Elderly Pharmaceutical Insurance Coverage (EPIC)

What is EPIC?

The Elderly Pharmaceutical Insurance Coverage 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 many Medicare Part D excluded drugs.
  • Fee Plan member 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 their EPIC fee waived.
  • 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 the 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.

Who can join?

  • A resident of New York State 65 or older with annual income of less then $75,000 if single or $100,000 if married.
  • An eligible senior with a Medicaid spend down not receiving full Medicaid benefits.
Must have a Part D in order to receive EPIC benefits.

How to Apply

Click here for an application.
Please mail the completed form to: EPIC
P.O. Box 15018
Albany, NY 12212-5018
or fax to (518) 452 - 3576

For more information about EPIC please call Office for the Aging at (585) 396 - 4040 or (315) 781 - 1321, you can also learn more by visiting the EPIC website.