AARP Medicare Supplement Application - Colorado Health Agents

Cover Page - Rates for Colorado - Area 1
Under 65 Monthly Plan Rates
AARP ® Medicare Supplement Insurance Plans insured by UnitedHealthcare Insurance Company
Group 4
Applies to individuals under the age of 65 who are
eligible for Medicare by reason of disability
Age 1 Plan A Plan B Plan C Plan F Plan K Plan L Plan N
Non-Tobacco Rates
50-64 $168.75 $320.75 $383.75 $385.25 $135.00 $208.00 $275.75
Tobacco Rates
50-64 $185.62 $352.82 $422.12 $423.77 $148.50 $228.80 $303.32
The rates above are for plan effective dates from January - December 2013 and may change.
1 Your age as of your plan effective date.
2 The Enrollment Discount is available to applicants age 65 and over. You may qualify for an Enrollment Discount
based on your age and your Medicare Part B effective date.
The Enrollment Discount is applied to the current Standard Rate. The Standard Rates usually change each year.
The discount you receive in your first year of coverage depends on your age on your plan effective date. The
discount percentage reduces 3% each year on the anniversary date of your plan until the discount runs out.
3 Refer to Section 6 of the application.
MRP0003 COA 1-13
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