HEALTH PLAN NOTICES When Will You Pay A Higher Premium (Penalty) To Join A Medicare Drug For More Information About Your Options Under Medicare Prescription Plan? Drug Coverage… You should also know that if you drop or lose your current coverage and More detailed information about Medicare plans that offer prescription don’t join a Medicare drug plan within 63 continuous days after your drug coverage is in the “Medicare & You” handbook. You’ll get a copy of current coverage ends, you may pay a higher premium (a penalty) to the handbook in the mail every year from Medicare. You may also be join a Medicare drug plan later. contacted directly by Medicare drug plans. If you go 63 continuous days or longer without creditable prescription For more information about Medicare prescription drug coverage: drug coverage, your monthly premium may go up by at least 1% of the • Visit www.medicare.gov Medicare base beneficiary premium per month for every month that • Call your State Health Insurance Assistance Program (see the inside you did not have that coverage. For example, if you go nineteen back cover of your copy of the “Medicare & You” handbook for their months without creditable coverage, your premium may consistently telephone number) for personalized help be at least 19% higher than the Medicare base beneficiary premium. You may have to pay this higher premium (a penalty) as long as you • Call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877- have Medicare prescription drug coverage. In addition, you may have to 486-2048. wait until the following October to join. If you have limited income and resources, extra help paying for Medicare For More Information About This Notice Or Your Current Prescription prescription drug coverage is available. For information about this extra Drug Coverage… help, visit Social Security on the web at www.socialsecurity.gov, or call Contact the plan administrator for further information. them at 1-800-772-1213 (TTY 1-800-325-0778).