Part D Prescription plan changes

On Thursday, August 30, the Centers for Medicare & Medicaid Services (CMS) issued two guidance documents to provide clarification to plans participating in the Medicare Part D prescription drug program. Step therapy and Part B drugs: CMS recently announced Part D plans would be permitted to establish “step therapy” programs for Part B drugs starting in 2019. However, CMS’s announcement raised …

Reminder – Medicare Part D Employer Notification Requirements

  Published: Thursday, September 7, 2017 Updated: Friday, September 22, 2017 Update 09/22/17: The Medicare and You 2018 handbook is now available. The 2018 Annual Election Period (AEP) for Medicare Part D begins October 15, 2017 and ends December 7, 2017. The Medicare Modernization Act of 2006 provides access to prescription drug coverage to all Medicare-eligible persons under Medicare Part D. …

Annual Medicare Part D Notification Requirements

Every year groups are required to notify anyone that is Medicare-eligible regarding if the prescription plan they provide meets Medicare Creditable Coverage requirements. Language from the notification memo from CMS is below. Notification needs to go to Medicare eligible members by October 15th.  Additionally, you must go the CMS site each year and report on your plan.  Use the link …

Medicare Part D Notices required by 10/14

Each year, Medicare Part D requires group health plan sponsors to disclose to individuals who are eligible for Medicare Part D and to the Centers for Medicare and Medicaid Services (CMS) whether the health plan’s prescription drug coverage is creditable. Plan sponsors must provide the annual disclosure notice to Medicare-eligible individuals before Oct. 15, 2016-the start date of the annual …