IMRF Endorsed Plans

Medical Plans for Retirees/Spouses 65 and over

Humana Private Fee for Service Plan

• Available to retirees and spouses age 65 and older with Medicare Parts A & B nationwide
• Freedom to choose doctors and hospitals--choose any provider that accepts Medicare assignment.
• $15.00 office visit co-pay, including routine and preventative services
• $35 specialist visit co-pay
• 20% coinsurance for outpatient hospital services
• $225.00 per day inpatient hospital co-pay (days one through seven)
• Maximum out-of-pocket per individual per year is $6,000.00 (excludes prescription and worldwide coverage)
• Plan includes Medicare Part D prescription drug benefit: $8/$42/$80/33% co-pay based upon plan formulary classification, until drug cost reaches $2,800.00. Once drug costs exceed $2,830.00, you pay $8.00 co-pay for generics and 100% for preferred, brand and specialty drugs. After total out-of-pocket costs exceed $4,550.00, you pay the greater of $2.50 for generics, $6.30 for preferred and brand name drugs, or 5% co-insurance. You pay 5% for specialty drugs.

2010 Monthly Premium Rate: $59.00 - $167.00
(Rates vary by county of residence)

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