EPIC Deductible Plan Schedule
There is no fee to join the Deductible Plan. 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 tracks how much you spend. Drug costs in the Medicare Part D deductible phase cannot be applied to the EPIC deductible.
| 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 | |
| Member pays their Part D premium (shaded incomes). EPIC Deductible shown is lowered by approximately $467 to help them pay. | $23,001 - $24,000 | $720 |
| $24,001 - $25,000 | $750 | |
| $25,001 - $26,000 | $780 | |
| $26,001 - $27,000 | $810 | |
| $27,001 - $28,000 | $840 | |
| $28,001 - $29,000 | $870 | |
| $29,001 - $30,000 | $900 | |
| $30,001 - $31,000 | $930 | |
| $31,001 - $32,000 | $960 | |
| $32,001 - $33,000 | $1,160 | |
| $33,001 - $34,000 | $1,190 | |
| $34,001 - $35,000 | $1,230 | |
| $35,001 - $36,000 | $1,260 | |
| $36,001 - $37,000 | $1,290 | |
| $37,001 - $38,000 | $1,320 | |
| $38,001 - $39,000 | $1,350 | |
| $39,001 - $40,000 | $1,380 | |
| $40,001 - $41,000 | $1,410 | |
| $41,001 - $42,000 | $1,440 | |
| $42,001 - $43,000 | $1,470 | |
| $43,001 - $44,000 | $1,500 | |
| $44,001 - $45,000 | $1,530 | |
| $45,001 - $46,000 | $1,560 | |
| $46,001 - $47,000 | $1,590 | |
| $47,001 - $48,000 | $1,620 | |
| $48,001 - $49,000 | $1,650 | |
| $49,001 - $50,000 | $1,680 | |
| $50,001 - $51,000 | $1,710 | |
| $51,001 - $52,000 | $1,740 | |
| $52,001 - $53,000 | $1,770 | |
| $53,001 - $54,000 | $1,800 | |
| $54,001 - $55,000 | $1,830 | |
| $55,001 - $56,000 | $1,860 | |
| $56,001 - $57,000 | $1,890 | |
| $57,001 - $58,000 | $1,920 | |
| $58,001 - $59,000 | $1,950 | |
| $59,001 - $60,000 | $1,980 | |
| $60,001 - $61,000 | $2,010 | |
| $61,001 - $62,000 | $2,040 | |
| $62,001 - $63,000 | $2,070 | |
| $63,001 - $64,000 | $2,100 | |
| $64,001 - $65,000 | $2,130 | |
| $65,001 - $66,000 | $2,160 | |
| $66,001 - $67,000 | $2,190 | |
| $67,001 - $68,000 | $2,220 | |
| $68,001 - $69,000 | $2,250 | |
| $69,001 - $70,000 | $2,280 | |
| $70,001 - $71,000 | $2,310 | |
| $71,001 - $72,000 | $2,340 | |
| $72,001 - $73,000 | $2,370 | |
| $73,001 - $74,000 | $2,400 | |
| $74,001 - $75,000 | $2,430 | |
| Not Eligible | Over $75,000 | Not Eligible |
| Who Pays Premium | Joint Annual Income | Annual Deductible (Each Person) |
|---|---|---|
| EPIC pays Part D Premium | Under $26,000 | See Fee Plan |
| $26,001 - $27,000 | $650 | |
| $27,001 - $28,000 | $675 | |
| $28,001 - $29,000 | $700 | |
| Member pays their Part D premium (shaded incomes). EPIC Deductible shown is lowered by approximately $467 to help them pay. | $29,001 - $30,000 | $725 |
| $30,001 - $31,000 | $900 | |
| $31,001 - $32,000 | $930 | |
| $32,001 - $33,000 | $960 | |
| $33,001 - $34,000 | $990 | |
| $34,001 - $35,000 | $1,020 | |
| $35,001 - $36,000 | $1,050 | |
| $36,001 - $37,000 | $1,080 | |
| $37,001 - $38,000 | $1,110 | |
| $38,001 - $39,000 | $1,140 | |
| $39,001 - $40,000 | $1,170 | |
| $40,001 - $41,000 | $1,200 | |
| $41,001 - $42,000 | $1,230 | |
| $42,001 - $43,000 | $1,260 | |
| $43,001 - $44,000 | $1,290 | |
| $44,001 - $45,000 | $1,320 | |
| $45,001 - $46,000 | $1,575 | |
| $46,001 - $47,000 | $1,610 | |
| $47,001 - $48,000 | $1,645 | |
| $48,001 - $49,000 | $1,680 | |
| $49,001 - $50,000 | $1,715 | |
| $50,001 - $51,000 | $1,745 | |
| $51,001 - $52,000 | $1,775 | |
| $52,001 - $53,000 | $1,805 | |
| $53,001 - $54,000 | $1,835 | |
| $54,001 - $55,000 | $1,865 | |
| $55,001 - $56,000 | $1,895 | |
| $56,001 - $57,000 | $1,925 | |
| $57,001 - $58,000 | $1,955 | |
| $58,001 - $59,000 | $1,985 | |
| $59,001 - $60,000 | $2,015 | |
| $60,001 - $61,000 | $2,045 | |
| $61,001 - $62,000 | $2,075 | |
| $62,001 - $63,000 | $2,105 | |
| $63,001 - $64,000 | $2,135 | |
| $64,001 - $65,000 | $2,165 | |
| $65,001 - $66,000 | $2,195 | |
| $66,001 - $67,000 | $2,225 | |
| $67,001 - $68,000 | $2,255 | |
| $68,001 - $69,000 | $2,285 | |
| $69,001 - $70,000 | $2,315 | |
| $70,001 - $71,000 | $2,345 | |
| $71,001 - $72,000 | $2,375 | |
| $72,001 - $73,000 | $2,405 | |
| $73,001 - $74,000 | $2,435 | |
| $74,001 - $75,000 | $2,465 | |
| $75,001 - $76,000 | $2,495 | |
| $76,001 - $77,000 | $2,525 | |
| $77,001 - $78,000 | $2,555 | |
| $78,001 - $79,000 | $2,585 | |
| $79,001 - $80,000 | $2,615 | |
| $80,001 - $81,000 | $2,645 | |
| $81,001 - $82,000 | $2,675 | |
| $82,001 - $83,000 | $2,705 | |
| $83,001 - $84,000 | $2,735 | |
| $84,001 - $85,000 | $2,765 | |
| $85,001 - $86,000 | $2,795 | |
| $86,001 - $87,000 | $2,825 | |
| $87,001 - $88,000 | $2,855 | |
| $88,001 - $89,000 | $2,885 | |
| $89,001 - $90,000 | $2,915 | |
| $90,001 - $91,000 | $2,945 | |
| $91,001 - $92,000 | $2,975 | |
| $92,001 - $93,000 | $3,005 | |
| $93,001 - $94,000 | $3,035 | |
| $94,001 - $95,000 | $3,065 | |
| $95,001 - $96,000 | $3,095 | |
| $96,001 - $97,000 | $3,125 | |
| $97,001 - $98,000 | $3,155 | |
| $98,001 - $99,000 | $3,185 | |
| $99,001 - $100,000 | $3,215 | |
| Not Eligible | Over $100,000 | Not Eligible |
