- Individuals 60 years and older (must be 60 years old on the day the coupons are received
- Individuals who meet the income guidelines for your household (see chart below)
| Household Size | Annually | Monthly |
| 1 | $29,532 | $2,461 |
| 2 | $40,044 | $3,337 |
| 3 | $50,544 | $4,212 |
| 4 | $71,558 | $5,963 |
*Individuals must complete and sign the Statement of Eligibility form to receive the coupons.*
