03.05.2015 Views

AARP Medicare Supplement Application - Colorado Health Agents

AARP Medicare Supplement Application - Colorado Health Agents

AARP Medicare Supplement Application - Colorado Health Agents

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Cover Page - Rates for <strong>Colorado</strong> - Area 4<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 $54.25 $103.25 $123.37 $123.90 $43.40 $66.85 $88.72<br />

66 $56.57 $107.67 $128.66 $129.21 $45.26 $69.71 $92.52<br />

67 $58.90 $112.10 $133.95 $134.52 $47.12 $72.58 $96.33<br />

68 $61.22 $116.52 $139.23 $139.83 $48.98 $75.44 $100.13<br />

69 $63.55 $120.95 $144.52 $145.14 $50.84 $78.31 $103.93<br />

70 $65.87 $125.37 $149.81 $150.45 $52.70 $81.17 $107.73<br />

71 $68.20 $129.80 $155.10 $155.76 $54.56 $84.04 $111.54<br />

72 $70.52 $134.22 $160.38 $161.07 $56.42 $86.90 $115.34<br />

73 $72.85 $138.65 $165.67 $166.38 $58.28 $89.77 $119.14<br />

74 $75.17 $143.07 $170.96 $171.69 $60.14 $92.63 $122.94<br />

Standard Rates for ages 75 and older<br />

75+ $77.50 $147.50 $176.25 $177.00 $62.00 $95.50 $126.75<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 $61.22 $116.52 $139.23 $139.83 $48.98 $75.44 $100.13<br />

69 $63.55 $120.95 $144.52 $145.14 $50.84 $78.31 $103.93<br />

70 $65.87 $125.37 $149.81 $150.45 $52.70 $81.17 $107.73<br />

71 $68.20 $129.80 $155.10 $155.76 $54.56 $84.04 $111.54<br />

72 $70.52 $134.22 $160.38 $161.07 $56.42 $86.90 $115.34<br />

73 $72.85 $138.65 $165.67 $166.38 $58.28 $89.77 $119.14<br />

74 $75.17 $143.07 $170.96 $171.69 $60.14 $92.63 $122.94<br />

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

75+ $77.50 $147.50 $176.25 $177.00 $62.00 $95.50 $126.75<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+ $116.25 $221.25 $264.37 $265.50 $93.00 $143.25 $190.12<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+ $85.25 $162.25 $193.87 $194.70 $68.20 $105.05 $139.42<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+ $116.25 $221.25 $264.37 $265.50 $93.00 $143.25 $190.12<br />

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

MRP0003 COD 1-13<br />

0000001 0000011 0021 0074 UMS1129 01 L

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!