Medicare Part D Creditable Coverage Disclosure Requirements

Greetings! 

The Medicare Modernization Act (MMA) mandates that employer group health plan sponsors disclose to Medicare eligible individuals with Rx coverage under the plan whether coverage is "creditable".  A separate electronic disclosure of creditable coverage status must be made by the employer to CMS each year.

Employers must make this disclosure to Medicare Part D eligible individuals no later than November 15.

The employer, not the insurance company, is responsible to provide notice to the Medicare Part D eligible individuals.

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