IMRF Endorsed Plans

Medical Plans for Retirees/Spouses 65 and over

United Healthcare Missouri

• An HMO available to retirees and spouses age 65 and older with Medicare Parts A & B residing in Monroe, Madison, Jersey and St. Clair counties in Illinois and St. Louis City, St. Louis County, St. Charles, Jefferson, Warren, Franklin, Crawford, Lincoln, Washington and Gasconade counties in Missouri.
• $10.00 office visit co-pay for primary care,
• $30.00 co-pay for specialists
• $10.00 co-pay for outpatient lab, 15% co-pay for outpatient X-rays
• 20%-25% co-pay for outpatient surgery and other procedures
• $265.00 per day inpatient co-pay
• $4,500.00 annual out-of-pocket maximum
• Plan includes Medicare Part D prescription drug benefit: $6.00 generic co-pay, $38.00 preferred brand name co-pay, and a $72.00 non-preferred brand name co-pay (33% specialty drug co-pay). This cost sharing applies to drug costs up to $2,830.00. Once drug costs exceed $2,830.00 you will have a $6.00 co-pay for generic drugs only; you pay 100% of all other drug costs during this time. After your out-of-pocket costs have reached $4,350.00, you pay the greater of $2.50 for generic and $6.30 for brand name or 5% coinsurance.

2010 Monthly Premium Rate…………$0.00

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