Alyssa Lane
There are several instances of insurance-related entities that are called epic. For example, there is an insurance brokerage and consulting firm called EPIC Insurance Brokers & Consultants, which provides personal risk management consulting and insurance portfolio development and management for high-net-worth individuals. There is also a software called Applied Epic, which is an insurance agency management system that helps insurance agencies boost their value by offering a flexible system that can grow and innovate alongside their business. Another example is Elderly Pharmaceutical Insurance Coverage (EPIC), a program that helps pay for Medicare Part D drug plan premiums for members with incomes up to a certain threshold. Additionally, there is Epic Care, an organization that provides information about health insurance coverage, billing, and payment options. There is also a company called Epic that provides a payer platform for the real-time bidirectional exchange of health information.
| Characteristics | Values |
|---|---|
| Name | Elderly Pharmaceutical Insurance Coverage (EPIC) Program |
| Administered by | New York State's Department of Health |
| Target Group | Seniors aged 65 and older |
| Income Eligibility | Up to $23,000 for singles and $29,000 for married couples |
| Application | Online or printed form |
| Contact | Toll-free helpline: 1-800-332-3742 |
| Address | EPIC, P.O. Box 15018, Albany, NY 12212-5018 |
| [email protected] | |
| Plans | Fee Plan and Deductible Plan |
| Fee Plan Income Limits | Up to $20,000 for singles and $26,000 for married couples |
| Deductible Plan Income Limits | $20,001 to $75,000 for singles and $26,001 to $100,000 for married couples |
| Related Software | Applied Epic by Applied Systems |
| Applied Epic Feature | Browser-native, back-office automation, workflow integration |
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What You'll Learn
- Elderly Pharmaceutical Insurance Coverage (EPIC) is a New York State program for seniors
- EPIC provides secondary coverage for Medicare Part D
- EPIC has two plans based on income
- Applied Epic is an insurance agency management system
- EPIC Insurance Brokers & Consultants provides risk management and insurance programs
Elderly Pharmaceutical Insurance Coverage (EPIC) is a New York State program for seniors
EPIC provides secondary coverage for Medicare Part D and EPIC-covered drugs purchased after any Medicare Part D deductible is met. It also covers approved Part D-excluded drugs once a member is enrolled in Part D. Additionally, EPIC helps pay the Medicare Part D drug plan premiums for members with incomes up to $23,000 if single or $29,000 if married. There are two plans based on income: the Fee Plan and the Deductible Plan. The Fee Plan is for members with incomes up to $20,000 if single or $26,000 if married, while the Deductible Plan is for members with incomes ranging from $20,001 to $75,000 if single or $26,001 to $100,000 if married.
EPIC has a toll-free helpline available from 8:00 am to 5:00 pm, Monday through Friday, and seniors can call to request an application or ask any questions about the program. The program also provides an email address and a physical address for correspondence. Seniors can easily join the program by completing the application and mailing or faxing it to EPIC or applying online. No documentation is required, as EPIC verifies information with the Social Security Administration and the New York State Department of Taxation and Finance.
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EPIC provides secondary coverage for Medicare Part D
The Elderly Pharmaceutical Insurance Coverage (EPIC) program is a New York State program for seniors administered by the Department of Health. It helps more than 325,000 income-eligible seniors aged 65 and older to supplement their out-of-pocket Medicare Part D drug plan costs.
EPIC helps pay the Medicare Part D drug plan premiums for members with income up to $23,000 if single or $29,000 if married. Higher-income members are required to pay their own Part D premiums, but EPIC provides premium assistance by lowering their EPIC deductible.
EPIC members are required to be enrolled in a Medicare Part D drug plan or a Medicare Advantage (HMO) health plan with Part D. Seniors can apply for EPIC at any time of the year and must be enrolled or eligible to be enrolled in a Medicare Part D drug plan to receive EPIC benefits and maintain coverage.
EPIC also covers approved Part D-excluded drugs once a member is enrolled in Part D. These include prescription vitamins, as well as cough and cold preparations.
