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CTPF 2027 MEDICARE HEALTH INSURANCE HANDBOOK
Health Insurance Premium
CTPF retirees whose final teaching service was with the 
Chicago Public, Charter, or Contract Schools may qualify 
for a partial subsidy of their insurance premiums. 
A member receiving a survivor's pension may also
qualify for a subsidy. 
The amount CTPF can spend on annuitant health 
insurance is limited by state law. Each year, the CTPF 
Board of Trustees sets a premium subsidy amount. The 
subsidy for plan year 2027 is 55% of the total premium 
cost (certain limitations may apply). The subsidy is subject 
to change at the discretion of the Board. 
Premium cost for dependent coverage is not eligible for 
the subsidy.
Subsidy for Medicare
CTPF provides a premium subsidy for Medicare Part B 
and Part D coverage. Members with a pension Benefit 
Effective Date prior to July 1, 2016, also receive a subsidy 
for Medicare Part A (for members who must pay a 
premium). 
Costs Not Subsidized
CTPF does not subsidize Medicare penalties or 
adjustments. If you are disenrolled from Medicare for 
any reason, CTPF may recoup any overpaid premium 
subsidy from your pension check. 
Paying for Medicare Part A
Annuitants enrolled in a CTPF Medicare health insurance 
plan who must also pay a premium for Medicare Part A 
must enroll in CTPF’s MedPay Program if their pension 
Benefit Effective Date is prior to July 1, 2016. Under 
this program, CTPF makes Medicare Part A, Part B, and 
Income-Related Monthly Adjustment Amount (IRMAA) 
Part B premium payments on your behalf, and deducts 
your share (after the applicable premium subsidy) from 
your pension benefit. See Medicare Premium Payment 
section for more information.
Paying for Medicare Part B
Medicare will bill you for your Part B Premium unless you 
receive a Social Security benefit or qualify for and enroll 
in CTPF’s MedPay program. If you make Part B payments 
directly to Medicare, CTPF provides a subsidy by adding 
55% of the premium cost to your pension benefit. 
Example: If your Medicare Part B Premium cost (after 
deducting non-reimbursable fees) is $100 and the 
approved subsidy percentage is 55%, CTPF adds $55 to 
your pension benefit. You must make your Part B payment 
directly to Medicare.  
Subsidy for CTPF Medicare Plans
If you are enrolled in a CTPF Medicare health insurance 
plan, your share of the monthly plan cost is deducted from 
your pension benefit. 
Example: If your monthly premium is $300, and the 
approved subsidy percentage is 55%, CTPF deducts $135 
from your monthly pension for the premium cost, and 
pays the remaining $165 on your behalf. 
Outside Rebate Subsidy for Non-
CTPF Health Insurance Plans
Members enrolled in non-CTPF health insurance plans 
and/or Medicare may be eligible for a subsidy, subject to 
maximum reimbursement amounts published annually. 
The maximum reimbursement amount will be based on 
CTPF’s least expensive Medicare health insurance (medical 
and prescription coverage) plan option.
An application will be mailed early next year to eligible 
members who are not enrolled in a CTPF health 
insurance plan. The subsidy is paid out retroactively for 
the year prior in an annual payment. Premium payment 
documentation is required and is explained on the 
application. If all supporting documentation is received 
and the member is entitled to a payout, the applications 
are processed approximately 90 days after receipt. Payouts 
are performed at the end of each month. Be sure to look 
for the webinar notifications to assist in completing the 
necessary application and supporting documentation. 
New this year: The application and supporting 
documentation are due by June 30th each year. 
Subsidy Program

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