b'2023 Plan Cost ComparisonThe following health insurance plans are available to Medicare-eligible plan participants enrolled in both Medicare Part A and Part B, unless you have Medicare due to ESRD. This comparison is to be used as a guide. In case this summary differs from the health plan text or any health plan term or condition, the official contract document must govern. While every effort has been made to ensure up-to-date information, CTPF is not responsible for the final adjudication of insurance claims, which are solely the responsibility of the health plan. 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*Up to 68$144.32 Age 69-71$157.08 $124.96 $74.86 Age 72-74 $167.74Age 75+$185.93CTPF annuitants + 1 dependent monthly premium cost with CTPF premium subsidy* Up to 68$505.12Age 69-71$549.78 $437.34 $261.99Age 72-74 $587.07Age 75+$650.75CTPF annuitants + 2 dependentsmonthly premium cost with CTPF premium subsidy* Up to 68$865.92 Age 69-71$942.48 $749.72 $449.12Age 72-74$1,006.40 Age 75+ $1,115.57^CTPF dependent cost for single coverage (dependents do not receive the CTPF premium subsidy) Up to 68$360.80 Age 69-71$392.70 $312.38 $187.13 Age 72-74$419.33 Age 75+ $464.82This plan is available to Medicare recipients who turned 65 prior to 2020. Premiums based on age, gender, geographic area, and are quoted directly by UnitedHealthcare. The amounts listed above are average costs. Contact UnitedHealthcare directly for an estimate of your cost, which will not include the cost of prescription drug coverage and or the CTPF premium subsidy. When you receive an estimate, contact CTPF to determine your final annual cost. See page 25 for more information.* 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 12 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 2023 HEALTH INSURANCE HANDBOOKCTPF 2023 HEALTH INSURANCE HANDBOOK31'