Page 47 - 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
$308.70 $213.25 & 148-49 $213.25 $213.25 $245.03
$182.93 $182.93 $308.70
$182.93 $213.25 $185.94 $185.94
$245.03 $187.94 $216.49
$173.54 $169.24 $169.24
$187.34 $182.93
$224.00 $204.70 $187.94 $187.00 $187.00 $224.00
$251.00 $187.00 $175.35 $175.35
$256.65 $175.35 $169.24 $129.50 $129.50 $256.65
$129.50 $173.54 $150.50 $150.50
$187.25 $187.34 $187.25
$204.70
$187.00
$175.35
$129.50
$150.50
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
