Employer Group Waiver Plans (EGWPs)
Guidance for Employer Group Waiver Plans (EGWPs) with information on EGWP coverage under Medicare Parts C and D. Chapter 12 of the Prescription Drug Benefit Manual covers EGWPs from a Part D perspective; for comparable Part C information please consult Chapter 9 of the Managed Care Manual (MCM). It also includes an October 29, 2008 list of Part D waivers, as well as memos discussing additional waivers.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 16, 2020
This page provides important information on Employer Group Waiver Plan (EGWP) coverage under Medicare Parts C and D. Chapter 12 of the Prescription Drug Benefit Manual covers EGWPs from a Part D perspective; for comparable Part C information please consult Chapter 9 of the Managed Care Manual (MCM).
EGWPs are expected to follow all Parts C and D requirements except those that are explicitly waived. Below we provide an October 29, 2008 list of Part D waivers, as well as memos discussing additional waivers. For a list of waivers related to Part C, please see Appendix 2 to Chapter 9 of the MCM.
Please check back, as we will continue to update this page.
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