Skip to main content

Appendix 2

The following table represents discounts which may be available to patients whose annual income, as taken from HHS Notice issued on the date below:

2025 Poverty Guidelines for the 48 Contiguous States and the District of Columbia
Date: 1-1-2025
Percent of Federal Poverty Guidelines100%150%175%200%225% 
% of Reduction if Less than GuidelineHousehold100%100%80%75%75% 
Size of Household1 $15,650 $23,475 $27,388 $31,300 $35,213 
 2 $21,150 $31,725 $37,013 $42,300 $47,588 
 3 $26,650 $39,975 $46,638 $53,300 $59,963 
 4 $32,150 $48,225$56,263 $64,300 $72,338 
 5 $37,650 $56,475 $65,888 $75,300 $84,713 
 6 $43,150 $64,725 $75,513 $86,300 $97,088 
 7 $48,650 $72,975 $85,138 $97,300 $109,463 
 8 $54,150 $81,225 $94,763 $108,300 $121,838 
For families/households with more than 8 persons, add $5,500 for each additional person.     
financial assistance, annual income guidelines, income guidelines, health services help, Appendix 2