Medicare Supplements

PLAN OUTLINE
2024 / 2025 MEDICARE SUPPLEMENTS

OPEN ENROLLMENT FOR PLAN #4000 AND PLAN #4100 HAS BEEN EXTENDED THROUGH DECEMBER 31, 2025.

PLAN #4000 - SUPPLEMENT TO MEDICARE PARTS A & B WITH MEDICARE (PART D) PRESCRIPTION DRUG COVERAGE
$325.00 MONTHLY

PLAN #4100 - SUPPLEMENT TO MEDICARE PARTS A & B ONLY
$174.00 MONTHLY

Offering the following benefits:

■ Freedom to go to any doctor or hospital that accepts Medicare

■ Full payment of the Medicare Part A & Medicare Part B deductibles

■ Supplements your Medicare coverage, with full payment on approved, allowed charges and/or coinsurance amounts for covered services rendered by providers participating with Medicare **

■ No annual deductible with CARE and you are not responsible for any copayments for doctor office visits or emergency room visits

■ 140 plus years of service to railroaders with plans being supported by our financial strength

■ Customer Service staff available to promptly and courteously assist you

■ Automatic Bank draft option is available, a special member service that will save you time and money every month

■ Plan #4000 also offers an “enhanced” Part D prescription drug benefit

** Unless listed as an Exclusion or Limit in the CARE Summary Plan Description

Medicare Supplemental Application