Creditable Coverage Information
Medicare Part D Creditable Coverage Information:
- Creditable/Non-creditable Pharmacy Plans for Oregon-Domiciled Employer Groups (PDF 78kb)
- Creditable/Non-creditable Pharmacy Plans for Washington-Domiciled Employer Groups (PDF 90kb)
- Model Beneficiary Creditable Coverage Disclosure (PDF 205kb)
- Model Beneficiary Creditable Coverage Disclosure - Spanish (PDF 158kb)
- Model Beneficiary Non-Creditable Coverage Disclosure (PDF 205kb)
- Model Beneficiary Non-Creditable Coverage Disclosure - Spanish (PDF 146kb)
- Model Beneficiary Personalized Disclosure (PDF 200kb)
- Model Beneficiary Personalized Disclosure - Spanish (PDF 160kb)
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