You must meet the eligibility requirements for the EPIC program:

• be 65 years old or older,
• be a New York State Resident, and
• have income up to $75,000 for a single person or up to $100,000 for a married couple living together.

Please contact your local Office for The Aging to inquire about other available programs for assistance.

Yes! Complete the online application here.

Please mail or fax an EPIC application to:

Fax Number: (518) 452-3576

EPIC looks at your previous calendar year's income, including your Social Security and total gross income. Examples of income include, but are not limited to: Pensions, Annuities/IRA Distribution (what was withdrawn - not the account balances), Interest and Dividends, Business Income or Losses, Net Rental Income, Unemployment, Wages, Alimony, Capital Gains, Farm Income and Other Income (Gambling, Lottery, Bingo).

Your total adjusted gross income (including your Social Security income less Medicare Part B premiums) is used to determine EPIC eligibility.

According to EPIC Elder Law, income eligibility is determined by the previous year annual income.

You will receive a renewal determination letter that will indicate your annual EPIC deductible limit for the new calendar year. If your annual income for the previous calendar year has changed, you can send proof of income documentation to:

You will receive a billing notice along with an EPIC program benefit letter. Please review the Billing FAQ for additional information. If your annual income for the previous calendar year has changed, you can send proof of income documentation to:

Payment can be mailed to:

(Please list your EPIC Identification Number on the check, money order, or bank check.)

EPIC issues an identification card which is valid for the length of your enrollment in the program. If you need a replacement card, please contact the EPIC Helpline at 1-800-332-3742 (TTY 1-800-290-9138) then press option "2" for assistance.

If you do not qualify for Extra Help benefits you will need to provide proof of your Extra Help determination letter from Social Security Administration (SSA). Otherwise, you will need to complete pages 2 and 3 of the application (or the RFAI form) to continue your EPIC membership. If you have questions, please contact the EPIC Helpline (800-332-3742).

Your renewal determination letter will indicate whether you are eligible for Medicare Part D premium assistance.

EPIC provides secondary coverage for prescriptions listed on your Medicare Part D plan's formulary and the prescriptions in which the drug manufacturer participates in the State Rebate Program. EPIC also covers approved Part D-excluded drugs such prescription vitamins as well as prescription cough and cold preparations once a member is enrolled in a Part D drug plan.

A pharmacy can re-bill any claim(s) within 365 days that were not previously submitted to EPIC. Please have your pharmacy provider contact the EPIC Provider line (800-634-1340) for further assistance.

EPIC will notify you by mail when you are required to renew your EPIC coverage.

Members should call the EPIC Helpline (800-332-3742) to discuss a change of marital status.