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AARP Medicare Supplement Application - Colorado Health Agents

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Cover Page - Rates for <strong>Colorado</strong> - Area 2<br />

Non-Tobacco Monthly Plan Rates<br />

<strong>AARP</strong> ® <strong>Medicare</strong> <strong>Supplement</strong> Insurance Plans insured by United<strong>Health</strong>care Insurance Company<br />

Group 1<br />

Applies to individuals whose plan effective date will be within three 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 for individuals ages 65-74<br />

65 $61.42 $116.72 $139.65 $140.17 $49.17 $75.77 $100.45<br />

66 $64.05 $121.72 $145.63 $146.18 $51.28 $79.02 $104.75<br />

67 $66.69 $126.73 $151.62 $152.19 $53.39 $82.27 $109.06<br />

68 $69.32 $131.73 $157.60 $158.19 $55.49 $85.51 $113.36<br />

69 $71.95 $136.73 $163.59 $164.20 $57.60 $88.76 $117.67<br />

70 $74.58 $141.73 $169.57 $170.21 $59.71 $92.01 $121.97<br />

71 $77.22 $146.74 $175.56 $176.22 $61.82 $95.26 $126.28<br />

72 $79.85 $151.74 $181.54 $182.22 $63.92 $98.50 $130.58<br />

73 $82.48 $156.74 $187.53 $188.23 $66.03 $101.75 $134.89<br />

74 $85.11 $161.74 $193.51 $194.24 $68.14 $105.00 $139.19<br />

Standard Rates for ages 75 and older<br />

75+ $87.75 $166.75 $199.50 $200.25 $70.25 $108.25 $143.50<br />

Group 2<br />

Applies to individuals whose plan effective date will be between 3 years and less than<br />

6 years 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 for individuals ages 68-74 who do<br />

not have any of the medical conditions on the application. 3<br />

68 $69.32 $131.73 $157.60 $158.19 $55.49 $85.51 $113.36<br />

69 $71.95 $136.73 $163.59 $164.20 $57.60 $88.76 $117.67<br />

70 $74.58 $141.73 $169.57 $170.21 $59.71 $92.01 $121.97<br />

71 $77.22 $146.74 $175.56 $176.22 $61.82 $95.26 $126.28<br />

72 $79.85 $151.74 $181.54 $182.22 $63.92 $98.50 $130.58<br />

73 $82.48 $156.74 $187.53 $188.23 $66.03 $101.75 $134.89<br />

74 $85.11 $161.74 $193.51 $194.24 $68.14 $105.00 $139.19<br />

Standard Rates for individuals ages 75 and older who do not have any of the medical conditions on the application. 3<br />

75+ $87.75 $166.75 $199.50 $200.25 $70.25 $108.25 $143.50<br />

Level 2 Rates for individuals ages 68 and older who have one or more of the medical conditions on the application. 3<br />

68+ $131.62 $250.12 $299.25 $300.37 $105.37 $162.37 $215.25<br />

Group 3<br />

Applies to individuals whose plan effective date will be 6 or more 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 />

Level 1 Rates for individuals ages 71 and older who do not have any of the medical conditions on the application. 3<br />

71+ $96.52 $183.42 $219.45 $220.27 $77.27 $119.07 $157.85<br />

Level 2 Rates for individuals ages 71 and older who have one or more of the medical conditions on the application. 3<br />

71+ $131.62 $250.12 $299.25 $300.37 $105.37 $162.37 $215.25<br />

The rates above are for plan effective dates from January - December 2013 and may change.<br />

MRP0003 COB 1-13<br />

0000001 0000007 0013 0074 UMS1129 01 L

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