Benefits · Healthcare
How to apply for EPIC — Elderly Pharmaceutical Insurance Coverage
New York State Department of Health (DOH) — EPIC Program administers prescription drug coverage that supplements Medicare Part D for income-eligible New York residents age 65+
Who it's for
EPIC is a New York state program that helps more than 325,000 income-eligible seniors age 65+ supplement their out-of-pocket Medicare Part D drug costs. Two plans: (1) FEE PLAN for income up to $20,000 single / $26,000 married — modest annual fee, lowest copays; (2) DEDUCTIBLE PLAN for income $20,001-$75,000 single / $26,001-$100,000 married — meet annual deductible first. EPIC also helps pay Medicare Part D premiums for income up to $23,000 single / $29,000 married. Requires Medicare Part D enrollment (or eligibility). Cannot enroll in EPIC if on Medicaid. Apply at health.ny.gov/health_care/epic or by calling 800-332-3742.
EPIC has unusually high income ceilings — covers middle-income seniors many other state Rx programs miss. NOT compatible with Medicaid; EPIC is for seniors not on Medicaid.
What you'll need
- Proof of age 65+
- Proof of New York residency
- Proof of all household income
- Medicare Part D plan enrollment (or eligibility)
- Social Security card
Where to apply
Apply online: official application
By phone: 800-332-3742
Renewals
annual
Not sure if you qualify? Run a free check first.
Find my benefitsNot legal or financial advice. The agency makes the final eligibility decision.