Medicare – Part D Drug Coverage

Medicare allows enrollment in only one Medicare Part D or Medicare Advantage Plan. EUTF Medicare Part D and Medicare Advantage plan options include:

  • Medicare Part D prescription drug plan administered by SilverScript
  • EUTF or HSTA VB Kaiser Permanente Senior Advantage Medical and Prescription Drug Plan (includes Medicare Part D)

If you or your covered dependent(s) are enrolled in Medicare Part B and enrolled in the EUTF or HSTA VB retiree CVS prescription drug plan, you will automatically be enrolled in the Medicare Part D prescription drug plan administered by SilverScript.

If you or your covered dependent(s) are enrolled in Medicare Part B and enrolled in the EUTF or HSTA VB retiree Kaiser medical and prescription drug plan, you will be mailed a Kaiser Permanente Senior Advantage enrollment kit and you must enroll in the EUTF Kaiser Permanente Senior Advantage Plan (unless you live in Kauai, Molokai, Lanai and parts of Hawaii Island which include Pahala, Naalehu and Hawaii Volcanoes National Park). Upon completion and submission of the enrollment kit, Kaiser will automatically enroll you into Kaiser Permanente Senior Advantage including the Medicare Part D plan. Failure to enroll into the Kaiser Permanente Senior Advantage Plan will result in cancellation of your EUTF medical and prescription drug plan.

If in the future you enroll in a non-EUTF Medicare Part D or Medicare Advantage plan, you will be disenrolled from EUTF’s Medicare Part D plans, including Kaiser Permanente Senior Advantage. CMS may assess a Medicare Part D premium:

  • If your modified adjusted gross income is above a certain amount, also referred to as the Part D income-related monthly adjustment amount (Part D-IRMAA)
  • If you do not enroll in Medicare Part D when you first become eligible, a late enrollment penalty may be assessed. The EUTF does not reimburse Medicare Part D premiums or penalties.

Medigap & Other Medicare Advantage and Prescription Drug Plans

The EUTF or HSTA VB retiree medical and/or prescription drug plans cover many of the same benefits as a Medigap policy. Therefore, careful consideration should be taken before you enroll in a Medigap plan as enrollment in a non-EUTF Medigap or any other Medicare Advantage and Medicare Part D prescription drug plan may jeopardize your enrollment in an EUTF or HSTA VB retiree medical and/or prescription drug plan.

Notice of Creditable Coverage

The EUTF is required by law to notify you regarding your rights to the Medicare Part D prescription drug coverage. If you are enrolled in an EUTF or HSTA VB prescription drug plan, your prescription drug benefits are as good as or better than the standard Medicare Part D drug benefits. Medicare will not penalize you if you decide to enroll in a Medicare Part D plan in the future because the prescription drug coverage you now have through the EUTF is creditable coverage.

If you decide to join a Medicare Part D plan, you should compare the different drugs that are available under your current plan with EUTF or HSTA VB and the alternative plans. Not all Medicare Part D plans cover the same drugs, nor require the same out-of-pocket cost.

The EUTF will enroll all Medicare participants enrolled in EUTF and HSTA VB prescription drug plans into the EUTF Medicare Part D prescription drug plan administered by SilverScript. This means that if you are a Medicare participant, you do not need to leave the EUTF or HSTA VB prescription drug plan and enroll in another Medicare Part D plan to obtain prescription drug benefits. Please contact the EUTF for information on the process involved.

If you are a Kaiser member and are enrolled in Medicare Parts A and B, you must enroll in Kaiser’s Senior Advantage plan (unless you live in Kauai, Molokai, Lanai and parts of Hawaii Island which include Pahala, Naalehu, and Hawaii Volcanoes National Park). Retiree and their eligible dependents will be required to complete a Kaiser Permanente Senior Advantage enrollment form and may contact Kaiser at 1-808-432-5955 or toll-free at 1-800-966-5955.