BlueVISION | News for Employer Groups | Blue Cross and Blue Shield of New Mexico
News from the Blues
Sept. 29, 2022
News from the Blues
News Alert
News from the Blues
Medicare Prescription Drug Coverage Creditable/Non-Creditable Letters Available for Groups
Applies to all groups What you should know: The annual communication to members informing them whether their plan’s prescription drug coverage is creditable or non-creditable to Medicare Part D prescription drug coverage begins in October.
Groups must notify members of their plan's creditable coverage status by Oct. 15.
Letters are available to assist you with determining whether prescription drug coverage is creditable or non-creditable.
Details: For group plans, the employer, not Blue Cross and Blue Shield of New Mexico, is responsible for notifying its group health plan members, as well as notifying Centers for Medicare & Medicaid Services (CMS) of its plan members’ creditable coverage status.
Background: Creditable coverage is defined by the CMS as “prescription drug coverage (e.g., from an employer or union) that's expected to pay, on average, at least as much as Medicare’s standard prescription drug coverage.”
Groups that have additional questions about this reporting responsibility can visit cms.gov/CreditableCoverage for more information.
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Blue Cross and Blue Shield of New Mexico, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association