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Virginia Medigap Policies Premium Charts Fourth Quarter December 2014 Premiums at age 65 Premiums at age 70 Premiums at age 75 Premiums at age 80 Premiums for the Disabled Under Age 65 2014 Medigap Premiums Deductibles & Co-insurance 18-33 34-47 48-61 62-75 76-77 78-79 Virginia Medigap Policies Age 65 Company *AARP/United Healthcare 1-800-523-5800 www.aarphealthcare.com Aetna Life Insurance Co. 1-888-624-6290 www.aetna.com Aetna Life Insurance Co. 1-888-624-6290 www.aetna.com American Continental ICO 1-800-264-4000 Policy Fee $20 www.cont-life.com American Continental ICO 1-800-264-4000 Policy Fee $20 www.cont-life.com American Republic Ins. Co. 1-888-755-3065 www.americanenterprise.com American Republic Ins. Co. 1-888-755-3065 www.americanenterprise.com American Retirement Life ICO 1-866-459-4272 Policy Fee $20 www.continentalgeneral.com American Retirement Life ICO 1-866-459-4272 Policy Fee $20 www.continentalgeneral.com Area Sex M/F Prem Type Guar Cross Pre-Ex Date Issue Over Wait Approved A M/F AA N Y 3 9/05/14 Z M AA N Y 0 10/21/14 Z F AA N Y 0 10/21/14 Z M AA N Y 0 5/10/13 Z F AA N Y 0 5/10/13 Z M AA N Y 0 9/11/14 Z F AA N Y 0 9/11/14 Z M AA N Y 6 10/26/13 Z F AA N Y 6 10/26/13 *Rates for age 65 include the early enrollment discount. Additional discounts for multi-insured and electronic funds transfer are available. Please call for your exact rate. 18 A B C D F/F+ G K L M N $920 $1,302 $1,611 $1,621 $479 $981 $1,094 $1,410 $1,570 $1,772 $1,610 $1,076 $1,302 $1,441 $1,630 $1,499 $1,003 $1,194 $1,503 $1,747 $688+ $1,391 $1,214 $1,037 $1,309 $1519 $598+ $1,211 $1,056 $1,298 $1,760 $939 $1,294 $1,168 $1,583 $845 $1,164 $1,273 $1,569 $1,350 $1,075 $1,107 $1,364 $1,174 $935 19 Virginia Medigap Policies Age 65 Company Anthem BC/ BS 1-800-916-2583 www.anthem.com Assured Life Association 1-877-223-3666 Policy Fee: $25 www.denverwoodmen.com Assured Life Association 1-877-223-3666 Policy Fee: $25 www.denverwoodmen.com Bankers Fidelity Life Ins. Co. 1-800-241-1439 www.bflic.com Bankers Fidelity Life Ins. Co. 1-800-241-1439 www.bflic.com Carefirst BlueCross BlueShield 1-800-275-3802 www.carefirst.com Carefirst BlueCross BlueShield 1-800-275-3802 www.carefirst.com Area Sex M/F Prem Guar Cross Pre-Ex Date Type Issue Over Wait Approved Z M/F AA **Y Y 6 9/24/14 Z M AA N Y 0 7/14/14 Z F AA N Y 0 7/14/14 Z M/F IA N Y 0 12/24/13 Z M/F AA N Y 0 12/24/13 A M AA Y N 0 12/06/13 A F AA Y N 0 12/06/13 **Anthem policies are guaranteed issue between the ages 65 and 65-1/2. Annual rates shown include the $48 annual discount. 20 A B C D F/F+ G K L M N $852 $1,524 $1,068 $1,658 $1,793 $2,282 $1,772 $2,707 $1,695 $1,330 $1,441 $1,559 $1,984 $1,541 $2,354 $1,884 $612+ $1,474 $1,157 $1,344 $1,416 $768 $1,152 $1,200 $1,488 $516+ $1,368 $1,056 $1,260 $972 $1,092 $1,152 $1,416 $492+ $1,308 $1,008 $1,200 $924 21 Virginia Medigap Policies Age 65 Company Central States Indemnity Co. of Omaha 1-866-664-3988 Policy Fee $25 www.csi-omaha.com Central States Indemnity Co. of Omaha 1-866-664-3988 Policy Fee $25 