Page 33 - Cover letter and evaluation for Paulina Rosenstein
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2017 COMMUNITY RATED
PPLEMENT MONTHLY PREMIUMS
AS OF JANUARY 1, 2018)
ON NYC PROPER ROCHESTER SYRACUSE UTICA WATERTOWN WESTCHESTER
100-04 & 111-14 144-46 130-32 & 137-39 133-35 136 105-109
7 $318.21 $207.56 & 148-49 $207.56 $229.67 $318.21
$335.51 $229.67 $229.67 $231.74 $266.30
$231.74 $207.56 $231.74 $183.17 $335.51
$229.67 $183.17 $170.54
$183.17 $231.74 $170.54 $198.35
$266.30 $172.45 $162.31
$166.44 $162.31
$207.00 $179.69 $183.17 $173.00 $207.00
$232.00 $196.33 $172.45 $173.00 $152.57 $169.45
$169.45 $173.00 $166.44 $152.57
$179.69
$152.57 $162.31
$196.33
$173.00
$157.73
$213.64 $213.64
$223.59 $260.47
$290.19 $198.19 $198.19 $198.19 $198.19 $290.19
$278.72 $209.54 $209.54
$164.25 $113.50 $209.54 $209.54 $113.50 $221.47
$113.50 $113.50 $278.72
$132.00 $132.00 $132.00
$164.25
n a part or all of the region. For more details on your exact premium, contact
ps://myportal.dfs.ny.gov/web/guest-applications/medicare-monthly-premiums
