Creditable Coverage Reporting

Each year, group health plan sponsors that provide prescription drug coverage to Medicare eligible individuals must disclose whether that coverage is "creditable," meaning it is expected to pay on average as much as the standard Medicare prescription drug plan.

Deadlines for Disclosure:

  • To Medicare Eligible Individuals: Annually by October 15th
  • To CMS: No later than 60 days from the beginning of each plan year

If you want to learn more about Creditable Coverage Reporting, please  click here to watch the newest episode of our "Compliance Minute" video series. This short video will provide a brief and useful overview on Creditable Coverage reporting.

Click here to download the slides from the video. You can also download CMS's Model Disclosure Notice here,and their detailed instructions (with screenshots) for online reporting here.