WHAT YOU NEED TO KNOW ABOUT YOUR …

1 <2017> [Plan Guide] [ your Plan Explained]Questions? We re here to MEP HCP advantage PlanUnitedHealthcare group medicare advantage (PPO)Effective: January 1, 2017 through December 31, 2017 Plans are insured through unitedhealthcare Insurance Company or one of its affiliated companies, a medicare advantage organization with a medicare contract. Enrollment in the plan depends on the plan s contract is an advertisement.<CMS_CODE> <DMS_CODE>1-877-211-6548, TTY 711, 8 8 local time, 7 days a Plan GuideClient Alts 0 Internal & External TeamDate: Contact: Sharon DraegerArt Director/Designer: catchfireProject DetailsDepot #: SPRJ30979 Name: 2017 MA Verizon Plan Guide Cover Wrap Union MEP 563 Stage: In ReviewFile Name: : x Trim: x 11 Margins.

2 5 Live Area: x Software: InDesign CC 2015 NotesCMYKWHAT YOU NEED TO know ABOUT your medicare advantage Highlights ..<X>Plan Information ..<X>Summary of Benefits ..<X>Required Information ..<X>Here s What You Can Expect Next ..<X>Statement of Understanding ..<X>Plan INFORMATIONWhat s NEXTC lient Alts 1 Internal & External TeamDate: Contact: Sharon DraegerArt Director/Designer: catchfireProject DetailsDepot #: SPRJ28682 Name: 2017 PreKit TOC MAStage: In ReviewFile Name: 2935 + BlackDimensionsFlat: x Trim: x 11 Margins: .75 Live Area: x Software: InDesign CC 2015 Notes2935 KEnjoy the Benefits of a unitedhealthcare medicare advantage PLANW elcome to unitedhealthcare . Verizon has selected unitedhealthcare to provide health care coverage for eligible retirees.

3 The Verizon advantage Plan a unitedhealthcare group medicare advantage (PPO) Plan is a passive PPO plan that offers affordable, quality health care coverage for you and your family from any doctor or facility that accepts medicare . This plan provides all the coverage of Original medicare Parts A and B into a single plan, as well as additional this book you will find: A description of this plan and how it works Information on benefits, programs and services and how much they cost What you can expect after you enrollEnrolling is will automatically be enrolled in this plan. If you do not want to be enrolled in this plan or to see if you have other plan options, go to the BenefitsConnection website at or call the Verizon Benefits Center at 1-855-489-2367 during the 2017 Annual Enrollment period of November 7 through November 18, 2016.

4 Representatives are available Monday through Friday, 9 to 5 Eastern time. Something to prescription drug benefits will continue to be administered separately by Express Scripts. If you choose not to enroll in this plan, you will also be disenrolled from your prescription drug advantage of healthy Alts4 Internal & External TeamDate: Contact: Sharon DraegerArt Director/Designer: catchfireProject DetailsDepot #: SPRJ30314 Name: 2017 Verizon Intro Letter Age InStage: In ReviewReading Level: Name: 2935 + BlackDimensionsFlat: x Trim: x 11 Margins: .75 Live Area: x Software: InDesign CC 2015 NotesWe re just a phone call away. 1-877-211-6548, TTY 711, 8 8 local time, 7 days a weekLearn more online at MEMBERSHIPHOUSECALLSRENEW BY UHC2935KY0066_XXXXXX_XXXXXX UHEX17 MPXXXXXX_000 SPRJ30314 UHEX16MP3700082_001 Plan INFORMATIONB enefit HighlightsVerizon MEP HCP advantage Plan15636 EffectiveJanuary 1, 2017 toDecember 31, 2017 This is a short description of plan benefits.

5 For complete information, please refer to your Summaryof Benefits or Evidence of Coverage. Limitations, exclusions, and restrictions may CostsIn-NetworkOut-of-NetworkAnnual medical deductibleDeductible varies based on when you retired. Contact theVerizon Benefits Center for more BenefitsIn-NetworkOut-of-NetworkBenefits covered by Original medicare and your planDoctor s office visitPrimary Care Provider:$10co-payPrimary Care Provider:$10co-paySpecialist:$15 co-paySpecialist:$15 co-payPreventive services$0 co-pay for medicare -covered preventive services. Refer tothe Evidence of Coverage for additional hospital care10% of the costper admission10% of the costper admissionSkilled nursing facility (SNF)$0 co-pay per day$0 co-pay per dayOutpatient surgery10% of the cost10% of the costOutpatient rehabilitation(physical, occupational, orspeech/language therapy)10% of the cost10% of the costDiagnostic radiology services(such as MRIs, CT scans)$10 co-pay$10 co-payLab services$10 co-pay$10 co-payOutpatient x-rays$10 co-pay$10 co-payTherapeutic radiology services(such as radiation treatment forcancer)10% of the cost10% of the costAmbulance10% of the cost of the cost care$25 co-pay (worldwide)Urgently needed services$15 co-pay (worldwide)$15 co-pay (worldwide)

