Page 28 - 2018 SLU Enrollment
P. 28
Required Annual Notices
Saint Louis University is required by law to provide you with the following notices.
Women’s Health and Medicare Part D Creditable Coverage Notice
Cancer Rights Act Important Notice from Saint Louis University About Your
The Women’s Health and Cancer Rights Prescription Drug Coverage and Medicare
Act of 1998 (“WHCRA”) provides certain 1. Please read this notice carefully for information about your current prescription
protections for individuals receiving drug coverage from Saint Louis University and about your options under
mastectomy-related beneits. Coverage Medicare’s prescription drug coverage. This information can help you decide
whether or not you want to join a Medicare drug plan.
will be provided in a manner determined
in consultation with the attending If you are considering joining, you should compare your current coverage, including
physician and the patient, for: which drugs are covered at what cost, with the coverage and costs of the plans
X All stages of reconstruction of the offering Medicare prescription drug coverage in your area. Information about where
breast on which the mastectomy you can get help to make decisions about your prescription drug coverage is at the
was performed; end of this notice. There are important things you need to know about your current
coverage and Medicare’s prescription drug coverage.
X Surgery and reconstruction of
the other breast to produce a 2. Medicare prescription drug coverage became available in 2006 to everyone with
Medicare. You can get this coverage if you join a Medicare Prescription Drug Plan
symmetrical appearance; or join a Medicare Advantage Plan (like an HMO or PPO) which offers prescription
X Prostheses; and drug coverage. Medicare drug plans provide at least a standard level of coverage
set by Medicare. Some plans may also offer more coverage for a higher monthly
X Treatment of physical complications premium.
of the mastectomy, including 3. Saint Louis University has determined the prescription drug coverage offered by
lymphedemas. the medical plan options under the Saint Louis University Welfare Beneit Plan
(the “plan”) is “creditable.” In other words, Saint Louis University has determined
The Saint Louis University medical that the prescription drug coverage offered by the medical plan options under
plan provides medical coverage the plan is, on average for all plan participants, expected to pay out as much as
for mastectomies and the related standard Medicare prescription drug coverage pays (and, therefore, is considered
procedures listed above, subject to to be “creditable” coverage). Because your existing coverage is creditable
the same deductibles and coinsurance coverage, you can keep this coverage and not pay a higher premium (a penalty) if
applicable to other medical and surgical you decide to later join a Medicare drug plan.
beneits provided under this plan.
For deductible and coinsurance
information which applies under the
medical plan, or if you would like more
information on WHCRA beneits, please
refer to the summary plan description
for the medical plan or contact Beneits
at 314.977.2595.
28 2018 Benefits Enrollment
Saint Louis University is required by law to provide you with the following notices.
Women’s Health and Medicare Part D Creditable Coverage Notice
Cancer Rights Act Important Notice from Saint Louis University About Your
The Women’s Health and Cancer Rights Prescription Drug Coverage and Medicare
Act of 1998 (“WHCRA”) provides certain 1. Please read this notice carefully for information about your current prescription
protections for individuals receiving drug coverage from Saint Louis University and about your options under
mastectomy-related beneits. Coverage Medicare’s prescription drug coverage. This information can help you decide
whether or not you want to join a Medicare drug plan.
will be provided in a manner determined
in consultation with the attending If you are considering joining, you should compare your current coverage, including
physician and the patient, for: which drugs are covered at what cost, with the coverage and costs of the plans
X All stages of reconstruction of the offering Medicare prescription drug coverage in your area. Information about where
breast on which the mastectomy you can get help to make decisions about your prescription drug coverage is at the
was performed; end of this notice. There are important things you need to know about your current
coverage and Medicare’s prescription drug coverage.
X Surgery and reconstruction of
the other breast to produce a 2. Medicare prescription drug coverage became available in 2006 to everyone with
Medicare. You can get this coverage if you join a Medicare Prescription Drug Plan
symmetrical appearance; or join a Medicare Advantage Plan (like an HMO or PPO) which offers prescription
X Prostheses; and drug coverage. Medicare drug plans provide at least a standard level of coverage
set by Medicare. Some plans may also offer more coverage for a higher monthly
X Treatment of physical complications premium.
of the mastectomy, including 3. Saint Louis University has determined the prescription drug coverage offered by
lymphedemas. the medical plan options under the Saint Louis University Welfare Beneit Plan
(the “plan”) is “creditable.” In other words, Saint Louis University has determined
The Saint Louis University medical that the prescription drug coverage offered by the medical plan options under
plan provides medical coverage the plan is, on average for all plan participants, expected to pay out as much as
for mastectomies and the related standard Medicare prescription drug coverage pays (and, therefore, is considered
procedures listed above, subject to to be “creditable” coverage). Because your existing coverage is creditable
the same deductibles and coinsurance coverage, you can keep this coverage and not pay a higher premium (a penalty) if
applicable to other medical and surgical you decide to later join a Medicare drug plan.
beneits provided under this plan.
For deductible and coinsurance
information which applies under the
medical plan, or if you would like more
information on WHCRA beneits, please
refer to the summary plan description
for the medical plan or contact Beneits
at 314.977.2595.
28 2018 Benefits Enrollment
