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Extra Help LIS Premium Summary Chart 2026

Low-Income Subsidy tables for 2026

Monthly premium

Premium Subsidy Complete Complete Plus Standard Standard Plus Dual Care
100% $8.30 $128.20 $20 $105.40 $0

HMSA Akamai Advantage (PPO) LIS premium summary

HMSA Akamai Advantage (PPO D-SNP) LIS premium summary

Out-of-pocket drug costs

Subsidy Levels Deductible Copayment*
Level 1 $0 $5.10/$12.65
Level 2 $0 $1.60/$4.90
Level 3 $0 $0/$0

* Copayment amounts for generic/preferred multi-source and other drugs, respectively. For example, the first amount shown ($5.10) is the copayment for a generic/preferred multi-source drug filled for a member in the LIS Category 1.

HMSA Disclaimer

  • HMSA Akamai Advantage® is a PPO plan with a Medicare contract. Enrollment in HMSA Akamai Advantage depends on contract renewal.
  • HMSA Akamai Advantage® Dual Care is a PPO D-SNP plan with a Medicare contract and is a state of Hawaii Medicaid Managed Care Program. Enrollment in HMSA Akamai Advantage Dual Care depends on contract renewal.