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\nDisclaimer .................................. 5  \nState Health Plan’s grandfathered status ........ 5  \nNotice of non-discrimination .................. 5  \nLanguage assistance ......................... 6  \nWhen you or a covered dependent becomes eligible for Medicare  ........................7  \nSigning up for Medicare Parts A and B .......... 8  \nWhat happens when you turn down Part B ...... 8  \nAutomatic enrollment in PEBA’s Medicare Supplemental Plan ........................... 8  \nMoving to prescription drug coverage with Express Scripts Medicare ..................... 9  \nYour insurance cards ......................... 9  \nCoverage in active employment situations...... 10  \nMedicare at age 65 for active employees ... 10  \nWorking in an insurance-eligible job after retirement.............................. 10  \nRetirees hired in an insurance-eligible job who continued life insurance.............. 11  \nCoverage in retirement situations ............. 11  \nEligible retirees who turn age 65 ........... 11  \nIneligible retirees who turn age 65 ......... 11  \nRetirees who leave active employment after age 65............................. 11  \nIneligible retirees whose spouses or children are eligible for Medicare .......... 12  \nCoverage in disability situations............... 12  \nBefore age 65 ........................... 12  \nEnd-stage renal disease .................. 12  \nYour health insurance options with Medicare  .................................14  \nHow the Medicare Supplemental Plan and Carve-out Plan coordinate with Medicare ...... 15  \nMedicare assignment .................... 15  \nHow the Medicare Supplemental Plan coordinates with Medicare................ 16  \nHow the Carve-out Plan coordinates with Medicare ............................... 16  \nHow PEBA health plans coordinate with Medicare Parts A and B ...................... 17  \nMedicare Supplemental Plan coverage......... 17  \nMedicare deductibles and coinsurance ..... 18  \nMedicare Supplemental Plan deductibles and coinsurance ........................ 18  \nPreauthorization ........................ 18  \nFiling claims for covered family members who are not eligible for Medicare .......... 18  \nHealth insurance coverage overseas ....... 18  \nServices covered by the Medicare Supplemental Plan ...................... 19  \nCarve-out Plan coverage ..................... 21  \nPreauthorization ........................ 21  \nHow State Health Plan services work with Medicare .................................. 21  \nHospital admissions ..................... 21  \nOutpatient facility services ................ 21  \nMammography benefit ................... 21  \nMaternity management and well-child care benefits ................................ 22  \nPap test benefit ......................... 22  \nPrescription drug coverage ............... 22  \nInsurance Coverage for the Medicare-eligible Member 3  \nSelf-administered medications during anoutpatient hospital observation stay ....... 22  \nTransplant contracting arrangements ...... 22  \nUsing Express Scripts Medicare for prescription drug coverage................... 23  \nPharmacy network ...................... 23  \nNo pay-the-difference policy for medication ............................. 23  \nMedication Therapy Management ......... 23  \nLow-income subsidies.................... 23  \nIncome-Related Monthly Adjustment Amounts (IRMAA) ........................ 24  \nMore information ....................... 24  \nImmunization benefits available through Medicare or Express Scripts Medicare ......... 24  \nFiling claims as a retiree with Medicare ........ 24  \nClaims filed in South Carolina ............. 24  \nClaims filed outside South Carolina ........ 24  \nIf Medicare denies your claim as a State Health Plan member ..................... 25  \nHow Medicare works with other forms of PEBA cove","cbCaiaCjASGMp6eI","https://ap.wps.com/l/cbCaiaCjASGMp6eI","pdf",1101788,44,"English","# Table of contents\n## Tell us what you think\n## Disclaimer\n## State Health Plan’s grandfathered status\n## Notice of non-discrimination\n## Language assistance\n## When you or a covered dependent becomes eligible for Medicare\n## Signing up for Medicare Parts A and B\n## What happens when you turn down Part B\n## Automatic enrollment in PEBA’s Medicare Supplemental Plan\n## Moving to prescription drug coverage with Express Scripts Medicare\n## Your insurance cards\n## Coverage in active employment situations\n## Your health insurance options with Medicare\n## How the Medicare Supplemental Plan and Carve-out Plan coordinate with Medicare\n## Services covered by the Medicare Supplemental Plan\n## Carve-out Plan coverage\n## Using Express Scripts Medicare for prescription drug coverage\n## Filing claims as a retiree with Medicare\n## Medicare Part D: frequently asked questions\n## Comparison of health plans and premiums","[{\"question\":\"How is prescription drug coverage handled with Express 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