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Medicare Supplement Insurance Rate Plan A

Plan Index

The following Table (Plan A) shows the Regions across the Top Row, the first three digits of the Zip Code across the Second Row and the insurers' names down the first Column. The Monthly Premiums for October 1, 2014 are contained in the body of the Table.

P L A N   AALBANYBUFFALOLONG ISLANDMID-HUDSONNYC PROPERROCHESTERSYRACUSEUTICAWATERTOWNWESTCHESTER

FIRST THREE DIGITS OF ZIP CODE:

120-23 & 128-29140-43 & 147110 & 115-19124-27100-04 & 111-14144-46130-32 & 137-39
& 148-49
133-35136105-109

Aetna Life Insurance

$230.05$199.65 $220.94$306.08$254.38$306.08$199.65 $220.94$199.65 $220.94$199.65 $220.94$220.94$306.08

American Progressive

$202.85*$184.66*$231.09*$202.85*$231.09*$184.66*$184.66*$184.66*$184.66*$231.09*

Bankers Conseco

$254.88$221.80$321.11$254.88$321.11$221.80$221.80 $254.88$221.80$221.80$254.88
$321.11

CDPHP Universal Benefits Inc.

$116.94
$118.29
$137.18
$114.92 $114.92
$116.94
$137.18
 $114.92$114.92
$118.29
$114.92
$116.94
$118.29
$114.92
$116.94
$137.18

Excellus Health Plan, Inc.
 (d/b/a Excellus BlueCross BlueShield)

$128.68  $128.68 $131.94
$142.45
$131.94
$142.45
$128.68
$128.68$128.68 

Excellus Health Plan, Inc.
(d/b/a Univera Healthcare)

 $155.64   $155.64$155.64   

First United American

$170.00$170.00$208.00$170.00$208.00$170.00$170.00$170.00$170.00$208.00

Group Health Incorporated
 (a/k/a GHI)

$161.29$152.57$169.45$161.29$169.45$152.57$157.73$152.57$152.57$169.45

HealthNow New York Inc.

$169.36 $226.30$169.36$226.30$161.83$161.83
$169.36
$161.83
$169.36
$169.36$226.30

HealthNow New York Inc.
 (d/b/a BC/BS of Western New York)

 $161.83   $161.83$161.83   

HealthNow New York Inc.
 (d/b/a BS of Northeastern New York)

$169.36  $169.36
$197.30
   $169.36 $197.30

Humana

$173.93$173.93$254.55$173.93
$215.60
$254.55$173.93$173.93$173.93$173.93$254.55

Mutual Of Omaha

$166.14
$175.57
$166.14
$175.57
$220.86$175.57$220.86$166.14$166.14$166.14$166.14$175.57
$220.86

State Farm Mutual Auto

$255.35
$265.43
$255.35$275.60$265.43$275.60$255.35$255.35$255.35$255.35$275.60

Sterling Life

$220.60
$238.21
$220.60
$226.36
$238.21
$341.68$220.60
$238.21
$341.68
$341.68$220.60
$238.21
$220.60
$226.36
$220.60
$226.36
$238.21
$220.60$341.68

United HealthCare Insurance
(AARP Program)

$108.25
$125.75
$108.25$156.50$125.75$156.50$108.25$108.25
$125.75
$108.25
$125.75
$108.25$125.75
$156.50

*    There is a one-time $25 policy fee charged at issue.

NOTE:  If a premium is shown within a region, that premium may be offered in a part or all of the region. For more details on your exact premium, contact the company or use the Medicare Supplement Rate Look-up Application: https://myportal.dfs.ny.gov/web/guest-applications/medicare-monthly-premiums