Introduction - Medicare Supplement Insurance Rate Plans
The Rate Plan Tables on this page show:
- the Regions across the Top Row;
- the first three digits of the Zip Code across the Second Row;
- the insurers' names down the first Column; and
- the Monthly Premiums for March 1, 2026 are contained in the body of the Table.
NOTES:
- Plans C, F and F+ are only available after January 1, 2020 to individuals who first become eligible for Medicare prior to January 1, 2020.
- 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 on the DFS Portal.
DFS Portal
Plan A
| PLAN A | ALBANY | BUFFALO | LONG ISLAND | MID-HUDSON | NYC PROPER | ROCHESTER | SYRACUSE | UTICA | WATERTOWN | WESTCHESTER |
|---|---|---|---|---|---|---|---|---|---|---|
| FIRST THREE DIGITS OF ZIP CODE: | 120-23 & 128-29 | 140-43 & 147 | 110 & 115-19 | 124-27 | 100-04 & 111-14 | 144-46 | 130-32 & 137-39 & 148-49 | 133-35 | 136 | 105-109 |
| Aetna Life Insurance | $239.15 | $207.56 $229.67 | $318.21 | $264.47 | $318.21 | $207.56 $229.67 | $207.56 $229.67 | $207.56 $229.67 | $229.67 | $318.21 |
| Bankers Conseco | $328.18 | $285.56 | $413.53 | $328.18 | $413.53 | $285.56 | $285.56 $328.18 | $285.56 | $285.56 | $328.18 $413.53 |
| EmblemHealth Plan, Inc. | $236.97 $224.17 | $224.17 | $248.96 | $236.97 | $248.96 | $224.17 $231.74 | $231.74 $224.17 $236.97 | $224.17 $236.97 | $224.17 | $248.96 $236.97 |
| Excellus Health Plan, Inc. (d/b/a Excellus BlueCross BlueShield) | $241.76 | $241.76 | $247.89 $267.63 $292.43 | $241.76 $247.89 $267.63 $292.43 | $241.76 | $241.76 | ||||
| Excellus Health Plan, Inc. (d/b/a Univera Healthcare) | $292.43 | $247.89 $267.63 $292.43 | $241.76 $247.89 $267.63 $292.43 | |||||||
| Globe Life Insurance | $279.00 | $279.00 | $335.00 | $279.00 | $335.00 $375.00 | $279.00 | $279.00 | $279.00 | $279.00 | $335.00 |
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Cross/Blue Shield of WNY) | $291.53 | $291.53 | $291.53 | |||||||
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Shield of NNY) | $282.50 | $282.50 | ||||||||
| Humana | $237.54 | $237.54 | $348.00 | $237.54 $294.64 | $348.00 | $237.54 | $237.54 | $237.54 | $237.54 | $348.00 |
| Mutual Of Omaha | $264.29 $279.37 | $264.29 $279.37 | $351.72 | $279.37 | $351.72 | $264.29 | $264.29 | $264.29 | $264.29 | $279.37 $351.72 |
| Transamerica Financial | $238.21 | $238.21 | $337.46 | $277.91 | $337.46 | $238.21 | $238.21 | $238.21 | $238.21 | $337.46 |
| UnitedHealthcare (AARP Program) | $192.75 $203.00 | $192.75 | $223.00 | $203.00 | $223.00 | $192.75 | $192.75 $203.00 | $192.75 $203.00 | $192.75 | $203.00 $223.00 |
Plan B
| PLAN B | ALBANY | BUFFALO | LONG ISLAND | MID-HUDSON | NYC PROPER | ROCHESTER | SYRACUSE | UTICA | WATERTOWN | WESTCHESTER |
|---|---|---|---|---|---|---|---|---|---|---|
| FIRST THREE DIGITS OF ZIP CODE: | 120-23 & 128-29 | 140-43 & 147 | 110 & 115-19 | 124-27 | 100-04 & 111-14 | 144-46 | 130-32 & 137-39 & 148-49 | 133-35 | 136 | 105-109 |
| Aetna Life Insurance | $272.33 | $236.31 $261.52 | $362.44 | $301.19 | $362.44 | $236.31 $261.52 | $236.31 $261.52 | $236.31 $261.52 | $261.52 | $362.44 |
