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Centers for Medicare and Medicaid Services (CMS)- Notice Requirements |
Under the Medicare Modernization Act (MMA), employers are required to provide creditable coverage notices to all of the Medicare-eligible members of their health plan who have prescription drug coverage. This notice must be provided to help members decide whether to enroll in a Medicare Prescription Drug plan or to continue with any prescription drug coverage provided by the employer's health plan.
An employer's pharmacy benefits are considered creditable if the benefits are at least as generous as the Medicare Part D benefits. BlueCross BlueShield of South Carolina's actuarial department has evaluated the pharmacy benefits of the SCDA's group medical plan and using criteria outlined by the CMS and has determined that the coverage is creditable.
To fulfill the notice requirement prior to October 15th, simply pull your most recent Mercer Administration billing statement and visit http://scda.org/displaycommon.cfm?an=1&subarticlenbr=610. To the right of each employees' name on your billing statement you will see one of the below "Plan Codes" and to the right of these Plan Codes in the below chart you will find a corresponding "Group Number." Now that you know what group number applies to each employee, simply visit the above link, print off the appropriate two pager for each employee whose is Medicare eligible and give to them for their records.
Also, as an employer, you must notify CMS that your coverage is considered creditable. You can visit www.cms.hhs.gov/creditablecoverage and complete a short survey in order to satisfy this annual notification requirement.
Feel free to contact the SCDA office should you have any questions.
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Plan Codes From Bills |
Group Number | |
S1 |
26-56930-00 | |
S2 |
26-56930-01 | |
S3 |
26-56930-02 | |
S4 |
26-56930-03 | |
H1 |
26-56930-04 | |
H2 |
26-56930-05 | |
H3 |
26-56930-06 | |
H4 |
26-56930-07 | |
S5 |
26-56930-12 | |
H5 |
26-56930-13 | |
S6 |
26-56930-14 | |
H6 |
26-56930-15 | |
NGS1 |
26-56930-25 | |
NGS2 |
26-56930-26 | |
NGS3 |
26-56930-27 | |
NGS4 |
26-56930-28 | |
NGS5 |
26-56930-29 | |
NGS6 |
26-56930-30 | |
NGH1 |
26-56930-31 | |
NGH2 |
26-56930-32 | |
NGH3 |
26-56930-33 | |
NGH4 |
26-56930-34 | |
NGH5 |
26-56930-35 | |
NGH6 |
26-56930-36 |
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Travel with Confidence |
Medjet says yes when the medical evacuation benefit of most traditional travel insurance and platinum cards say no. As a Medjet member, if you become hospitalized 150 miles or more from home, domestically or internationally, Medjet will arrange medical transfer back to the hospital of your choice. Regardless of medical necessity. All you pay is your membership fee. Click here to see an illustration of the Medjet difference.
To take advantage of this benefit, the SCDA offers its members reduced annual Medjet rates starting at $200. Don't leave on your next trip without Medjet.
For more information or to enroll online, go to www.medjet.com/scda or call 800.527.7478 and mention you are a South Carolina Dental Association member. |