www.cms.gov Open in urlscan Pro
2a02:26f0:1700:598::28a  Public Scan

Form analysis
2 forms found in the DOM

GET /search/cms

<form action="/search/cms" method="get" id="search-block-form" accept-charset="UTF-8" class="search-form search-block-form" data-drupal-form-fields="edit-keys--2">
  <div class="js-form-item form-item js-form-type-search form-type-search js-form-item-keys form-item-keys form-no-label">
    <label for="edit-keys--2" class="visually-hidden">Search</label>
    <input title="Enter the terms you wish to search for." placeholder="Search CMS" aria-label="Search CMS" data-drupal-selector="edit-keys" type="search" id="edit-keys--2" name="keys" value="" size="15" maxlength="128" class="form-search">
  </div>
  <div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions--2"><input data-drupal-selector="edit-submit" type="submit" id="edit-submit--3" value="Search" class="button js-form-submit form-submit">
  </div>
</form>

POST https://public.govdelivery.com/accounts/USCMS/subscribers/qualify

<form accept-charset="UTF-8" action="https://public.govdelivery.com/accounts/USCMS/subscribers/qualify" id="email-footer-form" method="post" data-drupal-form-fields="email,email-submit">
  <div aria-label="Enter your email address for email updates" id="email-form">
    <label for="email" class="visually-hidden">Enter your email address</label>
    <input aria-label="Enter your email address:" id="email" name="email" placeholder="type your email here" type="text">
    <input id="email-submit" name="email-footer-submit" type="submit" value="Submit">
  </div>
</form>

Text Content

Skip to main content

An official website of the United States government

Here’s how you know

Here’s how you know

The .gov means it’s official.

Federal government websites often end in .gov or .mil. Before sharing sensitive
information, make sure you’re on a federal government site.

The site is secure.

The https:// ensures that you are connecting to the official website and that
any information you provide is encrypted and transmitted securely.


HEADER

 * Home
 * About CMS
 * Newsroom
 * Archive
 * Help
 * Print





Search



SITE

 * Medicare
 * Medicaid/CHIP
 * Medicare-Medicaid Coordination
 * Private Insurance
 * Innovation Center
 * Regulations & Guidance
 * Research, Statistics, Data & Systems
 * Outreach & Education


BREADCRUMB

 * Home
 * Medicare
 * Creditable Coverage


CMS MAIN NAVIGATION


 * CREDITABLE COVERAGE

 * * Disclosure to CMS Form
   * Disclosure to CMS Guidance and Instructions
   * Disclosure to CMS Form
   * Model Notice Letters
   * Archives - Creditable Coverage Guidance and Notices


CREDITABLE COVERAGE




The Medicare Modernization Act (MMA) requires entities (whose policies include
prescription drug coverage) to notify Medicare eligible policyholders whether
their prescription drug coverage is creditable coverage, which means that the
coverage is expected to pay on average as much as the standard Medicare
prescription drug coverage. For these entities, there are two disclosure
requirements:

 1. The first disclosure requirement is to provide a written disclosure notice
    to all Medicare eligible individuals annually who are covered under its
    prescription drug plan, prior to October 15th each year and at various times
    as stated in the regulations, including to a Medicare eligible individual
    when he/she joins the plan. This disclosure must be provided to Medicare
    eligible active working individuals and their dependents, Medicare eligible
    COBRA individuals and their dependents, Medicare eligible disabled
    individuals covered under your prescription drug plan and any retirees and
    their dependents. The MMA imposes a late enrollment penalty on individuals
    who do not maintain creditable coverage for a period of 63 days or longer
    following their initial enrollment period for the Medicare prescription drug
    benefit. Accordingly, this information is essential to an individual's
    decision whether to enroll in a Medicare Part D prescription drug plan. 
 2. The second disclosure requirement is for entities to complete the Online
    Disclosure to CMS Form to report the creditable coverage status of their
    prescription drug plan. The Disclosure should be completed annually no later
    than 60 days from the beginning of a plan year (contract year, renewal
    year), within 30 days after termination of a prescription drug plan, or
    within 30 days after any change in creditable coverage status. -- This
    requirement does not pertain to the Medicare beneficiaries for whom entities
    are receiving the Retiree Drug Subsidy (RDS).

This page provides guidance documents relating to Creditable Coverage
requirements for employers, union-sponsored plans, and model notice documents. 
For more information please click on the links on the left hand side of this
page.  


DOWNLOADS

 * Entities Required to Provide Disclosure (PDF, 36KB) (PDF)
 * What is Creditable Coverage (PDF, 14KB) (PDF)
 * Overview of Creditable Coverage Issues for Plan Sponsors (PDF, 17KB) (PDF)
 * Creditable Coverage Simplified Determination (PDF, 12KB) (PDF)
 * Employers/Unions & Medigap Issuers Guidance - Which Notice of Creditable
   Coverage to Provide? (PDF)
 * Treatment of Account-Based Health Arrangements under the Medicare
   Modernization Act 06/15/05 (PDF, 55KB) (PDF)


RELATED LINKS

 * Employer & Union Retiree Drug Subsidy

Page Last Modified:
12/01/2021 07:02 PM
Help with File Formats and Plug-Ins
Home
A federal government website managed and paid for by the U.S. Centers for
Medicare & Medicaid Services. 7500 Security Boulevard, Baltimore, MD 21244


CMS & HHS WEBSITES

 * Medicare.gov
 * Medicaid.gov
 * InsureKidsNow.gov
 * HealthCare.gov
 * HHS.gov/Open


TOOLS

 * Acronyms
 * Archive
 * Contacts
 * Glossary


HELPFUL LINKS

 * Web Policies & Important Links
 * Careers
 * For Developers
 * Plain Language
 * Privacy Policy
 * Privacy Settings
 * Freedom of Information Act
 * No Fear Act
 * Nondiscrimination/Accessibility
 * HHS.gov
 * Inspector General
 * USA.gov
 * Help with file formats & plug-ins


RECEIVE EMAIL UPDATES

Enter your email address
 


CONNECT WITH CMS

 * Twitter link
 * Youtube link
 * Facebook link
 * Linkedin link
 * RSS Feed link