Medicare Supplement Plans - UnitedHealthcare MedicareRx for ...
Medicare Supplement Plans - UnitedHealthcare MedicareRx for ...
Medicare Supplement Plans - UnitedHealthcare MedicareRx for ...
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Cover Page - Rates <strong>for</strong> Cali<strong>for</strong>nia - Area 3<br />
Non-Tobacco Monthly Plan Rates<br />
AARP ® <strong>Medicare</strong> <strong>Supplement</strong> Insurance <strong>Plans</strong> insured by <strong>UnitedHealthcare</strong> Insurance Company<br />
Group 1<br />
Applies to individuals whose plan effective date will be within six years<br />
following their 65th birthday or <strong>Medicare</strong> Part B effective date, if later.<br />
Age 1 Plan A Plan B Plan C Plan F Plan K Plan L Plan N<br />
Standard Rates with Enrollment Discount 2 <strong>for</strong> individuals ages 65-74<br />
65 $81.37 $108.85 $127.22 $127.75 $51.80 $75.42 $84.87<br />
66 $84.86 $113.51 $132.67 $133.22 $54.02 $78.65 $88.51<br />
67 $88.35 $118.18 $138.13 $138.70 $56.24 $81.89 $92.15<br />
68 $91.83 $122.84 $143.58 $144.17 $58.46 $85.12 $95.78<br />
69 $95.32 $127.51 $149.03 $149.65 $60.68 $88.35 $99.42<br />
70 $98.81 $132.17 $154.48 $155.12 $62.90 $91.58 $103.06<br />
71 $102.30 $136.84 $159.94 $160.60 $65.12 $94.82 $106.70<br />
72 $105.78 $141.50 $165.39 $166.07 $67.34 $98.05 $110.33<br />
73 $109.27 $146.17 $170.84 $171.55 $69.56 $101.28 $113.97<br />
74 $112.76 $150.83 $176.29 $177.02 $71.78 $104.51 $117.61<br />
Standard Rates <strong>for</strong> ages 75 and older<br />
75+ $116.25 $155.50 $181.75 $182.50 $74.00 $107.75 $121.25<br />
Group 2<br />
Applies to individuals whose plan effective date will be between 6 years and less than<br />
10 years following their 65th birthday or <strong>Medicare</strong> Part B effective date, if later.<br />
Plan A Plan B Plan C Plan F Plan K Plan L Plan N<br />
Level 1 Rates<br />
$127.87 $171.05 $199.92 $200.75 $81.40 $118.52 $133.37<br />
Group 3<br />
Applies to individuals whose plan effective date will be 10 or more years<br />
following their 65th birthday or <strong>Medicare</strong> Part B effective date, if later.<br />
Plan A Plan B Plan C Plan F Plan K Plan L Plan N<br />
Level 2 Rates<br />
$145.31 $194.37 $227.18 $228.12 $92.50 $134.68 $151.56<br />
The rates above are <strong>for</strong> plan effective dates from January - December 2011.<br />
Appendix<br />
MRP0003 CAC 1/11<br />
Cali<strong>for</strong>nia<br />
This in<strong>for</strong>mation applies <strong>for</strong> plan effective dates of January 1, 2011 - December 1, 2011 37