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, Fitness Benefit, hearing aidVision Services$25 Copay; Medicare covered discount, Wellness programs, Renew Rewards, Personalservices only Emergency Response System and more. Contact carrier forExtra Benefits (wellness, discounts)Contact carrier more benefit details. for extra benefit details.1818 CTPF 2025 MEDICARE HEALTH INSURANCE HANDBOOK CTPF 2025 MEDICARE HEALTH INSURANCE HANDBOOK'