What You Need To Do…
When you retire, you are automatically enrolled in the Trust’s Indemnity Plan. You are not required to do anything to participate. You do have to apply for coverage for your eligible, lawful spouse; however, there is a monthly premium.
How The Plan Works…
When you need medical care, you go to any health care provider that is approved by Medicare. Medicare is primary over the Trust Indemnity program. This means Medicare must first process your medical claims, with the exception of prescription drugs. After the Trust deductible is satisfied (a separate deductible applies to you and your eligible spouse), the Trust coordinates with Medicare to pay up to 90 percent of certain covered medical expenses. You are responsible for any remaining amount not paid by Medicare or the Trust. If you reach your annual limit — called the out-of-pocket maximum — the Plan will coordinate with Medicare to pay the rest of your covered medical expenses for that year at 100 percent.
2021 Plan Benefits
|Premium||Spouse: $35.00 per month
Retiree: No monthly premium
|After deductible is met*||The Plan coordinates with Medicare to pay:
Out Patient: Up to 90% on certain Medicare approved medical expenses
In Patient: 80% of remaining balance on Medicare approved and paid covered expenses.
|Annual out-of-pocket maximum||$4,050|
|Prescription Drug Program||Separate Deductible: $650
If you participate in the mail order program:
Generic drugs are covered at 90%
“Plan-preferred” brand-name drugs are covered at 75%,
"Non-plan-preferred” drugs are covered at 60%
Plan of Benefits and Plan Summary of Coverage
To learn more about the Trust Indemnity Plan see the:
- Plan of Benefits
- Plan Summary of Coverage (Updated Page 3 as of 1/1/2021)
- Creditable Coverage Letter
- Spouse Enrollment Form
- Direct Payment Enrollment Form
- Trust Tribune
- Or request them by calling the Trust office: at (239) 936-6242.
Summary of Material Modification