Insurance to supplement
Original Medicare
(Medigap plans)
Medigap plans
Medigaps are insurance plans that private companies sell. They’re supplemental insurance
that helps cover Original Medicare deductibles and coinsurances. For example, Medicare
pays 80% of the cost of a doctor’s visit. A Medigap can pay the other 20% for you. Some
Medigaps also cover services Medicare doesn’t cover, such as emergency care when
you’re outside of the United States.
Medigaps only work with Original Medicare. They don’t work with Medicare Advantage
plans, also known as private health plans. If you have a Medicare Advantage plan, like an
HMO or PPO, you can’t buy a Medigap.
Choosing a Medigap plan
There are 10 standardized Medigap plans (A, B, C, D, F, G, K, L, M and N). Four other
plans (E, H, I and J) stopped being sold to new members in 2010, but some people still
have these plans. Each lettered plan pays for a certain set of benefits. The benefits are the
same no matter which company sells the plan.
Plan A covers the fewest benefits and usually charges a lower monthly fee, or premium.
Plans that cover more benefits usually charge a higher premium. (See the attached
“Medigap Plan Benefits” chart to find out what each plan covers.) Note: Massachusetts,
Minnesota and Wisconsin have different Medigap plans.
 The most popular Medigap plans are C and F. They cover key benefits and don’t
cost as much as other plans.
 Medigap plans are guaranteed renewable. That means that as long as you pay the
premium, you can keep your plan. Premiums may go up from year to year.
 Shop around. Different insurance companies charge different premiums for the
exact same plan.
 Plans K and L may have lower monthly premiums. However, unlike other Medigaps,
plans K and L only pay part of the cost of most Medicare coinsurances and
deductibles until you reach a yearly out-of-pocket maximum. After that, it pays the full
cost.
How to use these charts
1. Medigap Plan Benefits. Use this chart to compare each plan’s benefits.
2. Comparison of Monthly Premiums. Use this chart to compare the monthly costs
of Medigap plans in your area.
Remember: The benefits for every type of plan (Plan A, for example) are the same
no matter which company sells it or what the premium is. Look for the best deal.
© 2017 Medicare Rights Center
Helpline: 800-333-4114
www.medicareinteractive.org
Medigap Plan Benefits
For plans sold on or after June 1, 2010
A
Hospital Copayment
Copay for days 61-90 ($329) and days
91-150 ($658) in hospital; Payment in
full for 365 additional lifetime days
Part B Coinsurance
Coinsurance for Part B services, such
as doctors’ services, laboratory and
x-ray services, durable medical
equipment, and hospital outpatient
services
B
C
D
F*
G
K**
M
N
· · · · ·
·
· · ·
·
· · · · ·
·
· · · · ·
· · · ·
·
·
Skilled Nursing Facility (SNF)
Daily Copay
Covers $164.50 a day for days 21-100
each benefit period
· · ·
·
Part B Annual Deductible
Covers $183 (Part B deductible)
·
First three pints of blood
Hospital Deductible
Covers $1,316 in each benefit period
L**
50%
75%
·
Except $20 for
doctors visits
and $50 for
emergency visits
50%
75%
·
50%
75%
50%
·
·
50%
75%
·
·
·
Part B Excess Charges Benefits
100% of Part B excess charges.
(Under federal law, the excess limit is
15% more than Medicare's approved
charge when provider does not take
assignment; under New York State
law, the excess limit is 5% for most
services)
·
·
Emergency Care Outside the U.S.
80% of emergency care costs during
the first 60 days of each trip, after an
annual deductible of $250, up to a
maximum lifetime benefit of $50,000.
· · ·
·
·
·
100% of coinsurance for Part Bcovered preventive care services after
the Part B deductible has been paid
· · · · ·
·
· · ·
·
Hospice Care
Coinsurance for respite care and other
Part A-covered services
· · · · ·
·
·
·
50%
75%
* Plan F also offers a high-deductible option in which you pay a $2,200 deductible in 2017 before Medigap
coverage starts.
