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Enrollment in the VA health care system provides a prescription drug benefit that has been determined to be as good as the benefit provided under a Medicare prescription drug plan. As a result VA enrollment provides creditable coverage for Medicare Part D purposes.
What is the 63 day rule for Medicare?
A person must be without creditable coverage 63 or more days in a row any time after they were first eligible for Medicare drug coverage to be charged a late enrollment penalty.
What is creditable prescription drug coverage with Medicare?
Creditable prescription drug coverage is prescription drug coverage thats expected to pay, on average, at least as much as Medicare drug coverage.
How long can you go without creditable prescription drug coverage?
Dont go 63 days or more without a drug planIf you had and lost drug coverage from a creditable provider (current or former employer, TRICARE, individual health insurance coverage, etc.) you must join a new Medicare Part D drug plan in fewer than 63 days.
What does it mean when drug coverage is not creditable?
Non-creditable coverage: A health plans prescription drug coverage is non-creditable when the amount the plan expects to pay for prescription drugs for individuals covered by the plan in the coming year is, on average, less than that which standard Medicare prescription drug coverage would be expected to pay.
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These are standalone plans that can be purchased through private insurance companies. PDPs provide coverage for prescription drugs and medications and may also cover some vaccines too. Original Medicare (Parts A B) doesnt provide prescription drug coverage.
What is the penalty for not having creditable prescription drug coverage?
Youll pay an extra 1% for each month you could have signed up for Part D, but didnt, and didnt have creditable drug coverage. Well add this penalty to your monthly Part D premium.
Related links
Creditable Coverage Notificat
Jun 27, 2023 The valid OMB control number for this information collection is 0938-0990. The time required to complete this information collection is.
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