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 June 1, 2025 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. | $203.49 $192.49 | $192.49 | $213.79 | $203.49 | $213.79 | $192.49 $199.00 | $199.00 $192.49 $203.49 | $192.49 $203.49 | $192.49 | $213.79 $203.49 |
| Excellus Health Plan, Inc. (d/b/a Excellus BlueCross BlueShield) | $225.94 | $225.94 | $231.67 $250.12 $273.30 | $225.94 $231.67 $250.12 $273.30 | $225.94 | $225.94 | ||||
| Excellus Health Plan, Inc. (d/b/a Univera Healthcare) | $273.30 | $231.67 $250.12 $273.30 | $225.94 $231.67 $250.12 $273.30 | |||||||
| Globe Life Insurance | $223.00 | $223.00 | $267.00 | $223.00 | $267.00 $299.00 | $223.00 | $223.00 | $223.00 | $223.00 | $267.00 |
| 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 | $195.25 | $195.25 | $276.61 | $277.79 | $276.61 | $195.25 | $195.25 | $195.25 | $195.25 | $276.61 |
| UnitedHealthcare (AARP Program) | $180.50 $190.25 | $180.50 | $209.00 | $190.25 | $209.00 | $180.50 | $180.50 $190.25 | $180.50 $190.25 | $180.50 | $190.25 $209.00 |
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 | $527.51 | $458.92 | $664.86 | $527.51 | $664.86 | $458.92 | $458.92 $527.51 | $458.92 | $458.92 | $527.51 $664.86 |
| EmblemHealth Plan, Inc. | $290.94 $275.28 | $275.28 | $303.93 | $290.94 | $303.93 | $275.28 $284.54 | $284.54 $275.28 $290.94 | $275.28 $290.94 | $275.28 | $303.93 $190.94 |
| Excellus Health Plan, Inc. (d/b/a Excellus BlueCross BlueShield) | $321.07 | $321.07 | $329.20 $355.42 $388.35 | $321.07 $329.20 $355.42 $388.35 | $321.07 | $321.07 | ||||
| Excellus Health Plan, Inc. (d/b/a Univera Healthcare) | $388.35 | $329.20 $355.42 $388.35 | $321.07 $329.20 $355.42 $388.35 | |||||||
| Globe Life Insurance | $298.00 | $298.00 | $358.00 | $298.00 | $358.00 $401.00 | $298.00 | $298.00 | $298.00 | $298.00 | $358.00 |
| 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 | $235.43 | $235.43 | $333.52 | $274.67 | $333.52 | $235.43 | $235.43 | $235.43 | $235.43 | $333.52 |
| UnitedHealthcare (AARP Program) | $261.75 $275.75 | $261.75 | $303.00 | $275.75 | $303.00 | $261.75 | $261.75 $275.75 | $261.75 $275.75 | $261.75 | $275.75 $303.00 |
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 |
| EmblemHealth Plan, Inc. | $341.05 $322.60 | $322.60 | $355.60 | $341.05 | $355.60 | $322.60 $333.39 | $333.39 $322.60 $341.05 | $322.60 $341.05 | $322.60 | $355.60 $341.05 |
| Excellus Health Plan, Inc. (d/b/a Excellus BlueCross BlueShield) | $359.56 | $359.56 | $368.67 $398.04 $434.90 | $359.56 $368.67 $398.04 $434.90 | $359.56 | $359.56 | ||||
| Excellus Health Plan, Inc. (d/b/a Univera Healthcare) | $434.90 | $368.67 $398.04 $434.90 | $359.58 $368.67 $398.04 $434.90 | |||||||
| Globe Life Insurance | $331.00 | $331.00 | $397.00 | $331.00 | $397.00 $444.00 | $331.00 | $331.00 | $331.00 | $331.00 | $397.00 |
| 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 | $327.31 | $327.31 | $479.87 | $327.31 $406.16 | $479.87 | $327.31 | $327.31 | $327.31 | $327.31 | $479.87 |
| 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 | $305.01 | $305.01 | $432.10 | $355.84 | $432.10 | $305.01 | $305.01 | $305.01 | $305.01 | $432.10 |
| UnitedHealthcare (AARP Program) | $365.25 $374.75 | $365.25 | $415.50 | $374.75 | $415.50 | $365.25 | $365.25 $374.75 | $365.25 $374.75 | $365.25 | $374.75 $415.50 |
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) | $426.92 | $426.92 | $426.92 | $426.92 | $426.92 | $426.92 | ||||
| Excellus Health Plan, Inc. (d/b/a Univera Healthcare) | $426.92 | $426.92 | $426.92 | |||||||
