Save Money on Medicare Part D Prescription Drugs with EPIC
What is EPIC?
The NYS Elderly Pharmaceutical Insurance Coverage* (EPIC) Program helps pay for Medicare Part D prescriptions, including some that are not covered under Part D. While this is not a discount card, this program offers Medicare prescription help to make your prescriptions more affordable and possibly lower your monthly premium. EPIC has two plans based on your prior year's income: The Fee Plan and the Deductible Plan.
Why Should I Join?
- There's little or no cost to you
- Receive help paying Medicare premiums
- EPIC may cover Medicare Part D excluded drugs
Am I Eligible?
You may be eligible if the following apply to you:
- New York State resident age 65 or older
- Annual income below $75,000 if single; below $100,000 if married
- Enrolled or eligible to enroll in a Medicare Part D plan, and
- Not receiving full Medicaid benefits
What are the differences between the Fee Plan and the Deductible Plan?
The Fee Plan: Members pay an annual fee to EPIC based on their prior's year income. After any Medicare Part D deductible is met, (if the member has a deductible) Fee Plan members only pay the EPIC copayment for prescriptions. EPIC will pay for the Medicare Part D plan premiums up to $42.27 per month for members in this plan.
The Deductible Plan: Members must meet an annual EPIC deductible based on their prior year's income before they pay EPIC copayments for prescriptions. Once you meet your EPIC deductible, you will only pay the EPIC copayment for prescriptions. EPIC will pay for the Medicare Part D plan premiums up to $42.27 per month for some members in this plan.
When Can I Join?
You can join EPIC at any time during the year! Once you enroll, you will receive a Special Enrollment Period to join a Medicare Part D plan.
Ready to start saving?
Talk to one of our Blue Concierge Represenatives today! We can help you find the EPIC plan that's right for you. Call 1-800-735-4510 (TTY 711) Monday - Friday, 8:00 a.m. - 8:00 p.m.
We're Here to Help
We're here to answer your questions. Stop into one of our conveniently located Medicare Centers or meet with us virtually to speak with an experienced Medicare Advantage representative.
Highmark Blue Shield of Northeastern New York (BSNENY) is a Medicare Advantage plan with a Medicare contract and enrollment depends on contract renewal. For accommodation of persons with special needs at meetings, call 1-833-735-4510 (TTY 711). The Elderly Pharmaceutical Insurance Coverage (EPIC) program is a New York State program for seniors administered by the Department of Health. To learn more about this program, visit health.ny.gov/health_care/epic or call 1-800-332-3742 (TTY 1-800-290-9138). BSNENY complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia linguistica, Llame al 1-833-735-4515 (TTY 711) 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-833-735-4515 (TTY 711)
Content last updated: March 6, 2021