CP-2017-Expat-NH-Ben-Guide

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2017 EXPAT BENEFITS
GUIDE
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will continue to pay primary or secondary as it
had before you enrolled in a Medicare prescription
drug plan. If you waive or drop Chevron Phillips
Chemical coverage, Medicare will be your only
payer. You can re-enroll in the Chevron Phillip
Chemical plan only during the annual benefits
enrollment period or if you have a Special
Enrollment event for the Chevron Phillips
Chemical plan.
You should know that if you waive or leave
coverage with Chevron Phillips Chemical and
you go 63 days or longer without creditable
prescription drug coverage (once your applicable
Medicare enrollment period ends), your monthly
Part D premium will go up at least 1% per month
for every month that you did not have creditable
coverage. For example, if you go 19 months
without coverage, your Medicare prescription drug
plan premium will always be at least 19% higher
than what most other people pay. You’ll have
to pay this higher premium as long as you have
Medicare prescription drug coverage. In addition,
you may have to wait until the following October
to enroll in Part D.
If you are no longer an active employee and you
and/or your spouse are over age 65, Chevron
Phillips Chemical no longer provides medical
plan coverage including prescription drug
coverage and you should enroll in Medicare
and a Medicare prescription drug plan.
For more information about this notice or
your current prescription drug coverage...
Contact the Chevron Phillips Benefits Service
Center at 1-800-446-1422, option 1. Note:
You’ll get this notice each year. You may receive
this notice at other times in the future — such as
before the next period you can enroll in Medicare
prescription drug coverage, if Chevron Phillips
Chemical’s coverage changes, or upon your
request.
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. Medicare participants
will get a copy of the handbook in the mail every
year from Medicare. You may also be contacted
directly by Medicare prescription drug plans.
Here’s how to get more information about
Medicare prescription drug plans:
• Visit for personalized help.
• Call your State Health Insurance Assistance
Program (see a copy of the Medicare & You
handbook for the telephone number).
• Call 1-800-MEDICARE (1-800-633-4227).
TTY users should call 1-877-486-2048.
For people with limited income and resources,
extra help paying for a Medicare prescription drug
plan is available. Information about this extra help
is available from the Social Security Administration
(SSA). For more information about this extra help,
visit SSA online at or call
1-800-772-1213 (TTY 1-800-325-0778).
Remember: Keep this creditable coverage notice.
If you enroll in a Medicare prescription drug
plan after your applicable Medicare enrollment
period ends, you may need to provide a copy of
this notice when you join a Part D plan to show
that you are not required to pay a higher Part D
premium amount.
For more information about this notice or your
prescription drug coverage, contact:
Chevron Phillips Chemical Company
Health Plan Administrator
10001 Six Pines Drive
The Woodlands, TX 77380
Phone: 832-813-4100