Mohawk Valley Community College 2018 Medicare Retiree Plan

Mohawk Valley Community College 2018 Medicare Retiree Plan

What are the parts of Medicare? Original Fee-for-Service Medicare Part A – Hospital coverage Part B – Medical coverage Medicare Advantage Plans Part C – Offered through private health insurance plans $109 for most $134 new Medicare Prescription Drug Part D – Offered through Plans private health insurance plans The Medicare Blue PPO plan is Part C and includes Part D of Medicare.

How Medicare Advantage Plans Work Medicare Advantage Plan Hospitals Doctors YOU RX/Other

Medicare Blue PPO 2018 Service Area Medicare Advantage PPO-National Service Area 4

Medicare Blue PPO • • • Primary Care Specialist Urgent Care MRI, CAT, PET X-Rays Ambulatory Surgery Ambulance Chiropractic Care Podiatrist Kidney dialysis $20 $20 Worldwide $20 $50 $65 $20 Covered in full

Medicare Blue PPO Preventative Care • • • Diagnostic tests/lab Routine Physical Immunizations Mammography PAP/Pelvic Bone Mass Prostate Exam Routine Eye Exam Routine Hearing Exam Covered in full Covered in full $20

Medicare Blue PPO • • • Emergency Room Inpatient Hospitalization Home Health Care Cardiac Rehab PT, OT, ST Out of Pocket Max $65 - Worldwide $500 3 max/No Limit Covered in full $20 $2500 In Network (Medical expenses) Extras • Eyewear Allowance • Hearing Aid Allowance $100 annually $300 every 3 years

Part D – Rx Coverage Initial Coverage: Tier 1 - $5 Tier 2 - $20 Tier 3 - $35 No Coverage Gap (Donut Hole) Catastrophic Coverage: $3. 35 for generics, $8. 35 for brand name drugs or 5% coinsurance (whichever is greater) upon reaching $5000 on annual OOP costs.

SILVER & FIT® ü Membership at fitness facility • $25 annual fee • National network = 15, 000+ facilities ü Optional Home Fitness Program • $10 annual fee ü Out-of-Network option • $150 annual allowance ü Great Support • Comprehensive website • Quarterly newsletter • Dedicated Customer Service

Supplement C • • • PCP Specialist Urgent Care Diagnostic tests/lab Home Health Care Kidney Dialysis Routine Physical Immunizations Mammography PAP/Pelvic Bone Mass Prostate Exam $0 $0 $0 Covered in full Wellness exam Covered in full - 24 months Covered in full - 24 months

Supplement C • • • X-Rays Ambulatory Surgery Ambulance Rehabilitation Chiropractic Inpatient Hospitalization Routine Eye Exam Eyewear Allowance Hearing Exam Hearing Aid Allowance Out of Pocket Max $0 $0 $0 Not covered No out of pocket max

Simply P - Part D-Coverage • • • 3 Tier Drug Rider 1 st Tier-$5 for a 30 day supply 2 nd Tier-$15 for a 30 day supply 3 rd Tier-$30 for a 30 day supply NO GAP /DONUT HOLE *3 copays for 90 day fill you may pick up a 90 day supply of your medications at any participating pharmacy. Catastrophic Coverage: $5, 000 $3. 35 for generics, $8. 35 for brand name drugs or 5% coinsurance.

Changes & Reminders For 2018 ü Expect a new ID card in December ü Expanded PPO Network ü Tele-Medicine now covered with PCP copay (MD-live)

Questions and answers