Medicare is a critical healthcare program in the US, covering seniors and certain disabled individuals. Employers offering group health insurance to Medicare-eligible individuals must meet specific requirements. In this blog, we’ll discuss three key Medicare requirements for employers:
- Medicare Part D Notice Requirements:
- Employers must provide Medicare-eligible individuals with a notice before October 15 each year, informing them if their prescription drug coverage is “creditable.”
- Within 60 days of the plan year’s start, employers must report online to CMS whether their coverage is “creditable.”
- Additional details and model notices are available [here](insert link).
- Medicare Secondary Payer Requirement:
- This rule determines primary and secondary payers for medical claims when an individual has both employer-sponsored coverage and Medicare.
- A chart outlining payer responsibilities is available [here](insert link to chart/publication).
- More information can be found [here](insert link) or by contacting CMS at 1-800-MEDICARE.
Employers must ensure compliance with these Medicare regulations to provide necessary healthcare information and process claims correctly. This ensures employees receive the coverage they’re entitled to.
For comprehensive information and resources, refer to our PDF document below. Meeting these obligations supports employee well-being and eases healthcare coverage complexities.
As always, if you have any questions or concerns about this bulletin, please contact your Medicare health insurance experts at Total Benefit Solutions, Inc. (215) 355-2121