Page 36 - Omega Benefits Guide

When Can You Join a Medicare Drug Plan?

You can join a Medicare drug plan when you first become eligible for Medicare and
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each year from October 15 to December 7 .

However, if you lost your current creditable prescription drug coverage through no fault
of your own, you will also be eligible for a two (2) month Special Enrollment Period
(SEP) to join a Medicare drug plan.

What Happens to Your Current Coverage if You Decide to Join
a Medicare Drug Plan?

If you decide to join a Medicare drug plan, your current Omega Construction, Inc.
coverage will not be affected. The prescription drug plan option available in conjunction
with the medical program is outlined below:

Prescription Drug Core POS Buy-Up PPO
Type:
Tier 1 Deductible then $10 $10
Tier 2 Deductible then $35 $35
Tier 3 Deductible then $60 $60
Tier 4 N/A $100

If you do decide to join a Medicare drug plan and drop your current Omega
Construction, Inc. coverage, be aware that you and your dependents will be able to get
this coverage back at annual enrollment.

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