The Elderly Pharmaceutical Insurance Coverage
(EPIC) program is a New York State program
administered by the Department of Health. It
provides seniors with co-payment assistance for
Medicare Part D covered prescription drugs after
any Part D deductible is met. EPIC also covers
• Fee Plan members pay an annual fee to EPIC
based on their income. The EPIC co-payments
range from $3 - $20 based on the cost of the drug.
Those with Full Extra Help from Medicare have
• Deductible Plan members must meet an annual
out-of-pocket deductible based on their income
before paying EPIC co-payments for drugs.
EPIC also pays Medicare Part D plan premiums, up
to the amount of a basic plan, for members with
annual income below $23,000 if single or $29,000
if married.
Those with higher incomes must pay their Part D
• To help them pay, their EPIC deductible is lowered
• EPIC deductibles for income in shaded areas on
the Deductible Plan schedule will be less than the
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