** Plans K and L pay 100% of your Part A and Part B copays after you spend a certain amount out of pocket.
The 2017 out-of-pocket maximum is $5,120 for Plan K and $2,560 for Plan L.
Note: Plans E, H, I, and J stopped being sold June 1, 2010. If you bought a Medigap between July 31, 1992 and
June 1, 2010, you can keep it even if it’s not being sold anymore. Your benefits are different from what’s on the
chart above. This chart also doesn’t apply to Massachusetts, Minnesota and Wisconsin. Those states have their
own Medigap systems.
© 2017 Medicare Rights Center
Helpline: 800-333-4114
www.medicareinteractive.org
COMPARISON OF YEAR 2017 COMMUNITY RATED
STANDARDIZED MEDICARE SUPPLEMENT MONTHLY PREMIUMS
(PREMIUMS IN EFFECT AS OF FEBRUARY 1, 2017)
PLAN
A
ALBANY
BUFFALO
LONG ISLAND
MID-HUDSON
NYC PROPER
ROCHESTER
SYRACUSE
UTICA
WATERTOWN
WESTCHESTER
133-35
136
105-109
120-23 & 128-29
140-43 & 147
110 & 115-19
124-27
100-04 & 111-14
144-46
130-32 & 137-39
& 148-49
Aetna Life Insurance
$239.15
$207.56
$229.67
$318.21
$264.47
$318.21
$207.56
$229.67
$207.56
$229.67
$207.56
$229.67
$229.67
$318.21
American Progressive
$192.70*
$175.43*
$219.53*
$192.70*
$219.53*
$175.43*
$175.43*
$175.43*
$175.43*
$219.53*
Bankers Conseco
$266.30
$231.74
$335.51
$266.30
$335.51
$231.74
$231.74
$266.30
$231.74
$231.74
$266.30
$335.51
CDPHP Universal Benefits Inc.
$157.06
$158.84
$183.32
$162.64
$162.64
$157.06
$183.32
$162.64
$162.64
$158.84
$162.64
$157.06
$158.84
$162.64
$157.06
$183.32
Excellus Health Plan, Inc.
$156.07
$156.07
$160.04
$172.78
$160.04
$172.78
$156.07
$156.07
$156.07
$188.78
$188.78
FIRST THREE DIGITS OF ZIP CODE:
(d/b/a Excellus BlueCross BlueShield)
Excellus Health Plan, Inc.
$188.78
(d/b/a Univera Healthcare)
First United American
$173.00
$173.00
$207.00
$173.00
$207.00
$232.00
$173.00
$173.00
$173.00
$173.00
$207.00
Group Health Incorporated
$161.29
$152.57
$169.45
$161.29
$169.45
$152.57
$157.73
$152.57
$152.57
$169.45
$205.15
$205.15
(a/k/a GHI)
HealthNow New York Inc.
$205.15
(d/b/a BC/BS of Western New York)
HealthNow New York Inc.
(d/b/a BS of Northeastern New York)
Humana
Mutual Of Omaha
UnitedHealthcare
(AARP Program)
$214.70
$190.64
$190.64
$279.10
$196.88
$208.08
$108.25
$125.75
$196.88
$208.08
$261.83
$108.25
$156.50
$214.70
$250.12
$190.64
$236.37
$214.70
$250.12
$279.10
$190.64
$190.64
$190.64
$190.64
$208.08
$261.83
$196.88
$196.88
$196.88
$196.88
$125.75
$156.50
$108.25
$108.25
$125.75
$108.25
$125.75
$108.25
$279.10
$208.08
$261.83
$125.75
$156.50
* There is a one-time $25 policy fee charged at issue.
