What's New?

2013 Program Changes

The 2013 EPIC program changes flyer is available. The document includes the 2013 EPIC Fee Plan and Deductible Plan schedules.

Attention Members, Prescribers and Pharmacists - July 2012

There were articles in the July 2012 Medicaid Update for EPIC members, prescribers and pharmacy providers giving information regarding the upcoming 2013 program changes to EPIC coverage.

SFY 2012-2013 Key Points and Additional FAQs

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
$519 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
Not EligibleOver $35,000Not 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
$519 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
Not EligibleOver $50,000Not Eligible