Page 33 - Deweys Benefits Enrollments Guide
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When Can You Join a Medicare Drug Plan?



               You can join a Medicare drug plan when you first become eligible for Medicare and
                                                              th
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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 Dewey’s Bakery coverage will
               be affected.


               The prescription drug plan option available in conjunction with the medical program is
               outline below:

                    Prescription            Core Blue Options 1-2-3               Buy-Up Blue Select
                     Drug Type:

                  Tier 1                                  $10                               $10


                  Tier 2                  Member pays 100% to a maximum of $150   100% to a maximum of $100

                  Tier 3                  Member pays 100% to a maximum of $150   100% to a maximum of $100


                  Tier 4                  Member pays 100% to a maximum of $150   100% to a maximum of $250

                  Tier 5                                  N/A                     100% to a maximum of $250



               If you do decide to join a Medicare drug plan and drop your current Dewey’s Bakery
               coverage, be aware that you and your will be able to get this coverage back at annual
               enrollment.




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