b'2021 Plan Cost ComparisonThe following health insurance plans are available toWhile every effort has been made to ensure up-to-Medicare-eligible plan participants enrolled in bothdate information, CTPF is not responsible for the final Medicare Part A and Part B, unless you have Medicare dueadjudication of insurance claims, which are solely the to ESRD and are within the 30-month coordination period.responsibility of the health plan. This comparison is to be used as a guide. In case this(See page 5 for CTPF Plan rate information) summary differs from the health plan text or any health plan term or condition, the official contract documentmust govern. AARP MedicareUnitedHealthcare GroupHumana GroupSupplement Plan FMedicare Advantage PPOMedicare HMO (UnitedHealthcare) with Expresswith Express Scripts with Part D PharmacyScripts Medicare (PDP) Medicare (PDP) CTPF annuitants cost for single coverage monthly premium cost with CTPF premium subsidy*Avg. forAge 65 N/AAge 66-68$147.81 Age 69-71$160.98 $126.57 $73.50 Age 72-74 $169.55 Age 75+ $183.94CTPF annuitants + 1 dependent monthly premium cost with CTPF premium subsidy* Avg. forAge 65N/AAge 66-68$517.33Age 69-71$563.41 $442.98 $257.25Age 72-74 $593.41 Age 75+$643.78CTPF annuitants + 2 dependentsmonthly premium cost with CTPF premium subsidy*Avg. forAge 65 N/A Age 66-68$886.85 Age 69-71$965.84 $759.39 $441.00Age 72-74$1,017.27 Age 75+ $1,103.62^CTPF dependent cost for single coverage (dependents do not receive the CTPF premium subsidy) Avg. forAge 65 N/AAge 66-68$369.52 Age 69-71$402.43 $316.41 $183.75 Age 72-74$423.86Age 75+$459.84This plan is not available to members under age 65 with Medicare due to a disability and is only available to Medicare recipients who turned 65 prior to 2020. Premiums for the AARP Medicare Supplement Plan F UnitedHealthcare are based on age, gender, vary by geographic area, and are quoted directly by UnitedHealthcare. The amounts listed above are average costs for members residing in IL, TX, FL, IN, and AZ. If you are considering this plan, contact UnitedHealthcare directly for a quote. If you are a current enrollee, UnitedHealthcare will send you a letter with your 2021 Plan F premium cost. When you receive your letter, contact CTPF to determine your actual monthly cost, which includes your premium for prescription drug coverage and the health insurance premium subsidy. * The annuitant cost is the amount paid for monthly coverage after CTPF applies the health insurance premium subsidy. The current subsidy is60% of total premium cost. See page 15 for more information.^ This is the amount a dependent pays for single coverage in special circumstances when only one family member is Medicare eligible. CTPF 2021 HEALTH INSURANCE HANDBOOKSee page 44 for additional information about couple coverage.CTPF 2021 HEALTH INSURANCE HANDBOOK37'