Health Insurance Information
2016 Outside Rebate: Medicare Rate Information
Click here for additional information about 2016 Medicare Rates for members who receive an outside rebate.
2017 Medicare Premium Subsidy Update
2017 Open Enrollment Webinars
Medicare Eligible Members | Click here to view the recorded presentation
This webinar will provide an overview of CTPF’s Health Insurance program for members who have Medicare or will become eligible for Medicare in 2017. The webinar provides information about plan types, changes, and costs so that you can make an informed decision about your 2017 health care.
Non-Medicare Eligible Members | Click here to view the recorded presentation
This webinar will provide an overview of CTPF's Health Insurance program for members who are not eligible for Medicare. The webinar provides information about plan types, changes, and costs so that you can make an informed decision about your 2017 health care.
2017 Medicare Rates Changes
CTPF will post details on the 2017 Medicare premiums once we have them so please revisit this site periodically for updates. You can also stay up to date with Medicare premium changes by signing up for the CTPF E-Newsletter.
CTPF Health Insurance Handbook and Open Enrollment Guide
Frequently Asked Questions
PLANS OFFERED THROUGH THE CTPF-SPONSORED HEALTH INSURANCE PROGRAM
Choosing a health insurance plan for you and your eligible dependents is one of your most important decisions. The Chicago Teachers' Pension Fund (CTPF) sponsors comprehensive health insurance plans designed to promote wellness and provide high-quality coverage at a reasonable cost. CTPF offers health insurance benefits to retirees, dependents, and survivors if the retiree's final teaching service was with the Chicago Public or Charter Schools.
Eligibility & Enrollment Requirements
Click here for a list of eligibility and enrollment requirements for CTPF plans.
2017 MEDICARE PLANS, EFFECTIVE JANUARY 1, 2017
CTPF offers three plans for members who are enrolled in Medicare:
- AARP Medicare Supplement Plan F (UnitedHealthcare) with Express Scripts Medicare PDP
- Blue Cross and Blue Shield (BCBS) Medicare Advantage PPO with Express Scripts Medicare ® (PDP)
- Humana Group Medicare HMO with Part D Pharmacy
2017 NON-MEDICARE PLANS, EFFECTIVE JANUARY 1, 2017
CTPF offers three plans for members under age 65:
- Blue Cross and Blue Shield PPO
- Blue Cross and Blue Shield HMO Illinois
- UnitedHealthcare Choice Plus PPO
PRESCRIPTION DRUG PLAN INFORMATION
Each health insurance plan utilizes a formulary (a list of preferred prescription drugs). Formularies may change annually, so make sure you review your plan’s 2017 formulary to determine if your prescription expenses will change.
Express Scripts provides coverage for the Blue Cross Blue Shield Medicare Advantage PPO Plan and the AARP Medicare Supplement Plan F (UnitedHealthcare) Plans.
Click here for the Express Scripts Prescription Drug Formulary
2017 HEALTH INSURANCE PREMIUM SUBSIDY
CTPF retirees whose final teaching service was with the Chicago Public or Charter Schools may qualify for a partial subsidy of their insurance premiums. A surviving spouse/child receiving a survivor's pension may also qualify for a subsidy. The amount CTPF can spend on retiree health insurance is limited by state law. Each year, the CTPF Board of Trustees set a premium subsidy amount. The subsidy for plan year 2017 is 50% 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.
OUTSIDE REBATE PROGRAM
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 or non-Medicare plan option. An application is mailed in the spring to members who are not enrolled in a CTPF health insurance plan. The subsidy is paid out retroactively in an annual payment. Premium payment documentation is required and is explained on the application.
MEDICARE PART A SUBSIDY CHANGE
Members who retire with a pension benefit effective date of July 1, 2016, or later, who must pay for Medicare Part A coverage, will not receive a CTPF premium subsidy for this cost. This does not impact CTPF subsidies for Medicare Part B, Part D, supplemental health plans, or retirees with pension benefit effective dates prior to July 1, 2016. Click here for more information about Medicare Part A Subsidy.
CPS/Charter School Continuation coverage (COBRA)
If you currently have insurance through your former employer's COBRA program and wish to join a CTPF plan for the first time, contact CTPF Member Services (312) 641-4464 for enrollment instructions before your coverage ends.
Enrollment from a COBRA program to a CTPF plan is not automatic. Contact CTPF before your COBRA coverage ends to obtain CTPF plan enrollment information.
TURNING AGE 65
If you (or your dependent) plan to enroll in a CTPF Medicare plan, apply for Medicare three months before the month you turn age 65 to ensure timely enrollment.
To enroll in a CTPF Medicare plan, you must enroll in Medicare Part A and Part B, and provide CTPF with proof of enrollment before the month of your 65th birthday. Acceptable proof includes:
- a copy of the Medicare card, or
- an award letter with Medicare number from the Social Security Administration verifying enrollment, with effective dates
MEDICARE "BIRTHDAY PARTIES"
CTPF offers bimonthly Medicare "Birthday Parties" designed to help members turning age 65 evaluate their health insurance options and enroll in Medicare. Party attendees will receive important health insurance information and will have the opportunity to:
- Enroll in Medicare on-site, if you have not already done so
- Learn about CTPF Medicare plan options
- Speak directly with representatives from CTPF health insurance companies
- Receive assistance completing health insurance enrollment forms
Medicare birthday parties are held bimonthly. When you become eligible, CTPF will send you a personalized invitation. Reservations are required and space is limited so call to register when you receive your invitation.
Use the CTPF Form 350 to enroll in all CTPF plans for members who are not enrolled in Medicare.
Each CTPF plan for Medicare eligible members has specific enrollment and documentation requirements and enrollment in Medicare Part A and Part B is required. See below for more information on enrolling in Medicare Plans.
Blue Cross and Blue Shield Medicare Advantage PPO with Express Scripts Medicare® (PDP) for CTPF
Complete CTPF Form 350 and the BCBS enrollment form, available from CTPF Member Services, call 1.312.641.4464.
AARP Medicare Supplement Plan F (UnitedHealthcare) with Express Scripts Medicare® (PDP) for CTPF
Complete CTPF Form 350 and the AARP enrollment form. Call AARP at 1.800.392.7537 to request an enrollment kit for the CTPF Group Plan #1089.
Humana Group Medicare HMO with Part D Pharmacy
Complete CTPF Form 350 and the Humana enrollment form, available from CTPF Member Services, call 1.312.641.4464.
Return all enrollment forms and associated documentation to:
Chicago Teachers' Pension Fund
ATTN: Health Benefits Department
203 North LaSalle Street, suite 2600
Chicago, IL 60601-1231
Do not send enrollment forms to the health insurance plan administrator or your enrollment will not be processed.
An authorized representative can discuss health insurance options or questions with a CTPF staff member. An authorized representative can-not make care or treatment decisions but may help navigate your questions or concerns. Members who wish to have an Authorized Representative must complete CTPF form 345.
BCBS Medicare Advantage PPO Coverage Explanation
Click here to download a letter for doctors and medical providers, explaining coverage and payment under this plan. This letter assures medical providers that as long as they accept Medicare, the reimbursement level is the same whether they are in or out of network.
Please direct additional questions about this plan to Blue Cross at 1-877-299-1008.