DePauw University Medical & Rx Benefits Program for Medicare Retirees

DePauw University Medical & Rx Benefits Program for Medicare Retirees Presented by: Justin Goodwin AmwinsGroup Benefits DePauw University Retiree Health Care Program

Agenda for Today • Introduction • About Amwins Group Benefits • Your 2025 Post-65 Retiree Medical Plan • Your 2025 Post-65 Retiree Rx Plan Options • Questions and Answers DePauw University Retiree Health Care Program

Introduction • This Presentation is for those with Medicare Parts A and B Only. – Non-Medicare Eligible Spouses and/or Dependents will enroll in a DePauw University Non-Medicare Plan. • DePauw University is continuing to provide access and premium support for some of its retirees. DePauw University Retiree Health Care Program

About Amwins • Founded in 1991 • Division of Amwins Group, Inc. • Over 8,000 employees • Retiree Medical Specialists • Serving over 1,000+ Employers • State-of-the-art Retiree Customer Care Center • Dedicated, trained, licensed agents to help you. DePauw University Retiree Health Care Program

Overview: DePauw Medicare Program • DePauw University’s role: –Sponsor the Program –Provide Program Management and Oversight –Premium support for those hired prior to 7/1/05 • Amwins’ role: –Provide Advocacy, Daily Service, Billing and Administration.

Overview: DePauw Medicare Program • 1 Group Medicare Supplemental Plan • 3 Group Medicare Part D Plans Available – **NEW** – no more donut hole! $2,000 out of pocket maximum – Optional Dental Plan (with purchase of above plans) • Amwins Medicare Advocates to Assist You • Toll Free Assistance 8am to 8pm (EST) M-F – 888-883-3757

Overview: DePauw Medicare Program • No Provider Networks – “Go-Anywhere-Care” –Any provider that accepts Medicare –98% of all providers accept Medicare • No Medical Questions to Join • Guaranteed Acceptance • No waiting periods for medical benefits to be active (unless you lapsed other coverage before joining the plan).

Overview: DePauw Medicare Program • Non-Medicare Eligible Spouses and Dependents will remain in the DePauw Non-Medicare Plan or other healthcare coverage as applicable. • Plans will renew on January 1st each year and operate on a calendar year basis thereafter.

Overview: DePauw Medicare Program • United American Insurance Company: –Insures and administers the Medical claims. –Pays claims to any Medicare provider. • Express Scripts: –Insures and administers the Prescription Drug plan. –Utilizes their pharmacy network (65,000+). • Delta Dental: –Insures and administers the Dental plan benefits.

“The Golden Rule” • If Medicare covers a benefit or service, then the DePauw Medicare plan will also cover the benefit or service. • If Medicare does not cover a benefit or service, then the DePauw Medicare plan will not cover the benefit or service. • Medicare covers anything that is “medically necessary”. Note: The Shingles Vaccine is covered by the Prescription Drug Plan

Medicare Preventive Services • Annual Wellness Exam • Cardiovascular Screening • Cancer Screenings • Flu Shots • Bone Mass Measurements • Diabetes Screening • Glaucoma Tests For more information go to www.medicare.gov or visit https://www.medicare.gov/coverage/preventive-and-screening-services.html

2025 DePauw Medicare Plan Info 2025 Plan Year Deductible $257 (2025 Part B Deductible) Coinsurance 20% to $400 then 4% to $1,250 Out-of-Pocket $1,250 Maximum Annual Plan Unlimited Maximum

2025 DePauw Hospital Benefits Medicare Part A Services - Hospitalization FIRST 60 Days Medicare Pays Plan Pays You Pay All but $1,676 $1,676 $0 DAYS 61-90 Medicare Pays Plan Pays You Pay All but $419/day $419/day $0

2025 DePauw Hospital Benefits Medicare Part A Services – Hospitalization DAYS 91-150: 60 Lifetime Reserve Days Medicare Pays Plan Pays You Pay All but $838/day $838/day $0 Extra 365 DAYS – After Reserve Days are used Medicare Pays Plan Pays You Pay $0 All Costs $0

2025 DePauw Skilled Nursing Benefits Medicare Part A Services – Skilled Nursing Facility FIRST 20 Days Medicare Pays Plan Pays You Pay All approved amounts $0 $0 DAYS 21-100 Medicare Pays Plan Pays You Pay All but $209.50/day $209.50/day $0

2025 DePauw Medical Benefits Medicare Part B Services – Example Services • Physician Services (Primary, Specialist, etc..) • Physical and Speech Therapy • Inpatient and Outpatient Medical and Surgical Services • Laboratory Services (Blood Tests) • Diagnostic Tests and X-rays • Home Health Care – (Skilled care) • Durable Medical Equipment

2025 DePauw Medical Benefits Medicare Part B Services – “Medical Services” $257 Part B Deductible (Once per calendar year) Medicare Pays Plan Pays You Pay $0 $0 $257 (Part B Deductible) Remaining Part B Amounts: Medicare pays 80% of all Part B services, your plan pays the difference after YOU PAY: Medicare Pays Plan Pays You Pay 80% $0 20% till $400 *(includes $257 deductible)

