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Prescription
Assistance for New York
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| Program Name |
Elderly Pharmaceutical Insurance Coverage (EPIC) |
| Phone |
1-800-332-3742 |
| Who is eligible |
You must meet the following requirements:
- You must be a New York State resident, at least 65 years
of age, and not receiving full Medicaid benefits.
- You must have an annual income of $35,000 or less if
single, or a combined annual income of $50,000 or less if
married.
- You do not have to be enrolled in Part D; however, low
income seniors must apply for LIS or provide EPIC with data
to apply on their behalf.
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| Where to apply |
EPIC
P.O. Box 15018
Albany , NY 12212 |
| Link to state website |
http://www.health.state.ny.us/nysdoh/epic/faq.htm |
| Important Notes |
EPIC is "creditable coverage". Low-income seniors
pay an annual premium ($8 - $300 based on income) and higher
income seniors have a deductible instead ($530 - $1,715 based on
income). Seniors pay copayments of $3-$20, based on drug cost
(after any other coverage). Provides full wraparound benefits if
senior has Part D or other coverage, including non-formulary or
excluded drugs, co-payments, deductibles, and coverage gap. Not
covering Part D premiums. EPIC premium waived for seniors
approved for full LIS and enrolled in Part D. |
Top Senior
Care Concepts, 2008 |
