Rosa Clark Sliding Fee Scale 2026
| Persons in Household | Plan 1 At or below 100% FPL or below |
Plan 2 At 101% - 125% FPL |
Plan 3 At 126% - 150% FPL |
Plan 4 At 151% - 200% of FPL |
Above 200% FPL |
|---|---|---|---|---|---|
| 1 | 0 to $15,960 | $15,961 to $19,950 | $19,951 to $23,940 | $23,941 to $31,920 | > $31,920 |
| 2 | 0 to $21,640 | $21,641 to $27,050 | $27,051 to $32,460 | $32,461 to $43,280 | > $43,280 |
| 3 | 0 to $27,320 | $27,321 to $34,150 | $34,151 to $40,980 | $40,981 to $54,640 | > $54,640 |
| 4 | 0 to $33,000 | $33,001 to $41,250 | $41,251 to $49,500 | $49,501 to $66,000 | > $66,000 |
| 5 | 0 to $38,680 | $38,681 to $48,350 | $48,351 to $58,020 | $58,021 to $77,360 | > $77,360 |
| 6 | 0 to $44,360 | $44,361 to $55,450 | $55,451 to $66,540 | $66,541 to $88,720 | > $88,720 |
| 7 | 0 to $50,040 | $50,041 to $62,550 | $62,551 to $75,060 | $75,061 to $100,080 | > $100,080 |
| 8 | 0 to $55,720 | $55,721 to $69,651 | $69,652 to $83,580 | $83,581 to $111,440 | > $111,440 |
| Sliding Fee Plan | Primary Care & Mental/Behavioral Health Visits | Pharmacy |
|---|---|---|
| Plan 1 | $0.00 | $0.00 |
| Plan 2 | $2.00 | $1.00 |
| Plan 3 | $5.00 | $2.00 |
| Plan 4 | $10.00 | $3.00 |
| Above 200% FPL | No Discount | No Discount |