Hynes & Chu, LLP * {attorney advertising}

Elderly Pharmaceutical Insurance Coverage Program (EPIC)

Home Page
Nursing Home Information
About Our Firm
Lawyer Profiles and Staff
Areas of Expertise
Speaking Engagements
Medicaid Eligibility
Medicaid Choice: The New Medicaid Managed Long-Term Care Program effective 9/17/12
Medicare Information
Medicare Part D Prescription Drug Coverage
Help paying Medicare out of pocket costs
Medicare Advantage Plans - Look Before You Leap
Basic introduction to Long Term Care Insurance
Articles and Publications
Elderly Pharmaceutical Insurance Coverage Program (EPIC)
The "New" Health Care Reform Act and what it means for you.
Directions to Office
Contact Us
In The News

* * Note: See our section on Medicare Part D for discussion of EPIC and Medicaid Spenddown.

EPIC is a New York State sponsored prescription plan for senior citizens who need help paying for their prescriptions.   EPIC is a cost sharing program.  Seniors with moderate incomes pay a low quarterly fee and a small deductible per prescription.   Fees and deductibles are set based upon your income - there are no resource limits.

Effective January 1, 2012 for all EPIC Memebers
  • Epic is a free program, wth no fees or deductibles.
  • You must be enrolled in a Medicare drug prgram in order to receive benefits.
  • EPIC only provided coverage for Medicare Part D covered drugs or Part D excluded drugs purchased during the Part D coverage gap (donut hole).
  • Your EPIC copayment for drugs purchased during the Part D coverage gap (donut hole) will be $3 - $20, depending on the cost of the drug.

EPIC will pay the monthly Part D drug premium up to $39.79 in 2013 for members with income up to $23,000 if single or $29,000 if married.  Those with higher incomes must pay their Part D premiums each month.


If you are single and have an income that is between $20,000 and $35,000 per year ( or married with income between $26,001 and $50,000 per year ) you may be eligible for EPIC. 

To download an EPIC application and learn more about the EPIC fee plan and copays - click here to go to the Official New York State Web Site.

 copyright - Hynes & Chu, LLP - 2018