Page 35 - Coral Rehabilitation and Nursing of Arlington Benefit Guide Effective 7-1-22

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 Coral Rehabilitation and Nursing and your options Medicare Drug Plan? You should also know that if you drop or
under Medicare prescription drug coverage. This information can lose your current coverage with Coral Rehabilitation and Nurs-
help you decide whether or not you want to join a Medicare drug ing medical plan and don't join a Medicare drug plan within 63
plan. If you are considering joining, you should compare your cur- continuous days after your current coverage ends, you may pay
rent coverage, including which drugs are covered at what cost, with a higher premium (a penalty) to join a Medicare drug plan later.
the coverage and costs of the plans offering Medicare prescription If you go 63 continuous days or longer without creditable
drug coverage in your area. Information about where you can get prescription drug coverage, your monthly premium may go up
help to make decisions about your prescription drug coverage is at by at least 1% of the Medicare base beneficiary premium per
the end of this notice. month for every month that you did not have that coverage.
For example, if you go nineteen months without creditable

Please note: If you are not Medicare eligible, and none of your
coverage, your premium may consistently be at least 19% high-
covered family members are Medicare eligible, no action is required
er than the Medicare base beneficiary premium. You may have
on your part.
to pay this higher premium (a penalty) as long as you have
There are two important things you need to know about your Medicare prescription drug coverage. In addition, you may
current coverage and Medicare's prescription drug coverage: have to wait until the following October 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 your HR department for
Medicare Prescription Drug Plan or join a Medicare Advantage Plan further information. NOTE: You may receive this notice at

(like an HMO or PPO) that offers prescription drug coverage. All other times in the future such as before the next period you
Medicare drug plans provide at least a standard level of coverage can enroll in Medicare prescription drug coverage, and if this
set by Medicare. Some plans may also offer more coverage for a coverage changes. You also may request a copy.
higher monthly premium.
For more information about your options under Medicare
• Coral Rehabilitation and Nursing has determined that the Prescription Drug Coverage: More detailed information about
prescription drug coverage offered by Coral Rehabilitation and Nurs- Medicare plans that offer prescription drug coverage is in the
ing of Arlington medical plan is, on average for all plan participants, "Medicare & You" handbook. You'll get a copy of the handbook
expected to pay out as much as standard Medicare prescription in the mail every year from Medicare. You may also be
drug coverage pays and is therefore considered Creditable Cover- contacted directly by Medicare drug plans.
age. Because your existing coverage is Creditable Coverage, you can
For more information about Medicare prescription drug
keep this coverage and not pay a higher premium (a penalty) if you
coverage:
later decide to join a Medicare drug plan.
• Visit www.medicare.gov.
When can you join a Medicare Drug Plan? You can join a Medicare
drug plan when you first become eligible for Medicare and each • Call your State Health Insurance Assistance Program (see the
year from October 15 through December 7. However, if you lose inside back cover of your copy of the "Medicare & You"
your current creditable prescription drug coverage, through no fault handbook for their telephone number) for personalized help.
of your own, you will also be eligible for a two (2) month Special
• Call 1-800-MEDICARE (1-800-633-4227). TTY users should call
Enrollment Period (SEP) to join a Medicare drug plan.
1-877-486-2048.
What happens to your current coverage if you decide to join a
If you have limited income and resources, extra help paying for

Medicare Drug Plan? If you decide to join a Medicare drug plan,
Medicare prescription drug coverage is available. For
your current Coral Rehabilitation and Nursing of Arlington medical information about this extra help, visit Social Security on the
coverage will not be affected. Participants may keep this coverage if web at www.socialsecurity.gov, or call them at 1-800-772-1213
they elect Part D and this plan will coordinate with Part D coverage. (TTY 1-800-325-0778).
If you decide to join a Medicare drug plan and drop your current
Coral Rehabilitation and Nursing of Arlington medical plan coverage,
be aware that you and your dependents will NOT be able to get this
coverage back. 35