www.csi-omaha.com Colonial Penn Life Ins. Co. 1-800-800-2254 www.bankerslife.com Colonial Penn Life Ins. Co. 1-800-800-2254 www.bankerslife.com Combined Insurance Co. of America 1-800-544-5531 www.combinedinsurance.com Combined Insurance Co. of America 1-800-544-5531 www.combinedinsurance.com Continental General ICO 1-877-293-8499 Policy Fee $25 www.continentalgeneral.com Continental General ICO 1-877-293-8499 Policy Fee $25 www.continentalgeneral.com Area Sex M/F Prem Guar Type Issue Cross Pre-Ex Over Wait Date Approved Z M AA N Y 0 10/23/14 Z F AA N Y 0 10/23/14 A M AA N Y 0 11/20/14 A F AA N Y 0 11/20/14 A M AA N Y 0 5/06/11 A F AA N Y 0 5/06/11 Z M AA N Y 6 9/04/13 Z F AA N Y 6 9/04/13 22 A B C D F/F+ G K L M N $1,173 $1,371 $1,642 $1,706 $1,401 $1,195 $1,022 $1,192 $1,428 $1,484 $1,218 $1,039 $1,482 $1,635 $2,152 $379+ $1,531 $611 $1,208 $1,475 $1,013 $1,334 $1,471 $1,937 $341+ $1,378 $550 $1,087 $1,327 $911 $1,276 $1,617 $1,132 $1,154 $1,463 $1,024 $1,330 $1,638 $1,420 $1,325 $1,232 $1,516 $1,314 $1,227 23 Virginia Medigap Policies Age 65 Company Equitable Life & Casualty 1-877-358-4060 Policy Fee: $20 www.equilife.com Equitable Life & Casualty 1-877-358-4060 Policy Fee: $20 www.equilife.com *Everence Association, Inc. 1-800-348-7468 www.everence.com *Everence Association, Inc. 1-800-348-7468 www.everence.com Forethought Life Insurance Co. 1-877-492-5870 Policy Fee: $25 www.forethought.com Forethought Life Insurance Co. 1-877-492-5870 Policy Fee: $25 www.forethought.com Area Sex M/F Prem Guar Cross Pre-Ex Type Issue Over Wait Date Approved Z M AA N Y 0 11/25/13 Z F AA N Y 0 11/25/13 Z M ^IA ^AA N N 0 2/13/14 Z F ^IA ^AA N N 0 2/13/14 Z M AA N Y 0 7/30/13 Z F AA N Y 0 7/30/13 *Everence Association, Inc. is a fraternal benefit society. As such, its policies are available only to persons eligible for membership in the Association. ^IA is for Plans A, F and L. ^AA is for Plans C and N. 24 A B C D F/F+ G K L M N $1,374 $1,770 $1,246 $1,195 $1,539 $1,083 $1,168 $1,642 $1,933 $1,100 $993 $1,061 $1,493 $1,757 $1,001 $903 $1,364 $1,788 $1,833 $1,411 $1,128 $1,187 $1,556 $1,595 $1,228 $981 25 Virginia Medigap Policies Age 65 Company Gerber Life Insurance Co. 1-877-778-0839 Policy Fee: $25.00 www.gerberlife.com Gerber Life Insurance Co. 1-877-778-0839 Policy Fee: $25.00 www.gerberlife.com Globe Life & Accident ICO 1-800-801-6831 www.globecaremedsupp.com Government Personnel Mutual Life Ins. Co. 1-866-242-7573 Policy Fee $25 www.gpmlife.com Government Personnel Mutual Life Ins. Co. 1-866-242-7573 Policy Fee $25 www.gpmlife.com Humana Insurance Co. 1-888-310-8482 www.humana-medicare.com Humana Insurance Co. 1-888-310-8482 www.humana-medicare.com Area Sex M/F Prem Guar Cross Pre-Ex Date Type Issue Over Wait Approved Z M AA N Y 0 8/20/14 Z F AA N Y 0 8/20/14 A M/F AA N Y 2 4/02/14 Z M AA N Y 0 7/02/14 Z F AA N Y 0 7/02/14 Z M AA N Y 3 9/22/14 Z F AA N Y 3 9/22/14 26 A B C D F/F+ G K L M N $1,380 $2,107 $1,594 $1,200 $1,833 $1,387 $909 $1,307 $1,523 $1,533 $1,320 $1,790 $1,833 $1,345 $1,175 $1,149 $1,557 $1,595 $1,170 $1,022 $1,356 $1,474 $1,728 $1,762 $520+ $978 $1,269 $1,106 $1,353 $1,470 $1,723 $1,758 $519+ $975 $1,266 $1,103 27 Virginia Medigap Policies Age 65 Company Liberty National Life Ins. Co. 1-800-331-2512 www.LibertyNational.com Liberty National Life Ins. Co. 1-800-331-2512 www.LibertyNational.com Medico Insurance Co. 1-800-228-6080 www.gomedico.com Medico Insurance Co. 1-800-228-6080 www.gomedico.com Omaha Insurance Company 1-800-667-2937 www.mutualofomaha.com Omaha Insurance Company 1-800-667-2937 www.mutualofomaha.com Order of United Commercial Travelers, The 1-800-848-0123 www.uct.org Order of United Commercial Travelers, The 1-800-848-0123 www.uct.org Physicians Mutual Ins. Co. 1-800-469-8157 www.physiciansmutual.com/medicare Area Sex M/F Prem Type Guar Issue Cross Pre-Ex Wait Over Date Approved Z M AA N Y 2 12/9/13 Z F AA N Y 2 12/9/13 Z M AA N Y 0 9/05/14 Z F AA N Y 0 9/05/14 Z M AA N Y 0 11/01/13 Z F AA N Y 0 11/01/13 Z M AA N Y 0 11/05/12 Z F AA N Y 0 11/05/12 Z M/F AA N Y 0 10/30/13 28 A B C D F/F+ G K L M N $1,666 $2,340 $2,684 $440+ $2,020 $1,448 $2,035 $2,334 $382+ $1,756 $1,107 $1,384 $1,768 $1,354 $1,159 $941 $1,203 $1,536 $1,177 $1,007 $1,242 $1,800 $1,458 $1,081 $1,566 $1,269 $1,673 $2,430 $1,773 $1,583 $1,455 $2,112 $1,542 $1,376 $1,114 $1,529 $496+ $1,324 29 Virginia Medigap Policies Age 65 Company Reserve National Ins Co. 1-800-654-9106 Policy Fee: $15 www.reservenational.com Reserve National Ins. Co. 1-800-654-9106 Policy Fee $15 www.reservenational.com Standard Life & Accident 1-888-290-1085 www.slaico.com State Farm Mutual Automobile Insurance Company Contact Local State Farm Agent www.statefarm.com State Mutual ICO 1-888-764-1936 Policy Fee: $20 broker only www.statemutualinsurance.com State Mutual ICO 1-888-764-1936 Policy Fee: $20 broker only www.statemutualinsurance.com Thrivent Financial for Lutherans 1-800-847-4836 www.thrivent.com United American Insurance Co. 1-800-331-2512 www.unitedamerican.com United American Insurance Co. 1-800-331-2512 www.unitedamerican.com Area Sex M/F Prem Guar Cross Pre-Ex Date Type Issue Over Wait Approved A M/F AA N Y 6 8/18/14 Z M F AA N Y 6 8/18/14 Z M/F AA N Y 0 11/06/14 Z M/F AA N Y 0 7/22/14 Z M AA N Y 0 5/13/14 Z F AA N Y 0 5/13/14 Z M/F AA N Y 0 11/5/13 Z M AA N Y 2 12/9/13 Z F AA N Y 2 12/9/13 30 A B C D F/F+ G K L M N $1,222 $1,816 $1,585 $477+ Call company for rates $1,226 $1,766 $1,138 $4,682 $1,897 $3,807 $2,584 $1,832 $995 $1,500 $1,516 $1,282 $1,497 $1,792 $1,569 $1,864 $734+ $1,577 $1,412 $1,305 $1,115 $1,301 $1,559 $1,363 $1,619 $637+ $1,371 $1,226 $1,133 $1,162 $1,373 $1,931 $1,682 $1,938 $584+ $1,551 $1,098 $1,390 $1,548 $2,225 $2,455 $2,273 $2,516 $418+ $2,287 $1,884 $1,347 $1,935 $2,135 $1,977 $2,188 $364+ $1,989 $1,639 31 Virginia Medigap Policies Age 65 Company USAA Life Insurance Co. 1-800-531-8722 www.usaa.com Area Sex M/F Prem Type Guar Issue Cross Over Pre-Ex Wait Date Approved A M/F AA N Y 0 12/4/13 32 A B C D F/F+ G K L M N $1,183 $1,538 $938 33 Virginia Medigap Policies Age 70 Company *AARP/United Healthcare 1-800-523-5800 www.aarphealthcare.com Aetna Life Insurance