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Mr. Salt was still working when he 1st qualified for medicare at the time he had employer group coverage that was credible. Doing his initial part D eligibility period, he decided not to enroll because he was satisfied with his drug coverage. It is now a year later and Mr. Schultz has lost his employer coverage within the last 2 weeks how do you advise them?

Sagot :

According to the Medicare Modernization Act (MMA), organizations (whose policies cover prescription drug coverage) must inform individuals who are Medicare-eligible policyholders if their prescription drug coverage is creditable, which denotes that the coverage is anticipated to pay on average as much as the standard Medicare prescription drug coverage.

The first disclosure requirement is to annually send a written disclosure notice to every Medicare-eligible person covered by the prescription drug plan, before October 15th each year and at other times as specified in the regulations, including to a Medicare-eligible person when he or she joins the plan. This disclosure must be provided to Medicare eligible active working individuals and their dependents, Medicare eligible COBRA individuals and their dependents.

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