Page 16 - AmeriHealth Medigap Plans Informaion

AmeriHealth Insurance Company of New Jersey
Medicare Supplement Premium Information
AmeriHealth Insurance Company of New Jersey can only raise your premium if we raise the premium for all policies like yours in this state. We will not change your premium or cancel your policy because of age or poor health. These monthly rates are subject to change with the approval of the New Jersey Department of Banking and Insurance.
Attained Age Rated
Age 50-64*
Age 65
Age 66
Age 67
Age 68
Age 69
Age 70
Age 71
Age 72
Age 73
Age 74
Age 75-79
Age 80-84
Age 85+
Plan A
NT N/A
T N/A Plan C
NT $178.26
T $196.08 Plan D
NT $152.42
T $167.66 Plan F
NT N/A
T N/A Plan G
NT N/A
T N/A Plan G HD
NT N/A
T N/A Plan N
NT N/A
T N/A
Non-Tobacco rates apply to applications submitted during the open enrollment or in a guaranteed issue situation. Applicants NOT enrolling during the open enrollment period or in a guaranteed issue situation will be evaluated for tobacco usage and charged the corresponding tobacco or non-tobacco rates.
NT – Non-Tobacco T – Tobacco
$107.07 $113.03 $117.69 $123.03 $128.02 $133.39 $139.03 $143.97 $148.38 $152.13 $162.85 $172.97 $172.97 $117.77 $124.33 $129.46 $135.33 $140.82 $146.73 $152.93 $158.37 $163.22 $167.34 $179.13 $190.27 $190.27
$178.26 $184.28 $191.71 $200.17 $208.10 $217.39 $226.93 $235.27 $244.22 $251.92 $274.68 $317.36 $364.62 $196.08 $202.71 $210.88 $220.18 $228.91 $239.13 $249.63 $258.80 $268.64 $277.11 $302.15 $349.09 $401.09
$152.42 $157.57 $163.92 $171.15 $177.94 $185.88 $194.04 $201.17 $208.82 $215.40 $234.86 $271.36 $311.77 $167.66 $173.33 $180.31 $188.26 $195.73 $204.47 $213.45 $221.29 $229.70 $236.94 $258.35 $298.49 $342.95
$169.77 $175.51 $182.58 $190.64 $198.19 $207.04 $216.13 $224.07 $232.59 $239.93 $261.60 $302.24 $347.26 $186.75 $193.06 $200.84 $209.70 $218.01 $227.74 $237.74 $246.47 $255.85 $263.92 $287.76 $332.47 $381.99
$153.50 $158.68 $165.08 $172.36 $179.19 $187.19 $195.41 $202.59 $210.29 $216.93 $236.52 $273.27 $313.97 $168.85 $174.55 $181.59 $189.60 $197.11 $205.91 $214.95 $222.84 $231.32 $238.62 $260.17 $300.60 $345.37
$57.61 $59.56 $61.96 $64.70 $67.26 $70.26 $73.35 $76.04 $78.93 $81.42 $88.78 $102.57 $117.85 $63.38 $65.52 $68.16 $71.17 $73.99 $77.29 $80.68 $83.64 $86.83 $89.57 $97.66 $112.83 $129.63
$117.80 $124.79 $130.22 $136.46 $142.33 $149.31 $156.46 $162.73 $169.63 $175.57 $193.39 $227.83 $268.48
$129.58 $137.27 $143.24 $150.11 $156.56 $164.24 $172.11 $179.00 $186.59 $193.12 $212.73 $250.61 $295.32
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INDIVIDUAL