b'Plan Comparisons: Medicare-Eligible MembersUnitedHealthcare Group Medicare Advantage PPOHumana Group Medicare HMOwith Express Scripts Medicare (PDP) for CTPF Medicarewith Part D Pharmacy Medicare Advantage planAdvantage planOUTPATIENT SERVICES OUTPATIENT SERVICESChemotherapy, Radiation100% after deductible Chemotherapy, Radiation$50 Copay chemotherapy drugs. Radiation covered Emergency Room $50 100% outpatient hospital, $25 copay for specialist office.Lab/X-Ray100% after deductible Emergency Room $50 Copay emergency room; waived if admitted Speech, Physical & Occupational Therapy,within 24 hours; applies for care outside USOutpatient Rehab100% after deductible Lab/X-RaySurgery100% after deductible 100% covered except urgent care, $25 Copay urgent careUrgent Care100% after deductible Speech, Physical & Occupational Therapy, PROFESSIONAL & OTHER SERVICES Outpatient Rehab100% per visit after $25-$40 copayAmbulance100% after deductible (based on where services are rendered)Allergy Shots100% after deductible SurgeryChiropractic Visits100% after deductible (unlimited visits);$100Copay per visit in hospitalMedicare covered services $75Copay per visit in ambulatory surgical facilityDental100% after deductible; Medicare covered services only Urgent Care Diabetic Part B Covered Supplies100% covered $25CopayPROFESSIONAL & OTHER SERVICESHearing Ambulance$50 Copay per date of serviceMedicare-covered Services: 100% after deductibleRoutine (Non-Medicare) Services: $0 copay routine examAllergy ShotsNo copayHearing Aids: $1,000 allowance purchased in network through UnitedHealthcare Hearing every three years Chiropractic Visits$20 Copay;Home Health Services100% after deductible Medicare guidelines applyPhysician Office Visits100% after deductible Dental$25 copay (Medicare covered services only)Preventive Care (physicals, diagnostics, someDiabetic Part B Covered Supplies100% coveredimmunizations)100% covered(1 physical per plan year) Hearing$10 Copay at PCP, $25 copay specialist, Prosthetic Devices, Med. Equip100% after deductible Medicare covered services only.PodiatryHome Health ServicesNo copay (prior authorization Medicare-covered Services100% after deductible required) excludes personal home careRoutine (Non-Medicare) Services100% after deductible,Physician Office Visits6 visits per year $10 Copay PCP,$25 Copay specialistRenal Dialysis100% after deductible Preventive Care (physicals, diagnostics, immunizations)No copayTransplants100% after deductible Prosthetic Devices, Med. Equip10% at medical Vision Servicesequipment provider or pharmacyMedicare covered Services: 100% after deductible;Podiatry$25 Copay; Medicare covered services onlyEye Wear: $0 copay Medicare covered standard eyeglass lenses and frames after cataract surgery.Renal DialysisNo copay in dialysis center; 20% at Routine (Non-Medicare Covered) Services: $0 copay annualhospitalroutine eye exam; $300 eye wear allowance every two years. TransplantsAs any other disease at Medicare-Extra Benefits (wellness, discounts) $60/quarter over theapproved Humana National Transplant Network only counter benefit, HouseCalls, Renew Active fitness, hearing aidVision Services$25 Copay; Medicare covered discount, Wellness programs, Renew Rewards and more. Newservices only for 2024: Personal Emergency Response System. ContactExtra Benefits (wellness, discounts)Contact carrier carrier for more benefit details. for extra benefit details.1818 CTPF 2024 MEDICARE HEALTH INSURANCE HANDBOOK CTPF 2024 MEDICARE HEALTH INSURANCE HANDBOOK'