| Bankers Conseco | $536.45 | $466.68 | $676.14 | $536.45 | $676.14 | $466.68 | $466.68 $536.45 | $466.68 | $466.68 | $536.45 $676.14 |
| EmblemHealth Plan, Inc. | $329.36 $311.63 | $311.63 | $344.07 | $329.36 | $344.07 | $311.63 $322.11 | $322.11 $311.63 $329.36 | $311.63 $329.36 | $311.63 | $344.07 $329.36 |
| Excellus Health Plan, Inc. (d/b/a Excellus BlueCross BlueShield) | $343.54 | $343.54 | $352.24 $380.30 $415.53 | $343.54 $352.24 $380.30 $415.53 | $343.54 | $343.54 | ||||
| Excellus Health Plan, Inc. (d/b/a Univera Healthcare) | $415.53 | $352.24 $380.30 $415.53 | $343.54 $352.24 $380.30 $415.53 | |||||||
| Globe Life Insurance | $375.00 | $375.00 | $449.00 | $375.00 | $449.00 $503.00 | $375.00 | $375.00 | $375.00 | $375.00 | $449.00 |
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Cross/Blue Shield of WNY) | $221.99 | $221.99 | $221.99 | |||||||
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Shield of NNY) | $232.31 | $232.31 | ||||||||
| Humana | $268.11 | $268.11 | $392.90 | $268.11 $332.61 | $392.90 | $268.11 | $268.11 | $268.11 | $268.11 | $392.90 |
| Mutual Of Omaha | $384.69 $406.68 | $384.69 $406.68 | $512.25 | $406.68 | $512.25 | $384.69 | $384.69 | $384.69 | $384.69 | $406.68 $512.25 |
| Transamerica Financial | $287.22 | $287.22 | $406.90 | $335.09 | $406.90 | $287.22 | $287.22 | $287.22 | $287.22 | $406.90 |
| UnitedHealthcare (AARP Program) | $279.25 $294.00 | $279.25 | $323.00 | $294.00 | $323.00 | $279.25 | $279.25 $294.00 | $279.25 $294.00 | $279.25 | $294.00 $323.00 |
Plan C
| PLAN C* | ALBANY | BUFFALO | LONG ISLAND | MID-HUDSON | NYC PROPER | ROCHESTER | SYRACUSE | UTICA | WATERTOWN | WESTCHESTER |
|---|---|---|---|---|---|---|---|---|---|---|
| FIRST THREE DIGITS OF ZIP CODE: | 120-23 & 128-29 | 140-43 & 147 | 110 & 115-19 | 124-27 | 100-04 & 111-14 | 144-46 | 130-32 & 137-39 & 148-49 | 133-35 | 136 | 105-109 |
| Excellus Health Plan, Inc. (d/b/a Excellus BlueCross BlueShield) | $384.73 | $384.73 | $394.48 $425.90 $465.34 | $384.73 $394.48 $425.90 $465.34 | $384.73 | $384.73 | ||||
| Excellus Health Plan, Inc. (d/b/a Univera Healthcare) | $465.34 | $394.48 $425.90 $465.34 | $384.73 $394.48 $425.90 $465.34 | |||||||
| Globe Life Insurance | $416.00 | $416.00 | $500.00 | $416.00 | $500.00 $560.00 | $416.00 | $416.00 | $416.00 | $416.00 | $500.00 |
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Cross/Blue Shield of WNY) | $275.80 | $275.80 | $275.80 | |||||||
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Shield of NNY) | $290.39 | $290.39 | ||||||||
| Humana | $360.62 | $360.62 | $528.79 | $360.62 $447.55 | $528.79 | $360.62 | $360.62 | $360.62 | $360.62 | $528.79 |
| Mutual Of Omaha | $385.11 $407.13 | $385.11 $407.13 | $512.82 | $407.13 | $512.82 | $385.11 | $385.11 | $385.11 | $385.11 | $407.13 $512.82 |
| Transamerica Financial | $372.11 | $372.11 | $527.16 | $434.13 | $527.16 | $372.11 | $372.11 | $372.11 | $372.11 | $527.16 |