NOTE: If a premium is shown within a region, that premium may be offered in a part or all of the region. For more details on your exact premium, contact
the company or use the Medicare Supplement Rate Look-up Application: https://myportal.dfs.ny.gov/web/guest-applications/medicare-monthly-premiums
COMPARISON OF YEAR 2017 COMMUNITY RATED
STANDARDIZED MEDICARE SUPPLEMENT MONTHLY PREMIUMS
(PREMIUMS IN EFFECT AS OF FEBRUARY 1, 2017)
PLAN
B
ALBANY
BUFFALO
LONG ISLAND
MID-HUDSON
NYC PROPER
ROCHESTER
SYRACUSE
UTICA
WATERTOWN
WESTCHESTER
133-35
136
105-109
120-23 & 128-29
140-43 & 147
110 & 115-19
124-27
100-04 & 111-14
144-46
130-32 & 137-39
& 148-49
Aetna Life Insurance
$272.33
$236.31
$261.52
$362.44
$301.19
$362.44
$236.31
$261.52
$236.31
$261.52
$236.31
$261.52
$261.52
$362.44
American Progressive
$270.01*
$244.59*
$306.39*
$270.01*
$306.39*
$244.59*
$244.59*
$244.59*
$244.59*
$306.39*
Bankers Conseco
$333.74
$290.39
$420.55
$333.74
$420.55
$290.39
$290.39
$333.74
$290.39
$290.39
$333.74
$420.55
CDPHP Universal Benefits Inc.
$203.02
$205.28
$237.23
$199.64
$199.64
$203.02
$237.23
$199.64
$199.64
$205.28
$199.64
$203.02
$205.28
$199.64
$203.02
$237.23
Excellus Health Plan, Inc.
$209.69
$209.69
$215.00
$232.12
$215.00
$209.69
$232.12
$209.69
$209.69
$253.62
$253.62
FIRST THREE DIGITS OF ZIP CODE:
(d/b/a Excellus BlueCross BlueShield)
Excellus Health Plan, Inc.
$253.62
(d/b/a Univera Healthcare)
First United American
$237.00
$237.00
$284.00
$237.00
$284.00
$319.00
$237.00
$237.00
$237.00
$237.00
$284.00
Group Health Incorporated
$216.47
$204.82
$226.14
$216.47
$226.14
$204.82
$211.71
$204.82
$204.82
$226.14
$251.56
$251.56
(a/k/a GHI)
HealthNow New York Inc.
$251.56
(d/b/a BC/BS of Western New York)
HealthNow New York Inc.
(d/b/a BS of Northeastern New York)
Humana
Mutual Of Omaha
UnitedHealthcare
$262.95
$215.12
$215.12
$315.05
$301.97
$319.21
$157.00
$182.50
$301.97
$319.21
$401.95
$157.00
$227.00
(AARP Program)
* There is a one-time $25 policy fee charged at issue.
$262.95
$307.26
$215.12
$266.77
$262.95
$307.26
$315.05
$215.12
$215.12
$215.12
$215.12
$319.21
$401.95
$301.97
$301.97
$301.97
$301.97
$182.50
$227.00
$157.00
$157.00
$182.50
$157.00
$182.50
$157.00
$315.05
$319.21
$401.95
$182.50
$227.00
NOTE: If a premium is shown within a region, that premium may be offered in a part or all of the region. For more details on your exact premium, contact
the company or use the Medicare Supplement Rate Look-up Application: https://myportal.dfs.ny.gov/web/guest-applications/medicare-monthly-premiums
COMPARISON OF YEAR 2017 COMMUNITY RATED
STANDARDIZED MEDICARE SUPPLEMENT MONTHLY PREMIUMS
(PREMIUMS IN EFFECT AS OF FEBRUARY 1, 2017)
PLAN
C
ALBANY
LONG ISLAND
MID-HUDSON
NYC PROPER
ROCHESTER
SYRACUSE
UTICA
WATERTOWN
WESTCHESTER
133-35
136
105-109
$400.57*
120-23 & 128-29
140-43 & 147
110 & 115-19
124-27
100-04 & 111-14
144-46
130-32 & 137-39
& 148-49
American Progressive
$355.11*
$319.74*
$400.57*
$355.11*
$400.57*
$319.74*
$319.74*
$319.74*
$319.74*
Excellus Health Plan, Inc.
