Page 41 - 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
133-35
100-04 & 111-14 144-46 130-32 & 137-39 136 105-109
& 148-49 $52.53
$75.69 $52.53 $51.79 $52.53 $60.25
$53.10 $52.53 $51.79 $75.69
$64.00 $57.33 $60.25 $53.00
$71.00 $62.64 $53.10 $53.00 $64.00
$53.00 $57.33 $82.73 $64.01
$85.46 $51.79 $64.01 $96.37
$93.09
$62.64
$53.00
$85.46
$93.09 $64.01 $64.01
ON NYC PROPER ROCHESTER SYRACUSE UTICA WATERTOWN WESTCHESTER
100-04 & 111-14 144-46 130-32 & 137-39 133-35 136
105-109
$544.97 $376.23 & 148-49 $376.23 $376.23
$301.00 $251.00 $251.00 $251.00 $432.41
$338.00 $246.86 $376.23 $246.86 $246.86 $544.97
$361.68 $321.57 $432.41 $321.57 $321.57 $301.00
$183.00 $251.00 $183.00 $183.00
$428.09 $212.75 $361.68
$246.86
$264.50 $339.93
$321.57 $428.09
$183.00 $212.75
$212.75 $264.50
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
