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Medigap Creditable Coverage Guidance

Guidance for Medigap issuers on notifying policyholders regarding creditable coverage status

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: July 17, 2020

Creditable Coverage and Medicare Supplement (Medigap) Insurance

The MMA requires Medigap issuers, whose policies include prescription drug coverage, to notify policyholders whether their drug coverage is or is not creditable coverage.  This page provides a Medigap guidance document relating to Creditable Coverage.  Medigap policies and model notices are located in the "Archives - Creditable Coverage Guidance and Notices" page.  The link for that page as well as the "Disclosure to CMS Form" and "Creditable Coverage Overview" pages are located in the left hand column.

 

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.