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 pays (as long as AllergyShots 100% after Medicare pays Medicare approves)Chiropractic Visits100% after Medicare pays AllergyShots 100% after Medicare paysDental100% after Medicare pays (limited services) Chiropractic Visits100% after Medicare paysDiabetic Part B Covered SuppliesDental100% after Medicare pays (limited services)100% after Medicare pays Diabetic Part B Covered Supplies Hearing Exams100% after Medicare pays 100% after Medicare paysHome Health Services100% after Medicare pays Hearing Exams100% after Medicare paysPhysician Office Visits100% after Medicare pays Home Health Services100% after Medicare paysPreventive Care (physicals, diagnostics,Physician Office Visits100% after Medicare paysimmunizations)100% after Medicare pays Deductible not applicable to preventive services. Preventive Care (physicals, diagnostics, Prosthetic Devices, Med. Equip immunizations)100% after Medicare pays100% after Medicare pays Prosthetic Devices, Med. EquipPodiatry100% after Medicare pays 100% after Medicare paysRenal Dialysis100% after Medicare pays Podiatry100% after Medicare paysTransplants100% after Medicare pays Renal Dialysis100% after Medicare paysPart B deductible would not apply to inpatient services. Transplants100% after Medicare paysVision Services100% after Medicare pays Vision Services100% after Medicare paysExtra Benefits (wellness, vision, hearing and discounts) Extra Benefits (wellness, vision, hearing and Programs provide a $28 a month gym membership. dental discounts)Contact carrier for more details on wellness andFitness Benefit is available in 36 states including Illinois. discount programs or visit myCigna.com. This program provides a free gym membership. 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 2026 MEDICARE HEALTH INSURANCE HANDBOOK CTPF 2026 MEDICARE HEALTH INSURANCE HANDBOOK 19'