| UnitedHealthcare (AARP Program) | $389.50 $399.50 | $389.50 | $443.00 | $399.50 | $443.00 | $389.50 | $389.50 $399.50 | $389.50 $399.50 | $389.50 | $399.50 $443.00 |
Plan D
| PLAN D | ALBANY | BUFFALO | LONG ISLAND | MID-HUDSON | NYC PROPER | ROCHESTER | SYRACUSE | UTICA | WATERTOWN | WESTCHESTER |
|---|---|---|---|---|---|---|---|---|---|---|
| FIRST THREE DIGITS OF ZIP CODE: | 120-23 & 128-29 | 140-43 & 147 | 110 & 115-19 | 124-27 | 100-04 & 111-14 | 144-46 | 130-32 & 137-39 & 148-49 | 133-35 | 136 | 105-109 |
| Excellus Health Plan, Inc. (d/b/a Excellus BlueCross BlueShield) | $481.14 | $481.14 | $481.14 | $481.14 | $481.14 | $481.14 | ||||
| Excellus Health Plan, Inc. (d/b/a Univera Healthcare) | $481.14 | $481.14 | $481.14 | |||||||
| Globe Life Insurance | $410.00 | $410.00 | $492.00 | $410.00 | $492.00 $552.00 | $410.00 | $410.00 | $410.00 | $410.00 | $492.00 |
| Mutual Of Omaha | $404.77 $427.92 | $404.77 $427.92 | $539.03 | $427.92 | $539.03 | $404.77 | $404.77 | $404.77 | $404.77 | $427.92 $539.03 |
| Transamerica Financial | $341.94 | $341.94 | $484.41 | $398.93 | $484.41 | $341.94 | $341.94 | $341.94 | $341.94 | $484.41 |
Plan F*
| PLAN F* | ALBANY | BUFFALO | LONG ISLAND | MID-HUDSON | NYC PROPER | ROCHESTER | SYRACUSE | UTICA | WATERTOWN | WESTCHESTER |
|---|---|---|---|---|---|---|---|---|---|---|
| FIRST THREE DIGITS OF ZIP CODE: | 120-23 & 128-29 | 140-43 & 147 | 110 & 115-19 | 124-27 | 100-04 & 111-14 | 144-46 | 130-32 & 137-39 & 148-49 | 133-35 | 136 | 105-109 |
| Aetna Life Insurance | $317.67 | $275.61 $305.05 | $422.90 | $351.38 | $422.90 | $275.61 $305.05 | $275.61 $305.05 | $275.61 $305.05 | $305.05 | $422.90 |
| Bankers Conseco | $723.15 | $630.06 | $912.98 | $723.15 | $912.98 | $630.06 | $630.06 $723.15 | $630.06 | $630.06 | $723.15 $912.98 |
| EmblemHealth Plan, Inc. | $727.67 $688.30 | $688.30 | $758.71 | $727.67 | $758.71 | $688.30 $711.35 | $688.30 $711.35 $727.67 | $688.30 $727.67 | $688.30 | $758.71 $727.67 |
| Excellus Health Plan, Inc. (d/b/a Excellus BlueCross BlueShield) | $454.03 | $454.03 | $465.56 $502.65 $549.18 | $454.03 $465.56 $502.65 $549.18 | $454.03 | $454.03 | ||||
| Excellus Health Plan, Inc. (d/b/a Univera Healthcare) | $549.18 | $465.56 $502.65 $549.18 | $454.03 $465.56 $502.65 $549.18 | |||||||
| Globe Life Insurance | $472.00 | $472.00 | $566.00 | $472.00 | $566.00 $634.00 | $472.00 | $472.00 | $472.00 | $472.00 | $566.00 |
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Cross/Blue Shield of WNY) | $749.55 | $749.55 | $749.55 | |||||||
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Shield of NNY) | $679.15 | $679.15 | ||||||||
| Humana | $367.93 | $367.93 | $539.53 | $367.93 $456.62 | $539.53 | $367.93 | $367.93 | $367.93 | $367.93 | $539.53 |
| Mutual Of Omaha | $387.61 $409.78 | $387.61 $409.78 | $516.15 | $409.78 | $516.15 | $387.61 | $387.61 | $387.61 | $387.61 | $409.78 $516.15 |
| Transamerica Financial | $374.27 | $374.27 | $530.22 | $436.65 | $530.22 | $374.27 | $374.27 | $374.27 | $374.27 | $530.22 |
