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Creditable Coverage Notice for 2025 and 2026 Small Group Prescription Drug Designs Now Available
We're providing an update regarding the creditable coverage status for our 2025 and 2026 small group prescription drug plans. This information is crucial for employers to comply with Medicare Part D disclosure requirements.
What do I need to know?
Highmark has determined the creditable coverage status for all 2025 and 2026 ACA and grandmothered small group prescription drug plans.
For 2026, all plans across these markets are expected to qualify as "creditable coverage" except for one specific plan in West Virginia.
For 2025, while most plans qualify as "creditable coverage," there are specific exceptions in each region. Use the Non-Creditable Plans links below for each region.
List of Non-Creditable Plans by region:
Group Administrators may provide the below notice(s) to employees who need the creditable coverage or non-creditable coverage notification.
Creditable Coverage Notices
Non-Creditable Coverage Notices
What do I need to do?
Provide this information to your small group clients.
Questions?
Contact your small group Client Manager with questions. For large group client inquiries, contact your large group Client Manager for help determining creditability.
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