2025 DePauw Medical Benefits Medicare Part B Services – “Medical Services” Medicare Pays Plan Pays You Pay 80% 16% 4% till $1,250 *(includes $257 deductible) 100% to $257 20% to $400 4% to $1,250 0% over $1,250

2025 DePauw Foreign Travel Benefit Medicare Pays $0 outside the USA or US Territories! (Medicare covers US Territories: Puerto Rico, Guam, US Virgin Islands, Northern Mariana Islands, and American Samoa)

2025 DePauw Foreign Travel Benefit Foreign Travel Medical Coverage FOREIGN TRAVEL $250 DEDUCTIBLE Medicare Pays Plan Pays You Pay $0 $0 $250 REMAINDER OF CHARGES (after $250 deductible) Medicare Pays Plan Pays You Pay $0 80% 20% Plan Maximum: PLAN PAYS UP TO $50,000

2025 DePauw Low Rx Option Express Scripts Medicare Part D Plan Deductible: $590 Copay: Retail (31 Days) Mail Order (90 Days) Tier 1: Preferred Generic 15% 10% Tier 2: Generic 15% 10% Tier 3: Preferred Brand 30% 25% Tier 4: Non-Preferred Brand 30% 30% Tier 5: Specialty 25% 25% Out of Pocket Maximum : $2,000

2025 DePauw Rx Mid Option Express Scripts Medicare Part D Plan Deductible: $100 Copay: Retail (31 Days) Mail Order (90 Days) Tier 1: Preferred Generic 15% 10% Tier 2: Generic 15% 10% Tier 3: Preferred Brand 30% 25% Tier 4: Non-Preferred Brand 50% 50% Tier 5: Specialty 25% 25% Out of Pocket Maximum : $2,000

2025 DePauw Rx High Option Express Scripts Medicare Part D Plan Deductible: $100 Copay: Retail (31 Days) Mail Order (90 Days) Tier 1: Preferred Generic 15% 10% Tier 2: Generic 15% 10% Tier 3: Preferred Brand 30% 25% Tier 4: Non- Preferred Brand 40% 35% Tier 5: Specialty 25% 25% Out of Pocket Maximum : $2,000

2025 DePauw Prescription Plan Rx Maximum Out-of-Pocket Once you have paid a total of $2,000 in 2025 toward the cost of your prescriptions, the plan will then pay 100%.

2025 DePauw Prescription Plan • Formulary List (list of covered drugs) – Prior-Authorization – Provider can override Formulary if “medically necessary”. Some special drugs must be authorized even though they are on the formulary. – Transition Policy – Enables retiree to continue on old Rx for up to 60 days until they can get a new prescription. • Pharmacy Network – 65,000+ pharmacies

2025 DePauw Dental Plan • Voluntary Dental Plan – Provided by Delta Dental – $100 deductible, $1,500 annual maximum benefit – 100% Preventive • Exams, X-rays, Fluoride, Sealants – 50% Basic • Fillings, Periodontics, Endodontics – 50% Major • Bridges, Implants, Dentures

2025 DePauw Monthly Plan Cost -Medical & Rx Retirees hired prior to 7/1/2005 • Medical and Rx Plan 1 – Retiree cost, $70.99 • Medical and Rx Plan 2 – Retiree cost, $134.00 • Medical and Rx Plan 3 – Retiree cost, $246.17

2025 DePauw Monthly Plan Cost -Dental Retirees hired prior to 7/1/2005 • Retiree only - $19.44 • Retiree + Family - $56.46 Retirees hired after 7/1/2005 • Retiree only - $30.18 • Retiree + Family - $75.00

2025 Monthly Payment Options • ACH – Bank Account Automatic Deduction –Secure, easy to establish, automatic payment • VEBA Account Deduction –Secure, automatic through Nyhart (may be changing) • Monthly Invoice –Pay by check

Frequently Asked Questions • When do I need to turn in my application? 21 days prior to your coverage effective date • Will I be able to keep my current doctors? YES – As long as they accept Medicare • 98% of all providers accept Medicare

Frequently Asked Questions • Will my insurance still work when I travel to other states? YES, providers all over the country accept Medicare

Frequently Asked Questions • Will I have to use generic prescription drugs? – You may use any drug prescribed by your doctor that is covered by the formulary list. Some drugs do require step therapy. • Am I limited to certain pharmacies? – There is a pharmacy network, and you must use one of the 65,000+ pharmacies in the network.

Frequently Asked Questions • When do my plan benefits renew? st – Benefits renew every January 1 . – Medicare Part B deductible of $257 is based on a calendar year. • What networks are involved? – This is an indemnity plan, which allows you to access any provider who accepts Medicare.

HAVE QUESTIONS? Please call our Customer Care Center at: 888-883-3757

Thank you for joining us. Please note: In the event of errors, the DePauw University Medicare Plan documents govern the plans.