Prescription drug plan coverage is available to everyone with Medicare. All Medicare prescription drug plans provide at least a standard level of coverage set by Medicare.

Creditable Coverage

The University of California has determined that the prescription drug coverage offered in UC Medicare PPO, UC High Option Supplement to Medicare, Health Net Seniority Plus, Kaiser Permanente Senior Advantage, UC Health Savings Plan, Core, Health Net Blue & Gold, Kaiser Permanente, UC Care and Western Health Advantage is considered Creditable Coverage. This means the prescription drug coverage in these plans is expected to pay on average at least as much as standard Medicare prescription drug coverage.

Non-Creditable Coverage

The University of California has determined that the UC Medicare PPO Plan Without Prescription Drugs Plan is not considered Creditable Coverage. This plan has no prescription drug coverage.

The Medicare Modernization Act imposes a late enrollment penalty on individuals who do not maintain “Creditable Coverage” for a period of 63 days or longer following their initial enrollment period for the Medicare Part D prescription drug benefit. The penalty will not become effective if the individual is still working and enrolled in the employer’s group health plan.

Medicare Part D Prescription Drug Formulary

Each health plan has its own preferred list of Food and Drug Administration-approved generic and brand name drugs, called a prescription drug formulary. Medicare determines the classes of drugs that must be included in a Medicare Part D plan but the list of individual drugs may vary in each health plan formulary, and may change during the year because drug therapies change, new drugs are released, new medical information becomes available or as a result of Medicare Part D requirements. Call your health plan or check their website for formulary details.

Non-UC Prescription Drug Plans

The annual Coordinated Election Period (ACEP) for Medicare Part D drug plans is from October 15 to December 7. You will only be able to join, and get coverage under one Medicare drug plan at a time. If you enroll in a non-UC Medicare prescription drug plan, you cannot continue to be covered in a UC-sponsored medical plan that has a Medicare Part D drug benefit. Before signing up for a non-UC sponsored Medicare Part D plan, please call the UC Retirement Administration Service Center (RASC) at 1-800-888-8267 (in U.S), or 1-510-987-0200 (from outside the U.S.), Monday–Friday, 8:30 a.m. – 4:30 p.m. PT, with any questions. Fax: 1-800-792-5178.