |
Not Eligible |
Full Price |
Annual Cap on Charges
Federal Poverty Level |
Annual Cap Amount |
< 100% |
$0 |
101 – 200% |
5% of annual gross income |
201 – 300% |
7% of annual gross income |
> 301% |
10% of annual gross income |
⁴ Medications must be on the approved Ryan White medication assistance list. The cost shown in the sliding fee scale is the maximum charge to the patient versus the total cost of the prescription (administrative fees plus actual drug acquisition cost).
Patients who are not eligible for the sliding fee discount will be charged the administrative fee plus the actual cost of the medication. Generic medications should be used when available. This does not cover erectile dysfunction, human growth hormone, prescriptions for cosmetic purposes, non-medically necessary medication, or over-the-counter medications. Only one month of medications can be filled at a time.
Note: The FPL is published annually by the US Department of Health and Human Services. The FPL is commonly used to determine eligibility for certain income-driven programs and benefits such as Medicaid and CHIP.