Page 34 - 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

WESTERN UNITED LIFE ASSURANCE COMPANY www.wula.com (800) 877-7703 ext. 6433
Pre-ex: 0 App Fee: $25 Crossover: Yes
Age A B C D F FHD G GHD K L M N
64 & Under $3,570 $5,664 $5,715 $4,402 $3,978
65 $1,666 $2,267 $2,290 $1,667 $1,453
70 $1,840 $2,484 $2,510 $1,855 $1,612
75 $2,112 $2,880 $2,910 $2,185 $1,903
80 $2,398 $3,373 $3,407 $2,583 $2,267
85 $2,719 $3,995 $4,033 $3,081 $2,735

WISCONSIN PHYSICIANS SERVICE INSURANCE CORP. https://wpshealth.com/medsupp/index.shtml (800) 236-1448
Pre-ex: 6 App Fee: $0 Crossover: Yes

Age A B C D F FHD G GHD K L M N
64 & Under $2,918 $4,066 $4,074 $3,520 $2,122 $2,778 $3,046
65 $1,477 $2,058 $2,062 $1,782 $1,074 $1,406 $1,542
70 $1,771 $2,469 $2,473 $2,137 $1,288 $1,686 $1,849
75 $2,091 $2,914 $2,919 $2,523 $1,521 $1,990 $2,183
80 $2,411 $3,361 $3,367 $2,909 $1,753 $2,295 $2,517
85 $2,918 $4,066 $4,074 $3,520 $2,122 $2,778 $3,046

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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