Page 40 - Cover letter and evaluation for Paulina Rosenstein

COMPARISON OF YEAR 2
STANDARDIZED MEDICARE SUP

(PREMIUMS IN EFFECT A

P L A N F+ ALBANY BUFFALO LONG ISLAND MID-HUDSO

(HIGH DEDUCTIBLE) 120-23 & 128-29 140-43 & 147 110 & 115-19 124-27

FIRST THREE DIGITS OF ZIP CODE: $60.25 $52.53 $75.69 $60.25
$51.79
Bankers Conseco $51.79 $64.00
$53.00
Excellus Health Plan, Inc. $53.00 $62.64 $93.09
$53.00 $82.73
(d/b/a Excellus BlueCross BlueShield) $82.73 $85.46 $96.37
$64.01 $64.01
Excellus Health Plan, Inc. $64.01 $79.04

(d/b/a Univera Healthcare)

Globe Life Insurance

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

PLAN G ALBANY BUFFALO LONG ISLAND MID-HUDSO
120-23 & 128-29 140-43 & 147 110 & 115-19 124-27
FIRST THREE DIGITS OF ZIP CODE:

Bankers Conseco $432.41 $376.23 $544.97 $432.41

Globe Life Insurance $251.00 $251.00 $301.00 $251.00
$361.68 $246.86
Humana $246.86 $246.86 $428.09 $306.20
$321.57 $264.50 $339.93
Mutual Of Omaha $321.57 $339.93
UnitedHealthcare $339.93 $183.00 $212.75
$183.00
(AARP Program) $212.75

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