可信赖承保范围

感谢您访问 Providence Health Plan。

在 10 月 15 日(一年一度的联邦医疗保险协调选择期开始)之前,为员工或退休人员提供处方药保险的团体应通知其成员其计划的可信赖保险状态,以及逾期加入 Medicare D 部分可能受到的处罚(如果他们当前的保险不可信赖)。

根据 Medicare 和 Medicaid 服务中心的定义,如果保险精算值等于或超过 Medicare 处方药福利中标准处方药保险的精算值,则该保险被认定为“可信赖”。

《Medicare现代化法案》规定,如果个人在首次加入 Medicare 处方药福利后 63 天或更长的时间内没有保持可信赖的保险,则将被处以逾期加入罚款。




哪些处方药保险对 Medicare D 部分而言可信赖?

下图反映了各计划的可信赖/不可信赖状态:




我该如何通知员工其处方药计划的可信赖承保状态?

为方便起见,联邦医疗保险与医疗补助服务中心提供了通知样本:




了解更多 

如需了解更多信息,请参阅问答文件和/或访问医疗保险和医疗补助服务中心网站

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