The Elderly Pharmaceutical Insurance Coverage Program (EPIC) provides cost-sharing assistance to individuals with Medicare Part D coverage.  EPIC can assist with cost-sharing for individuals with annual incomes up to $75,000 and married couples with annual incomes up to $100,000. With the recent increase s to the Medicare Savings Program (MSP) income limits to 186% FPL, more New [...]

Medicare Part D UpdatesThe following are significant changes to Medicare Part D prescription drug coverage in 2024:·        Partial Extra Help (Low Income Subsidy Program, LIS) Eliminated in 2024: All individuals with Partial Extra Help will be transitioned to Full Extra Help effective January 1, 2024.  Full Extra Help offers more comprehensive cost-sharing assistance, allowing someone to [...]

Next Steps for Medicaid Recipients on NYSoH who are Medicare EligibleIndividuals with MAGI Medicaid on NYSoH during the public health emergency (PHE), who became Medicare eligible during the PHE, have maintained their Medicaid coverage on NYSoH; during the PHE, these cases were not transferred to the LDSS/HRA.  These enrollees must renew their Medicaid coverage on NYSoH [...]

Child Health Plus (CHP) insurers did not enforce premium collection for enrollees with subsidized coverage between March 2020 – April 30, 2023.  Beginning May 1, 2023, CHP enrollees with subsidized premiums will be responsible for paying premiums for all months of coverage, though there is now a 30-day grace period for premium payment, meaning the plan [...]