||All Medicare Eligible
||Florence J. Sheppard
Acting Director, Division of Pensions and Benefits
|| IMPORTANT NOTICE:
Your Prescription Drug Benefit and Medicare
NOTICE OF CREDITABLE COVERAGE
This notice contains information
about your current prescription drug coverage under the State
Health Benefits Program (SHBP) or School Employees' Health
Benefits Program (SEHBP) and the Medicare prescription drug
benefit called Medicare Part D. It explains the options you
have under Medicare Part D and can help you decide whether
or not you want to enroll in a Part D plan. Please read this
notice carefully and keep it for future reference.
Medicare Part D prescription
drug coverage is available to everyone eligible for, or enrolled
in, Medicare. A person who is Medicare eligible can enroll
in a Medicare Part D plan when they first become eligible
for Medicare or, for calendar year 2011, during the open enrollment
period from November 15, 2010 through December 31, 2010. However,
if you and/or a dependent of yours decide to enroll in a Medicare
Part D plan, the person enrolled in Medicare Part D will
lose their SHBP or SEHBP prescription drug coverage. In
addition, the program will not cover the costs of any drugs
that are not covered by the Medicare Part D plan.
The program's consultants
have determined that the prescription drug benefits provided
through the retiree health plans are equal to or better than
the benefits provided by the standard Medicare Part D plan.
Therefore, you can keep your SHBP or SEHBP coverage with no
disruption of your prescription drug coverage.
Because the program's prescription
drug benefits are equal to or better than the standard Medicare
Part D plan, most Medicare eligible retirees enrolled in
the SHBP or SEHBP and/or their Medicare eligible dependents
need not enroll in Medicare Part D. However,
some members who qualify for limited-income subsidy programs
may find it beneficial to enroll in Medicare Part D.
If you are married and your
spouse is covered by a private employer health plan, it is
possible that your spouse's plan automatically enrolled you and/or your
spouse in a Medicare Part D plan. In that case, you and/or your spouse
are not eligible for prescription drug coverage through the
SHBP or SEHBP. Please check your spouse's health plan ID cards.
Keep this Notice
of Creditable Coverage. If you should decide to enroll
in one of the Medicare Part D plans, you will need to provide
a copy of this notice to show that you are not required to
pay a higher premium amount (provided you do not have a break
of 63 days or more between the time your SHBP or SEHBP prescription
drug coverage ends and your Medicare Part D coverage begins).
This notice will be mailed
to you before each annual Medicare Part D enrollment period
and at other times in the future such as if your prescription
drug benefits should change.
version of this letter Adobe