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Employer Benefits IQ
Compliance

Creditable Coverage

Prior health coverage that counts toward satisfying waiting periods or Medicare Part D requirements.

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Full Definition

Creditable coverage has two distinct meanings in health benefits. Under HIPAA, it refers to prior health coverage that reduces or eliminates pre-existing condition waiting periods. Under Medicare Part D, it refers to prescription drug coverage that is at least as good as Medicare's standard benefit — employers must notify Medicare-eligible employees annually whether their drug coverage is creditable.