Each year, under the Medicare Modernization Act, issuers in the individual market and group health plans that provide prescription drug coverage to Medicare Part D eligible individuals are required to disclose whether the drug coverage is creditable or non-creditable as compared to Medicare Part D drug coverage. Disclosure of the drug plan’s creditable coverage status must be provided to the eligible individuals (active, retiree or dependent) covered by the drug plan and the Centers for Medicare and Medicaid Services (CMS).

Individual and Family Plans
Letters regarding the plan’s creditable coverage status are mailed to eligible members in the individual market, and the account notifications outlined below are completed ahead of the Medicare open enrollment period that starts on October 15th each year

Groups with 200+ subscribers
In mid-September, CareFirst will begin to notify accounts with 200+ subscribers about the creditable coverage status of their current drug product(s) in comparison to the new standard Medicare Prescription Drug Plan that will be effective on January 1st .

Groups with 1-199 subscribers
Please note that CareFirst will not send creditable coverage status notifications to accounts with fewer than 200 subscribers. If you wish to provide a group with their status, visit CareFirst's Quick Links for pharmacy plan charts.