creditable prescription drug coverage
Defined in 1 place of the United States Code.
For purposes of this part, the term “creditable prescription drug coverage” means any of the following coverage, but only if the coverage meets the requirement of paragraph (5):
(A) Coverage under a prescription drug plan or under an MA–PD plan.
(B) Coverage under a medicaid plan under subchapter XIX of this chapter or under a waiver under section 1315 of this title.
(C) Coverage under a group health plan, including a health benefits plan under chapter 89 of title 5 (commonly known as the Federal employees health benefits program), and a qualified retiree prescription drug plan (as defined in section 1395w–132(a)(2) of this title).
(D) Coverage under a State pharmaceutical assistance program described in section 1395w–133(b)(1) of this title.
(E) Coverage for veterans, and survivors and dependents of veterans, under chapter 17 of title 38.
(F) Coverage under a medicare supplemental policy under section 1395ss of this title that provides benefits for prescription drugs (whether or not such coverage conforms to the standards for packages of benefits under section 1395ss(p)(1) of this title).
(G) Coverage under chapter 55 of title 10.
(H) Such other coverage as the Secretary determines appropriate.
Source
- 2013–201642 U.S.C. § 1395WThe Public Health and Welfare · Premiums; late enrollment penalty · for purposes of this part
For purposes of this part, the term “creditable prescription drug coverage” means any of the following coverage, but only if the coverage meets the requirement of paragraph (5):
(A) Coverage under a prescription drug plan or under an MA–PD plan.
(B) Coverage under a medicaid plan under subchapter XIX or under a waiver under section 1315 of this title.
(C) Coverage under a group health plan, including a health benefits plan under chapter 89 of title 5 (commonly known as the Federal employees health benefits program), and a qualified retiree prescription drug plan (as defined in section 1395w–132(a)(2) of this title).
(D) Coverage under a State pharmaceutical assistance program described in section 1395w–133(b)(1) of this title.
(E) Coverage for veterans, and survivors and dependents of veterans, under chapter 17 of title 38.
(F) Coverage under a medicare supplemental policy under section 1395ss of this title that provides benefits for prescription drugs (whether or not such coverage conforms to the standards for packages of benefits under section 1395ss(p)(1) of this title).
(G) Coverage under chapter 55 of title 10.
(H) Such other coverage as the Secretary determines appropriate.
Source
- 2016–202242 U.S.C. § 1395WThe Public Health and Welfare · Premiums; late enrollment penalty · for purposes of this part
For purposes of this part, the term "creditable prescription drug coverage" means any of the following coverage, but only if the coverage meets the requirement of paragraph (5):
(A) Coverage under prescription drug plan or MA–PD plan
Coverage under a prescription drug plan or under an MA–PD plan.
(B) Medicaid
Coverage under a medicaid plan under subchapter XIX of this chapter or under a waiver under section 1315 of this title.
(C) Group health plan
Coverage under a group health plan, including a health benefits plan under chapter 89 of title 5 (commonly known as the Federal employees health benefits program), and a qualified retiree prescription drug plan (as defined in section 1395w–132(a)(2) of this title).
(D) State pharmaceutical assistance program
Coverage under a State pharmaceutical assistance program described in section 1395w–133(b)(1) of this title.
(E) Veterans' coverage of prescription drugs
Coverage for veterans, and survivors and dependents of veterans, under chapter 17 of title 38.
(F) Prescription drug coverage under medigap policies
Coverage under a medicare supplemental policy under section 1395ss of this title that provides benefits for prescription drugs (whether or not such coverage conforms to the standards for packages of benefits under section 1395ss(p)(1) of this title).
(G) Military coverage (including TRICARE)
Coverage under chapter 55 of title 10.
(H) Other coverage
Such other coverage as the Secretary determines appropriate.
Source
- 2003–201442 U.S.C. § 1395WThe Public Health and Welfare · Premiums; late enrollment penalty · for purposes of this part
For purposes of this part, the term "creditable prescription drug coverage" means any of the following coverage, but only if the coverage meets the requirement of paragraph (5):
(A) Coverage under prescription drug plan or MA–PD plan
Coverage under a prescription drug plan or under an MA–PD plan.
(B) Medicaid
Coverage under a medicaid plan under subchapter XIX or under a waiver under section 1315 of this title.
(C) Group health plan
Coverage under a group health plan, including a health benefits plan under chapter 89 of title 5 (commonly known as the Federal employees health benefits program), and a qualified retiree prescription drug plan (as defined in section 1395w–132(a)(2) of this title).
(D) State pharmaceutical assistance program
Coverage under a State pharmaceutical assistance program described in section 1395w–133(b)(1) of this title.
(E) Veterans' coverage of prescription drugs
Coverage for veterans, and survivors and dependents of veterans, under chapter 17 of title 38.
(F) Prescription drug coverage under medigap policies
Coverage under a medicare supplemental policy under section 1395ss of this title that provides benefits for prescription drugs (whether or not such coverage conforms to the standards for packages of benefits under section 1395ss(p)(1) of this title).
(G) Military coverage (including TRICARE)
Coverage under chapter 55 of title 10.
(H) Other coverage
Such other coverage as the Secretary determines appropriate.
Source
- 2016–present42 U.S.C. § 1395WThe Public Health and Welfare · Premiums; late enrollment penalty · for purposes of this part
The term "creditable prescription drug coverage" has the meaning given such term in section 1395w–113(b)(4) of this title.
Source
- 2003–present42 U.S.C. § 1395WThe Public Health and Welfare · Definitions; treatment of references to provisions in part C · for purposes of this part