17 CTPF 2027 MEDICARE HEALTH INSURANCE HANDBOOK AARP® Medicare Supplement Insurance Plan F (UnitedHealthcare) with Express Scripts by Evernorth Health Services® (PDP) for CTPF Available to Medicare recipients who turned 65 prior to 2020 or in some instances, with a Medicare Part A Effective Date prior to 1/1/2020. PLAN FEATURES Pays 100% after Medicare for Medicare covered services. Premium may vary by age, gender, discount availability, and geographic area. Includes enhanced Medicare Part D prescription coverage. CONTACT INFORMATION UnitedHealthcare Group Number: 1089 1-800-392-7537 Customer Service 1-888-543-5630 NurseLine www.medicare.uhc.com Express Scripts® Group number: CTPFRX 1-800-864-1416 Customer Service www.Express-Scripts.com/medd/ctpf HOW TO ENROLL Call UnitedHealthcare at 1-800-392-7537 and request an enrollment kit for CTPF Plan #1089. Complete the kit, CTPF Form 350 (available in the center of this book or online at www.ctpf.org), and return all materials to CTPF. SERVICE AREA Nationwide (residents in MA, MN, and WI or members with a Part A date prior to age 65, must call UnitedHealthcare AARP for enrollment options) FOREIGN TRAVEL Foreign travel emergency benefits available. PHYSICIAN SELECTION Choose any provider who accepts Medicare. LIFETIME MAXIMUM No lifetime maximum except foreign travel lifetime max of $50,000. OUT-OF-POCKET MAXIMUM N/A ANNUAL PLAN YEAR DEDUCTIBLE None SPECIAL DEDUCTIBLES None HOSPITAL SERVICES (Medicare covered services only) Inpatient 100% after Medicare pays (including Medicare Part A deductible) Skilled Nursing Facility (non-custodial) Medicare pays all approved amounts for the first 20 days. Days 21-100, plan pays 100% after Medicare pays. No benefit after day 100 (in benefit period). Cigna Surround Group Supplement Plan with Express Scripts by Evernorth Health Services® (PDP) (mirrors Plan G) Available to Medicare recipients who turned 65 on or after 2020 (or Part A effective date on or after 1/1/2020). PLAN FEATURES Pays 100% after Medicare for Medicare covered services and after plan deductible is met. Includes enhanced Medicare Part D prescription coverage. CONTACT INFORMATION Cigna Group number: 3345704 1-800-244-6224 Cigna Customer Service 1-866-576-8773 Cigna NurseLine/Health Information Line www.myCigna.com Express Scripts® Group number: CTPFRX 1-800-864-1416 Customer Service www.Express-Scripts.com/medd/ctpf HOW TO ENROLL Complete CTPF Form 350 (available in the center of this book or online at www.ctpf.org), and return all materials to CTPF. SERVICE AREA Nationwide FOREIGN TRAVEL Foreign travel emergency benefits available. PHYSICIAN SELECTION Choose any provider who accepts Medicare. LIFETIME MAXIMUM No lifetime maximum except foreign travel lifetime max of $50,000. OUT-OF-POCKET MAXIMUM N/A ANNUAL PLAN YEAR DEDUCTIBLE Part B deductible - CMS changes annually SPECIAL DEDUCTIBLES None HOSPITAL SERVICES (Part B deductible applies)* Inpatient 100% after Medicare pays (including Medicare Part A deductible) Skilled Nursing Facility (non-custodial) Medicare pays all approved amounts for the first 20 days. Days 21-100, plan pays 100% after Medicare pays. No benefit after day 100 (in benefit period). Plan Comparisons: Medicare-Eligible Members *For Medicare covered services ONLY. Part B deductible must be met before Medicare will pay. 17
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