b'.:EnrollmentNon-Medicare. 14 Open Enrollment Medicare plansOverview.14 Complete CTPF Form 350 (included in the center of Chicago Public/Contract/Charter School Coverage14 The annual Open Enrollment Period for the CTPF healththis handbook or download at www.ctpf.org). See the Health Maintenance Organization (HMO).14 insurance program runs from October 1 - October 31, 2022.instructions in How to Enroll on the plan charts. The Preferred Provider Organization (PPO)14 During Open Enrollment, you may enroll in a CTPF healthAARP Medicare Supplement Plan F (UnitedHealthcare) Non-Medicare Plan Cost Comparison15insurance plan for the first time, change a health insurancewith Express Scripts Medicare (PDP) for CTPF Medicare Plan Comparison: Non-Medicare Options.16-23 plan or carrier, exercise your one-time Opt-In option, or addSupplement plan and the Humana Group Medicare HMOMedicare 24 a dependent to a health plan.with Part D Pharmacy Medicare Advantage plan require Overview24additional forms.Turning Age 65.24 Changes made during this period become effective on Medicare Advantage Plans24 January 1, 2023.Return all completed enrollment forms and required Medicare Star Ratings24 documentation to CTPF. Forms returned to an insurance Medigap Plan.25 Chicago Public, Charter and Contractcarrier will not be processed. Express Scripts Prescription Drugs25Medicare Defined.26 Schools COBRA EnrolleesApplying for Medicare.26 Email or Fax PreferredConversation Starter26 If you currently have insurance through your formerCTPF encourages members to submit forms by fax or The Parts of Medicare.26 employers Consolidated Omnibus Budget Reconciliationemail if possible. Send forms and documents by fax to Enrollment & Premium Payment.27 Act (COBRA) plan and wish to join a CTPF plan in January,1-312-641-7185 or email an attachment (.pdf or .jpg format)Medicare Part A, B, D Premium.27 you may enroll during Open Enrollment or within 30 days ofto imaging@ctpf.org. IRMAA Higher Income Adjustments27 COBRA coverage ending. (See page 9) U.S. MailCTPF MedPay Program.28 If you cannot send in forms by fax or email, use the envelope Enrolling in MedPay28 Enrollment from a COBRA plan to a CTPF plan is notincluded in the center of this Handbook, and returnTurning Age 6528 automatic. Contact CTPF before your COBRA coverage ends CTPF Plan Enrollment Requirements28 to obtain CTPF plan enrollment information. information to:Medicare Eligibility Due to Disability.29Medicare Eligibility Due to ESRD or ALS29 Enrollment Forms Health Benefits Department Medicare & You.29 Chicago Teachers Pension Fund CHECKUP: Other Medicare Part D Plans29 Non-Medicare plans 425 S. Financial Place, Suite 1400 Notice of Credible Coverage30 Use CTPF Form 350 (included in the center of thisChicago, IL 60605-1000Cost Comparison: Medicare Eligible.31 handbook or download at www.ctpf.org) to enroll in all Plan Comparison: Medicare Eligible32-37 Non-Medicare plans. Contact Information 38General Information 39Health Insurance Privacy Policy.39Register for myCTPF.39Office/Mailing Address39 HEALTH INSURANCE CHECKUPIts important to keep your legal name up-to-date with both the Social Security Administration (SSA) and CTPF. Your legal name is the name on your birth certificate Whats in aunless your name changed due to marriage, divorce, or by legal decree. Even if you do (legal) name? not receive SSA benefits, the SSA supplies Medicare with the name on your Medicare ID card. Make sure you use your legal name when you complete CTPF health insurance forms. Enrollment problems can occur if the name on your Medicare card does not match the name on file with CTPF.CTPF 2023 HEALTH INSURANCE HANDBOOKCTPF 2023 HEALTH INSURANCE HANDBOOK5'