6 Annual out-of-pocket maximumYour plan has an annual combined in-network and out-of-network out-of-pocket maximum of$1,150 each plan yearAdditional benefits and programs not covered by Original MedicareRoutine physical$0 co-pay; 1 per plan year*$0 co-pay; 1 per plan year*Acupuncture10% of the costafterdeductibleonly covered whenbilled on the same date assurgery*10% of the costafterdeductibleonly covered whenbilled on the same date assurgery*Chiropractic care20% of the cost(Up to60 visits per plan year)*20% of the cost(Up to60 visits per plan year)*Foot care - routine$15 co-pay(Up to6visits per plan year)*$15 co-pay(Up to6visits per plan year)*Hearing - routine exam$0 co-pay(1 exam every 12 months)*$0 co-pay(1 exam every 12 months)*Medical BenefitsIn-NetworkOut-of-NetworkHearing aidsPlan pays up to$1,000 (every2 years)*Plan pays up to$1,000 (every2 years)*Vision - routine eye exams$15 co-pay(1 exam every 12 months)*$15 co-pay(1 exam every 12 months)

7 *Private duty nursing$0 co-payNo allowance limit per plan year for private duty program throughSilverSneakers Fitness programStay active with a basic membership at a participating locationat no extra cost to youNurseLineSMSpeak with a registered nurse (RN) 24 hours a day, 7 days aweek*Benefits are combined in and out-of-networkPlans are insured through unitedhealthcare Insurance Company or one of its affiliated companies,a medicare advantage organization with a medicare contract. Enrollment in the plan depends onthe plan s contract renewal with plan prospects must meet the eligibility requirements to enroll for group coverage. Thisinformation is not a complete description of benefits. Contact the plan for more , co-payments, and restrictions may , premium and/or co-payments/co-insurance may change each plan Verizon advantage Plan a unitedhealthcare group medicare advantage (PPO) Plan is a passive PPO plan that offers affordable, quality health care coverage for you and your medicare eligible family members from any doctor or facility that accepts word group means this is a plan designed just for an employer group o r plan sponsor, like Verizon.

8 Only eligible retirees of your employer group or plan sponsor can enroll i n this plan. medicare advantage is also known as medicare Part C. These plans combine all the benefits of Original medicare including medicare Part A (hospital coverage) and medicare Part B (doctor and outpatient care) plus extra programs that go beyond Original must be entitled to medicare Part A and enrolled in medicare Part B to enroll in this plan. If you re not sure if you are enrolled in medicare Part B, check with your localSocial Security office You must continue paying your medicare Part B premium to keep your coverageunder this group -sponsored plan If you stop your payments, you may be disenrolled from this planClient Alts4 Internal & External TeamDate: Contact: Sharon DraegerArt Director/Designer: catchfireProject DetailsDMS Number: NADepot #: SPRJ30318 Name: 2017_MA_Verizon_Plan_Info_Custom_UnionSt age: In ReviewFile Name: 2935 + BlackDimensionsFlat: 17 x 11 Folded: x 11 Software.

9 InDesign CCNotesUnitedHealthcare group medicare advantage (PPO)Y0066_XXXXXX_XXXXXXM edicare Part AHospitalMedicare Part BDoctor and outpatientExtra ProgramsBeyond Original MedicareMake sure you know what parts of medicare you care begins with your this plan, you have the flexibility to see doctors that are both inside and outside the unitedhealthcare network as long as they participate in medicare . Unlike many other PPO plans, with this plan, you pay the same share of cost in and out-of-network. With your unitedhealthcare group medicare advantage plan, you re connected to programs, resources, tools and people that can help you live a healthier you need help finding a doctor or a specialist, just give us a call. We can even help schedule that first use a unitedhealthcare network doctor?

10 If you need to find a new doctor or specialist, we hope you will consider a doctor in the plan s network. We work closely with our network of doctors to give them access to resources and tools that can help a doctor is re just a phone call 1-877-211-6548, TTY 711, 8 8 local time, 7 days a weekLearn more online the health care COVERAGE YOU MAY NEEDA dditional support and unitedhealthcare , we want to make it easier for you and your doctor to take care of your health. Here are just a few of the ways we Wellness Visit and preventive services at $0 One of the best ways to stay on top of your health is with an Annual Wellness Visit with your doctor. Together, you can identify the preventive screenings you may need, review all your medications and talk ABOUT any health concerns.