What is the EPIC program?
The Elderly Pharmaceutical Insurance Coverage (EPIC) program is a New York State Program administered by the Department of Health. It provides seniors with co-payment assistance for Medicare Part D covered prescription drugs after any Part D deductible is met. EPIC also covers many Medicare Part D excluded drugs.
What is Epic software used for?
Epic Systems is one of the largest providers of health information technology, used primarily by large U.S. hospitals and health systems to access, organize, store and share electronic medical records.
Who is eligible for Epic in NY?
To join EPIC, a senior must: be a New York State resident age 65 or older. have an annual income below $75,000 if single or $100,000 if married. be enrolled or eligible to be enrolled in a Medicare Part D plan (no exceptions), and.
How long is the Epic program?
Complete six to eight weeks of in-person training
Once accepted into an Epic certification training program, you need to complete an in-person training course with Epic in Wisconsin. Training programs include six to eight weeks of classes in the modules you selected.
What drugs are covered by Epic?
What Is Covered By EPIC
- New prescriptions and refills;
- Insulin, insulin syringes and needles;
- Brand name and generic prescription drugs;
- Quantities up to your Part D plan’s limits.
What type of system is Epic?
Epic is a cloud-based EHR built for hospitals with the functionality to handle the day-to-day operations of a practice, including patient medical records. An EMR (electronic medical records) system is responsible for medical records alone, Epic medal records are available in the Epic EHR system.
Who uses Epic Systems?
What Healthcare Systems Use Epic?
- Presbyterian Healthcare Services.
- CHRISTUS Trinity Mother Frances Health System.
- OhioHealth Riverside Methodist Hospital.
- Geisinger Health System.
- St. Elizabeth Healthcare.
- Princeton Baptist Medical Center.
- Saint Francis Health System.
- St. Elizabeth Physicians.
Is there a fee for epic?
The Fee Plan is for members with income up to $20,000 if single or $26,000 if married. Members pay an annual fee to EPIC ranging from $8 to $300 based on their prior year’s income (see Fee Plan schedule). This fee is billed in quarterly installments or can be paid annually.
How does epic work with Medicare?
Enrolling in EPIC will give a member a Special Enrollment Period (SEP) to join a Medicare Part D drug plan. Medicare Part D provides primary drug coverage for EPIC members. After a Part D deductible is met, if a member has one, EPIC provides secondary coverage for approved Part D and EPIC covered drugs.
What is the New York prescription assistance program?
New York has a State Pharmaceutical Assistance Program (SPAP) to help low- to moderate-income older adults age 65+ pay for prescription drugs. The Elderly Pharmaceutical Insurance Coverage (EPIC) program is administered by the New York State Department of Health (NYSDOH).
What is my epic deductible?
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 Deductible Plan Schedule.
| Who Pays Premium | Annual Income | Annual Deductible |
|---|---|---|
| EPIC pays Part D Premium | Under $20,000 | See Fee Plan |
| $20,001 – $21,000 | $530 | |
| $21,001 – $22,000 | $550 | |
| $22,001 – $23,000 | $580 |
Does Epic have a deductible?
The Deductible Plan is for members with income ranging from $20,001 to $75,000 if single or $26,001 to $100,000 if married. Members must meet an annual EPIC deductible based on their prior year’s income before they pay EPIC co-payments for drugs (see Deductible Plan schedule).
How do I update insurance in epic?
To edit the effective dates, go to Coverage tab and select which coverage, and then click Edit. The coverage for patient should show the most recent coverages.
How do I call Medicare?
1-800-MEDICARE (1-800-633-4227)
What are the 4 types of Medicare?
There are four parts of Medicare: Part A, Part B, Part C, and Part D.
- Part A provides inpatient/hospital coverage.
- Part B provides outpatient/medical coverage.
- Part C offers an alternate way to receive your Medicare benefits (see below for more information).
- Part D provides prescription drug coverage.
Does Medicare cover dental?
Dental services
Medicare doesn’t cover most dental care (including procedures and supplies like cleanings, fillings, tooth extractions, dentures, dental plates, or other dental devices). Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.
Do you automatically get Medicare when you turn 65?
Yes. If you are receiving benefits, the Social Security Administration will automatically sign you up at age 65 for parts A and B of Medicare. (Medicare is operated by the federal Centers for Medicare & Medicaid Services, but Social Security handles enrollment.)
Does Social Security automatically send you a Medicare card?
Medicare will automatically mail your new card to the address you have on file with Social Security. As long as your address is up to date, there’s nothing you need to do!
Are you automatically enrolled in Medicare Part B?
Medicare will enroll you in Part B automatically. Your Medicare card will be mailed to you about 3 months before your 65th birthday. If you’re not getting disability benefits and Medicare when you turn 65, you’ll need to call or visit your local Social Security office, or call Social Security at 1-800-772-1213.
Does Medicare start on birthdays?
Your Medicare coverage generally starts on the first day of your birthday month. If your birthday falls on the first day of the month, your Medicare coverage starts the first day of the previous month. If you qualify for Medicare because of a disability or illness, in most cases your IEP is also seven months.
How long before you turn 65 do you apply for Medicare?
3 months
Generally, you’re first eligible starting 3 months before you turn 65 and ending 3 months after the month you turn 65. If you don’t sign up for Part B when you’re first eligible, you might have to wait to sign up and go months without coverage. You might also pay a monthly penalty for as long as you have Part B.
How do you pay for Medicare Part B if you are not collecting Social Security?
If you have Medicare Part B but you are not receiving Social Security or Railroad Retirement Board benefits yet, you will get a bill called a “Notice of Medicare Premium Payment Due” (CMS-500). You will need to make arrangements to pay this bill every month.
Who is the best person to talk to about Medicare?
If you’ve contacted 1-800-MEDICARE (1-800-633-4227; TTY: 1-877-486-2048) about a Medicare-related inquiry or complaint but still need help, ask the 1-800-MEDICARE representative to send your inquiry or complaint to the Medicare Ombudsman’s Office.
Why am I getting so many calls about Medicare?
Phone calls
Sometimes, they’re selling phony products such as supplemental or prescription drug Medicare plans. The whole purpose of all of these calls is to obtain your personal information, whether that is your Medicare card number, your Social Security number, or banking information.
What is Medicare Part C called?
Medicare Advantage Plans
Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by Medicare-approved private companies that must follow rules set by Medicare.