Page 35 - 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 SELECT Plans

AARP/UNITEDHEALTHCARE INSURANCE COMPANY www.aarpmedicaresupplement.com (800) 523-5800
Pre-ex: 3 App Fee: $0 Crossover: Yes

Age A B C D F FHD G GHD K L M N
64 & Under $4,063 $4,081 $3,950 $3,585
65 $1,652 $1,660 $1,268 $1,182
70 $1,815 $1,823 $1,393 $1,298
75 $2,221 $2,231 $1,705 $1,589
80 $2,628 $2,639 $2,017 $1,880
85 $2,628 $2,639 $2,017 $1,880

BLUE CROSS BLUE SHIELD OF ILLINOIS/HEALTH CARE www.bcbsil (800) 646-3000
Pre-ex: 0 App Fee: 0 Guaranteed Issue Company: Yes Crossover: Yes

Age A B C D F FHD G GHD K L M N
64 & Under $3,911 $4,783 $4,797 $3,961 $2,492 $3,399 $3,574
65 $1,560 $1,907 $1,913 $1,485 $994 $1,356 $1,340
70 $2,025 $2,476 $2,484 $1,975 $1,290 $1,760 $1,782
75 $2,447 $2,992 $3,002 $2,419 $1,559 $2,127 $2,183
80 $2,826 $3,456 $3,466 $2,819 $1,801 $2,456 $2,543
85 $3,162 $3,867 $3,878 $3,172 $2,015 $2,748 $2,862

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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