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PDS Tech, Inc. HEALTH PLAN NOTICES TABLE OF CONTENTS 1. 2. 3. 4. 5. Medicare Part D Creditable Coverage Notice Medicare Part D NonCreditable Coverage Notice HIPAA Comprehensive Notice of Privacy Policy
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How to fill out medicare part d creditable

01
Contact your employer to see if they offer a Medicare Part D Creditable coverage notice.
02
If your employer does offer Creditable coverage, fill out the necessary information on the notice provided.
03
Submit the completed notice to Medicare Part D or your new prescription drug plan.

Who needs medicare part d creditable?

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Individuals who are eligible for Medicare Part D prescription drug coverage.
02
Employers who offer prescription drug coverage to Medicare-eligible individuals.
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Medicare Part D creditable refers to prescription drug coverage that is at least as good as the standard Medicare prescription drug coverage.
Employers who offer prescription drug coverage to Medicare-eligible individuals are required to determine if their coverage is creditable and report it to the Centers for Medicare & Medicaid Services (CMS).
Employers can fill out the Medicare Part D Creditable Coverage Disclosure Form electronically on the CMS website or by mailing a completed hard copy form.
The purpose of Medicare Part D creditable coverage is to ensure that individuals have access to affordable and high-quality prescription drug coverage.
Employers must report the plan year, the number of Medicare-eligible individuals covered by the plan, whether the coverage is creditable or non-creditable, and the estimated cost of the coverage.
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