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Published on Mar 24, 2024 by Michelle Berney
Effective April 1, 2024, the income limit for the Essential Plan (EP) will be increasing from 200% to 250% of the Federal Poverty Level (FPL).  This new, expanded, coverage will be known as “EP 200-250.”Individuals with incomes between 200-250% of the FPL, who were previously eligible for both Cost Sharing Reductions and the Premium Tax Credit [...]
Published on Mar 24, 2024 by Michelle Berney
Effective January 1, 2024, New York State is waiving the citizenship/immigration requirements for Medicaid coverage for residents who are age 65 or older, as long as they meet all other eligibility criteria. Prior to this change, this population was only eligible for Medicaid to treat an emergency medical condition (also known as Emergency Medicaid).Coverage will only [...]
Published on Oct 16, 2023 by Michelle Berney
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 [...]
Published on Oct 16, 2023 by Michelle Berney
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 [...]

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