What's New?

2015 Billing FAQ

Common billing questions are answered in this document.

2014 Program Highlights

The 2014 EPIC program highlights flyer is now available. The document includes the 2014 EPIC Fee Plan Schedule and the Deductible Plan schedule.

SFY 2012-2013 Key Points and Additional FAQ

Beginning January 1, 2013, Executive Budget Changes have restored the EPIC program with additional provisions. The frequently asked questions are listed in SFY 2012-2013 Key Points and Additional FAQs.

EPIC Deductible Plan Schedule

There is no fee to join the Deductible Plan. You pay full price (Part D amount charged) for your drugs until you meet your Annual Deductible which is based on your previous year's income. EPIC tracks how much you spend. Drug costs in the Medicare Part D deductible phase cannot be applied to the EPIC deductible.

Single:
Who Pays PremiumAnnual IncomeAnnual Deductible
EPIC pays Part D PremiumUnder $20,000See Fee Plan
$20,001 - $21,000$530
$21,001 - $22,000$550
$22,001 - $23,000$580
Member pays their Part D
premium (shaded incomes).
EPIC Deductible shown is
lowered by approximately
$447 to help them pay.
$23,001 - $24,000$720
$24,001 - $25,000$750
$25,001 - $26,000$780
$26,001 - $27,000$810
$27,001 - $28,000$840
$28,001 - $29,000$870
$29,001 - $30,000$900
$30,001 - $31,000$930
$31,001 - $32,000$960
$32,001 - $33,000$1,160
$33,001 - $34,000$1,190
$34,001 - $35,000$1,230
$35,001 - $36,000$1,260
$36,001 - $37,000$1,290
$37,001 - $38,000$1,320
$38,001 - $39,000$1,350
$39,001 - $40,000$1,380
$40,001 - $41,000$1,410
$41,001 - $42,000$1,440
$42,001 - $43,000$1,470
$43,001 - $44,000$1,500
$44,001 - $45,000$1,530
$45,001 - $46,000$1,560
$46,001 - $47,000$1,590
$47,001 - $48,000$1,620
$48,001 - $49,000$1,650
$49,001 - $50,000$1,680
$50,001 - $51,000$1,710
$51,001 - $52,000$1,740
$52,001 - $53,000$1,770
$53,001 - $54,000$1,800
$54,001 - $55,000$1,830
$55,001 - $56,000$1,860
$56,001 - $57,000$1,890
$57,001 - $58,000$1,920
$58,001 - $59,000$1,950
$59,001 - $60,000$1,980
$60,001 - $61,000$2,010
$61,001 - $62,000$2,040
$62,001 - $63,000$2,070
$63,001 - $64,000$2,100
$64,001 - $65,000$2,130
$65,001 - $66,000$2,160
$66,001 - $67,000$2,190
$67,001 - $68,000$2,220
$68,001 - $69,000$2,250
$69,001 - $70,000$2,280
$70,001 - $71,000$2,310
$71,001 - $72,000$2,340
$72,001 - $73,000$2,370
$73,001 - $74,000$2,400
$74,001 - $75,000$2,430
Not EligibleOver $75,000Not Eligible


Married:
Who Pays PremiumJoint Annual IncomeAnnual Deductible
(Each Person)
EPIC pays Part D PremiumUnder $26,000See Fee Plan
$26,001 - $27,000$650
$27,001 - $28,000$675
$28,001 - $29,000$700
Member pays their Part D
premium (shaded incomes).
EPIC Deductible shown is
lowered by approximately
$447 to help them pay.
$29,001 - $30,000$725
$30,001 - $31,000$900
$31,001 - $32,000$930
$32,001 - $33,000$960
$33,001 - $34,000$990
$34,001 - $35,000$1,020
$35,001 - $36,000$1,050
$36,001 - $37,000$1,080
$37,001 - $38,000$1,110
$38,001 - $39,000$1,140
$39,001 - $40,000$1,170
$40,001 - $41,000$1,200
$41,001 - $42,000$1,230
$42,001 - $43,000$1,260
$43,001 - $44,000$1,290
$44,001 - $45,000$1,320
$45,001 - $46,000$1,575
$46,001 - $47,000$1,610
$47,001 - $48,000$1,645
$48,001 - $49,000$1,680
$49,001 - $50,000$1,715
$50,001 - $51,000$1,745
$51,001 - $52,000$1,775
$52,001 - $53,000$1,805
$53,001 - $54,000$1,835
$54,001 - $55,000$1,865
$55,001 - $56,000$1,895
$56,001 - $57,000$1,925
$57,001 - $58,000$1,955
$58,001 - $59,000$1,985
$59,001 - $60,000$2,015
$60,001 - $61,000$2,045
$61,001 - $62,000$2,075
$62,001 - $63,000$2,105
$63,001 - $64,000$2,135
$64,001 - $65,000$2,165
$65,001 - $66,000$2,195
$66,001 - $67,000$2,225
$67,001 - $68,000$2,255
$68,001 - $69,000$2,285
$69,001 - $70,000$2,315
$70,001 - $71,000$2,345
$71,001 - $72,000$2,375
$72,001 - $73,000$2,405
$73,001 - $74,000$2,435
$74,001 - $75,000$2,465
$75,001 - $76,000$2,495
$76,001 - $77,000$2,525
$77,001 - $78,000$2,555
$78,001 - $79,000$2,585
$79,001 - $80,000$2,615
$80,001 - $81,000$2,645
$81,001 - $82,000$2,675
$82,001 - $83,000$2,705
$83,001 - $84,000$2,735
$84,001 - $85,000$2,765
$85,001 - $86,000$2,795
$86,001 - $87,000$2,825
$87,001 - $88,000$2,855
$88,001 - $89,000$2,885
$89,001 - $90,000$2,915
$90,001 - $91,000$2,945
$91,001 - $92,000$2,975
$92,001 - $93,000$3,005
$93,001 - $94,000$3,035
$94,001 - $95,000$3,065
$95,001 - $96,000$3,095
$96,001 - $97,000$3,125
$97,001 - $98,000$3,155
$98,001 - $99,000$3,185
$99,001 - $100,000$3,215
Not EligibleOver $100,000Not Eligible