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2024 TRS-Care Medicare Benefits Information

The Pulse
November 2023
 

If you're currently enrolled in the TRS-Care Medicare Advantage plan, you don't need to do anything to stay enrolled in your current plan for 2024.

New medical ID cards are coming in 2024. Everyone on the TRS-Care Medicare Advantage plan will get a new medical ID card for the 2024 plan year.

UnitedHealthcare administers your 2024 TRS-Care Medicare Advantage medical plan. Deductibles and maximum out-of-pocket costs (MOOPs) reset every Jan. 1. Costs per person are below.

health benefits on computer screen

Plan Details

Deductible: You pay $400* every year for covered health care services before your health plan starts to pay.

Coinsurance: You pay 5% or only a copay after you meet your annual deductible.

Maximum out of pocket (MOOP): The maximum amount you pay each plan year for medical costs is $3,500.​ 

Services With a Copay 

Your deductible does not apply to these services:

  • Primary Care Provider sick visit: $5
  • Urgent care: $35
  • Emergency room: $65

Your deductible does apply to these services:

  • Specialist visit: $10
  • Inpatient hospital stay: $500
  • Outpatient procedure or service: $250

Preventive Care: Preventive care benefits are covered at 100%.​

Virtual Medical Visits 

  • $0 copay for virtual medical visits through AmWell, Doctor on Demand and Teladoc
  • $5 copay for other providers who offer virtual medical visits
  • Mental (Behavioral) Health Visits
  • $10 copay for in office mental (behavioral) health visits

*Are you a current TRS-Care participant who turns 65 in 2024? If yes, you will have a $0 deductible in TRS-Care Medicare from your birthday month to the end of the plan year on Dec. 31, 2024—as long as TRS has your Medicare Beneficiary Number (MBI) before your 65th birth month. Your MBI is the number on your red, white and blue Medicare card. So make sure you sign up for Medicare and send your MBI to TRS before you turn 65!