Page 27 - Tritrax Benefit Guide Effective 9-1-2020

Medicare Part D Notice: Prescription

Drug Coverage and Medicare

This no ce has informa on about your current prescrip on drug When will you pay a higher premium (penalty) to join a
coverage with Tritrax Rehabilita on and your op ons under Medicare Drug Plan? You should also know that if you drop or
Medicare's prescrip on drug coverage. This informa on can help lose your current coverage with Tritrax’s medical plan and
you decide whether or not you want to join a Medicare drug plan. If don't join a Medicare drug plan within 63 con nuous days a er
you are considering joining, you should compare your current your current coverage ends, you may pay a higher premium (a
coverage, including which drugs are covered at what cost, with the penalty) to join a Medicare drug plan later. If you go 63
coverage and costs of the plans offering Medicare prescrip on drug con nuous days or longer without creditable prescrip on drug
coverage in your area. Informa on about where you can get help to coverage, your monthly premium may go up by at least 1% of
make decisions about your prescrip on drug coverage is at the end the Medicare base beneficiary premium per month for every
of this no ce. month that you did not have that coverage. For example, if
you go nineteen months without creditable coverage, your
Please note: If you are not Medicare eligible, and none of your
premium may consistently be at least 19% higher than the
covered family members are Medicare eligible, no ac on is required
Medicare base beneficiary premium. You may have to pay this
on your part.
higher premium (a penalty) as long as you have Medicare
There are two important things you need to know about your prescrip on drug coverage. In addi on, you may have to wait
current coverage and Medicare's prescrip on drug coverage: un l the following October to join.

• Medicare prescrip on drug coverage became available in 2006 For more informa on about this no ce or your current
to everyone with Medicare. You can get this coverage if you join a Prescrip on Drug Coverage: Contact your HR department for
Medicare Prescrip on Drug Plan or join a Medicare Advantage Plan further informa on, 817‐652‐2924. NOTE: You may receive
(like an HMO or PPO) that offers prescrip on drug coverage. All this no ce at other mes in the future such as before the next
Medicare drug plans provide at least a standard level of coverage period you can enroll in Medicare prescrip on drug coverage,
set by Medicare. Some plans may also offer more coverage for a and if this coverage changes. You also may request a copy.
higher monthly premium.
For more informa on about your op ons under Medicare
• Tritrax has determined that the prescrip on drug coverage Prescrip on Drug Coverage: More detailed informa on about
offered by Tritrax’s medical plan is, on average for all plan Medicare plans that offer prescrip on drug coverage is in the
par cipants, expected to pay out as much as standard Medicare "Medicare & You" handbook. You'll get a copy of the handbook
prescrip on drug coverage pays and is therefore considered in the mail every year from Medicare. You may also be
Creditable Coverage. Because your exis ng coverage is Creditable contacted directly by Medicare drug plans.
Coverage, you can keep this coverage and not pay a higher premium
For more informa on about Medicare prescrip on drug
(a penalty) if you later decide to join a Medicare drug plan.
coverage:
When can you join a Medicare Drug Plan? You can join a Medicare
• Visit www.medicare.gov.
drug plan when you first become eligible for Medicare and each
year from October 15 through December 7. However, if you lose • Call your State Health Insurance Assistance Program (see the
your current creditable prescrip on drug coverage, through no fault inside back cover of your copy of the "Medicare & You"
of your own, you will also be eligible for a two (2) month Special handbook for their telephone number) for personalized help.
Enrollment Period (SEP) to join a Medicare drug plan.
• Call 1‐800‐MEDICARE (1‐800‐633‐4227). TTY users should call
What happens to your current coverage if you decide to join a 1‐877‐486‐2048.
Medicare Drug Plan? If you decide to join a Medicare drug plan,
If you have limited income and resources, extra help paying for
your current Tritrax medical coverage will not be affected.
Medicare prescrip on drug coverage is available. For
Par cipants may keep this coverage if they elect Part D and this plan informa on about this extra help, visit Social Security on the
will coordinate with Part D coverage. If you decide to join a web at www.socialsecurity.gov, or call them at 1‐800‐772‐1213
Medicare drug plan and drop your current Tritrax medical plan (TTY 1‐800‐325‐0778).
coverage, be aware that you and your dependents will NOT be able
to get this coverage back.

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