Notice of Creditable Coverage

Important Notice from the Retired Fire Officers and Active Family
Protection Plan about
Your Prescription Drug Coverage and Medicare

 

Dear Retiree:

You probably have heard about Medicare's prescription drug coverage, also known as Medicare Part D. The Medicare prescription drug coverage is available to everyone eligible for Medicare.

We're pleased to let you know that the coverage you have now – provided by the Retired Fire Officers or Active Family Protection Plans - is, on average, at least as good as standard Medicare Part D coverage. This is called creditable coverage.

 

This letter is your notice of creditable coverage. Be sure to read this notice carefully and keep it in a safe place where you can find it.

Below you will find some answers to questions you may have regarding creditable coverage and how it relates to Medicare Part D plans.

What do I need to do?

To stay with your current prescription drug coverage from Retired Fire Officers or Active Family Protection Plans , you don't have to do anything . Just keep using the coverage you have now. You can still use the same pharmacy network, you'll keep the same affordable copayments for your prescription drugs and you don't need to go through an enrollment process. You're already enrolled in your current plan, which provides you with coverage that is, on average, at least as good as that offered under Medicare Part D.

Why do I need to keep my notice of creditable coverage?

If you are satisfied with your prescription drug coverage from Retired Fire Officers or Active Family Protection Plans , just keep using it as you do now. Because your existing coverage is at least as good as standard Medicare prescription drug coverage, you can keep this coverage and not pay extra if you later decide to enroll in Medicare prescription drug coverage.

Remember, the coverage you have now through Retired Fire Officers or Active Family Protection Plans is creditable coverage. That is, your current coverage is , on average, at least as good as that offered by Medicare Part D.

 

What if I lose my notice of creditable coverage?

If you need another copy of your notice of creditable coverage, please call us at 1-212-376-8400. You may also write to us at:

UFOA Family Protection Plan—225 Broadway Suite 411 New York, NY 10007.

 

Do I have to enroll in a Medicare Part D plan now ?

No. You do not have to enroll in a Medicare Part D plan if you are satisfied with your current coverage. But you do have the option to enroll in one of the many Medicare Part D prescription drug plans from November 15, 2006 to December 31, 2006. If you choose to enroll in a Medicare Part D plan, the coverage will be available to you the first of the month after which you join.

What if I am enrolled in HIP, HIP/VIP, Aetna or another Medicare HMO with a Medicare Part D plan now ?

You do not have to enroll in a Medicare Part D plan because you will receive a creditable coverage notice from you Medicare HMO. But, if you choose to enroll in another Medicare Part D plan, you will lose your medical coverage also. Please pay careful attention to the information you receive from your Medicare HMO. Note: Those HIP/VIP enrollees who reach the prescription drug benefit cap should contact the UFOA Family Protection Plan.

If I decide to enroll in a Medicare plan but don't like it, can I go back to my old plan with the Retired Fire Officers or Active Family Protection Plans?

While it is possible that you will be able to return to the Retired Fire Officers or Active Family Protection Plan , if you are considering enrolling in a Medicare Part D prescription drug plan, check with the Family Protection Plan before you enroll. You cannot have both a Medicare Part D prescription drug plan and a different plan that provides you with creditable coverage, like this one, at the same time. It is important that you compare your current plan, including which drugs are covered, with the coverage and costs of Medicare Part D plans in your area.

What if I drop my coverage with Retired Fire Officers or Active Family Protection Plans but don't enroll in a Medicare Part D plan?

If you drop your current coverage but do not enroll in a prescription drug plan approved by Medicare after your current coverage ends, you will have to pay full price for your prescription drugs.

You may also have to pay more for Medicare prescription drug coverage later. If you go for 63 days or longer without coverage that is, on average, at least as good as Medicare's prescription drug coverage, your monthly premium under a Medicare plan will increase at least 1% for each month that you did not have coverage. This increase will be effective as long as you have Medicare prescription coverage.

For example, if you do not have coverage for 19 months before enrolling in Medicare prescription drug coverage, your premium with a Medicare plan will always be 19% higher than what you would have paid if you had enrolled at the appropriate time. Also, you may have to wait until the next November 15 to enroll.

 

If I keep my current coverage with Retired Fire Officers or Active Family Protection Plans, can I enroll in a Medicare Part D plan later?

Yes. You will have the opportunity to enroll in a Medicare Part D prescription drug plan every year from November 15 to December 31 or when you first become eligible for Medicare. However, if you decide you want to enroll in a Medicare Part D prescription drug plan after December 31, be sure you're covered under your current plan until your Medicare Part D coverage becomes effective. If you choose to enroll in a Medicare Part D plan without having creditable coverage with another plan like this one, you may have to pay an increased premium, as explained above.

 

How can I get more information?

You will receive a copy of the handbook “Medicare & You 2007” from Medicare. This book contains more detailed information about Medicare plans that offer prescription drug coverage and will be available October 2006.

If you would like more information, you can find it by:

  • Visiting www.medicare.gov .
  • Calling your State Health Insurance Assistance Program (see your copy of the “Medicare & You” handbook for their telephone number).
  • Calling 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

For people with limited income and resources, extra help paying for a Medicare prescription drug plan is available. For more information about this extra help, visit the Social Security Administration Web site at www.socialsecurity.gov , or call them at 1-800-772-1213. TTY users should call 1-800-325-0778. If you live in New York State, you may be eligible for coverage under the EPIC program. To get information about this program, call the EPIC Hotline at 1-800-332-3742.

Be sure to keep this notice. You may be asked for a copy of this notice if you enroll in one of the new prescription drug plans approved by Medicare. This notice will let your new plan know that you are not required to pay a higher premium amount.

 


Sincerely,

Peter L. Gorman
Chairman

Name of Entity/Sender:
Retired Fire Officers or Active Family Protection Plans
Contact—Position/Office: Michael Donovan
Address: 225 Broadway Suite 411, New York, NY 10007
Phone Number: 212-376-8400

 

 

 

 

 

 

 

Copyright © 1999-2006
Uniformed Fire Officers Association
225 Broadway, Suite 401, New York, N.Y. 10007

Send comments regarding site design to webmaster@ufoa.org