$248.37
$254.66
$274.95
$248.37
$254.66
$274.95
$248.37
$248.37
$300.41
$300.41
FIRST THREE DIGITS OF ZIP CODE:
(d/b/a Excellus BlueCross BlueShield)
Excellus Health Plan, Inc.
$248.37
$300.41
(d/b/a Univera Healthcare)
First United American
$285.00
$285.00
$343.00
$285.00
$343.00
$384.00
$285.00
$285.00
$285.00
$285.00
$343.00
Group Health Incorporated
$288.56
$272.95
$300.87
$288.56
$300.87
$272.95
$282.08
$272.95
$272.95
$300.87
$296.73
$296.73
(a/k/a GHI)
HealthNow New York Inc.
$296.73
(d/b/a BC/BS of Western New York)
HealthNow New York Inc.
(d/b/a BS of Northeastern New York)
Humana
Mutual Of Omaha
UnitedHealthcare
(AARP Program)
*
BUFFALO
$305.49
$258.07
$258.07
$378.15
$339.46
$358.85
$187.00
$217.25
$339.46
$358.85
$451.94
$187.00
BUFFALO
$305.49
$357.74
$258.07
$320.14
$305.49
$357.74
$378.15
$258.07
$258.07
$258.07
$258.07
$378.15
$358.85
$451.94
$339.46
$339.46
$339.46
$339.46
$270.50
$217.25
$270.50
$187.00
$187.00
$217.25
$187.00
$217.25
$187.00
LONG ISLAND
MID-HUDSON
NYC PROPER
ROCHESTER
SYRACUSE
UTICA
WATERTOWN
WESTCHESTER
133-35
136
105-109
$358.85
$451.94
$217.25
$270.50
There is a one-time $25 policy fee charged at issue.
PLAN
D
ALBANY
120-23 & 128-29
140-43 & 147
110 & 115-19
124-27
100-04 & 111-14
144-46
130-32 & 137-39
& 148-49
American Progressive
$352.95*
$317.79*
$398.11*
$352.95*
$398.11*
$317.79*
$317.79*
$317.79*
$317.79*
$398.11*
First United American
$282.00
$282.00
$338.00
$282.00
$338.00
$379.00
$282.00
$282.00
$282.00
$282.00
$338.00
Mutual Of Omaha
$318.35
$336.54
$318.35
$336.54
$423.81
$336.54
$423.81
$318.35
$318.35
$318.35
$318.35
$336.54
$423.81
FIRST THREE DIGITS OF ZIP CODE:
* There is a one-time $25 policy fee charged at issue.
NOTE: If a premium is shown within a region, that premium may be offered in a part or all of the region. For more details on your exact premium, contact
the company or use the Medicare Supplement Rate Look-up Application: https://myportal.dfs.ny.gov/web/guest-applications/medicare-monthly-premiums
COMPARISON OF YEAR 2017 COMMUNITY RATED
STANDARDIZED MEDICARE SUPPLEMENT MONTHLY PREMIUMS
(PREMIUMS IN EFFECT AS OF FEBRUARY 1, 2017)
PLAN
F
ALBANY
BUFFALO
LONG ISLAND
MID-HUDSON
NYC PROPER
ROCHESTER
SYRACUSE
UTICA
WATERTOWN
WESTCHESTER
133-35
136
105-109
120-23 & 128-29
140-43 & 147
110 & 115-19
124-27
100-04 & 111-14
144-46
130-32 & 137-39
& 148-49
Aetna Life Insurance
$317.67
$275.61
$305.05
$422.90
$351.38
$422.90
$275.61
$305.05
$275.61
$305.05
$275.61
$305.05
$305.05
$422.90
American Progressive
$368.38*
$333.42*
$417.43*
$368.38*
$417.43*
$333.42*
$333.42*
$333.42*
$333.42*
$417.43*
Bankers Conseco
$449.76
$391.91
$567.72
$449.76
$567.72
$391.91
$391.91
$449.76
$391.91
$391.91
$449.76
$567.72
CDPHP Universal Benefits Inc.
