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2008 Part D Template Materials

In This Article:

• ANOCs and EOCs
• Formulary Disclosures
• Pharmacy Directory
• Transition Notice

ANOCS and EOCs

Here are the template documents Part D plans must use to describe plan coverage for 2008.

Annual Notices of Change (ANOCs)
CMS has released final 2008 Annual Notices of Change (ANOCs) that Medicare Advantage and Part D plans must get to their 2007 members no later than October 31, 2007. The ANOC explains any plan structure, formulary and/or cost structure changes that the plan will implement in 2008. The ANOC is the starting point for the process of comparing and deciding about plan choices that every Medicare beneficiary should undertake this fall before the Annual Enrollment Period begins on November 15, 2007.

Here is the Prescription Drug Plan ANOC (64Kb Word file)

Here is the Medicare Advantage Plan with Part D coverage ANOC (68Kb Word file)

Here is the Medicare Advantage Only without Part D ANOC (49Kb Word file)

Evidence of Coverage (EOCs)
The Evidence of Coverage (EOC) is a very important document for all Part D members and Medicare Advantage plan members. The EOC is a lengthy document that lays out the actual terms of coverage under the plan. Plans must assure that 2008 members receive the 2008 Evidence of Coverage no later than the end of January 2008. Part D and Medicare Advantage plans are permitted by CMS to send a combined Evidence of Coverage-Annual Notice of Change (ANOC). Remember that the 2008 ANOC must be received no later than the end of October 2007.

CMS describes the 2008 Evidence of Coverage template documents in an August 17, 2007 Memorandum (73Kb PDF file).

You may find the EOCs specifically for use by Prescription Drug Plans and Medicare Advantage Plans with and without Part D linked from the CMS Web site here.

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Model Formulary Disclosures

Abbreviated and comprehensive formulary lists are among the material Part D plans must make available to plan members and Medicare beneficiaries contemplating enrollment . You can find the CMS templates for Part D plans to use for their formulary list documents for 2008 here.

Abridged Formulary Template (81Kb Word file)

Comprehensive Formulary Template, linked from the CMS Web Site.

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Model Pharmacy Directory

CMS has released a template pharmacy directory (63Kb Word file) for Part D plans to use.

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Model Transition Notice

CMS has also released the model transition notice (34Kb Word file) that Part D plans must mail to new members within three days of when they fill a prescription for a medication that is not on the plan formulary or that is subject to utilization management requirements, such as prior approval or step therapy.

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