Medicare creditable coverage template 2025

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This certificate provides evidence of your prior health coverage. You may need to furnish this certificate if you become eligible under a group health plan that excludes coverage for certain medical conditions that you have before you enroll.
HIPAA training is not optional and a covered entity must train all members of its workforce on policies and procedures [] as necessary and appropriate for the members of the workforce to carry out their functions within the covered entity as stated in 164.530(b)(1) of the HIPAA Privacy Rule.
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.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that health insurance issuers, group health plans and/or employers issue a HIPAA certificate of creditable coverage when a persons health coverage ends.
If you waited 14 months after you were eligible for Medicare to join a Medicare drug plan, and you didnt have creditable drug coverage, youll have to pay a 14% late enrollment penalty in addition to your monthly plan premium. The penalty amount comes from the national base beneficiary premium ($36.78 in 2025).
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Form CMS-L564 Use this form to prove you had creditable health insurance when you sign up for Medicare Part B after age 65. This form makes sure you dont get a Part B penalty for having a gap in coverage.

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