NOTICE OF CREDITABLE COVERAGE ( CONTINUED )
For More Information About Your Options Under Medicare Prescription Drug Coverage …
More detailed information about Medicare plans that offer prescription drug coverage is in the “ Medicare & You ” handbook . You ’ ll get a copy of the handbook in the mail every year from Medicare . You may also be contacted directly by Medicare drug plans .
For more information about Medicare prescription drug coverage :
� Visit www . medicare . gov
� Call your State Health Insurance Assistance Program ( see the inside back cover of your copy of the “ Medicare & You ” handbook for their telephone number ) for personalized help
� Call 1-800-MEDICARE ( 1-800-633-4227 ). TTY users should call 1-877-486-2048 .
If you have limited income and resources , extra help paying for Medicare prescription drug coverage is available . For information about this extra help , visit Social Security on the web at www . socialsecurity . gov , or call them at 1-800-772-1213 ( TTY 1-800-325-0778 ).
Remember : Keep this Creditable Coverage Notice . If you decide to join one of the Medicare drug plans , you may be required to provide a copy of this notice when you join to show whether or not you have maintained creditable coverage and , therefore , whether or not you are required to pay a higher premium ( a penalty ).
Date : Name of Entity / Sender : Contact — Position / Office : Office Address :
Phone Number :
January 01 , 2024 The Suquamish Tribe Lori Crowell - Human Resources 18490 Suquamish Way Ne Suquamish , Washington 98392-9532 United States 360.394.8635
Prepared by Gallagher for the Employees of The Suquamish Tribe 27