19 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. OUTPATIENT SERVICES (Medicare covered services only) Chemotherapy, Radiation 100% after Medicare pays Emergency Room 100% after Medicare pays Lab/X-Ray 100% after Medicare pays Speech, Physical & Occupational Therapy, Outpatient Rehab 100% after Medicare pays Surgery 100% after Medicare pays Urgent Care 100% after Medicare pays PROFESSIONAL & OTHER SERVICES (Medicare covered services only) Ambulance 100% after Medicare pays (as long as Medicare approves) Allergy Shots 100% after Medicare pays Chiropractic Visits 100% after Medicare pays Dental 100% after Medicare pays (limited services) Diabetic Part B Covered Supplies 100% after Medicare pays Hearing Exams 100% after Medicare pays Home Health Services 100% after Medicare pays Physician Office Visits 100% after Medicare pays Preventive Care (physicals, diagnostics, immunizations) 100% after Medicare pays Prosthetic Devices, Med. Equip 100% after Medicare pays Podiatry 100% after Medicare pays Renal Dialysis 100% after Medicare pays Transplants 100% after Medicare pays Vision Services 100% after Medicare pays Extra Benefits (wellness, vision, hearing and dental discounts) Fitness Benefit is available in 36 states including Illinois. This program provides a free gym membership. Contact carrier for more details on wellness and discount programs. Plan Comparisons: Medicare-Eligible Members 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). OUTPATIENT SERVICES* (Part B deductible applies) Chemotherapy, Radiation 100% after Medicare pays Emergency Room 100% after Medicare pays Lab/X-Ray 100% after Medicare pays Speech, Physical & Occupational Therapy, Outpatient Rehab 100% after Medicare pays Surgery 100% after Medicare pays Urgent Care 100% after Medicare pays PROFESSIONAL & OTHER SERVICES* (Part B deductible applies) Ambulance 100% after Medicare pays Allergy Shots 100% after Medicare pays Chiropractic Visits 100% after Medicare pays Dental 100% after Medicare pays (limited services) Diabetic Part B Covered Supplies 100% after Medicare pays Hearing Exams 100% after Medicare pays Home Health Services 100% after Medicare pays Physician Office Visits 100% after Medicare pays Preventive Care (physicals, diagnostics, immunizations) 100% after Medicare pays Deductible not applicable to preventive services. Prosthetic Devices, Med. Equip 100% after Medicare pays Podiatry 100% after Medicare pays Renal Dialysis 100% after Medicare pays Transplants 100% after Medicare pays Part B deductible would not apply to inpatient services. Vision Services 100% after Medicare pays Extra Benefits (wellness, vision, hearing and discounts) Programs provide a $28 a month gym membership. Contact carrier for more details on wellness and discount programs or visit myCigna.com. *For Medicare covered services ONLY. Part B deductible must be met before Medicare will pay. 19
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