EPIC Fee Plan Schedule
The cost to join the Fee Plan is based on your previous year's income. You can pay your Annual Fee in total or pay a bill every three months. EPIC fees are waived for those with full Extra Help from Medicare.
| Who Pays Premium | Annual Income | Annual Fee |
|---|---|---|
| EPIC pays Part D Premium | Up to $6,000 | $8 |
| $ 6,001 - $ 7,000 | $16 | |
| $ 7,001 - $ 8,000 | $22 | |
| $ 8,001 - $ 9,000 | $28 | |
| $ 9,001 - $10,000 | $36 | |
| $10,001 - $11,000 | $40 | |
| $11,001 - $12,000 | $46 | |
| $12,001 - $13,000 | $54 | |
| $13,001 - $14,000 | $60 | |
| $14,001 - $15,000 | $80 | |
| $15,001 - $16,000 | $110 | |
| $16,001 - $17,000 | $140 | |
| $17,001 - $18,000 | $170 | |
| $18,001 - $19,000 | $200 | |
| $19,001 - $20,000 | $230 | |
| See Deductible Plan | Over $20,000 | See Deductible Plan |
| Who Pays Premium | Joint Annual Income | Annual Fee (Each Person) |
|---|---|---|
| EPIC pays Part D Premium | Up to $ 6,000 | $ 8 |
| $ 6,001 - $ 7,000 | $12 | |
| $ 7,001 - $ 8,000 | $16 | |
| $ 8,001 - $ 9,000 | $20 | |
| $ 9,001 - $10,000 | $24 | |
| $10,001 - $11,000 | $28 | |
| $11,001 - $12,000 | $32 | |
| $12,001 - $13,000 | $36 | |
| $13,001 - $14,000 | $40 | |
| $14,001 - $15,000 | $40 | |
| $15,001 - $16,000 | $84 | |
| $16,001 - $17,000 | $106 | |
| $17,001 - $18,000 | $126 | |
| $18,001 - $19,000 | $150 | |
| $19,001 - $20,000 | $172 | |
| $20,001 - $21,000 | $194 | |
| $21,001 - $22,000 | $216 | |
| $22,001 - $23,000 | $238 | |
| $23,001 - $24,000 | $260 | |
| $24,001 - $25,000 | $275 | |
| $25,001 - $26,000 | $300 | |
| See Deductible Plan | Over $26,000 | See Deductible Plan |
