AARP Medicare Supplement Plans in the Virgin Islands Guide TYPICAL GUARANTEED ISSUE SCENARIOS ELIGIBILITY Guaranteed during the 6-month Medicare Supplement Open Enrollment Period (starting at 65+ and enrolled in Part B). Available under certain conditions if you lose or leave other health coverage (apply within 63 days). PLANS AVAILABLE Lose employer coverage Medicare Advantage plan ends or relocation occurs Plan violates contract or is misrepresented Medicare supplement plan involuntarily terminated (e.g., bankruptcy) Common-qualified eligible individuals, aged 65+, must be enrolled in Medicare Part A and Part B, and meet residency requirements. Medical conditions may apply as specified in plan details. GUARANTEED ACCEPTANCE • If 65th birthday or Medicare Part B effective date is before 1/1/2020: Plans C & F** • If both occur after 1/1/2020: Plans A, B, G, K, L, N EXCLUSIONS (What’s Not Covered) UnitedHealthcare does not cover care that is not medically necessary, experimental treatments, or services excluded by Medicare. Some restrictions may apply. CANCELLATION AARP members receive service support, protection from unfair cancellation, and access to customer service for claims and policy questions. Plans cannot be canceled due to health changes after enrollment period. KEY POINTS Enrollment requires an AARP membership. Claims are processed automatically with Medicare. Not affiliated with or endorsed by the U.S. government. Consult the Certificate of Insurance for complete information. For questions about coverage, exclusions, and costs, contact UnitedHealthcare. 800-523-5800 Benefits A B C** F** G K L N Part A Coinsurance & Hospital C Part A Hospice Care Coinsurance or Copayment 75% Part A Deductible ($1,736 in 2026) 50% 75% Part B Coinsurance or Copayment 50% 75% Part B Deductible ($283 in 2026) Part B Excess Charges Blood (First 3 Pints) 50% 75% Skilled Nursing Facility Coinsurance 50% 75% Foreign Travel Emergency (80% up to $50,000 lifetime) Out-of-Pocket Limit $8,000 $4,000 Monthly Premium Rate $132.25 $174.00 $208.00 $208.00 $157.50 $71.75 $120.00 $130.75 Medigap Supplement Benefit Table Plan =PLAN PAYS 100% =$20 COPAY FOR DOCTORS AND $50 FOR EMERGENCY ROOM VISITS For more information contact VI SHIP: STT/STJ: 340-774-2991 ext. 4507 or 4508 STX: 340-773-6449 Ext. 3151 or 3152