PPT-Creditable Coverage Part D Late Enrollment Penalty, and the Appeals Process

Coretta Edmondson CMS Gail Sexton CMS Learning Objectives Define Creditable Coverage Understand h ow the Creditable Coverage Period Determination is Made Review the Attestation Process . Many plan sponsors fulfill this obligation by including the notices in their annual enrollment materials or in separate mailings in the fa ll Whether plan sponsors use the model notices provided by the Centers for Medicare Medicaid Services CMS or 56a prescription drug coverage is creditable if the actuarial value of the coverage is equal to or greater than the actuarial value of the standard Medicare prescription drug plan Creditability must be determined using generally accepted actuarial pr Overview and Updates for 2014 .      . . Sarah Pitsoulakis. sarah.pitsoulakis@drwi.org. Kate Schilling. kate.schilling@gwaar.org. Pamela . Franke. pjf@legalaction.org. Ginger . Rogers . ginger.rogers@drwi.org. is presented by Spencer Fane Britt & Browne LLP. in conjunction with United Benefit Advisors. Interaction Between Medicare and Employer Health Plans. Kenneth A. Mason. Chadron J. Patton. August 9, 2011. HLC Policy Committee. April 6, 2011. Stan Dorn, Senior Fellow. The Urban Institute. Washington, DC. 202.261.5561 . . . sdorn@urban.org. Topics. Enrollment: not necessarily a slam dunk. Some examples of success. Chapter Nine. Incarceration Trends in America. From . 1980 to 2008, the number of people incarcerated in America quadrupled-from roughly 500,000 to 2.3 million people. Today, the US is 5% of the World population and has 25% of world prisoners.. Key Processes & Communication Toolkit. Table of Contents. 2. 3. Employee and Retiree Experience. OneUSG Connect - Benefits Website and Call Center. OneUSG . Connect . – Benefits website. Employees and retirees . 1. October 2017. What’s Medicare Prescription . Drug . Coverage . (Part . D)?. Medicare drug plans . Approved by Medicare. Run by private companies. Available to everyone with Medicare. Uniform coverage minimum. Seniors’ Health Insurance Information Program. Understanding Medicare. What is Medicare and who is eligible?. Four Parts of Medicare: A, B, C & D. Programs for People with Limited Income and Resources. 1. Medicare prescription drug coverage for transplant (immunosuppressive) drugs Your immunosuppressive drug was covered, but not your two new prescriptions. Do you have any other drug coverage? I only have Medicare. I was told that if I wanted Medicare prescription drug coverage, I’d have to pay a penalty because I didn’t get it when I first got Medicare. Different thinking. Better outcomes.. 1. Understanding Medicare. An Educational Seminar. Agenda. Understanding . Medicare . Basics. Different thinking. Better outcomes.. 2. Know The Rules. There are special enrollment periods for Medicare. Page 2FACT SHEET Deciding Whether to Enroll in Medicare Part A and Part B When You Turn 652Decide whether to enroll in Part and Partwhen you turn 65What are Medicare Part A and Part BMedicare Part A Family & Consumer Sciences. Adult Development and Aging. What is Medicare?. Federal . health insurance that covers . some. . of your medical and inpatient hospital costs . if you:. Are age 65 or over. Wisconsin SHIP: 1-800-242-1060. Grant Funding Disclaimer. 2. This project was supported by the Wisconsin Department of Health Services with financial assistance, in whole or in part, by grant number 90SAPG0091, from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects with government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official ACL policy..