EPIC Program

What's New?

New Payer Specifications (Version D.0)

EPIC will transition from NCPDP version 5.1 to NCPDP version D.0 on January 1, 2012. This change brings EPIC in compliance with the latest NCPDP standards. All claims must be submitted to EPIC using D.0 beginning January 1, 2012.

Executive Budget Changes for the EPIC Program

Creditable Coverage - January 2012

Letters explaining that 'EPIC (is) No Longer Creditable Coverage' are available. Seniors must have 'Creditable Coverage' in order to avoid a penalty for Medicare drug coverage if they join at a later date.

Elderly Pharmaceutical Insurance Coverage (EPIC) Program

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EPIC is a free New York State program that helps more than 280,000 income-eligible seniors aged 65 and older to supplement their out-of-pocket Medicare Part D drug plan costs. Seniors can apply for EPIC at any time of the year and must be enrolled or eligible to be enrolled in a Medicare Part D drug plan to receive EPIC benefits and maintain coverage.

EPIC helps pay the Medicare Part D drug plan premiums for low to moderate income members. EPIC also provides supplementary drug coverage for Part D covered drugs and Part D excluded drugs purchased while in the Medicare Part D coverage gap.

It is easy to join the program. Just complete the application and mail or fax it to EPIC.

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