GOOD NEWS! The New York State 2014-15 budget included the expansion of the Elderly Pharmaceutical Insurance Coverage Program (EPIC) to cover the prescription needs of more seniors.
Eligible income brackets were expanded from $35,000 to $75,000 for singles and from $50,000 to $100,000 for married couples.
The new income brackets will be added to existing ones and current EPIC members will not be impacted. EPIC income is based on the previous income year and does continue to include the reporting of net Social Security Income.
Seniors must also be a NYS resident, 65 or older and be enrolled or eligible to enroll in a Medicare Part D drug plan and not be receiving full Medicaid benefits.
EPIC provides secondary prescription coverage for Medicare Part D and EPIC covered drugs after any Medicare Part D deductible is met. By using EPIC together with Medicare Part D, members save more money on the cost of their prescription drugs.
For many seniors, it is less expensive to enroll in EPIC and Medicare Part D than just Medicare Part D alone. EPIC pays the Part D drug plan premiums up to $36.94 per month in 2015 for members with income up to $23,000 single or $29,000 married. Higher income members are responsible for paying their Medicare Part D premiums but will receive Part D assistance in the form of reduced EPIC deductibles.
Seniors may apply for EPIC at any time during the year even if they do not have a Medicare Part D Plan. Enrolling in EPIC will provide eligible seniors a Special Enrollment Period from Medicare allowing them to join a Medicare Part D drug plan or switch to another Medicare Part D plan outside of their Open Enrollment Period.
Join EPIC today for additional savings on your Medicare Part D prescription drugs.
For an application or more information, please call the toll-free EPIC Helpline at 1-800-332-3742 Monday through Friday from 8:30 AM to 5:00 PM or visit the EPIC website at www.health.ny.gov and click on EPIC for Seniors on the left side of the page.
Join Our Bi-monthly eNewsletter