Medicare Part D catastrophic reimbursement – spouse/domestic partner coverage

Oct 1, 2009 2:46 PM

Currently, retirees who are covered by a Medicare Part D prescription drug program and have reached the annual 5 percent catastrophic coverage threshold receive a reimbursement from the Fund ($4,050 in out-of-pocket costs). This reimbursement covers the 5 percent out-of-pocket co-payments paid by the member who has reached the catastrophic portion of her or his coverage. Effective this calendar year (2008), the Fund will also reimburse the spouse/domestic partner of our members for their 5 percent co-payments. As was done in the past, claims should be submitted by the retiree during the month of January and reimbursement will be made shortly thereafter.