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Visit a CenterLow-Income Subsidy tables for 2025
Premium Subsidy | Complete | Complete Plus | Standard | Standard Plus | Dual Care |
---|---|---|---|---|---|
100% | $0 | $79.60 | $0 | $103 | $0 |
Subsidy Levels | Deductible | Copayment* |
---|---|---|
Level 1 | $0 | $4.90/$12.15 |
Level 2 | $0 | $1.60/$4.80 |
Level 3 | $0 | $0/$0 |
* Copayment amounts for generic/preferred multi-source and other drugs, respectively. For example, the first amount shown ($4.90) is the copayment for a generic/preferred multi-source drug filled for a member in the LIS Category 1.