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As you know, Medicare Part D goes into effect January 1, 2006. Part D plans are optional benefits that must be purchased by either the member or the employer on the member's behalf. If your group plan provides prescription drug benefits to Medicare beneficiaries, you must inform these members whether or not their coverage is creditable in other words, coverage that is equal to or better than the base Medicare Part D drug benefits. Subsidy The employer provides retirees with drug coverage that is equal to or better than Medicare's standard Part D benefit. The employer may file for reimbursement of 28 percent of eligible retiree drug expense taxfree subsidy ; . Employers must submit prescription drug claim usage reports for each individual in order to receive subsidy reimbursement and, in order to claim the subsidy, Medicare-eligible retirees cannot enroll in a Part D plan. Waiver Insurance carriers and employers can apply to CMS to be designated a Medicare Prescription Drug Plan PDP ; and request a waiver to provide Part D plans. Blue Cross Blue Shield of Missouri will be offering Medicare Part D Waiver plans through a contract recently awarded to one of our affiliated companies by CMS. Waiver plans will combine Medicare Part D benefits with enriched benefits to reflect the group's plan design. An employer that applies directly to CMS to become a PDP and offer a waiver plan could contract with their existing pharmacy benefits manager or health plan insurance carrier to administer the plan. Discontinue drug coverage An employer can choose not to offer drug coverage to its Medicare-eligible members. Initially, Blue Cross Blue Shield of Missouri will offer the Wrap, Subsidy and Waiver options to groups of 100 or more and zanaflex.

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