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EPIC has two plans based on income
The Elderly Pharmaceutical Insurance Coverage (EPIC) program is a New York State program for seniors administered by the Department of Health. The program helps seniors aged 65 and older supplement their out-of-pocket Medicare Part D drug plan costs.
EPIC provides secondary coverage for Medicare Part D and EPIC-covered drugs purchased after any Medicare Part D deductible is met. It also covers approved Part D-excluded drugs once a member is enrolled in Part D. Additionally, EPIC helps pay the Medicare Part D drug plan premiums for members with incomes up to $23,000 for singles or $29,000 for married couples.
Seniors can apply for EPIC at any time of the year and must be enrolled or eligible to be enrolled in a Medicare Part D drug plan to receive EPIC benefits and maintain coverage. The application process is simple and can be completed by mailing or faxing the application form or applying online. No documentation is required as EPIC verifies the information with the Social Security Administration and the New York State Department of Taxation and Finance.
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Applied Epic is an insurance agency management system
One of the key benefits of Applied Epic is its ability to seamlessly integrate with online client portals and mobile apps, enabling customers to access their policy information 24/7 through self-service options. This not only enhances the digital experience for staff and clients but also saves time for customer service. With Applied Epic, insurance companies can also obtain powerful graphical business insights from their existing management system data. They can use these insights to boost employee productivity and focus on profitable customer and insurer relationships.
Additionally, Applied Epic supports acquisitions and integrations of both Applied and third-party applications through an open and scalable architecture, including APIs and Data Lake designs. This flexibility ensures that the system can grow and innovate alongside the business, guaranteeing productivity and profitability as the business needs change.
Applied Epic also provides unique Benefits-specific screens for capturing general plan information, rates, coverages, eligibility criteria, stop loss, and TPA information. It can handle commission rate tiers, including flat fees per risk, and offers custom form management and templates for presenting RFPs and plan summaries. With Applied Epic, insurance agencies can connect with insurer partners directly from their daily workflow, quickly finding the best products and exchanging policy details to service customers more efficiently.
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EPIC Insurance Brokers & Consultants provides risk management and insurance programs
EPIC Insurance Brokers & Consultants is an innovative insurance brokerage and consulting firm. They provide risk management consulting and insurance portfolio development and management for high-net-worth individuals. EPIC is endorsed by seven industry associations and affinity groups and serves as an integral part of their insurance and risk management committees. The company offers unique products, proprietary markets, and integrated program management support to its program clients and their members.
EPIC's team of experienced brokers takes an enterprise-wide approach, consulting closely with clients to identify, analyze, and address their specific needs and challenges. They develop deep expertise in the operations, opportunities, and challenges of each program partner's industry. EPIC's programs provide best-in-class customized risk management and insurance programs for the members of targeted regional, state, and national trade associations and affinity groups.
EPIC is also committed to using technology to improve its services. They use Applied Epic software, which is browser-native, allowing EPIC's team to easily access data and manage operations more efficiently. The software also integrates with customer service and insurer connectivity technologies, enabling EPIC to provide excellent customer service and build strong relationships with insurer partners.
In addition to its insurance brokerage and consulting services, EPIC also offers Medicare supplement billing through Epic Care. Epic Care bills Medicare as the primary insurer and applies the remaining balance to the Medicare supplement. EPIC also has an Elderly Pharmaceutical Insurance Coverage (EPIC) Program, which is a New York State program for seniors administered by the Department of Health. This program helps income-eligible seniors aged 65 and older supplement their out-of-pocket Medicare Part D drug plan costs.
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Frequently asked questions
EPIC is an acronym for Elderly Pharmaceutical Insurance Coverage. It is a program that helps pay for Medicare Part D drug plan premiums for members with incomes up to a certain threshold.
EPIC covers approved Part D-excluded drugs once a member is enrolled in Part D. It offers two plans based on income: the Fee Plan and the Deductible Plan.
You can apply for EPIC by downloading and filling out the application form available on the official EPIC website. You can then mail or fax the completed form to the provided address or apply online.
EPIC Insurance Brokers & Consultants is a retail property and casualty, employee benefits insurance brokerage, and consulting firm. They provide customized risk management and insurance programs for members of targeted regional, state, and national trade associations and affinity groups.
