Deadline to Issue Medicare Part D Creditable Coverage Disclosure
Who Does This Impact?
Group health plans that provide prescription drug coverage to Part D-eligible individuals
Excludes individuals covered under a Part D plan.
Due Date Details
This calendar reminder is based upon a plan year effective 1/1.
Notice of Creditable Coverage should be provided annually by the Plan Sponsor:
prior to annual Part D open enrollment period (10/15 – 12/7)
prior to individual’s initial enrollment period for Part D
prior to effective date of coverage for any Part D-eligible individual who joins plan
when plan no longer offers drug coverage or when coverage changes so it is no longer creditable
upon request by individual
For plans that provide notice to ALL participants annually as a part of their annual disclosures, Centers for Medicare & Medicaid Services (CMS) will consider #1 and #2 above to be met. In the above list, “prior to” means within the past 12 months.
No filing requirement.
Who Gets It?
Plan participants and beneficiaries eligible for Part D.
Get The Details
Written notice stating whether a group health plan’s prescription drug coverage is, on average, at least as good as standard prescription drug coverage under Medicare Part D.