Medicare Part D
Group health plans and individual health insurance policies that offer prescription drug coverage to Medicare-eligible individuals must comply with the following requirements:
- Disclosure Notice to the Centers for Medicare and Medicaid Services (CMS)
- Disclosure Notice to Medicare Part D Eligible Individuals
Disclosure Notice to the Centers for Medicare and Medicaid Services (CMS)
The plan sponsor (typically the employer) must disclose to CMS whether the plan's prescription drug coverage is creditable or non-creditable compared with the prescription drug coverage provided under Medicare Part D.
The Disclosure must be completed online within 60 days following the start of the plan year via the CMS website.
Click here to complete disclosure
Disclosure Notice to Medicare Part D Eligible Individuals
The plan sponsor must notify individuals eligible to participate in the plan as to whether the plan's prescription coverage is creditable or non-creditable. The notice must be provided to Medicare Part D eligible individuals:
- On an annual basis prior to November 15th, which is the Medicare Enrollment Period.
- When the individual originally becomes eligible under the group plan.
- Upon a change in the plan's creditable status.
- Upon termination of the prescription drug plan.
- Upon an individual's request.
Available Model notices from CMS
Please contact your advisor for assitance with these requirements.
Additional Resources
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