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Compliance Overview - Medicare Part D

09.20.18

Medicare Part D: Creditable Coverage Disclosure Notices

Employers with group health plans that provide prescription drug coverage to individuals who are eligible for Medicare Part D must comply with certain disclosure requirements.

Group health plan sponsors must disclose to individuals who are eligible for Medicare Part D and to the Centers for Medicare and Medicaid Services (CMS) whether their prescription drug coverage is at least as good as the Medicare Part D coverage (in other words, whether their prescription drug coverage is "creditable"). These disclosures must be provided on an annual basis and at certain other designated times.

Highlights:

- Plan sponsors must provide creditable coverage disclosure notices to individuals each year before Oct. 15-the start date of the annual enrollment period for Medicare Part D.

- The disclosure notice alerts individuals as to whether their plan's prescription drug coverage is creditable.

- Model notices are available for employers to use.

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