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Fee Plan Members: EPIC annual fees range from $8 - $300 based on the previous years income. EPIC pays the Part D monthly drug plan premiums up to the average cost of a basic Medicare drug plan, $42.43 per month in 2022. Bills are mailed quarterly for EPIC fee plan members.
You must pay an annual fee based on your income last year (fees range from $8 to $300). EPIC will mail you bills to pay this annual fee in quarterly installments (every three months).
EPIC will pay the Medicare Part D premium up to the benchmark amount of $42.43 in 2022 per month for members with incomes up to $23,000 if single or $29,000 if married. The benchmark amount is equivalent to the average cost of a Medicare Part D drug plan in New York State.
Coverage Period EPIC provides secondary coverage for Medicare Part D- and EPIC-covered drugs after any Part D deductible is met. EPIC also covers approved Part D-excluded drugs such prescription vitamins as well as prescription cough and cold preparations once a member is enrolled in a Part D drug plan.
be a New York State resident age 65 or older. have an annual income below $75,000 if single or $100,000 if married. be enrolled or eligible to be enrolled in a Medicare Part D plan (no exceptions), and. not be receiving full Medicaid benefits.
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For Part D- and EPIC-covered drugs after any Medicare Part D deductible is met or approved Part D-excluded drugs, EPIC will cover: New prescriptions and refills; , syringes and needles; Brand name and generic prescription drugs; Quantities up to your Part D plans limits.
be a New York State resident age 65 or older. have an annual income below $75,000 if single or $100,000 if married. be enrolled or eligible to be enrolled in a Medicare Part D plan (no exceptions), and. not be receiving full Medicaid benefits.
How can I find out more about EPIC? EPIC operates a toll-free Helpline which is available from 8:00AM to 5:00PM, Monday through Friday. Call 1-800-332-3742 (TTY 1-800-290-9138) for more information or to request an application.
You must pay an annual fee based on your income last year (fees range from $8 to $300). EPIC will mail you bills to pay this annual fee in quarterly installments (every three months).
The Elderly Pharmaceutical Insurance Coverage (EPIC) program is a New York State program for seniors administered by the Department of Health. It helps more than 325,000 income-eligible seniors aged 65 and older to supplement their out-of-pocket Medicare Part D drug plan costs.

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