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Important Legal Notices Important Notice About Your Prescription Drug If you go 63 continuous days or longer without creditable Coverage and Medicare prescription drug coverage,your monthly premium may go up Please read this notice carefully and keep it where you can find by at least 1%of the Medicare base beneficiary premium per it. This notice has information about your current prescription month for every month that you did not have that coverage. drug coverage with School District of Indian River County and For example, if you go nineteen months without creditable about your options under Medicare's prescription drug coverage. coverage, your premium may consistently be at least 19% This information can help you decide whether or not you want to higher than the Medicare base beneficiary premium.You may join a Medicare drugplan. Ifyou are consideringjoining, have to pay this higher premium (a penalty) as long as you you have Medicare prescription drug coverage. In addition, you should compare your current coverage,including which drugs are covered at what cost, with the coverage and costs of the plans may have to wait until the following October to join. offering Medicare prescription drug coverage in your area. For More Information about This Notice or Your Current Information about where you can get help to make decisions Prescription Drug Coverage... about your prescription drug coverage is at the end of this notice. Contact Employee Benefits for further information. NOTE: You'll get this notice each year.You will also get it before the There are two important things you need to know about your next period you can join a Medicare drug plan, and if this current coverage and Medicare's prescription drug coverage: coverage through School District of Indian River County • Medicare prescription drug coverage became available in changes. You also may request a copy of this notice at any 2006 to everyone with Medicare.You can get this coverage time. if you join a Medicare Prescription Drug Plan or join a Medicare Advantage Plan (like an HMO or PPO) that offers For More Information about Your Options Under Medicare prescription drug coverage.All Medicare drug plans provide Prescription Drug Coverage... at least a standard level of coverage set by Medicare.Some More detailed information about Medicare plans that offer plans may also offer more coverage for a higher monthly prescription drug coverage is in the "Medicare & You" premium. handbook.You'll get a copy of the handbook in the mail every • School District of Indian River County has determined that year from Medicare. You may also be contacted directly by the prescription drug coverage offered through our medical Medicare drug plans. plans, is, on average for all plan participants, expected to For more information about Medicare prescription drug pay out as much as standard Medicare prescription drug coverage:Visit www.medicare.gov. coverage pays and is therefore considered Creditable Call your State Health Insurance Assistance Program (see the Coverage. Because your existing coverage is considered inside back cover of your copy of the "Medicare & You" Creditable Coverage,you can keep this coverage and not pay handbook for their telephone number)for personalized help a higher premium (a penalty) if you later decide to join a Call 800-MEDICARE (800.633.4227). TTY users should call Medicare drug plan. 877.486.2048. If you have limited income and resources,extra help paying for When Can You Join a Medicare Drug Plan? Medicare prescription drug coverage is available. For You can join a Medicare drug plan when you first become eligible information about this extra help, visit Social Security on the for Medicare and each year from October 15 to December 7. web at www.socialsecurity.gov, or call them at 800.772.1213 However, if you lose your current creditable prescription drug (TTY 800.325.0778). coverage,through no fault of your own, you will also be eligible Remember: Keep this Creditable Coverage notice. If you for a two (2) month Special Enrollment Period (SEP) to join a decide to join one of the Medicare drug plans, you may be Medicare drug plan. required to provide a copy of this notice when you join to show whether or not you have maintained creditable coverage What Happens to Your Current Coverage If You Decide to Join a and, therefore, whether or not you are required to pay a Medicare Drug Plan? higher premium(a penalty). If you decide to join a Medicare drug plan, your current School District of Indian River County will not be affected. If you do Date:October 2020 decide to join a Medicare drug plan and drop your current School Name of Entity/Sender:School District of Indian River County District of Indian River County coverage, be aware that you and Contact-Position/Office: Employee Benefits Department your dependents may not be able to get this coverage back. Address:6500 57th Street,Vero Beach,FL 32967 Phone Number:772-564-3175 When Will You Pay a Higher Premium (Penalty) to Join a Medicare Drug Plan? You should also know that if you drop or lose your current coverage with School District of Indian River County and don't join a Medicare drug plan within 63 continuous days after your current coverage ends, you may pay a higher premium (a penalty)to join a Medicare drug plan later. 66 31