Low Income Subsidy (LIS) Part D Non-Full Benefit Dual Eligible Full Subsidy Parameters: 2006200720082009 Resources < $6,290 (individuals) or < $9,440 (couples) Maximum Copayments up to Out-of-Pocket Threshold Generic/Preferred Multi-Source Drug$2.00$2.15$2.25$2.40 Other$5.00$5.35$5.60$6.00 Maximum Copay above Out-of-Pocket Threshold$0.00 Resources between $6,290-$10,490 (individuals) or $9,440-$20,970 (couples) Deductible$50$53$56$60 Coinsurance up to Out-of-Pocket Threshold15% Maximum Copayments above Out-of-Pocket Threshold Generic/Preferred Multi-Source Drug$2.00$2.15$2.25$2.40 Other$5.00$5.35$5.60$6.00
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