Creditable coverage disclosure notice 2025

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Employers sponsoring group health plans that provide prescription drug coverage to individuals eligible for Medicare Part D coverage must annually disclose to the Centers for Medicare and Medicaid Services (CMS) whether that coverage is considered creditable or non-creditable.
This notice will let you know whether or not your drug coverage is creditable.
Entities that provide prescription drug coverage to Medicare Part D eligible individuals must notify these individuals whether the drug coverage they have is creditable or non-creditable.
Plans are also no longer required to issue certificates of creditable coverage after December 31, 2014. These amendments were made because plans are prohibited from imposing preexisting condition exclusions for plan years beginning on or after January 1, 2014.
A person will usually receive a Notice of Creditable Coverage in the mail every September, and they should keep this as proof should they later apply for Medicare coverage. If a person wishes to enroll in Medicare after their creditable coverage ends, they may be eligible for the Special Enrollment Period.
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The purpose of Certificates of Creditable Coverage was so an individual could prove continuous health insurance coverage as they moved from one carrier to the next, typically as a result of job changes.

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