IMRF Endorsed Plans

Medical Plans for Retirees/Spouses 65 and over

Humana Regional PPO

• Available to Illinois, Florida, Wisconsin, and Arizona residents age 65 and older with Medicare Parts A & B. In Network Benefits include the following:
  
• $15.00 physician visit co-pay
• $35.00 specialist visit co-pay
• $10/$35 preventive service co-pay
• $165.00 per day for inpatient hospital stay (days one through five)
• Inpatient hospital deductible $675.00 per admission
• $150.00-$185.00 outpatient surgery co-pay
• $0.00-$125.00 outpatient non-surgical co-pay (depending on place of service)
• $5,000.00 annual out-of-pocket maximum
• Plan includes Medicare Part D prescription drug benefit: $8/$42/$80/25% co-pay; 90-day mail order 2x co-pay for levels 2 & 3. 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....$89.00 - $99.00
  (Rates vary by state of residence)

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