Page 39 - 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
$422.90 $275.61 & 148-49 $275.61 $305.05 $422.90
$592.09 $305.05 $305.05 $408.72 $469.06
$408.72 $275.61 $408.72 $331.29 $592.09
$305.05 $331.29 $336.45
$331.29 $408.72 $336.45 $342.87
$469.06 $299.96 $277.13
$284.16 $277.13
$324.00 $306.80 $331.29 $270.00 $324.00
$363.00 $335.20 $299.96 $270.00 $300.67 $331.43
$270.00 $300.67
$331.43 $300.67 $284.16 $276.35 $429.78
$352.51 $277.13 $368.92 $363.74
$306.80 $276.35 $203.75 $405.01
$363.74 $384.53
$335.20 $203.75 $484.32
$236.75 $236.75
$270.00 $294.50
$310.74
$352.51
$405.01 $276.35 $276.35
$484.32 $363.74
$294.50 $203.75 $363.74
$203.75
$236.75
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
