Page 19 - Brown PC 12-1-2023 Benefit Guide

Medicare Part D Notice: Prescription

Drug Coverage and Medicare

This notice has information about your current prescription drug When will you pay a higher premium (penalty) to join a
coverage with Brown, PC and your options under Medicare's Medicare Drug Plan? You should also know that if you drop or
prescription drug coverage. This information can help you decide lose your current coverage with Brown, PC’ medical plan and
whether or not you want to join a Medicare drug plan. If you are don't join a Medicare drug plan within 63 continuous days after
considering joining, you should compare your current coverage, your current coverage ends, you may pay a higher premium
including which drugs are covered at what cost, with the coverage (a penalty) to join a Medicare drug plan later. If you go 63 con-
and costs of the plans offering Medicare prescription drug coverage tinuous days or longer without creditable prescription drug
in your area. Information about where you can get help to make coverage, your monthly premium may go up by at least 1% of
decisions about your prescription drug coverage is at the end of this the Medicare base beneficiary premium per month for every
notice. 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 action 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 prescription drug coverage. In addition, you may have to wait
current coverage and Medicare's prescription drug coverage: until the following November to join.
• Medicare prescription drug coverage became available in 2006 For more information about this notice or your current
to everyone with Medicare. You can get this coverage if you join a Prescription Drug Coverage: Contact us for further information,
Medicare Prescription Drug Plan or join a Medicare Advantage Plan 817-870-0025 NOTE: You may receive this notice at other

(like an HMO or PPO) that offers prescription drug coverage. All times in the future such as before the next period you can en-
Medicare drug plans provide at least a standard level of coverage roll in Medicare prescription drug coverage, and if this coverage
set by Medicare. Some plans may also offer more coverage for a changes. You also may request a copy.
higher monthly premium.
For more information about your options under Medicare
• Brown, PC has determined that the prescription drug coverage Prescription Drug Coverage: More detailed information about
offered by Brown, PC’ medical plan is, on average for all plan partici- Medicare plans that offer prescription drug coverage is in the
pants, expected to pay out as much as standard Medicare prescrip- "Medicare & You" handbook. You'll get a copy of the handbook
tion drug coverage pays and is therefore considered Creditable in the mail every year from Medicare. You may also be
Coverage. Because your existing coverage is Creditable Coverage, contacted directly by Medicare drug plans.
you can keep this coverage and not pay a higher premium (a penal-
For more information about Medicare prescription drug
ty) 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 prescription 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 Brown, PC medical coverage will not be affected.
Medicare prescription drug coverage is available. For
Participants may keep this coverage if they elect Part D and this plan
information 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 Brown, PC 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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