| UnitedHealthcare (AARP Program) | $385.00 $378.00 | $385.00 | $419.00 | $378.00 | $419.00 | $385.00 | $385.00 $378.00 | $385.00 $378.00 | $385.00 | $378.00 $419.00 |
Plan F+
| PLAN F+ (HIGH DEDUCTIBLE) | ALBANY | BUFFALO | LONG ISLAND | MID-HUDSON | NYC PROPER | ROCHESTER | SYRACUSE | UTICA | WATERTOWN | WESTCHESTER |
|---|---|---|---|---|---|---|---|---|---|---|
| FIRST THREE DIGITS OF ZIP CODE: | 120-23 & 128-29 | 140-43 & 147 | 110 & 115-19 | 124-27 | 100-04 & 111-14 | 144-46 | 130-32 & 137-39 & 148-49 | 133-35 | 136 | 105-109 |
| Bankers Conseco | $60.25 | $52.53 | $75.69 | $60.25 | $75.69 | $52.53 | $52.53 $60.25 | $52.53 | $52.53 | $60.25 $75.69 |
| EmblemHealth Plan, Inc. | $85.20 $80.59 | $80.40 | $88.23 | $85.20 | $88.23 | $80.59 $80.40 $83.29 | $83.29 $80.40 $85.20 $80.59 | $80.59 $85.20 | $80.59 | $88.23 $85.20 |
| Excellus Health Plan, Inc. (d/b/a Excellus BlueCross BlueShield) | $87.21 | $87.21 | $87.21 | $87.21 | $87.21 | $87.21 | ||||
| Excellus Health Plan, Inc. (d/b/a Univera Healthcare) | $87.21 | $87.21 | $87.21 | |||||||
| Globe Life Insurance | $115.00 | $115.00 | $137.00 | $115.00 | $137.00 $154.00 | $115.00 | $115.00 | $115.00 | $115.00 | $137.00 |
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Cross/Blue Shield of WNY) | $154.35 | $154.35 | $154.35 | |||||||
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Shield of NNY) | $125.05 | $125.05 | ||||||||
| Humana | $81.27 | $81.27 | $118.44 | $81.27 $100.48 | $118.44 | $81.27 | $81.27 | $81.27 | $81.27 | $118.44 |
Plan G
| PLAN G | ALBANY | BUFFALO | LONG ISLAND | MID-HUDSON | NYC PROPER | ROCHESTER | SYRACUSE | UTICA | WATERTOWN | WESTCHESTER |
|---|---|---|---|---|---|---|---|---|---|---|
| FIRST THREE DIGITS OF ZIP CODE: | 120-23 & 128-29 | 140-43 & 147 | 110 & 115-19 | 124-27 | 100-04 & 111-14 | 144-46 | 130-32 & 137-39 & 148-49 | 133-35 | 136 | 105-109 |
| Aetna Life Insurance | $305.19 | $264.80 $293.07 | $406.26 | $337.56 | $406.26 | $264.80 $293.07 | $264.80 $293.07 | $264.80 $293.07 | $293.07 | $406.26 |
| Bankers Conseco | $666.60 | $579.94 | $840.28 | $666.60 | $840.28 | $579.94 | $579.94 $666.60 | $579.94 | $579.94 | $666.60 $840.28 |
| EmblemHealth Plan, Inc. | $417.27 $394.69 | $393.72 | $432.09 | $417.27 | $432.09 | $394.69 $393.72 $407.90 | $407.90 $393.72 $417.27 $394.69 | $394.69 $417.27 | $394.69 | $432.09 $417.27 |
| Excellus Health Plan, Inc. (d/b/a Excellus BlueCross BlueShield) | $477.04 | $477.04 | $477.04 | $477.04 | $477.04 | $477.04 | ||||
| Excellus Health Plan, Inc. (d/b/a Univera Healthcare) | $477.04 | $477.04 | $477.04 | |||||||
| Globe Life Insurance | $384.00 | $384.00 | $461.00 | $384.00 | $461.00 $516.00 | $384.00 | $384.00 | $384.00 | $384.00 | $461.00 |
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Cross/Blue Shield of WNY) | $497.43 | $497.43 | $497.43 | |||||||
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Shield of NNY) | $492.20 | $492.20 | ||||||||
| Humana | $441.28 | $441.28 | $647.27 | $441.28 $547.75 | $647.27 | $441.28 | $441.28 | $441.28 | $441.28 | $647.27 |