| Globe Life Insurance | $326.00 | $326.00 | $391.00 | $326.00 | $391.00 $438.00 | $326.00 | $326.00 | $326.00 | $326.00 | $391.00 |
| 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 | $208.28 | $208.28 | $397.06 | $326.99 | $397.06 | $208.28 | $208.28 | $208.28 | $208.28 | $397.06 |
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 | $711.08 | $619.55 | $897.73 | $711.08 | $897.73 | $619.55 | $619.55 $711.08 | $619.55 | $619.55 | $711.08 $897.73 |
| EmblemHealth Plan, Inc. | $610.31 $577.29 | $577.29 | $636.35 | $610.31 | $636.35 | $577.29 $596.62 | $577.29 $596.62 $610.31 | $577.29 $610.31 | $577.29 | $636.35 $610.31 |
| Excellus Health Plan, Inc. (d/b/a Excellus BlueCross BlueShield) | $424.33 | $424.33 | $435.10 $469.77 $513.25 | $424.33 $435.10 $469.77 $513.25 | $424.33 | $424.33 | ||||
| Excellus Health Plan, Inc. (d/b/a Univera Healthcare) | $513.25 | $435.10 $469.77 $513.25 | $424.33 $435.10 $469.77 513.25 | |||||||
| Globe Life Insurance | $377.00 | $377.00 | $453.00 | $377.00 | $453.00 $507.00 | $377.00 | $377.00 | $377.00 | $377.00 | $453.00 |
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Cross/Blue Shield of WNY) | $647.14 | $647.14 | $647.14 | |||||||
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Shield of NNY) | $586.36 | $586.36 | ||||||||
| Humana | $333.94 | $333.94 | $489.60 | $333.94 $414.40 | $489.60 | $333.94 | $333.94 | $333.94 | $333.94 | $489.60 |
| 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 | $306.78 | $306.78 | $434.61 | $357.91 | $434.61 | $306.78 | $306.78 | $306.78 | $306.78 | $434.61 |
| UnitedHealthcare (AARP Program) | $362.00 $355.25 | $362.00 | $394.00 | $355.25 | $394.00 | $362.00 | $362.00 $355.25 | $362.00 $355.25 | $362.00 | $355.25 $394.00 |
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. | $71.46 $67.59 | $67.43 | $74.00 | $71.46 | $74.00 | $67.59 $67.43 $69.86 | $69.86 $67.43 $71.46 $67.59 | $67.59 $71.46 | $67.59 | $74.00 $71.46 |
| Excellus Health Plan, Inc. (d/b/a Excellus BlueCross BlueShield) | $78.43 | $78.43 | $78.43 | $78.43 | $78.43 | $78.43 | ||||
| Excellus Health Plan, Inc. (d/b/a Univera Healthcare) | $78.43 | $78.43 | $78.43 | |||||||
| Globe Life Insurance | $91.00 | $91.00 | $109.00 | $91.00 | $109.00 $122.00 | $91.00 | $79100 | $91.00 | $91.00 | $109.00 |
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Cross/Blue Shield of WNY) | $133.27 | $133.27 | $133.27 | |||||||
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Shield of NNY) | $107.97 | $107.97 | ||||||||
| Humana | $76.43 | $76.43 | $111.34 | $76.43 $94.47 | $111.34 | $76.43 | $76.43 | $76.43 | $76.43 | $111.34 |
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 | $655.48 | $570.28 | $826.24 | $655.48 | $826.24 | $570.28 | $570.28 $655.48 | $570.28 | $570.28 | $655.48 $826.24 |
| EmblemHealth Plan, Inc. | $349.97 $331.03 | $330.22 | $362.40 | $349.97 | $362.40 | $331.03 $330.22 $342.11 | $342.11 $330.22 $349.97 $331.03 | $331.03 $349.97 | $331.03 | $362.40 $349.97 |
| Excellus Health Plan, Inc. (d/b/a Excellus BlueCross BlueShield) | $428.99 | $428.99 | $428.99 | $428.99 | $428.99 | $428.99 | ||||
| Excellus Health Plan, Inc. (d/b/a Univera Healthcare) | $428.99 | $428.99 | $428.99 | |||||||
| Globe Life Insurance | $305.00 | $305.00 | $366.00 | $305.00 | $366.00 $410.00 | $305.00 | $305.00 | $305.00 | $305.00 | $366.00 |
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Cross/Blue Shield of WNY) | $429.47 | $429.47 | $429.47 | |||||||
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Shield of NNY) | $424.95 | $424.95 | ||||||||
