Medicare Supplement Plans - UnitedHealthcare MedicareRx for ...

Cover Page - Rates for California - Area 2
Tobacco Monthly Plan Rates
AARP ® Medicare Supplement Insurance Plans insured by UnitedHealthcare Insurance Company
Group 1
Applies to individuals whose plan effective date will be within six years
following their 65th birthday or Medicare Part B effective date, if later.
Age 1 Plan A Plan B Plan C Plan F Plan K Plan L Plan N
Standard Rates with Enrollment Discount 2 for individuals ages 65-74
65 $97.20 $130.13 $152.07 $152.84 $61.98 $90.27 $101.44
66 $101.37 $135.70 $158.59 $159.39 $64.64 $94.14 $105.79
67 $105.54 $141.28 $165.11 $165.94 $67.29 $98.01 $110.13
68 $109.70 $146.86 $171.62 $172.49 $69.95 $101.88 $114.48
69 $113.87 $152.43 $178.14 $179.04 $72.61 $105.75 $118.83
70 $118.03 $158.01 $184.66 $185.59 $75.26 $109.62 $123.18
71 $122.20 $163.59 $191.18 $192.14 $77.92 $113.49 $127.52
72 $126.37 $169.16 $197.69 $198.69 $80.58 $117.36 $131.87
73 $130.53 $174.74 $204.21 $205.24 $83.23 $121.23 $136.22
74 $134.70 $180.32 $210.73 $211.79 $85.89 $125.10 $140.57
Standard Rates for ages 75 and older
75+ $138.87 $185.90 $217.25 $218.35 $88.55 $128.97 $144.92
Group 2
Applies to individuals whose plan effective date will be between 6 years and less than
10 years following their 65th birthday or Medicare Part B effective date, if later.
Plan A Plan B Plan C Plan F Plan K Plan L Plan N
Level 1 Rates
$152.75 $204.49 $238.97 $240.18 $97.40 $141.86 $159.41
Group 3
Applies to individuals whose plan effective date will be 10 or more years
following their 65th birthday or Medicare Part B effective date, if later.
Plan A Plan B Plan C Plan F Plan K Plan L Plan N
Level 2 Rates
$173.58 $232.37 $271.56 $272.93 $110.68 $161.21 $181.15
The rates above are for plan effective dates from January - December 2011.
Appendix
MRP0003 CAB 1/11
California
This information applies for plan effective dates of January 1, 2011 - December 1, 2011 35