Page 31 - Appendices for Paul Stelter PDF Version

Chicago Area - Zip Code 60639 Plans highlighted in BLUE only available to those eligible for Medicare prior to 2020
Standardized Medicare Supplement Plans Available - Annual Premium

SHENANDOAH LIFE INSURANCE COMPANY www.prosperitylife.com/medicare-supplement-insurance (800) 848-5433
Pre-ex: 0 App Fee: $25 Crossover: Yes

Age A B C D F FHD G GHD K L M N
64 & Under $3,132 $4,415 $3,307 $2,576
65 $1,656 $2,336 $1,753 $1,362
70 $1,830 $2,581 $1,933 $1,505
75 $2,190 $3,088 $2,314 $1,802
80 $2,527 $3,563 $2,669 $2,078
85 $2,814 $3,968 $2,973 $2,315

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY www.statefarm.com Contact Local State Farm Agent
Pre-ex: 0 App Fee: $0 Crossover: Yes

Age A B C D F FHD G GHD K L M N
64 & Under $1,971 $4,181 $4,796 $4,225 $4,802 $3,939
65 $1,048 $2,223 $1,793 $2,247 $1,797 $1,389
70 $1,322 $2,803 $2,371 $2,831 $2,376 $1,825
75 $1,532 $3,246 $2,860 $3,279 $2,866 $2,206
80 $1,720 $3,648 $3,304 $3,684 $3,310 $2,573
85 $1,793 $3,802 $3,700 $3,842 $3,708 $2,924

STATE MUTUAL INSURANCE COMPANY www.statemutualinsurance.com (877) 822-0582
Pre-ex: 0 App Fee: $25 Crossover: Yes

Age A B C D F FHD G GHD K L M N
64 & Under $3,683 $4,177 $4,680 $3,781 $4,775 $1,424 $3,832 $3,357 $3,077
65 $1,431 $1,621 $1,817 $1,468 $1,855 $553 $1,488 $1,304 $1,196
70 $1,564 $1,773 $1,986 $1,606 $2,026 $604 $1,627 $1,426 $1,305
75 $1,813 $2,055 $2,303 $1,860 $2,350 $700 $1,884 $1,652 $1,513
80 $2,101 $2,381 $2,669 $2,157 $2,723 $812 $2,184 $1,915 $1,754
85 $2,435 $2,761 $3,094 $2,501 $3,158 $942 $2,533 $2,221 $2,034

Pre-ex = # of months of waiting period for coverage of a pre-existing condition App Fee = one-time charge at the time you apply for a policy Crossover: Yes = claims sent electronically; no paper filing
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