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 Guidelines		100%	150%	175%	200%	225%
% of Reduction if Less than Guideline	Household	100%	100%	80%	75%	75%
Size of Household	1	$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.