b'Couple CoverageInsurance Options when only one Family Member is Medicare Eligible Depending on the age of your dependent, you may beEach family member must complete a separate application in a situation where one family member is covered byand pay the cost for single coverage in each plan. The Medicare and the other is not.premiums for single coverage can be found on pages 21 If you both want CTPF health insurance coverage, you mustand 37 of this handbook. When you both reach age 65, you enroll in corresponding non-Medicare and Medicare healthmay enroll in the same health insurance plan and pay the insurance plans, offered by the same carrier.Member +1 rate.HEALTH INSURANCE PLAN CORRESPONDING PLAN(NON-MEDICARE PLAN)(MEDICARE PLANS)UnitedHealthcare Group Medicare Advantage PPO with Express Scripts Medicare (PDP)UnitedHealthcare ChoicePlus PPO AARP Medicare Supplement Plan F (UnitedHealthcare) with Express Scripts Medicare (PDP)**This plan is not open to memberswho turn age 65 after January 1, 2020.EXAMPLESOne family member is Medicare eligible When all become Medicare eligible John is a CTPF annuitant, age 63, and his spouse is age 65.Three months prior to his 65th birthday, John applies for John enrolls in the UnitedHealthcare Non-Medicare PPO,Medicare.* When he receives proof of Medicare Part A and his spouse enrolls in the UnitedHealthcare Groupand Part B enrollment, he immediately notifies CTPF. John Medicare Advantage PPO with Express Scripts Medicarethen enrolls in the same plan as his spouse. Once Johns (PDP). John and his spouse are covered under separatecoverage becomes effective, John and his spouse pay the plans so each must pay the single premium. Find singleMember + 1 rate.premiums in the charts on pages 21 (non-Medicare) and 37Johns member + 1 dependent cost(Medicare).UnitedHealthcare Group Medicare Advantage PPO Johns monthly member premium cost:$533.35 with Express Scripts Medicare (PDP) $442.98 Spouses monthly non-member premium cost: $316.41 *If you are currently enrolled in a CTPF non-Medicare Total monthly cost for John and Spouse: $849.76 plan and plan to continue coverage in a CTPF plan when you turn 65, you must enroll in Medicare Part A and Part B, and provide proof of enrollment before the month of your 65th birthday (see page 30 for information).44 CTPF 2021 HEALTH INSURANCE HANDBOOKCTPF 2021 HEALTH INSURANCE HANDBOOK'