Creditable coverage refers to prescription drug plans that are expected to pay, on average, as much as Medicare’s standard Part D plan. If a plan is deemed creditable, Medicare-eligible individuals can delay enrolling in Part D without facing a late enrollment penalty.

Determining whether a plan is creditable requires comparing your current drug coverage against the federal Part D standard—using actuarial data, cost-sharing structures, and benefit limits. Even slight differences in plan design can change the outcome.

That’s why many brokers, employers, and TPAs struggle with this requirement each year. And why we started creditable—to make this complex process simple, fast, and fully compliant.

At creditable, we simplify the complex world of Medicare Part D creditability determinations. Our innovative platform empowers you to quickly and accurately assess whether your client’s prescription drug plans meet the standards set by CMS. Our platform automates the time-consuming actuarial analysis, saving hours of manual work and reducing the need for third-party reviews.

Regardless of firm size, our solution ensures compliance while helping you provide added value to your clients. Get ready to streamline your workflow, minimize compliance risks, and focus more on what you do best— serving your clients.

Curious to learn more? Discover how our platform can revolutionize your process today.