HIICAP

(Health Insurance Information, Counseling & Assistance Program)


What is HIICAP?

HIICAP provides you and your loved ones with information, education

and counseling about Medicare and other health insurances.  Trained

staff and volunteers will answer your questions.  HIICAP is administered

by the Delaware County Office for the Aging.

 

The services provided by HIICAP are both free and unbiased.  The

answers to your questions are just a free phone call, or mouse click

away! Through seminars and one-on-one counseling sessions, the HIICAP 

Coordinator provides free and unbiased information, education, and

counseling regarding Medicare (including Part D), New York State EPIC,

Long Term Care insurance, and other insurance issues. Trained HIICAP

staff and volunteers can help you: compare private insurance plans that

will best fit your needs; find ways to help you afford coverage and to fill

Medicare’s gaps; solve issues and problems with your current plan.


How to Get Local Assistance:

Complete the Medicare Information Worksheet (as seen below). It gives

the HIICAP Coordinator an overview of your current Medicare coverage,

your medications and healthcare needs.  With this information we are

able to search for the best medical health plan options to meet your

situation.

After filling out the Medicare Information Worksheet, mail it or fax it in to:

                                Office for the Aging
                              97 Main Street, Suite 2
                                   Delhi NY 13754
                                 Fax: 607-832-6050
                                              OR
Email it to Donna Martino at Yvonne.Brock@co.delaware.ny.us 
                                               OR
Click Here to fill it out electronically through our website 



If you would like a Medicare presentation at your group, or a

one-on-one counseling session, call the Office for the Aging,

at: 607-832-5750.


HIICAP can help you:

  • understand Medicare prescription drug benefit (Medicare Part D)                         and how to select the best plan
  • understand "Extra Help," a low income subsidy offered by the                          Social Security Administration
  • find ways to par for your prescription drugs or medical equipment
  • understand and apply for EPIC                                                                             (Elderly Pharmaceutical Insurance Coverage)
  • choose between original Medicare and Medicare Advantage plans,                    including Medicare HMOs, Medicare PPOs, Medicare Special Needs                    Plans and Medicare Private Fee-for-Service Plans 
  • understand Medicare rules and your medical bills
  • report possible Medicare fraud or abuse
  • appeal a decision by Medicare, your managed care provider or other               health insurance companies
  • discover ways to fill in Medicare's gaps
  • file an insurance claim and deal with paperwork
  • learn about prevention and screening coverage that keeps you                         healthy or helps detect issues early
  • pick the right Long Term Care insurance policy
  • explore New York State Partnership for Long Term Care options

 

 

To access HIICAP services, contact your local office for the aging.

  • Set up a meeting with a counselor
  • Request publications on special topics
  • Ask about group educational meetings


For local help, contact Yvonne Brock at:

 

Office for the Aging

97 Main Street, Suite 2

Delhi, NY 13753

 

Phone: (607) 832-5750

Fax: (607) 832-6050


Other Helpful Websites and Contact Numbers:



Medicare Website:

Visit www.Medicare.gov to search for prescription plans for your area

(click "Compare Drug and Health Plans"), or to compare plans that match

your drug list (click "Formulary Finder – 2012 Plan Data"), or you may

also find extra help to pay for your coverage (click "Get Extra Help with

Prescription Drug Costs"). 

On www.Medicare.gov you may also find out what Medicare covers, or

compare health plans and Medigap policies, nursing homes, hospitals,

dialysis facilities, or even find doctors and specialists in your area. 

To speak to a Medicare representative call: 1-800-MEDICARE

(1-800-633-4227). TTY users should call 1-877-486-2048.



EPIC Website:

Visit http://www.health.state.ny.us/health_care/epic/ for more

information about the New York State Prescription Plan for Seniors (65+).

The site will help you understand the program benefits and eligibility.

The EPIC application is also available on line. If you have any questions

about the program call: 

1-800-332-3742. TTY users should call 1-800-290-9138.