$269.55
$253.41
$291.42
$265.19
$265.19
$269.55
$291.42
$265.19
$265.19
$253.41
$265.19
$269.55
$253.41
$265.19
$269.55
$291.42
Excellus Health Plan, Inc.
$256.60
$256.60
$263.11
$284.07
$263.11
$256.60
$284.07
$256.60
$256.60
$310.37
$310.37
FIRST THREE DIGITS OF ZIP CODE:
(d/b/a Excellus BlueCross BlueShield)
Excellus Health Plan, Inc.
$310.37
(d/b/a Univera Healthcare)
First United American
$270.00
$270.00
$324.00
$270.00
$324.00
$363.00
$270.00
$270.00
$270.00
$270.00
$324.00
Group Health Incorporated
$317.87
$300.67
$331.43
$317.87
$331.43
$300.67
$310.74
$300.67
$300.67
$331.43
$297.91
$297.91
(a/k/a GHI)
HealthNow New York Inc.
$297.91
(d/b/a BC/BS of Western New York)
HealthNow New York Inc.
(d/b/a BS of Northeastern New York)
Humana
Mutual Of Omaha
UnitedHealthcare
$306.64
$263.29
$263.29
$385.82
$349.82
$369.81
$187.75
$218.25
$349.82
$369.81
$465.77
$187.75
$271.50
(AARP Program)
* There is a one-time $25 policy fee charged at issue.
$306.64
$359.10
$263.29
$326.63
$306.64
$359.10
$385.82
$263.29
$263.29
$263.29
$263.29
$369.81
$465.77
$349.82
$349.82
$349.82
$349.82
$218.25
$271.50
$187.75
$187.75
$218.25
$187.75
$218.25
$187.75
$385.82
$369.81
$465.77
$218.25
$271.50
NOTE: If a premium is shown within a region, that premium may be offered in a part or all of the region. For more details on your exact premium, contact
the company or use the Medicare Supplement Rate Look-up Application: https://myportal.dfs.ny.gov/web/guest-applications/medicare-monthly-premiums
COMPARISON OF YEAR 2017 COMMUNITY RATED
STANDARDIZED MEDICARE SUPPLEMENT MONTHLY PREMIUMS
(PREMIUMS IN EFFECT AS OF FEBRUARY 1, 2017)
PLAN
F+
ALBANY
BUFFALO
LONG ISLAND
MID-HUDSON
NYC PROPER
ROCHESTER
SYRACUSE
UTICA
WATERTOWN
WESTCHESTER
120-23 & 128-29
140-43 & 147
110 & 115-19
124-27
100-04 & 111-14
144-46
130-32 & 137-39
& 148-49
133-35
136
105-109
Bankers Conseco
$66.83
$58.25
$83.99
$66.83
$83.99
$58.25
$58.25
$58.25
$66.83
$83.99
Excellus Health Plan, Inc.
$73.98
$73.98
$73.98
$53.00
$53.00
(HIGH DEDUCTIBLE)
FIRST THREE DIGITS OF ZIP CODE:
(d/b/a Excellus BlueCross BlueShield)
Excellus Health Plan, Inc.
$89.48
(d/b/a Univera Healthcare)
First United American
$53.00
HealthNow New York Inc.
(d/b/a BS of Northeastern New York)
Humana
PLAN
$64.00
$128.83
$64.01
G
$53.00
$53.00
$64.00
$71.00
$126.65
(d/b/a BC/BS of Western New York)
HealthNow New York Inc.
