Skip to content
Find Us on Social
  • YouTube
  • Pinterest
  • Facebook
  • LinkedIn
  • Instagram
  • X
Search

Total Benefit Solutions Inc

Health Insurance for business, families and seniors
(215)355-2121
  • Home
    • Meet Your Benefit Team
    • Our Health Insurance Story
    • Our Future
    • Disclaimers
      • Opt-out preferences
      • Terms and Conditions
      • Broker Transparency
      •  PRIVACY & SECURITY POLICY 
  • Group Health
    • Case Studies
    • COBRA
      • Mini-COBRA
    • Voluntary Benefits
      • Dental, Vision & Advocacy
      • Gap, Wrap and Supplemental Solutions
      • Technology Solutions
      • Tax Advantaged Plan Documents
      • Defined Contribution
      • Employee Assistance Plan Plus
  • Individual Health
    • Get a Fast, Easy Dental Quote!
    • Global Health Insurance
    • Individual Client Forms
  • Medicare Beneficiaries
    • Quote & Enroll
    • Medicare Health Plans
      • When Can You Enroll on a Medicare Advantage or Drug Card?
      • WHAT IS MEDICARE PART B?
    • Benefits Checkup
    • Medicare Client Forms
  • News
    • News Feed
    • Health Reform
      • Healthcare Reform Central
      • Compliance & Health Reform Center
      • Health Reform: Tiered Networks
  • Contact
    • Contact Us
    • Download Center
      • Individual Client Forms
      • Medicare Client Forms
        • Scope of Appointment
      • Group Forms
        • Medicare Part D: Disclosure Notice to CMS

Medicare Creditable Coverage Part D notification requirements

September 15, 2022September 15, 2022Ed MacConnell

FROM INDEPENDENCE: Each year, the Centers for Medicare & Medicaid Services (CMS) requires plans that offer prescription drug coverage to their Medicare‑eligible employees, retirees, and dependents to notify them by October 15 as to whether that coverage is “creditable” or “non‑creditable.”

What customers must do
Customers must take the following steps to comply with this requirement:
Review the materials provided to determine whether their prescription drug coverage is creditable or non‑creditable. Disclose to their Medicare‑eligible members (employees and their dependents) whether their prescription drug coverage is creditable or non‑creditable prior to the Medicare Part D Annual Election period, running from October 15 through December 7 of this year and at other times during the future. Notify CMS as to whether their prescription drug coverage qualifies as creditable or non‑creditable. Visit the CMS website for further information on creditable coverage and a copy of the model creditable/non‑creditable disclosure letters
Note: Medicare beneficiaries who are not covered under creditable prescription drug coverage and who chose not to enroll in a Medicare Part D drug plan when they first became eligible for Medicare or during the initial enrollment period will likely pay a higher premium permanently if they subsequently enroll in the Medicare Part D drug program because the premium is increased by one percent for each month without creditable coverage.
Communications to group customers
Before the end of the month, we (IBC) will send letters to small and large groups as a reminder of the requirement to contact Medicare‑eligible members regarding the creditability status of their prescription coverage. All 2022 and 2023 Qualified Health Plans for small groups are creditable. All 2022 and 2023 standard large group plans are creditable. A chart is included that shows the cost‑sharing of our 2023 standard large group prescription drug plans.
Communications to individual consumer members
We (IBC) are also sending a letter to our individual members regarding the creditability status of their prescription coverage if they are eligible for Medicare. Individual members who have opted in to digital communications will receive the letter by email. All 2022 and 2023 individual consumer plans are creditable.

Please contact your Total Benefit Solutions, Inc health insurance specialist at (215)355-2121 if you have any additional questions or concerns regarding this notice.

Share this:

  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on X (Opens in new window) X
  • Click to email a link to a friend (Opens in new window) Email
  • Click to print (Opens in new window) Print
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Pinterest (Opens in new window) Pinterest
  • More
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Tumblr (Opens in new window) Tumblr
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Telegram (Opens in new window) Telegram

Like this:

Like Loading...

Related

Affordable Care Act, Association Health Plans, Compliance, compliance, Consumer Driven Health Plans, ERISA, Flexible Spending Account, GetCoveredNJ, Guidance, Health Insurance, Health Reimbursment Arrangements, Health Savings Accounts, Healthcare Reform, Human Resources, Independence Blue Cross, Individual Health Insurance, Individual Mandate, Insurance Carrier News, Medical Insurance, Medicare, Medicare Advantage, Medicare Donut Hole, Medicare Part B, Medicare Part B Premiums, Medicare Part D, Medicare Part D Coverage Gap, Medicare Prescription Drug, Medicare Supplements, Pennie Health Insurance, Total Benefit Solutions#aca, #bluecardppo, #healthinsurance, #healthinsurancenearby, #HealthInsuranceNearMe, #Medicare, #medicarecreditable, #medicaredonuthole, #medicarepenalties, affordable care act, guidance health insurance self insured HRA, Healthcare reform, PPACA

Post navigation

The Employer Shared Responsibility Provision Estimator
What is an Out-of-Pocket Maximum/Limit?

Your Medicare plan is out there. Let’s find it together.

Hours & Info

427 East Street Road
Feasterville-Trevose, PA 19053
215-355-2121
Daily M-F 9AM-5PM By Appointment

Your Medicare plan is out there. Lets find it together.

Recent Posts

  • Big changes to Medigap plans start January 1, 2026!
  • The 2025 PCORTF Fee is on the horizon!
  • What It Takes to Stay Balanced While Running a Business
  • Zepbound coverage for obstructive sleep apnea ends August 1 for current prescriptions.
  • Tax Favored Accounts Summary Page

Hours & Info

427 E Street Road
Feasterville, PA 19053
(215)355-2121
Daily: 9am - 5pm or by appointment

Recent Posts

  • Big changes to Medigap plans start January 1, 2026! June 12, 2025
  • The 2025 PCORTF Fee is on the horizon! June 10, 2025
  • What It Takes to Stay Balanced While Running a Business June 9, 2025
  • Zepbound coverage for obstructive sleep apnea ends August 1 for current prescriptions. June 6, 2025
  • Tax Favored Accounts Summary Page June 5, 2025
  • Cafeteria Plans (Section 125 Plans) June 2, 2025

Click here to see all the latest posts

Like us on Facebook

Like us on Facebook

Follow us on Twitter

My Tweets

Join our newsletter list!

Subscribe to our E-News
For Email Marketing you can trust.
Powered by WordPress | Theme: Trusted by UXL Themes
  • Home
  • Group Health
  • Individual Health
  • Medicare Beneficiaries
  • News
  • Contact
Manage Cookie Consent
To provide the best experiences, we use technologies like cookies to store and/or access device information. Consenting to these technologies will allow us to process data such as browsing behavior or unique IDs on this site. Not consenting or withdrawing consent, may adversely affect certain features and functions.
Functional Always active
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
Preferences
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
Statistics
The technical storage or access that is used exclusively for statistical purposes. The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
Marketing
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.
Manage options Manage services Manage {vendor_count} vendors Read more about these purposes
View preferences
{title} {title} {title}
%d