EPIC (Elderly Pharmaceutical Insurance Coverage) is the New York State Pharmaceutical Assistance Program (SPAP) State Pharmaceutical Assistance Programs (SPAPs) are state-subsidized programs that provide assistance in paying for prescription drug costs. SPAPs vary by state, but they generally help pay for the Part D premium and any cost-sharing. . EPIC is available to New York State residents who are 65 or older and have annual incomes below $75,000 if single and $100,000 if married. EPIC provides help with prescription drug A prescription drug is a drug that can be obtained only if you have a prescription from a provider. Prescription drugs cannot be bought over the counter. costs.
All EPIC members who also appear eligible for either Extra Help or a Medicare Savings Program (MSP) are asked to complete and return a Request for Additional Information (RFAI) form from EPIC. This form lets EPIC apply for these programs on your behalf.
Individuals with full Medicaid Medicaid is a federal and state program that provides health coverage for certain people with limited income and assets. cannot also receive EPIC (though they should automatically get Extra Help Extra Help, also known as the Part D Low-Income Subsidy (LIS), is a federal program administered by Social Security that helps pay for some to most of the out-of-pocket costs of Medicare prescription drug coverage, including coinsurances, deductibles, and premiums. People with Medicare who have income and assets below specified limits are eligible for Extra Help, which has different levels. Depending on your income and assets, you may qualify for either full Extra Help or partial Extra Help. People may also be automatically enrolled in Extra Help if they have certain other types of coverage, even if their income and assets are above the set levels. ). However, some people with Medicaid spend-downs can have EPIC.