Elderly Pharmaceutical Insurance Coverage (EPIC) Program
New York State Department of Health, Corning Tower, Empire State Plaza, Albany, NY 12237
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Call the toll free Helpline listed above. The Helpline will answer questions, send out applications and other information, and resolve any problems seniors may have with the EPIC program. Seniors should complete an application and report their gross annual income from the previous calendar year. Married couples, by law, must provide joint annual income even if only one spouse is applying for EPIC.
EPIC co-pays will continue to range from $3 - $20, based on the out of pocket cost of the drug once Medicare Part D is billed. EPIC will pay the Medicare Part D drug plan premium up to the basic amount up to $72.34 per month in 2025 for those with income are $0 - $23,000 single and $0 - $29,000 married living with spouse.
Genesee County, NY
Niagara County, NY
Erie County, NY
Wyoming County, NY
Cattaraugus County, NY
Orleans County, NY
Chautauqua County, NY
Description
EPIC is a NYS senior prescription plan that provides supplementary drug coverage for those enrolled in Medicare Part D drug plans. EPIC provides secondary coverage for drugs covered by a member's Medicare D plan, after any Part D deductible, if they have one, is met. EPIC also covers many Part D excluded drugs. Seniors must purchase their prescriptions at a NYS pharmacy participating in EPIC. Almost all community pharmacies in NYS, as well as several mail order pharmacies in the state, participate in EPIC. Seniors can call the toll-free help line to inquire if their pharmacy is participating in EPIC.
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211 Western New York
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Providing organization
New York State - Health Department