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Disclosure to Those Eligible for Medicare Part D With DHP 3500 Non-Creditable Coverage Important Notice from the Montana Medical Association Health Care Plan & Trust (MASCOT) Sponsor Board About Your
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Model individual non-creditable coverage refers to a standardized form used to report information regarding prescription drug coverage to the Centers for Medicare & Medicaid Services (CMS).
Health insurance providers offering prescription drug coverage are required to file model individual non-creditable coverage with CMS.
Model individual non-creditable coverage can be filled out online through the CMS reporting portal by providing the required information about prescription drug coverage.
The purpose of model individual non-creditable coverage is to help CMS determine whether prescription drug coverage offered by health insurance providers is creditable or non-creditable.
Information such as the type and coverage period of prescription drugs, whether the coverage is creditable or non-creditable, and other relevant details about the prescription drug coverage must be reported on model individual non-creditable coverage.
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