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Federal / Medicare

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1. What is TEFRA ?
What is MSP (Medicare Secondary Payer) ?
2. What employers or plans are subject to TEFRA or MSP (Medicare Secondary Payer) rules ?
3. How does TEFRA or the MSP (Medicare Secondary Payer) rules affect Medicare eligible employees ?
4. What about someone on Medicare / Social Security due to disability
5. What about employers with less than 20 employees or who have not had 20 for at least 20 weeks in the preceding or current calendar year (those not subject to TEFRA)  ?
6. What is the downside of not properly categorizing a group as MSP (Medicare Secondary Payer) ?
7. Do the same rules apply for covered spouse of an employee or domestic partners who become Medicare eligible  in a plan subject to TEFRA/ MSP?
8. What is the cost of Medicare Part A, B and D ?
9. What is Data Match and what are the obligations of an employer that receives a Data Match questionnaire?
10. What is Medicare Part D ?
11. What is the True out of pocket (TrOOP) in the context of Medicare Part D ?
12. What is the Annual Enrollment period for Medicare Part D ?
13. What are the penalties for late enrollment ?
14. What is the definition of "creditable coverage" for Medicare Part D ?
15. What if I can't afford to pay for Medicare Part D ?
16. What if the individual has prescription drug coverage from an employer or union ?
17. Is a subsidy available to employers and unions for the purpose of maintaining prescription drug coverage for retirees ?
18. Do Medicare prescription plans  work with all types of Medicare health plans ?
19. What if the member has prescription drug coverage from a Medigap (Supplemental Insurance) Policy ?
20. Who may be a Prescription Drug Plan (PDP Sponsor) for Medicare Part D Drug coverage ?
21. What drug categories must be covered and which are excluded with Medicare Part D ?
22. Are there cost containment features in place with Medicare Part D ?
23. Where can I obtain further information ?

Related Information

Please refer to the following documents for additional information:




1. What is TEFRA ?
What is MSP (Medicare Secondary Payer) ?
You are not authorized to view this answer. To gain access to this content, Please click here.
2. What employers or plans are subject to TEFRA or MSP (Medicare Secondary Payer) rules ?
You are not authorized to view this answer. To gain access to this content, Please click here.
3. How does TEFRA or the MSP (Medicare Secondary Payer) rules affect Medicare eligible employees ?
You are not authorized to view this answer. To gain access to this content, Please click here.
4. What about someone on Medicare / Social Security due to disability
You are not authorized to view this answer. To gain access to this content, Please click here.
5. What about employers with less than 20 employees or who have not had 20 for at least 20 weeks in the preceding or current calendar year (those not subject to TEFRA)  ?
You are not authorized to view this answer. To gain access to this content, Please click here.
6. What is the downside of not properly categorizing a group as MSP (Medicare Secondary Payer) ?
You are not authorized to view this answer. To gain access to this content, Please click here.
7. Do the same rules apply for covered spouse of an employee or domestic partners who become Medicare eligible  in a plan subject to TEFRA/ MSP?
You are not authorized to view this answer. To gain access to this content, Please click here.
8. What is the cost of Medicare Part A, B and D ?
You are not authorized to view this answer. To gain access to this content, Please click here.
9. What is Data Match and what are the obligations of an employer that receives a Data Match questionnaire?
You are not authorized to view this answer. To gain access to this content, Please click here.
10. What is Medicare Part D ?
You are not authorized to view this answer. To gain access to this content, Please click here.
11. What is the True out of pocket (TrOOP) in the context of Medicare Part D ?
You are not authorized to view this answer. To gain access to this content, Please click here.
12. What is the Annual Enrollment period for Medicare Part D ?
You are not authorized to view this answer. To gain access to this content, Please click here.
13. What are the penalties for late enrollment ?
You are not authorized to view this answer. To gain access to this content, Please click here.
14. What is the definition of "creditable coverage" for Medicare Part D ?
You are not authorized to view this answer. To gain access to this content, Please click here.
15. What if I can't afford to pay for Medicare Part D ?
You are not authorized to view this answer. To gain access to this content, Please click here.
16. What if the individual has prescription drug coverage from an employer or union ?
You are not authorized to view this answer. To gain access to this content, Please click here.
17. Is a subsidy available to employers and unions for the purpose of maintaining prescription drug coverage for retirees ?
You are not authorized to view this answer. To gain access to this content, Please click here.
18. Do Medicare prescription plans  work with all types of Medicare health plans ?
You are not authorized to view this answer. To gain access to this content, Please click here.
19. What if the member has prescription drug coverage from a Medigap (Supplemental Insurance) Policy ?
You are not authorized to view this answer. To gain access to this content, Please click here.
20. Who may be a Prescription Drug Plan (PDP Sponsor) for Medicare Part D Drug coverage ?
You are not authorized to view this answer. To gain access to this content, Please click here.
21. What drug categories must be covered and which are excluded with Medicare Part D ?
You are not authorized to view this answer. To gain access to this content, Please click here.
22. Are there cost containment features in place with Medicare Part D ?
You are not authorized to view this answer. To gain access to this content, Please click here.
23. Where can I obtain further information ?
You are not authorized to view this answer. To gain access to this content, Please click here.