SB 946 Retiree Prescription Drug Coverage DBM Update

The Maryland General Assembly passed Senate Bill 946 in the 2019 Session. This bill provides the following in the event the outcome of Fitch v. State of Maryland is found in favor of the State.  If the court rules in favor of the plaintiffs, retirees keep their current benefits.​  PLEASE NOTE THAT THE EARLIEST THESE PLANS COULD BE IMPLEMENTED IS JANUARY 1, 2021.

​Maryland State Retiree Prescription Drug Coverage Program

  • Retired on or before 12/31/19
  • Must enroll in Medicare Part D
  • Reimbursement for out of pocket expenses over $1,500 for retiree only/$2,000 for retiree and family

Maryland State Retiree Catastrophic Prescription Drug Assistance Plan

  • Retirees who began State service on or before 6/30/11 and retired on or after 1/1/20
  • Must enroll in Medicare Part D
  • Reimbursement for out of pocket expenses once the individual reaches the catastrophic phase of Medicare Part D

Maryland State Retiree Life-Sustaining Prescription Drug Assistance Program

  • Applies automatically when the retiree is enrolled in either of the plans above
  • Certain prescriptions covered by State's employee prescription drug plan and not covered by Medicare

Retiring on or before December 31, 2019 will only impact what new program you qualify for; if the State prevails in Fitch v State of Maryland you will still have to enroll in Medicare Part D in order to have prescription coverage. Retiring on or before December 31, 2019 does NOT mean you get to keep the current retiree prescription plan.​

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