Co. 1-888-624-6290 www.aetna.com Aetna Life Insurance Co. 1-888-624-6290 www.aetna.com American Continental ICO 1-800-264-4000 Policy Fee $20 www.cont-life.com American Continental ICO 1-800-264-4000 Policy Fee $20 www.cont-life.com American Republic Ins. Co. 1-888-755-3065 www.americanenterprise.com American Republic Ins. Co. 1-888-755-3065 www.americanenterprise.com American Retirement Life ICO 1-866-459-4272 Policy Fee $20 www.contientalgeneral.com American Retirement Life ICO 1-866-459-4272 Policy Fee $20 www.contientalgeneral.com Area Sex M/F Prem Type Guar Cross Pre-Ex Date Issue Over Wait Approved A M/F AA N Y 3 9/05/14 Z M AA N Y 0 10/21/14 Z F AA N Y 0 10/21/14 Z M AA N Y 0 5/10/13 Z F AA N Y 0 5/10/13 Z M AA N Y 0 9/11/14 Z F AA N Y 0 9/11/14 Z M AA N Y 6 10/26/13 Z F AA N Y 6 10/26/13 *Rates listed for ages 70 include the enrollment discount and are available for those individuals age 70 who meet underwriting requirements. Additional discounts for multi-insured and electronic funds transfer are available. Please call for your exact rate. 34 A B C D F/F+ G K L M N $1,117 $1,581 $1,956 $1,969 $581 $1,191 $1,329 $1,699 $1,920 $2,175 $1,995 $1,339 $1,569 $1,763 $1,999 $1,857 $1,249 $1,351 $1,702 $1,961 $771+ $1,576 $1,376 $1,175 $1,481 $1,705 $670+ $1,370 $1,196 $1,455 $1,973 $1,053 $1,450 $1,308 $1,774 $946 $1,303 $1,497 $1,831 $1,602 $1,269 $1,301 $1,592 $1,393 $1,104 35 Virginia Medigap Policies Age 70 Company **Anthem BC/ BS 1-800-916-2583 www.anthem.com Assured Life Association 1-877-223-3666 Policy Fee: $25 www.denverwoodmen.com Assured Life Association 1-877-223-3666 Policy Fee: $25 www.denverwoodmen.com Bankers Fidelity Life Ins. Co. 1-800-241-1439 www.bflic.com Bankers Fidelity Life Ins. Co. 1-800-241-1439 www.bflic.com Carefirst BlueCross BlueShield 1-800-275-3802 www.carefirst.com Carefirst BlueCross BlueShield 1-800-275-3802 www.carefirst.com Central States Indemnity Co. of Omaha 1-866-664-3988 Policy Fee $25 www.csi-omaha.com Area Sex M/F Prem Guar Cross Pre-Ex Date Type Issue Over Wait Approved Z M/F AA N Y 6 9/24/14 Z M AA N Y 0 7/14/14 Z F AA N Y 0 7/14/14 Z M/F IA N Y 0 12/24/13 Z M/F AA N Y 0 12/24/13 A M AA Y N 0 12/06/13 A F AA Y N 0 12/06/13 Z M AA N Y 0 10/23/14 ** Annual rates shown include the $48 annual discount. 36 A B C D F/F+ G K L M N $1,068 $2,028 $1,428 $1,887 $2,042 $2,604 $2,023 $3,089 $1,934 $1,518 $1,640 $1,775 $2,264 $1,759 $2,687 $1,682 $1,321 $1,500 $2,088 $672+ $1,668 $912 $1,440 $1,512 $1,860 $648+ $1,716 $1,320 $1,572 $1,212 $1,344 $1,404 $1,740 $612+ $1,596 $1,236 $1,476 $1,128 $1,397 $1,630 $1,952 $2,005 $1,640 $1,404 37 Virginia Medigap Policies Age 70 Company Central States Indemnity Co. of Omaha 1-866-664-3988 Policy Fee $25 www.csi-omaha.com Colonial Penn Life Ins. Co. 1-800-800-2254 www.bankerslife.com Colonial Penn Life Ins. Co. 1-800-800-2254 www.bankerslife.com Combined Insurance Co. of America 1-800-544-5531 www.combinedinsurance.com Combined Insurance Co. of America 1-800-544-5531 www.combinedinsurance.com Continental General ICO 1-877-293-8499 Policy Fee $25 