Financial Calculator

Your enrollment may be based on financial considerations. Please complete the Financial Calculator below to see if your income affects your qualification for health benefits.

Personal Information:

Total # of Dependents (not including the veteran).
ZIP Code
Select County & Nearby Major City

2009 Gross Household Income:

Wages
$
Unearned Income
$
Net Income from Farm, Ranch, Property or Business
$
Total Income
$

2009 Allowable Deductible Expenses:

Medical Expenses
$
Funeral and Burial Expenses
$
Veteran’s Educational Expenses
$
Total Allowable Deductible Expenses
$

Net Worth:

Cash, Amount in Bank
$
Market Value of Land and Buildings minus mortgages and liens. Do not count your primary residence.
$
Value of other Property or Assets minus loans on them. Do not count household effects and family vehicles.
$
Total Net Worth
$

Net Income
$