New York Medicare

Some of the carriers we represent in the state of New York are AARP, Anthem, BCBS, Coventry, Empire BCBS, Health Net, Humana, Oxford, Secure Horizons, and United Heathcare.

In 2009, New York State had 55 Preferred Drug Plan choice; 4 of these plans will had premiums of less than $20, the lowest being $16.70.

However, in 2010, some New York Medicare beneficiaries will see significant changes in their plans from 2009. These changes could be increased premiums or an alteration in coverage. For this reason, it is extremely important if you already have a Medicare insurance plan to review how this plan is changing and what other options are available that may better suit your needs. You do not need to do this alone; at MedicareSolutions.com, our Medicare specialists are more than happy to assist you in this decision.

There are additionally programs designed to help New York residents with the costs of prescription drugs. One of these is EPIC. EPIC is a New York State program that helps seniors pay for their prescription drugs. More than a quarter million EPIC enrollees are averaging savings of 90 percent of the cost of their medications. EPIC helps members pay for Medicare Part D premiums, as well as helping lower the cost of deductibles and co-payments.

In order to qualify for EPIC, you must be a New York resident 65 or older with an annual income under $35,000 if you are single and under $50,000 if you are married. You are also required to join a Part D prescription drug plan, although there are limited exceptions to this. The Medicare program will cover your initial prescription drug needs, the coverage provided by EPIC will serve as back up protection. Combining these two Medicare insurance plans can result in great savings.

When EPIC enrollees buy their prescription medications, they must show both insurance cards, EPIC and their private insurer’s card for Medicare Part D. If your second prescription drug plan does not cover the complete costs of your medication, you can submit any deductibles, copays, or information about the coverage gap to the EPIC program.  The result of the two combined is the absolute minimum copay.


State Assistance Programs
The New York State Elderly Pharmaceutical Insurance Coverage (EPIC)
EPIC is a New York State program that helps seniors pay for their prescription drugs. Most enrollees with Medicare Part D coverage use EPIC to lower their drug costs as well as to help pay deductibles and co-payments. Almost all prescription drugs are covered, as well as insulin and insulin syringes.

Eligibility requirements to be met include:

  • You must live in New York state.
  • You must be 65 or older
  • You must not have full Medicaid benefits
  • You must also join a Medicare Part D plan
  • Your annual adjusted gross income must be less than $35,000 for individuals and less than $50,000 for married people

For more information call (800)332-3742 or visit the New York State Department of Health website.

For City-Specific Medicare plans, visit: 

New York City Medicare

Buffalo Medicare

Rochester Medicare

Yonkers Medicare

Syracuse Medicare

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