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Medicare Supplement Insurance Rate Plan D

Plan Index

The following Table (Plan D) 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 December 1, 2012 are contained in the body of the Table.

P L A N   DALBANYBUFFALOLONG ISLANDMID-HUDSONNYC PROPERROCHESTERSYRACUSEUTICAWATERTOWNWESTCHESTER

FIRST THREE DIGITS OF ZIP CODE:

120-23
128-29		140-43
147		110,115-19124-27100-04
111-14		144-46130-32
137-39
148-49		133-35136105-109

American Progressive

$344.34*

$310.04*

$388.40*

$344.34*

$388.40*

$310.04*

$310.04*

$310.04*

$310.04*

$388.40*

First United American

$277.00

$277.00

$339.00

$277.00

$339.00

$277.00

$277.00

$277.00

$277.00

$339.00

Mutual Of Omaha

$216.16
$228.47

$216.16
$228.47

$287.55

$228.47

$287.55

$216.16

$216.16

$216.16

$216.16

$228.47
$287.55

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

NOTE: If two premiums are shown within a region, one of the premiums applies to a part of the region and the other applies to the rest of the region.