2020 Choose the plan that fills in the gaps. Generations by GlobalHealth 2020 Generations State of Oklahoma Retiree Medicare Advantage Plan Choose the plan that fills in the gaps. GlobalHealth is an HMO plan with a Medicare contract. Enrollment in GlobalHealth depends on contract renewal. H3706_OSRPRESENTATION_PY2020_M

Generations by GlobalHealth Generations by GlobalHealth offers the Lowest Premium of all plans for State of Oklahoma Retirees in 2020! Generations by GlobalHealth

Generations by GlobalHealth 44 county service area GlobalHealth Offices Generations by GlobalHealth

Thousands of Physicians in our provider network Tulsa Area Harvard Family Physicians Utica Park Clinic Physician Group Hillcrest Medical Center Hillcrest South Hospital Hillcrest Hospital Claremore Tulsa Spine & Specialty Hospital Oklahoma Heart Institute Oklahoma Surgical Hospital OSU Medical Center OSU Physicians Bailey Medical Center, Owasso Oklahoma Spine and Brain Institute McAlester Regional Health Center Morton Comprehensive Health Services Oklahoma City Area Centennial Health Mercy Hospital Mercy Primary Clinics Integris Baptist Medical Center Integris Deaconess Hospital Integris Health Edmond Integris Southwest Medical Center Integris Primary and Specialty Care Clinics Oklahoma Heart Hospitals (North & South) Bone & Joint at St. Anthony St. Anthony Hospital Variety Care Clinic Mary Mahoney Health Center Generations by GlobalHealth

BENEFITS DESIGNED WITH YOU IN MIND NEW! No Referrals for In Network Specialist Visits Unlimited $0 Primary Care Physician Visits No Medical or Drug Deductibles $0* copay on Tier 1 & Tier 2 Prescription Drugs Low MOOP of $3,400** $50 Quarterly Over-the-Counter Benefit Routine Eyewear Benefits Fitness Benefit Hearing Exams and $500 Toward Hearing Aids *Cost-share/copay dependent on Tier status of drug and type of pharmacy being utilized. Not applicable to all Tiers. **Does not include prescription drugs Generations by GlobalHealth

*No referrals for in network specialist visits! 2020 Generations by GlobalHealth Medicare Advantage plan With Prescription Drug Coverage Benefit You pay Premium $216 Deductible $0 Maximum Out-of-Pocket (MOOP) $3,400 – Does not include prescription drugs Primary Care Physician (PCP) NEW!* Specialist $20 - No referrals required Outpatient Surgery $200 copay Inpatient Hospital Care $250 copay Outpatient Diagnostic Tests (Labs, X-rays) (Diagnostic Radiology (MRI, etc.)) $150 per visit Emergency Room (waived if admitted to acute inpatient care or outpatient surgery within 24 hours) $75 per visit Urgent Care $15 *No referrals for in network specialist visits!

2020 Generations by GlobalHealth Medicare Advantage plan With Prescription Drug Coverage Benefit - 30 Day Preferred Retail and Mail Order You Pay Tier 1 Preferred Generics $5 Tier 2 Generics $15 Tier 3 Preferred Brand Name $42 Tier 4 Non-Preferred Drugs 40% Tier 5 Specialty Drugs 33% Benefit - 90 Day Preferred Retail and Mail Order You Pay Tier 1 Preferred Generics $0 Tier 2 Generics Tier 3 Preferred Brand Name $84 Tier 4 Non-Preferred Drugs 40% Tier 5 Specialty Drugs N/A Insulin, syringes and oral diabetics in Tier 3 are included in the GAP coverage stage for 2020.

Talk to us! 855-620-5388 Choose the plan that fills in the gaps. www. GlobalHealth.com/osr GlobalHealth complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-844-280-5555 (TTY: 711). CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-844-280-5555 (TTY: 711).