Medicare Supplement Plans - UnitedHealthcare MedicareRx for ...

Enrollment Discount*
The Enrollment Discount is available to applicants age 65 and over only.
Eligibility
Applicants are eligible for the Enrollment Discount if their
age on their plan effective date is:
• 65 to 70, OR
• 71 to 74 AND their plan effective date is within 6 years
of their Medicare Part B effective date
Discount Percentage and Duration
• If applicants are eligible for the Enrollment Discount,
the discount percentage is applied to the standard rate.
• The first-year discount percentage and the duration of
the discount program will vary based on applicants’ age
as of the plan effective date (see table below).
Applicants age 75 and over are not eligible for the
Enrollment Discount.
Enrollment Discount — Discount Percentages and Duration
• The discount percentage amount changes on the
anniversary date of the plan as members move through
the discount program.*
• After the eligible discount duration expires, applicants
will pay the standard rate.
UNDERWRITING/RATES
Discount
Year
Age as of Plan Effective Date
65 66 67 68 69 70 71 72 73 74 75+
1 30% 27% 24% 21% 18% 15% 12% 9% 6% 3% 0%
2 27% 24% 21% 18% 15% 12% 9% 6% 3% 0%
3 24% 21% 18% 15% 12% 9% 6% 3% 0%
4 21% 18% 15% 12% 9% 6% 3% 0%
5 18% 15% 12% 9% 6% 3% 0%
6 15% 12% 9% 6% 3% 0%
7 12% 9% 6% 3% 0%
8 9% 6% 3% 0%
9 6% 3% 0%
10 3% 0%
11 0%
*Note: Rates generally change annually. If the standard rate changes, the discounted monthly premium will be
adjusted accordingly.
California
This information applies for plan effective dates of January 1, 2011 - December 1, 2011 13