Notice of Creditable Coverage for Medicare Retirees Base PPO Plan (70/30)

The Medicare Modernization Act of 2006 requires group health plan sponsors that offer prescription drug coverage, such as the State Health Plan, to notify Medicare-eligible plan participants (employees and dependents) as to whether their prescription drug coverage is creditable coverage.

Creditable coverage means coverage that is expected to pay on average at least as much as the standard Medicare Part D prescription drug coverage under Centers for Medicare and Medicaid Services (CMS) regulations.  The Enhanced PPO Plan (80/20) and Base PPO Plan (70/30), which include pharmacy benefits with the State Health Plan, are considered creditable coverage.  Please click the links below to review the Notice of Creditable Coverage cover letter and notice.

Notice of Creditable Coverage - Cover Letter & Notice