Have you sent your Creditable Coverage notice?

Notification needs to go to Medicare eligible employees and their spouses who are over 65 by October 15th  to inform them if the Employer plan offered is at least as good, if not better than Medicare Party D drug coverage.  This must be done each year and then Employers must go to the CMS( Center for Medicare Services) site and complete the process letting them know your employees have been notified. 

Please keep in mind that this determination is the employer’s responsibility when the employer is the plan sponsor. If the carrier states that the health plan is non-creditable, the benefits may still be creditable if the employer has an HRA arrangement in place. The employer would have to override the carrier notice. Therefore, it is the employer’s responsibility to examine all of the benefits that are being provided to determine the creditability of the prescription coverage. The carrier is only providing notification regarding the creditability of the coverage that the carrier provides.


Medicare and you handbook

Medicare Creditable Coverage Model Notice