| Mutual Of Omaha | $384.02 $405.98 | $384.02 $405.98 | $511.36 | $405.98 | $511.36 | $384.02 | $384.02 | $384.02 | $384.02 | $405.98 $511.36 |
| Transamerica Financial | $314.00 | $314.00 | $444.83 | $366.33 | $444.83 | $314.00 | $314.00 | $314.00 | $314.00 | $444.83 |
| UnitedHealthcare (AARP Program) | $342.50 $336.25 | $342.50 | $372.50 | $336.25 | $372.50 | $342.50 | $342.50 $336.25 | $342.50 $336.25 | $342.50 | $336.25 $372.50 |
Plan G+
| PLAN G+ (HIGH DEDUCTIBLE) | ALBANY | BUFFALO | LONG ISLAND | MID-HUDSON | NYC PROPER | ROCHESTER | SYRACUSE | UTICA | WATERTOWN | WESTCHESTER |
|---|---|---|---|---|---|---|---|---|---|---|
| FIRST THREE DIGITS OF ZIP CODE: | 120-23 & 128-29 | 140-43 & 147 | 110 & 115-19 | 124-27 | 100-04 & 111-14 | 144-46 | 130-32 & 137-39 & 148-49 | 133-35 | 136 | 105-109 |
| Bankers Conseco | $60.25 | $52.53 | $75.69 | $60.25 | $75.69 | $52.53 | $52.53 $60.25 | $52.53 | $52.53 | $60.25 $75.69 |
| EmblemHealth Plan, Inc. | $65.36 $61.83 | $61.67 | $67.69 | $65.36 | $67.69 | $61.83 $61.67 $63.90 | $63.90 $61.67 $65.36 $61.83 | $61.83 $65.36 | $61.83 | $67.69 $65.36 |
| Excellus Health Plan, Inc. (d/b/a Excellus BlueCross BlueShield) | $85.00 | $85.00 | $85.00 | $85.00 | $85.00 | $85.00 | ||||
| Excellus Health Plan, Inc. (d/b/a Univera Healthcare) | $85.00 | $85.00 | $85.00 | |||||||
| Globe Life Insurance | $76.00 | $76.00 | $91.00 | $76.00 | $91.00 $102.00 | $76.00 | $76.00 | $76.00 | $76.00 | $91.00 |
| Humana | $76.33 | $76.33 | $111.19 | $76.33 $94.35 | $111.19 | $76.33 | $76.33 | $76.33 | $76.33 | $111.19 |
Plan K
| PLAN K | ALBANY | BUFFALO | LONG ISLAND | MID-HUDSON | NYC PROPER | ROCHESTER | SYRACUSE | UTICA | WATERTOWN | WESTCHESTER |
|---|---|---|---|---|---|---|---|---|---|---|
| FIRST THREE DIGITS OF ZIP CODE: | 120-23 & 128-29 | 140-43 & 147 | 110 & 115-19 | 124-27 | 100-04 & 111-14 | 144-46 | 130-32 & 137-39 & 148-49 | 133-35 | 136 | 105-109 |
| Bankers Conseco | $111.20 | $96.86 | $139.97 | $111.20 | $139.97 | $96.86 | $96.86 $111.20 | $96.86 | $96.86 | $111.20 $139.97 |
| Globe Life Insurance | $146.00 | $146.00 | $175.00 | $146.00 | $175.00 $196.00 | $146.00 | $146.00 | $146.00 | $146.00 | $175.00 |
| Humana | $155.00 | $155.00 | $226.75 | $155.00 $192.09 | $226.75 | $155.00 | $155.00 | $155.00 | $155.00 | $226.75 |
| Transamerica Financial | $171.38 | $171.38 | $242.79 | $199.95 | $242.79 | $171.38 | $171.38 | $171.38 | $171.38 | $242.79 |
| UnitedHealthcare (AARP Program) | $98.25 $103.50 | $98.25 | $113.75 | $103.50 | $113.75 | $98.25 | $98.25 $103.50 | $98.25 $103.50 | $98.25 | $103.50 $113.75 |
Plan L
| PLAN L | ALBANY | BUFFALO | LONG ISLAND | MID-HUDSON | NYC PROPER | ROCHESTER | SYRACUSE | UTICA | WATERTOWN | WESTCHESTER |
|---|---|---|---|---|---|---|---|---|---|---|
| FIRST THREE DIGITS OF ZIP CODE: | 120-23 & 128-29 | 140-43 & 147 | 110 & 115-19 | 124-27 | 100-04 & 111-14 | 144-46 | 130-32 & 137-39 & 148-49 | 133-35 | 136 | 105-109 |
| Bankers Conseco | $255.94 | $222.73 | $322.45 | $255.94 | $322.45 | $222.73 | $222.73 $255.94 | $222.73 | $222.73 | $255.94 $322.45 |
