Page 2

Official source

This project was supported, in part by grant number 2302CTMIDR-00 from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 2025.

Extra Help/Low Income Subsidy (LIS) Effective 1/1/26-12/31/27

Full LIS Level 1 copays (Medicare + MSP)

• Generic drugs: $5.10 • Brand Drugs: $12.15 Full LIS Level 2 copays (Medicare + HUSKY C)

• Generic drugs: $1.60 • Brand Drugs: $4.90 • Maximum out of pocket cost-sharing $17 per month Full LIS Level 3 copays (Medicare + Medicaid

Important notes about LIS: + MSP recipients automatically qualify for full LIS level 1. + Connecticut residents should consider applying for LIS through MSP because MSP has no asset restrictions and higher income guidelines. + Beneficiaries who have LIS will be randomly assigned to a benchmark Part D plan if they do not select a plan on their own. Beneficiaries with Extra Help who are enrolled in a benchmark plan will have a $0 monthly premium for their coverage. However, they still benefit from a plan comparison to determine the best plan that covers all their medications. + Individuals entitled to LIS who do not yet have a Part D plan can be eligible for immediate drug coverage through LI NET. For more information on LI NET and eligibility requirements, click here.

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Page 2

Official source

This project was supported, in part by grant number 2302CTMIDR-00 from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 2025.

Extra Help/Low Income Subsidy (LIS) Effective 1/1/26-12/31/27

Full LIS Level 1 copays (Medicare + MSP)

• Generic drugs: $5.10 • Brand Drugs: $12.15 Full LIS Level 2 copays (Medicare + HUSKY C)

• Generic drugs: $1.60 • Brand Drugs: $4.90 • Maximum out of pocket cost-sharing $17 per month Full LIS Level 3 copays (Medicare + Medicaid

Important notes about LIS: + MSP recipients automatically qualify for full LIS level 1. + Connecticut residents should consider applying for LIS through MSP because MSP has no asset restrictions and higher income guidelines. + Beneficiaries who have LIS will be randomly assigned to a benchmark Part D plan if they do not select a plan on their own. Beneficiaries with Extra Help who are enrolled in a benchmark plan will have a $0 monthly premium for their coverage. However, they still benefit from a plan comparison to determine the best plan that covers all their medications. + Individuals entitled to LIS who do not yet have a Part D plan can be eligible for immediate drug coverage through LI NET. For more information on LI NET and eligibility requirements, click here.