Page 35 - Cover letter and evaluation for Paulina Rosenstein

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

$362.44 $236.31 & 148-49 $236.31 $261.52 $362.44
$438.59 $261.52 $261.52 $302.83 $348.05
$302.83 $236.31 $302.83 $227.97 $438.59
$261.52 $227.97 $231.72
$227.97 $302.83 $231.72 $270.03
$348.05 $234.26 $209.69
$215.00 $209.69
$284.00 $232.12 $227.97 $237.00 $284.00
$319.00 $253.62 $234.26 $237.00 $204.82 $226.14
$204.82
$226.14 $237.00 $215.00
$204.82 $209.69
$232.12

$253.62

$237.00

$211.71

$282.01 $282.01

$295.13 $343.82

$327.57 $223.64 $223.64 $223.64 $223.64 $327.57
$427.95 $321.46 $321.46
$238.00 $164.75 $321.46 $321.46 $164.75 $339.82
$164.75 $164.75 $427.95
$191.25 $191.25 $191.25
$238.00

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