b'Medicare Advantage Plans Plan premiums are listed on page 37 and include the cost A Medicare Advantage plan completely replaces originalof prescription drug coverage. New enrollees must submit Medicare Part A and Part B coverage. In an Advantagecompleted enrollment applications to CTPF. plan, the plan administrator assumes all of the financialExpress ScriptsPrescriptioncost of the services provided to you, less the applicable copayments. You must be enrolled in Medicare Part A andDrug CoveragePart B to join an Advantage plan. CTPF offers two Medicare Advantage plans: Express Scripts is the prescription drug benefits administrator for the UnitedHealthcare Group Medicare UnitedHealthcare Group MedicareAdvantage PPO and AARP Medicare Supplement Plan F Advantage PPO with Express Scripts(UnitedHealthcare) plans. Enrollment in prescription drugcoverage is automatic for these plans. Express Scripts Medicare(PDP) for CTPF will send all new enrollees welcome kits with a separate You can obtain medical care from any physician, hospital,prescription drug ID card. You will need to present this card or provider that accepts Medicare and Medicare Advantageat your pharmacy to receive prescription benefits. Plans. The plan includes enhanced Medicare Part D prescription drug coverage administered by Express ScriptsThe Express Scripts Medicare (PDP) for CTPF is an Medicare (PDP) for CTPF (see right for more information).enhanced Part D prescription drug plan approved by This plan covers most medical services at 100% once theMedicare. The plan is based on a drug formulary list which deductible is satisfied. includes Medicare Part D drugs. View the drug formulary at Plan premiums are listed on page 37 and include the costthe website: www.Express-Scripts.com/medd/ctpf.of prescription drug coverage. New enrollees must submit(Copays apply, see the Important Pharmacy Notes completed enrollment applications to CTPF.on pages 42-43)* Medicare Advantage Note: This CTPF health plan is a customCopays may change annually based on a drugs formulary plan that does not require the use of a network provider forstatus. This Part D drug plan utilizes a Preferred Value coverage. Your benefit levels are the same whether or not younetwork that offers lower copays than the standard use a network provider. You may seek care from any providernetwork. Not all drugs are available at an up to-90-day nationwide that accepts Medicare and Medicare Advantagesupply, and not all retail pharmacies offer an up to-90-day Plans. All Medicare Advantage plans are regulated by CMSsupply. Contact Express Scripts at 1-800-864-1416 for (Centers for Medicare and Medicaid Services). CMS requiresdetails.that certain language be included in all Medicare AdvantageIf you qualify for extra help from the federal government documents. Unfortunately, some of this language can befor your prescription drug costs, your prescription confusing, misleading, and in some cases contradictory to yourcopays and premium may be lower than those listed actual plan benefits.in this handbook.If you have any questions, please call CTPF Member Services at 1-312-641-4464.Humana Group HMO withPart D Pharmacy This plan is a traditional HMO where you select a Primary Care Provider to direct your care. You must use network physicians to receive benefits. The plan includes enhanced Medicare Part D prescription drug coverage provided through Humana. You typically pay a copay for services. CTPF 2021 HEALTH INSURANCE HANDBOOKCTPF 2021 HEALTH INSURANCE HANDBOOK31'