 


Compare Drug Prices:

The New York State Board of Pharmacy publishes an annual list of the

150 most frequently prescribed drugs http://rx.nyhealth.gov/pdpw/SearchDrugs/Home.action

in the most common quantities. The New York State Department of

Health collects retail price information on these drugs from pharmacies

that participate in the Medicaid program and from pharmacies that

submit their retail price information directly to the Department of

Health. This site allows you to search for specific drugs from the most

frequently prescribed drug list.

 


Medicaid:

For Medicaid questions and eligibility information see: http://www.health.state.ny.us/health_care/medicaid/ 

To apply for Medicaid (or Family Health Plus) go to Access NY

application at:

http://www.health.state.ny.us/nysdoh/fhplus/application.htm 

To apply for Medicaid and food stamps together go to: http://otda.ny.gov/main/programs/applications/2921.pdf

 


Medicare Savings Programs, Medicaid Spend down and Medicaid:

Medicare Savings programs can help seniors (individuals/couples) pay

for all or for portions of medical costs or Medicare premiums

(depending on level of income). For an application go to: 

www.nyhealth.gov/health_care/medicaid/program/update/savingsprogram/msapp.pdf


A person may be able to qualify for Medicaid Spend down if they spend

(down) enough of their income on medical bills and qualifying medical

expenses. To find out more about current Medicaid income rates visit

the NYS Dept of Health Medicaid in New York State and click the link:

 "How do I know if I qualify for Medicaid?"

 

Under special circumstances, if a senior is incapable of leaving their

home (must be homebound) and do not have someone to assist them in

completing and submitting an application; call 607-746-6333 for more

information.

 

An individual may also request an application over the phone by

calling 607-832-5750.

 

The New York State Wide Senior Action Council provides counseling to

seniors seeking more information about Medicare Part D prescription

coverage with EPIC. Contact 1-800-333-4374 or email affordablemedicine@nysenior.org.

 

Medicare Savings Programs can assist income eligible individuals/couples

in paying for their Medicare premiums. For information and income

eligibility visit NYS Health Dept Medicare Savings Program 2012.

 

People who are over sixty-five, under 21, or blind or disabled, and who

are over income for Medicaid may be able to qualify for Medicaid spend

down if they spend down enough of their income on medical bills and

qualifying medical expenses. To find out more about current Medicaid

income rates visit the NYS Dept of Health Medicaid in New York State 

and click the link: "How do I know if I qualify for Medicaid?" Contact

Delaware County Office for the Aging, 607-832-5750, for more

information.

 

Compare retail prices of the 150 most frequently used drugs in the

most common quantities, at the NYS Dept of Health website: http://rx.nyhealth.gov/pdpw/

 


The NY Bridge Plan is a low cost health plan for uninsured adults and

children with a pre-existing condition, who do not qualify for Medicare,

Medicaid, Family Health Plus, or Child Health Plus. For more information

call 1-866-693-9277TDD: 1-877-448-4975, or

visit www.nybridgeplan.com



CMS /The Centers for Medicare & Medicaid Services: 

www.cms.hhs.gov



Social Security Administration: 

www.socialsecurity.gov ,1-800- 772-1213or TTY 1-800- 325-0778

 


Long-Term Care Insurance can help you pay for costs related to a

chronic medical condition or disabling injury while protecting your assets.

LTC Insurance covers services provided in a nursing home, at home, in

assisted living facility, or in other community-based settings. See http://www.nyspltc.org/ or to request NYS Partnership for Long Term

care brochures and information call 607-746-6333

 


The Empire Justice Center, The Legal Aid Society, and Self help

Community Services' website, New York Health Access,

http://nyhealthaccess.org/ is designed for consumers, caregivers, and

New York State health advocates. The website assists senior citizens,

individuals with disabilities, the uninsured, underinsured and other

individuals facing medical debt; access to Medicare supplemental

benefits, Medicaid, Family Health Plus and Child Health Plus.



Call your NYS HIICAP Hotline at 1-800-701-0501

 


For issues that are specific to New York State residents, visit our website at: http://www.aging.ny.gov/healthbenefits/HIICAPIndex.cfm/

 

For general information and publications concerning Medicare

call 1-800-633-4227