| Humana | $414.46 | $414.46 | $607.88 | $414.46 $514.44 | $607.88 | $414.46 | $414.46 | $414.46 | $414.46 | $607.88 |
| 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 | $257.38 | $257.38 | $364.62 | $300.27 | $364.62 | $257.38 | $257.38 | $257.38 | $257.38 | $364.62 |
| UnitedHealthcare (AARP Program) | $300.50 $294.75 | $300.50 | $326.75 | $294.75 | $326.75 | $300.50 | $300.50 $294.75 | $300.50 $294.75 | $300.50 | $294.75 $326.75 |
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) | $75.42 | $75.42 | $75.42 | $75.42 | $75.42 | $75.42 | ||||
| Excellus Health Plan, Inc. (d/b/a Univera Healthcare) | $75.42 | $75.42 | $75.42 | |||||||
| Globe Life Insurance | $60.00 | $60.00 | $72.00 | $60.00 | $72.00 $81.00 | $60.00 | $60.00 | $60.00 | $60.00 | $72.00 |
| 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 | $109.42 | $95.31 | $137.69 | $109.42 | $137.69 | $95.31 | $95.31 $109.42 | $95.31 | $95.31 | $109.42 $137.69 |
| Globe Life Insurance | $116.00 | $116.00 | $139.00 | $116.00 | $139.00 $156.00 | $116.00 | $116.00 | $116.00 | $116.00 | $139.00 |
| 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 | $140.48 | $140.48 | $199.01 | $163.89 | $199.01 | $140.48 | $140.48 | $140.48 | $140.48 | $199.01 |
| UnitedHealthcare (AARP Program) | $92.25 $97.00 | $92.25 | $106.75 | $97.00 | $106.75 | $92.25 | $92.25 $97.00 | $92.25 $97.00 | $92.25 | $97.00 $106.75 |
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 | $207.00 | $207.00 | $248.00 | $207.00 | $248.00 $278.00 | $207.00 | $207.00 | $207.00 | $207.00 | $248.00 |
| 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 | $208.53 | $208.53 | $295.41 | $243.28 | $295.41 | $208.53 | $208.53 | $208.53 | $208.53 | $295.41 |
| UnitedHealthcare (AARP Program) | $187.00 $197.00 | $187.00 | $216.25 | $197.00 | $216.25 | $187.00 | $187.00 $197.00 | $187.00 $197.00 | $187.00 | $197.00 $216.25 |
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 | $256.77 | $256.77 | $363.76 | $299.57 | $363.76 | $256.77 | $256.77 | $256.77 | $256.77 | $363.76 |
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 | $408.49 | $355.44 | $514.82 | $408.49 | $514.82 | $355.44 | $355.44 $408.49 | $355.44 | $355.44 | $408.49 $514.82 |
| EmblemHealth Plan, Inc. | $254.95 $241.14 | $240.55 | $264.00 | $254.95 | $264.00 | $241.14 $240.55 $249.22 | $249.22 $240.55 $254.95 $241.14 | $241.14 $254.95 | $241.14 | $264.00 $254.95 |
| Excellus Health Plan, Inc. (d/b/a Excellus BlueCross BlueShield) | $413.00 | $413.00 | $423.48 $457.15 $499.51 | $413.00 $423.48 $457.15 $499.51 | $413.00 | $413.00 | ||||
| Excellus Health Plan, Inc. (d/b/a Univera Healthcare) | $499.51 | $423.48 $457.15 $499.51 | $413.00 $423.48 $457.15 $499.51 | |||||||
| Globe Life Insurance | $299.00 | $299.00 | $359.00 | $299.00 | $359.00 $402.00 | $299.00 | $299.00 | $299.00 | $299.00 | $359.00 |
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Cross/Blue Shield of WNY) | $274.76 | $274.76 | $274.76 | |||||||
| Highmark Western and Northeastern New York Inc. (d/b/a Blue Shield of NNY) | $277.85 | $277.85 | ||||||||
| Humana | $294.01 | $294.01 | $430.95 | $294.01 $364.79 | $430.95 | $294.01 | $294.01 | $294.01 | $294.01 | $430.95 |
| Transamerica Financial | $241.45 | $241.45 | $342.06 | $281.70 | $342.06 | $241.45 | $241.45 | $241.45 | $241.45 | $342.06 |
| UnitedHealthcare (AARP Program) | $235.75 $245.00 | $235.75 | $262.25 | $245.00 | $262.25 | $235.75 | $235.75 $245.00 | $235.75 $245.00 | $235.75 | $245.00 $262.25 |