EPIC Premium Assistance
EPIC will pay the Medicare Part D premiums up to the benchmark amount ($39.79 in 2012) for members with incomes up to $23,000 if single and $29,000 if married. The benchmark amount is equivalent to the average cost of a Medicare Part D plan in New York State. It changes each year.
If a member's income is above $23,000 if single and $29,000 if married then the member is responsible to pay their Medicare Part D premium.
If you are approved for the full Medicare Low Income Subsidy (LIS) because you were approved for Extra Help, the Medicare Savings Program, or a Medicaid Spenddown, EPIC will provide additional premium assistance up to the benchmark amount ($39.79 in 2012) every month if Medicare does not cover the entire premium.
If you are approved for Extra Help from Medicare with a partial (25%, 50%, or 75%) LIS, EPIC will provide additional premium assistance towards the member's Medicare part D plan drug premium up to the benchmark amount of $39.79 per month in 2012.
