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Table
Of Contents
Welcome To The Insurance Trust
A Message From Your Board Of Directors ...... 3 Exclusive Options Just For You........................ 3 Looking Out For You ......................................... 3
Enrollment
Who Is Eligible? ................................................. 4 When Can You Enroll?....................................... 4
The 2021 Annual Enrollment Period
October 12 Through December 31, 2020 ........ 5 Already Have A Plan With Us?.......................... 5 Address, Phone, Or Email Changing? .............. 5 How To Enroll .................................................... 6 Using Our Website To Access Your Account .. 6
Medicare Plans For Delta Retirees
Medical And Prescription Drug Coverage ....... 7 Understanding Medicare Supplements & Medicare Advantage......................................... 8 Anthem Blue Cross Blue Shield Medicare Advantage Plans (Standard, Enhanced, and NEW FOR 2021 — Enhanced Plus) .............. 9 Anthem Blue Cross Blue Shield Medicare Supplement-Type Plans.................................. 10 Express Scripts Prescription Drug Coverage .. 11
Additional Benefits ................................... 12
Advocacy For Our Delta Family
Medicare Enrollment Advocate...................... 13 Personal Health Advocate.............................. 14
SilverSneakers® Fitness Programs ..... 15
Hearing Aid Discount Programs
Amplifon Hearing Health Care ....................... 16 EPIC Hearing Healthcare ................................ 16
Dental Plans NEW FOR 2021
Delta Dental PPO Plan .................................... 17 Delta Dental HMO-type Plan........................... 17
Vision Insurance
EyeMed ............................................................ 18
Auto & Home Benefit Program
(MetLife) .......................................................... 19 Frequently Asked Questions ................. 20
Getting Help
For Questions About... Enrollment ................. 24 For Questions About... Benefits ..................... 24 Important Contact Information ...................... 24
Plan Premiums
Trust Plan Administrative Fees ...................... 26 Help With Prescription Drug Costs ................ 26 Medical & Prescription Drug Plans ................ 27 Dental Plans .................................................... 27 Vision Plans..................................................... 27
Summary of Benefits
Medical Plans.................................................. 28 Prescription Drug Plan.................................... 42 Dental Plans .................................................... 44 Vision Plan....................................................... 45 Important Information Regarding Your Medicare Advantage Plan .............................. 46
2 | Insurance Trust For Delta Retirees | 2021 Benefits & Resources Guide