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3 Table 1. CY 2026 Resource Limits for Determining LIS Eligibility II. LIS Eligible Beneficiary Cost-Sharing As required under section 1860D-14 of the Act, the maximum copayments below the out-of- pocket threshold for full LIS-eligible enrollees with incomes that exceed 100% of the FPL are updated using the annual percentage increase in average expenditures for Part D drugs per eligible beneficiary. In addition, the maximum copayments below the out-of-pocket threshold for full-benefit dual eligible enrollees with incomes that do not exceed 100% of the FPL are updated by the annual percentage increase in the CPI, as required under section 1860D-14(a)(4). For additional information on how the Part D benefit parameters are updated each year using the annual percentage increases in the average Part D drug expenditure amount and the CPI, please refer to the April 7, 2025 guidance entitled, “Announcement of Calendar Year (CY) 2026 MA Capitation Rates and Part C and Part D Payment Policies,” available on the CMS website at https://www.cms.gov/medicare/payment/medicare-advantage-rates-statistics/announcements- and-documents. Please see Table 2 below for the updated cost-sharing for LIS-eligible beneficiaries in CY 2026.

Marital Status 2025 Resource Limit 2025 Resource Limit with Burial Expenses 2026 Resource Limit 2026 Resource Limit with Burial Expenses Single $16,100 $17,600 $16,590 $18,090 Married $32,130 $35,130 $33,100 $36,100 Note: Per section 1860D-14(a)(3)(B) of the Act, in the case of an individual whose spouse dies during the effective period for a determination or redetermination, such effective period shall be extended through the date that is one year after the date on which the determination or redetermination would otherwise cease to be effective.