Medicare Supplement Insurance Rate Plan G

The following Table (Plan G) 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, 2022 are contained in the body of the Table.

P L A N    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

$533.02

$463.75

$671.84

$533.02

$671.84

$463.75

$463.75
$533.02

$463.75

$463.75

$533.02
$671.84

  EmblemHealth Plan, Inc.

$291.64
$275.86

$275.18

$302.00

$291.64

$302.00

$275.86
$275.18
$285.09

$285.09
$275.18
$291.64
$275.86

$275.86
$291.64

$275.86

$302.00
$291.64

EmpireHealthChoice Assurance
   (d/b/a Empire BC (Albany Region) &
Empire BC/BS (All Other Regions))

$235.65

 

$291.75

$235.65

$291.75

 

 

 

 

$291.75

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

$203.17

 

 

$203.17

 

$203.17

$203.17

$203.17

$203.17

 

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

 

$203.17

 

 

 

$203.17

$203.17

 

 

 

Globe Life Insurance      

$290.00

$290.00

$348.00

$290.00

$348.00
$390.00

$290.00

$290.00

$290.00

$290.00

$348.00

Highmark Western and Northeastern New York Inc.
(d/b/a Blue Cross/Blue Shield of WNY)

 

$210.90

 

 

 

$210.90

$210.90

 

 

 

Highmark Western and Northeastern New York Inc.
(d/b/a Blue Shield of NNY)

$226.09

 

 

$226.09

 

 

 

 

 

 

Humana

$313.88

$313.88

$460.14

$313.88
$389.48

$460.14

$313.88

$313.88

$313.88

$313.88

$460.14

Mutual Of Omaha

$359.03
$379.55

$359.03
$379.55

$478.04

$379.55

$478.04

$359.03

$359.03

$359.03

$359.03

$379.55
$478.04

Transamerica Financial

$199.00

$199.00

$281.00

$232.00

$281.00

$199.00

$199.00

$199.00

$199.00

$281.00

UnitedHealthcare
   (AARP Program)

$247.50
$234.50

$247.50

$280.25

$234.50

$280.25

$247.50

$247.50
$234.50

$247.50
$234.50

$247.50

$234.50
$280.25

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 on the DFS Portal.