Page 41 - Rx Drug Plan review for John
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11/14/21, 9:56 AM                                              MSRG_II













                  2021 GUIDE ON MEDICARE SUPPLEMENT
                  INSURANCE

                  Depending on the "search" criteria (i.e. policy type, age, ZIP code, and location / county) you
                  entered, the table below displays the annual rate(s) approved by the department's Health
                  Actuary Office (HAO) or DMHC and verified by the insurance company. Based on a
                  California resident and "non-tobacco" user profile, the rate's table is intended to provide a
                  comparison tool for the public to use in making informed decisions addressing their Medicare
                  Supplement (Medigap) needs.

                  For more information regarding Medicare Supplement (Medigap) Insurance and changes
                  that were effective January 1, 2020, please select Guide to Medicare Supplement

                  The Medicare Supplement (Medigap) rates displayed on the table below reflect effective
                  dates provided by the company.
                                                             These policies are
                        Policy Type Individual
                                                             individually rated.
                              Age 68
                         ZIP Code 92586
                  Location (County): RIVERSIDE
                   Reset



                           Waiting    A      B     C      D      F    High    G   High    K      L      M      N
                            Period                                      F           G
                            (Days)
                             ACCENDO INSURANCE COMPANY - (800) 264-                Methodology: AA
                             4000
                               0    $1,915   -      -      -   $2,529   -   $2,322  -     -      -      -    $1,595

                             Restrictions                      Effective Date: 07/01/2021

                             BLUE CROSS OF CALIFORNIA - (800) 333-3883             Methodology: AA
                              60    $1,761   -      -      -   $2,837   -   $1,847  -     -      -      -    $2,025

                             Restrictions                      Effective Date: 03/01/2021
                             CALIFORNIA PHYSICIANS SERVICE - (800) 248-            Methodology: AA
                             2341

                               0    $1,800   -    $2,892 $2,460 $2,676 $792 $2,112  -   $1,212   -      -    $2,028
                             Restrictions                      Effective Date: 07/01/2021
                             CIGNA HEALTH AND LIFE INSURANCE                       Methodology: AA
                             COMPANY - (866) 459-4272

                              180   $1,720   -      -      -   $2,276 $612 $1,854   -     -      -      -    $1,435
                             Restrictions                      Effective Date: 09/01/2021

      https://interactive.web.insurance.ca.gov/apex_extprd/f?p=111:31:11502158414098::NO::P31_SUBMIT:Y              1/4
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