2024 Evidence of Coverage for WA PEBB Kaiser Permanente Senior Advantage 13 Chapter 1: Getting started as a member are received by the PEBB Program after the date PEBB retiree insurance coverage is to begin, the subscriber and their enrolled dependents will be enrolled in another Kaiser Permanente NW plan during the gap month(s) prior to when the Kaiser Permanente NW Senior Advantage plan begins. Dependent enrollment To enroll an eligible dependent, the subscriber must include the dependent's information online using Benefits 24/7 (once available) or on the applicable enrollment form and provide the required document(s) as proof of the dependent's eligibility. The dependent will not be enrolled in PEBB health plan coverage if the PEBB Program is unable to verify their eligibility within the PEBB Program enrollment timelines. Dependents who are enrolled in medical coverage must be enrolled in the same PEBB medical plan as the retiree or survivor. Exception: If a retiree or a survivor selects the Kaiser Permanente NW Senior Advantage plan, non-Medicare enrollees will be enrolled in the Kaiser Permanente NW Classic plan. A retiree or a survivor may also enroll an eligible dependent during the PEBB Program's annual open enrollment or during a special open enrollment. See "Making changes" later in this section. Medicare eligibility and enrollment Medicare Part A and Part B If a subscriber or their enrolled dependent becomes eligible for Medicare, they should contact the Social Security Administration to ask about Medicare enrollment. Any enrollee who is eligible for Medicare must enroll and stay enrolled in Medicare Part A and Part B to continue enrollment in a PEBB retiree health plan. In most cases, Medicare will become the primary insurance coverage and the PEBB retiree medical plan will become the secondary insurance coverage. A subscriber must provide a copy of their or their dependent's Medicare card or entitlement letter from the Social Security Administration with effective dates by uploading it online using Benefits 24/7 (once available) or providing it to the PEBB Program. If a subscriber or their dependent is not enrolled in either Medicare Part A or Part B on their 65th birthday, the subscriber must upload or provide a copy of the denial letter from the Social Security Administration. If this procedural requirement is not met, eligibility will end as described in the termination notice sent by the PEBB Program. The only exception to this rule is for an employee or school employee who retired on or before July 1, 1991. Medicare Part D The PEBB Program has determined that this medical plan has prescription drug coverage that is, on average, as good as or better than the standard Medicare Part D prescription drug coverage (it is "creditable coverage"). Therefore, a subscriber or their enrolled dependent cannot enroll in a Medicare Part D plan and stay in this medical plan. If the subscriber terminates this medical plan, they may contact the PEBB Program to request a certificate of creditable coverage. If creditable prescription drug coverage is not maintained, Medicare Part D premiums may be higher in the future. 1-877-221-8221 (TTY 711), 7 days a week, 8 a.m. to 8 p.m.