NY State EPIC Drug Plan for Seniors

drug-costsEPIC, (Elderly Pharmaceutical Insurance Coverage) is a New York State program for seniors administered by the Department of Health. It helps eligible seniors supplement their out-of-pocket Medicare Part D drug plan costs.  Eligibility requirements are:

  • Resident of New York State
  • Age 65 or older
  • Income up to $75,000 (single) or $100,000 if married.

EPIC offers two plans, based on your income:

  • Fee Plan for members with income up to $20,000 if single or $26,000 if married.
  • Deductible Plan members with incomes ranging from $20,001 to $75,000 (single) or $26,001 to 100,000 (married.)   Download EPIC Application Here

EPIC members are required to be enrolled in a Medicare Part D drug plan or a Medicare Advantage health plan which includes Part D. Enrolling in EPIC will give a member a Special Enrollment Period (SEP) to join a Medicare Part D drug plan. Medicare Part D provides primary drug coverage for EPIC members. After a Part D deductible is met, if applicable, EPIC provides secondary coverage for approved Part D and EPIC covered drugs. EPIC also covers approved Part D-excluded drugs such as prescription vitamins as well as cough and cold preparations after enrolling in a Part D drug plan.

help

You or someone you know may now be eligible for EPIC help.  Download the EPIC Application and call me at (518) 346-2115 for assistance with submitting your request.

 

NY State Budget and Senior Drug Plan expansion

The Elderly Pharmaceutical Insurance Coverage (EPIC) program is a New York State program for seniors administered by the Department of Health. It helps income-eligible seniors aged 65 and older to supplement their out-of-pocket Medicare Part D drug plan costs.

The New York State 2014-15 budget included the expansion of the program to cover the prescription needs of more seniors.  Currently, the eligibility requirements for EPIC are capped at $35,000 for an individual and $50,000 for a married couple. These threshold will rise to $75,00 for an individual and $100,000 for married enrollees.

help

With these new thresholds you or someone you know may now be eligible for EPIC help.  Until the Department of Health prints new forms,  Download the EPIC Application and call me at (518) 346-2115 for assistance with submitting your request.