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Reference
Appendix and Legal Notices
current health and prescription drug benefits if you
choose to enroll in a Medicare prescription drug plan.
If you drop or lose your coverage with the Aflac Employee
Health Plan and have a break in Creditable Coverage
of 63 days or more before enrolling in a Medicare
prescription drug plan, you may pay more to enroll in
Medicare prescription drug coverage later. If you go
63 days or longer without prescription drug coverage
that’s at least as good as Medicare’s prescription drug
coverage, your monthly premium will go up at by least 1
percent of the Medicare base beneficiary premium per
month for every month you didn’t have that coverage.
For example, if you go 19 months without coverage,
your premium will always be at least 19 percent higher
than the Medicare base premium. You’ll have to pay this
higher premium as long as you have Medicare coverage.
In addition, you may have to wait until the following
October to enroll.
For more information about this notice or your current
prescription drug coverage, call the Benefits Department
at 706-317-0770. Note: You will be provided this notice
each year, and may request a copy at any time.
More detailed information about Medicare plans offering
prescription drug coverage is available in the Medicare &
You handbook. Call the number below to get a copy of
the handbook in the mail from Medicare. You may also be
contacted directly by Medicare prescription drug plans.
More information about Medicare prescription drug plans
is available by:
• Visiting
,
where you can receive
personalized help.
• Calling your State Health Insurance Assistance
Program (see your copy of the Medicare & You
handbook for the telephone number). Or, call
Medicare to request the number at 800-MEDICARE
(800-633-4227).
• Calling 800-MEDICARE (800-633-4227). TTY users
should dial 877-486-2048.
• For those with limited income and resources, extra help
is available to pay for the Medicare prescription drug
plan. For more information, visit the Social Security
Administration website at
or
call 800-772-1213 (TTY 800-325-0778).
Remember:
Keep your copy of this benefits guide on
hand, as this section titled Important Notice About Your
Prescription Drug Coverage and Medicare serves as
your Creditable Coverage notice. If you are enrolled in
the Aflac Employee Health Plan and in one of the plans
approved by Medicare that offers prescription drug
coverage, you may need to provide a copy of this notice
when you join the plan providing Medicare prescription
drug coverage to show that you aren’t required to pay a
higher premium amount.
Date:
Nov. 1, 2013
Name of Entity/Sender:
Aflac Employee Health Plan
Contact—Position/Office:
Benefits Manager
Human Resources Division
P.O. Box 5248,
Columbus, GA 31906-0248
Phone Number:
706-317-0770