$75.86
$81.90
$73.98
ALBANY
$64.01
BUFFALO
$93.09
LONG ISLAND
$128.83
$148.70
$64.01
$79.04
MID-HUDSON
$58.25
$66.83
$75.86
$81.90
$73.98
$89.48
$89.48
$53.00
$53.00
$126.65
$126.65
$128.83
$93.09
NYC PROPER
$64.01
$64.01
$64.01
$64.00
$148.70
$64.01
$93.09
ROCHESTER
SYRACUSE
UTICA
WATERTOWN
WESTCHESTER
133-35
136
105-109
120-23 & 128-29
140-43 & 147
110 & 115-19
124-27
100-04 & 111-14
144-46
130-32 & 137-39
& 148-49
American Progressive
$344.85*
$310.41*
$388.83*
$344.85*
$388.83*
$310.41*
$310.41*
$310.41*
$310.41*
$388.83*
Bankers Conseco
$414.62
$360.75
$522.54
$414.62
$522.54
$360.75
$360.75
$414.62
$360.75
$360.75
$414.62
$522.54
First United American
$251.00
$251.00
$301.00
$251.00
$301.00
$338.00
$251.00
$251.00
$251.00
$251.00
$301.00
Mutual Of Omaha
$302.07
$319.31
$302.07
$319.31
$402.09
$319.31
$402.09
$302.07
$302.07
$302.07
$302.07
$319.31
$402.09
FIRST THREE DIGITS OF ZIP CODE:
* There is a one-time $25 policy fee charged at issue.
NOTE: If a premium is shown within a region, that premium may be offered in a part or all of the region. For more details on your exact premium, contact
the company or use the Medicare Supplement Rate Look-up Application: https://myportal.dfs.ny.gov/web/guest-applications/medicare-monthly-premiums
COMPARISON OF YEAR 2017 COMMUNITY RATED
STANDARDIZED MEDICARE SUPPLEMENT MONTHLY PREMIUMS
(PREMIUMS IN EFFECT AS OF FEBRUARY 1, 2017)
PLAN
K
ALBANY
BUFFALO
LONG ISLAND
MID-HUDSON
NYC PROPER
ROCHESTER
SYRACUSE
UTICA
WATERTOWN
WESTCHESTER
133-35
136
105-109
120-23 & 128-29
140-43 & 147
110 & 115-19
124-27
100-04 & 111-14
144-46
130-32 & 137-39
& 148-49
Bankers Conseco
$88.00
$76.68
$110.71
$88.00
$110.71
$76.68
$76.68
$88.00
$76.68
$76.68
$88.00
$110.71
First United American
$106.00
$106.00
$127.00
$106.00
$127.00
$142.00
$106.00
$106.00
$106.00
$106.00
$127.00
Humana
$124.53
$124.53
$182.00
$124.53
$154.24
$182.00
$124.53
$124.53
$124.53
$124.53
$182.00
UnitedHealthcare
$55.75
$64.75
$55.75
$80.50
$64.75
$80.50
$55.75
$55.75
$64.75
$55.75
$64.75
$55.75
$64.75
$80.50
ALBANY
BUFFALO
LONG ISLAND
MID-HUDSON
NYC PROPER
ROCHESTER
SYRACUSE
UTICA
WATERTOWN
WESTCHESTER
133-35
136
105-109
FIRST THREE DIGITS OF ZIP CODE:
(AARP Program)
PLAN
L
120-23 & 128-29
140-43 & 147
110 & 115-19
124-27
100-04 & 111-14
144-46
130-32 & 137-39
& 148-49
Bankers Conseco
$199.20
$173.38
$250.91
$199.20
$250.91
$173.38
$173.38
$199.20
$173.38
$173.38
$199.20
$250.91
First United American
$149.00
$149.00
$179.00
$149.00
$179.00
$200.00
$149.00
$149.00
$149.00
$149.00
$179.00
Humana
$177.51
$177.51
$259.82
$177.51
$220.06
$259.82
$177.51
$177.51
$177.51
$177.51
$259.82
UnitedHealthcare
$105.25
$122.25
$105.25
$152.25
$122.25
$152.25
$105.25
$105.25
$122.25
$105.25
$122.25
$105.25
$122.25
$152.25
FIRST THREE DIGITS OF ZIP CODE:
(AARP Program)
