It's Your Choice 2016
2016 Notice of Creditable Coverage for Medicare Part D
Please read this notice carefully and keep it where you can find it. This notice has information about your current prescription drug coverage with the State of Wisconsin (State) or Wisconsin Public Employers (WPE) Group Health Insurance Program and about your options under Medicare’s prescription drug coverage. This information can help you decide whether or not you want to join a Medicare drug plan under an individual policy. If you are considering joining, you should compare your current coverage, including which drugs are covered at what cost, with the coverage and costs of the plans offering individual Medicare prescription drug coverage in your area. Information about where you can get help to make decisions about your prescription drug coverage is at the end of this notice.
There are two important things you need to know about your current coverage and Medicare’s prescription drug coverage:
When Can You Join A Medicare Drug Plan?
What Happens To Your Current Coverage If You Decide to Join A Medicare Drug Plan?
When Will You Pay A Higher Premium (Penalty) To Join A Medicare Drug Plan?
If you go 63 continuous days or longer without creditable prescription drug coverage, your monthly premium may go up by at least 1% of the Medicare base beneficiary premium per month for every month that you did not have that coverage. For example, if you go 19 months without creditable coverage, your premium may consistently be at least 19% higher than the Medicare base beneficiary premium. You may have to pay this higher premium (a penalty) as long as you have Medicare prescription drug coverage. In addition, you may have to wait until the following October to join a Medicare drug plan.
For More Information About This Notice or Your Current Prescription Drug Coverage Contact either Navitus or ETF.
This notice is provided each year, prior to the next Medicare prescription drug coverage enrollment period or whenever State or WPE coverage changes. You may also request a copy of this notice from ETF at any time.
For More Information About This Notice or Your Current Prescription Drug Coverage
REMEMBER: KEEP THIS CREDITABLE COVERAGE NOTICE.
This page was last modified on: 9/11/2015 7:53:15 PM