| Globe Life Insurance | $259.00 | $259.00 | $311.00 | $259.00 | $311.00 $348.00 | $259.00 | $259.00 | $259.00 | $259.00 | $311.00 |
| Humana | $221.16 | $221.16 | $323.93 | $221.16 $274.28 | $323.93 | $221.16 | $221.16 | $221.16 | $221.16 | $323.93 |
| Transamerica Financial | $254.40 | $254.40 | $360.41 | $296.80 | $360.41 | $254.40 | $254.40 | $254.40 | $254.40 | $360.41 |
| UnitedHealthcare (AARP Program) | $199.50 $210.00 | $199.50 | $230.75 | $210.00 | $230.75 | $199.50 | $199.50 $210.00 | $199.50 $210.00 | $199.50 | $210.00 $230.75 |
Plan M
| PLAN M | ALBANY | BUFFALO | LONG ISLAND | MID-HUDSON | NYC PROPER | ROCHESTER | SYRACUSE | UTICA | WATERTOWN | WESTCHESTER |
|---|---|---|---|---|---|---|---|---|---|---|
| FIRST THREE DIGITS OF ZIP CODE: | 120-23 & 128-29 | 140-43 & 147 | 110 & 115-19 | 124-27 | 100-04 & 111-14 | 144-46 | 130-32 & 137-39 & 148-49 | 133-35 | 136 | 105-109 |
| Bankers Conseco | $354.44 | $308.38 | $446.64 | $354.44 | $446.64 | $308.38 | $308.38 $354.44 | $308.38 | $308.38 | $354.44 $446.64 |
| Mutual Of Omaha | $395.08 $417.67 | $395.08 $417.67 | $526.10 | $417.67 | $526.10 | $395.08 | $395.08 | $395.08 | $395.08 | $417.67 $526.10 |
| Transamerica Financial | $313.26 | $313.26 | $443.79 | $365.47 | $443.79 | $313.26 | $313.26 | $313.26 | $313.26 | $443.79 |
Plan N
| PLAN N | ALBANY | BUFFALO | LONG ISLAND | MID-HUDSON | NYC PROPER | ROCHESTER | SYRACUSE | UTICA | WATERTOWN | WESTCHESTER |
|---|---|---|---|---|---|---|---|---|---|---|
| FIRST THREE DIGITS OF ZIP CODE: | 120-23 & 128-29 | 140-43 & 147 | 110 & 115-19 | 124-27 | 100-04 & 111-14 | 144-46 | 130-32 & 137-39 & 148-49 | 133-35 | 136 | 105-109 |
| Bankers Conseco | $415.40 | $361.44 | $523.54 | $415.40 | $523.54 | $361.44 | $361.44 $415.40 | $361.44 | $361.44 | $415.40 $523.54 |
| EmblemHealth Plan, Inc. | $303.96 $287.51 | $286.81 | $314.77 | $303.96 | $314.77 | $287.51 $286.81 $297.14 | $297.14 $286.81 $303.96 $287.51 | $287.51 $303.96 | $287.51 | $314.77 $303.96 |
| Excellus Health Plan, Inc. (d/b/a Excellus BlueCross BlueShield) | $481.97 | $481.97 | $494.20 $533.49 $582.93 | $481.97 $494.20 $533.49 $582.93 | $481.97 | $481.97 | ||||
| Excellus Health Plan, Inc. (d/b/a Univera Healthcare) | $582.93 | $494.20 $533.49 $582.93 | $481.97 $494.20 $533.49 $582.93 | |||||||
| Globe Life Insurance | $375.00 | $375.00 | $450.00 | $375.00 | $450.00 $504.00 | $375.00 | $375.00 | $375.00 | $375.00 | $450.00 |
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Cross/Blue Shield of WNY) | $318.24 | $318.24 | $318.24 | |||||||
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Shield of NNY) | $321.82 | $321.82 | ||||||||
| Humana | $312.99 | $312.99 | $458.83 | $312.99 $388.38 | $458.83 | $312.99 | $312.99 | $312.99 | $312.99 | $458.83 |
| Transamerica Financial | $294.57 | $294.57 | $417.31 | $343.67 | $417.31 | $294.57 | $294.57 | $294.57 | $294.57 | $417.31 |
| UnitedHealthcare (AARP Program) | $269.00 $279.25 | $269.00 | $299.00 | $279.25 | $299.00 | $269.00 | $269.00 $279.25 | $269.00 $279.25 | $269.00 | $279.25 $299.00 |