NOTE: If a premium is shown within a region, that premium may be offered in a part or all of the region. For more details on your exact premium, contact
the company or use the Medicare Supplement Rate Look-up Application: https://myportal.dfs.ny.gov/web/guest-applications/medicare-monthly-premiums
COMPARISON OF YEAR 2017 COMMUNITY RATED
STANDARDIZED MEDICARE SUPPLEMENT MONTHLY PREMIUMS
(PREMIUMS IN EFFECT AS OF FEBRUARY 1, 2017)
PLAN
M
ALBANY
BUFFALO
LONG ISLAND
MID-HUDSON
NYC PROPER
ROCHESTER
SYRACUSE
UTICA
WATERTOWN
WESTCHESTER
133-35
136
105-109
120-23 & 128-29
140-43 & 147
110 & 115-19
124-27
100-04 & 111-14
144-46
130-32 & 137-39
& 148-49
Bankers Conseco
$275.78
$239.97
$347.46
$275.78
$347.46
$239.97
$239.97
$275.78
$239.97
$239.97
Mutual Of Omaha
$310.11
$327.82
$310.11
$327.82
$412.81
$327.82
$412.81
$310.11
$310.11
$310.11
$310.11
FIRST THREE DIGITS OF ZIP CODE:
$275.78
$347.46
$327.82
$412.81
NOTE: If a premium is shown within a region, that premium may be offered in a part or all of the region. For more details on your exact premium, contact
the company or use the Medicare Supplement Rate Look-up Application: https://myportal.dfs.ny.gov/web/guest-applications/medicare-monthly-premiums
COMPARISON OF YEAR 2017 COMMUNITY RATED
STANDARDIZED MEDICARE SUPPLEMENT MONTHLY PREMIUMS
(PREMIUMS IN EFFECT AS OF FEBRUARY 1, 2017)
PLAN
N
ALBANY
BUFFALO
LONG ISLAND
MID-HUDSON
NYC PROPER
ROCHESTER
SYRACUSE
UTICA
WATERTOWN
WESTCHESTER
133-35
136
105-109
120-23 & 128-29
140-43 & 147
110 & 115-19
124-27
100-04 & 111-14
144-46
130-32 & 137-39
& 148-49
American Progressive
$203.97*
$193.03*
$261.82*
$203.97*
$261.82*
$193.03*
$193.03*
$193.03*
$193.03*
$261.82*
Bankers Conseco
$226.95
$197.53
$285.91
$226.95
$285.91
$197.53
$197.53
$226.95
$197.53
$197.53
$226.95
$285.91
CDPHP Universal Benefits Inc.
$175.01
$176.94
$204.38
$172.10
$172.10
$175.01
$204.38
$172.10
$172.10
$176.94
$172.10
$175.01
$176.94
$172.10
$175.01
$204.38
Excellus Health Plan, Inc.
$176.29
$176.29
$180.77
$195.15
$176.29
$180.77
$195.15
$176.29
$176.29
$213.23
$213.23
FIRST THREE DIGITS OF ZIP CODE:
(d/b/a Excellus BlueCross BlueShield)
Excellus Health Plan, Inc.
$213.23
(d/b/a Univera Healthcare)
First United American
$187.00
$187.00
$224.00
$187.00
$224.00
$251.00
$187.00
$187.00
$187.00
$187.00
$224.00
Humana
$168.69
$168.69
$246.85
$168.69
$209.09
$246.85
$168.69
$168.69
$168.69
$168.69
$246.85
UnitedHealthcare
$123.50
$143.50
$123.50
$178.75
$143.50
$178.75
$123.50
$123.50
$143.50
$123.50
$143.50
$123.50
$143.50
$178.75
(AARP Program)
* There is a one-time $25 policy fee charged at issue.
NOTE: If a premium is shown within a region, that premium may be offered in a part or all of the region. For more details on your exact premium, contact
the company or use the Medicare Supplement Rate Look-up Application: https://myportal.dfs.ny.gov/web/guest-applications/medicare-monthly-premiums