Your plan may have a different type of drug coverage
Not all Medicare Advantage group plans have Part D prescription coverage. Your group may select a different type of prescription drug plan for you, either through Blue Care Network or another insurer. If your employer or union group has other Blue Care Network drug coverage, the following information applies to your prescription drug plan.
Your Blue Care Network prescription drug rider or amendment, if you have one, outlines the terms and conditions of your drug coverage. Refer to the benefit information provided to you for details on your employer or union group’s prescription drug benefit coverage, including your cost-sharing amounts and specific benefit provisions.
Where to fill your prescriptions
Fill your prescriptions at more than 2,400 participating retail pharmacies throughout Michigan and thousands of pharmacies in the United States.*
*BCBSM pharmacy report, August 2012
Does your employer or union group provide "creditable" prescription drug coverage?
If you’re covered by a union, employer or other group, you may have creditable prescription drug coverage. That is, a drug plan that is expected to pay, on average, at least as much as Medicare’s standard prescription drug coverage. People who have this kind of coverage when they become eligible for Medicare can generally keep that coverage without paying a penalty if they decide to enroll in Medicare prescription drug coverage later.
Your employer, union group or plan administrator should provide information (called a creditable coverage disclosure notice) to you about how your retiree health or drug coverage will be affected if you join a Medicare plan. This information will also tell you how your retiree drug coverage compares to Medicare prescription drug coverage.
You must maintain creditable coverage in order to avoid paying a penalty if you drop or lose your coverage. If you involuntarily lose the coverage, you must join a Medicare drug plan with an effective date that is within 60 days of the coverage end date. If you choose to drop the coverage, you must join a Medicare drug plan within three months of dropping the coverage. However, if you don’t enroll in a Medicare drug plan and have a period of 63 days or longer without coverage that is creditable (it expects to pay at least as much as Medicare's coverage), you may have to pay a penalty when you do enroll.
Keep a copy of the notice that says you have creditable coverage. If you join a Medicare drug plan after you’re first eligible, you'll need to provide this as proof to avoid a penalty.
H5883_W_BCNAdvantageWebR5.5 Pending CMS Approval