HIICAP: Health Insurance Information Counseling & Assistance Program

HIICAP is the New York State Health Insurance Counseling and Assistance Program. HIICAP Counselors offer free information, confidential counseling and assistance to help solve medical coverage problems. HIICAP is available for Medicare beneficiaries and their families regarding Medicare, Medigap and other long term care insurance. Counselors are available to help explain medical benefits and coverage; review Medicare supplemental insurance and long term care insurance; and make appropriate referrals for Medicaid, Medicaid buy-in, and other related benefits. Assistance is also available to help process doctor and hospital bills, prepare health insurance claims and file Medicare appeals.

Counseling Centers are located at the following:

North Utica Senior Citizens Community Center
50 Riverside Drive
Utica, NY 13502

Counseling Hours are as follows;
Monday-Wednesday-Friday 10:00 AM – 2:00 PM
Phone 315-724-8680

OR

Ava Dorfman Senior Citizens Civic Center
305 E. Locust Street
Rome, NY 13440

Counseling Hours are as follows; Tuesday- Thursday 10:00 AM – 2:00 PM

Phone 315-337-1648

The Elderly Pharmaceutical Insurance Coverage (EPIC) Program is a New York State program that provides seniors with co-pay assistance for Medicare Part D covered prescription drugs while members are in their coverage gap (donut hole). EPIC also covers the Medicare Part D excluded drugs purchased in the coverage gap.  EPIC co-payments are $3-$20 depending on the cost of the drug.

The program is free and there are no fees or deductibles.  You can join if you are a resident of New York State, 65 or older with annual income up to $35,000 if single or $50,000 if married and an eligible senior with Medicaid spend down not receiving full Medicaid benefits.

Helpful Websites:

HIICAP

www.aging.ny.gov/HealthBenefits

EPIC

www.nyhealth.gov

Medicare

www.medicare.gov

Social Security

www.socialsecurity.gov