Page 36 - Cover letter and evaluation for Paulina Rosenstein

COMPARISON OF YEAR 2
STANDARDIZED MEDICARE SUP

(PREMIUMS IN EFFECT A

PLAN C ALBANY BUFFALO LONG ISLAND MID-HUDSO

FIRST THREE DIGITS OF ZIP CODE: 120-23 & 128-29 140-43 & 147 110 & 115-19 124-27

Excellus Health Plan, Inc. $258.30 $312.43 $343.00 $258.30
$285.00 $300.87
(d/b/a Excellus BlueCross BlueShield) $285.00 $272.95 $285.00
$288.56 $350.37 $396.97 $288.56
Excellus Health Plan, Inc. $481.19
$368.92 $270.88 $293.50 $368.92
(d/b/a Univera Healthcare) $270.88 $361.39 $429.78
$361.39 $382.05 $270.88
Globe Life Insurance $382.05 $203.00 $336.05
$203.00 $382.05
Group Health Incorporated $235.75 $235.75

(a/k/a GHI)

HealthNow New York Inc.

(d/b/a BC/BS of Western New York)

HealthNow New York Inc.

(d/b/a BS of Northeastern New York)

Humana

Mutual Of Omaha

UnitedHealthcare

(AARP Program)

PLAN D ALBANY BUFFALO LONG ISLAND MID-HUDSO
120-23 & 128-29 140-43 & 147 110 & 115-19 124-27
FIRST THREE DIGITS OF ZIP CODE:
$282.00 $282.00 $338.00 $282.00
Globe Life Insurance $338.92 $338.92 $451.22 $358.28
Mutual Of Omaha $358.28 $358.28

NOTE: If a premium is shown within a region, that premium may be offered in
the company or use the Medicare Supplement Rate Look-up Application: http