b'Plan Comparisons: Medicare-Eligible MembersCigna Surround Group Supplement Plan AARP Medicare Supplement Insurance with Express Scripts Medicare (PDP) (mirrors Plan G) Plan F(UnitedHealthcare) with Express Scripts Available to Medicare recipients who turned 65Medicare (PDP) for CTPFon or after 2020 (or Part A effective date on or afterAvailable to Medicare recipients who turned 65 1/1/2020). prior to 2020. OUTPATIENT SERVICES*OUTPATIENT SERVICES (Part B deductible applies) (Medicare covered services only)Chemotherapy, RadiationChemotherapy, Radiation 100% after Medicare pays 100% after Medicare paysEmergency Room 100% after Medicare pays Emergency Room 100% after Medicare paysLab/X-Ray100% after Medicare pays Lab/X-Ray100% after Medicare paysSpeech, Physical & Occupational Therapy,Speech, Physical & Occupational Therapy, Outpatient Rehab Outpatient Rehab 100% after Medicare pays100% after Medicare paysSurgery100% after Medicare pays Surgery100% after Medicare paysUrgent Care 100% after Medicare pays Urgent Care 100% after Medicare paysPROFESSIONAL & OTHER SERVICES* PROFESSIONAL & OTHER SERVICES(Part B deductible applies) (Medicare covered services only)Ambulance100% after Medicare pays Ambulance100% after Medicare paysAllergyShots 100% after Medicare pays AllergyShots 100% after Medicare paysChiropractic Visits100% after Medicare pays Chiropractic Visits100% after Medicare paysDental100% after Medicare pays (limited services) Dental100% after Medicare pays (limited services)Diabetic Part B Covered SuppliesDiabetic Part B Covered Supplies 100% after Medicare pays 100% after Medicare paysHearing Exams100% after Medicare pays Hearing Exams100% after Medicare paysHome Health Services100% after Medicare pays Home Health Services100% after Medicare paysPhysician Office Visits100% after Medicare pays Physician Office Visits100% after Medicare paysPreventive Care (physicals, diagnostics, immunizations)100% after Medicare paysPreventive Care (physicals, diagnostics, Deductible not applicable to preventive services. immunizations)100% after Medicare paysProsthetic Devices, Med. Equip Prosthetic Devices, Med. Equip100% after Medicare pays 100% after Medicare paysPodiatry100% after Medicare pays Podiatry100% after Medicare paysRenal Dialysis100% after Medicare pays Renal Dialysis100% after Medicare paysTransplants100% after Medicare paysPart B deductible would not apply to inpatientTransplants100% after Medicare paysservices.Vision Services100% after Medicare pays Vision Services100% after Medicare paysExtra Benefits (wellness, vision, hearing andExtra Benefits (wellness, vision, hearing and discounts) dental discounts)Programs provide a $28 a month gym membership. Fitness Benefit is available in 36 states including Illinois. Contact carrier for more details on wellness andThis program provides a free gym membership.discount programs or visit myCigna.com. Contact carrier for more details on wellness and *For Medicare covered services ONLY. Part B deductible must discount programs.be met before Medicare will pay. 19CTPF 2025 MEDICARE HEALTH INSURANCE HANDBOOK CTPF 2025 MEDICARE HEALTH INSURANCE HANDBOOK 19'