www.continentalgeneral.com Continental General ICO 1-877-293-8499 Policy Fee $25 www.continentalgeneral.com Equitable Life & Casualty 1-877-358-4060 Policy Fee: $20 www.equilife.com Equitable Life & Casualty 1-877-358-4060 Policy Fee: $20 www.equilife.com Area Sex M/F Prem Guar Cross Pre-Ex Date Type Issue Over Wait Approved Z F AA N Y 0 10/23/14 A M AA N Y 0 11/20/14 A F AA N Y 0 11/20/14 A M AA N Y 0 5/06/11 A F AA N Y 0 5/06/11 Z M AA N Y 6 9/04/13 Z F AA N Y 6 9/04/13 Z M AA N Y 0 11/25/13 Z F AA N Y 0 11/25/13 38 A B C D F/F+ G K L M N $1,213 $1,418 $1,698 $1,742 $1,425 $1,220 $1,815 $1,992 $2,608 $459+ $1,891 $739 $1,440 $1,838 $1,316 $1,634 $1,793 $2,347 $413+ $1,702 $665 $1,296 $1,654 $1,184 $1,668 $2,113 $1,479 $1,509 $1,912 $1,338 $1,522 $1,946 $1,716 $1,571 $1,383 $1,770 $1,559 $1,428 $1,669 $2,158 $1,521 $1,451 $1,876 $1,322 39 Virginia Medigap Policies Age 70 Company *Everence Association, Inc. 1-800-348-7468 www.everence.com *Everence Association, Inc. 1-800-348-7468 www.everence.com Forethought Life Insurance Co. 1-877-492-5870 Policy Fee: $25 www.forethought.com Forethought Life Insurance Co. 1-877-492-5870 Policy Fee: $25 www.forethought.com Gerber Life Insurance Co. 1-877-778-0839 Policy Fee: $25.00 www.gerberlife.com Gerber Life Insurance Co. 1-877-778-0839 Policy Fee: $25.00 www.gerberlife.com Globe Life & Accident ICO 1-800-801-6831 www.globecaremedsupp.com Area Sex M/F Prem Guar Cross Pre-Ex Date Type Issue Over Wait Approved Z M ^IA ^AA N N 0 2/13/14 Z F ^IA ^AA N N 0 2/13/14 Z M AA N Y 0 7/30/13 Z F AA N Y 0 7/30/13 Z M AA N Y 0 8/20/14 Z F AA N Y 0 8/20/14 A M/F AA N Y 2 4/02/14 *Everence Association, Inc. is a fraternal benefit society. As such, its policies are available only to persons eligible for membership in the Association. ^IA is for Plans A, F and L. ^AA is for Plans C and N. 40 A B C D F/F+ G K L M N $1,262 $1,944 $2,095 $1,204 $1,192 $1,147 $1,767 $1,904 $1,095 $1,083 $1,493 $1967 $2,016 $1,553 $1,242 $1,299 $1,711 $1,754 $1,351 $1,081 $1,601 $2,497 $1,889 $1,393 $2,172 $1,644 $1,081 $1,599 $1,898 $1,908 41 Virginia Medigap Policies Age 70 Company Government Personnel Mutual Life Ins. Co. 1-866-242-7573 Policy Fee $25 www.gpmlife.com Government Personnel Mutual Life Ins. Co. 1-866-242-7573 Policy Fee $25 www.gpmlife.com Humana Insurance Co. 1-888-310-8482 www.humana-medicare.com Humana Insurance Co. 1-888-310-8482 www.humana-medicare.com Liberty National Life Ins. Co. 1-800-331-2512 www.LibertyNational.com Liberty National Life Ins. Co. 1-800-331-2512 www.LibertyNational.com Medico Insurance Co. 1-800-228-6080 www.gomedico.com Medico Insurance Co. 1-800-228-6080 www.gomedico.com Area Sex M/F Prem Guar Cross Pre-Ex Date Type Issue Over Wait Approved Z M AA N Y 0 7/02/14 Z F AA N Y 0 7/02/14 Z M AA N Y 3 9/22/14 Z F AA N Y 3 9/22/14 Z M AA N Y 2 12/9/13 Z F AA N Y 2 12/9/13 Z M AA N Y 0 9/05/14 Z F AA N Y 0 9/05/14 42 A B C D F/F+ G K L M N $1,446 $1,968 $2,016 $1,480 $1,294 $1,258 $1,712 $1,754 $1,288 $1,126 $1,645 $1,788 $2,097 $2,139 $628+ $1,184 $1,539 $1,340 $1,595 $1,733 $2,033 $2,074 $609+ $1,148 $1,492 $1,299 $1,953 $2,822 $3,309 $572+ $2,543 $1,699 $2,454 $2,877 $497+ $2,211 $1,249 $1,580 $2,000 $1,548 $1,340 $1,062 $1,376 $1,738 $1,345 $1,165 43 Virginia Medigap Policies Age 70 Company Omaha Insurance Company 1-800-667-2937 www.mutualofomaha.com Omaha Insurance Company 1-800-667-2937 www.mutualofomaha.com Order of United Commercial Travelers, The 1-800-848-0123 www.uct.org Area Sex M/F Prem Guar Cross Pre-Ex Type Issue Over Wait Date Approved Z M AA N Y 0 11/01/13 Z F AA N Y 0 11/01/13 Z M AA N Y 0 11/05/12 Order of United Commercial Travelers, The 1-800-848-0123 www.uct.org Physicians Mutual Ins. Co. 1-800-469-8157 www.physiciansmutual.com/medicare Z F AA N Y 0 11/05/12 Z M/F AA N Y 0 10/30/13 Reserve National Ins Co. 1-800-654-9106 Policy Fee: $15 www.reservenational.com Reserve National Ins Co. 1-800-654-9106 Policy Fee: $15 www.reservenational.com Standard Life & Accident 1-888-290-1085 www.slaico.com Standard Life & Accident 1-888-290-1085 www.slaico.com A M/F AA N Y 6 8/18/14 Z M F AA N Y 6 8/18/14 Z M AA N Y 0 11/06/14 Z F AA N Y 0 11/06/14 44 A B C D F/F+ G K L M N $1,314 $1,905 $1,543 $1,143 $1,657 $1,342 $2,094 $2,959 $2,217 $1,927 $1,821 $2,574 $1,928 $1,676 $1,199 $1,714 $633+ $1,485 $1,452 $2,156 $1,883 $566+ $1,456 Contact company for rates $2,043 $1,316 $5,416 $2,194 $4,404 $2,989 $2,119 $1,811 $1,166 $4,799 $1,944 $3,902 $2,649 $1,877 45 Virginia Medigap Policies Age 70 Company State Farm Mutual Automobile Insurance Company Contact Local State Farm Agent www.statefarm.com State Mutual ICO 1-888-764-1936 Policy Fee: $20 broker only www.statemutualinsurance.com State Mutual ICO 1-888-764-1936 Policy Fee: $20 broker only www.statemutualinsurance.com Thrivent Financial for Lutherans 1-800-847-4836 www.thrivent.com United American Insurance Co. 1-800-331-2512 www.unitedamerican.com United American Insurance Co. 1-800-331-2512 www.unitedamerican.com USAA Life Insurance Co. 1-800-531-8722 www.usaa.com Area Sex M/F Prem Guar Cross Pre-Ex Date Type Issue Over Wait Approved Z M/F AA N Y 0 7/22/14 Z M AA N Y 0 5/13/14 Z F AA N Y 0 5/13/14 Z M/F AA N Y 0 11/5/13 Z M AA N Y 2 12/9/13 Z F AA N Y 2 12/9/13 A M/F AA N Y 0 12/4/13 46 A B C D F/F+ G K L M N $1,253 $1,890 $1,910 $1,525 $1,780 $2,133 $1,866 $2,187 $861+ $1,876 $1,678 $1,530 $1,325 $1,547 $1,853 $1,623 $1,904 $749+ $1,631 $1,462 $1,332 $1,328 $1,571 $2,210 $1,926 $2,216 $668+ $1,774 $1,256 $1,589 $1,812 $2,681 $3,026 $2,849 $3,098 $542+ $2,862 $2,375 $1,576 $2,331 $2,631 $2,477 $2,694 $472+ $2,489 $2,065 $1,385 $1,805 $1,100 47 Virginia Medigap Policies Age 75 Company *AARP/United Healthcare 1-800-523-5800 www.aarphealthcare.com Aetna Life Insurance Co. 1-888-624-6290 www.aetna.com Aetna Life Insurance Co. 1-888-624-6290 www.aetna.com American Continental ICO 1-800-264-4000 Policy Fee $20 www.cont-life.com American Continental ICO 1-800-264-4000 Policy Fee $20 www.cont-life.com American Republic Ins. Co. 1-888-755-3065 www.americanenterprise.com American Republic Ins. Co. 1-888-755-3065 www.americanenterprise.com American Retirement Life ICO 1-866-459-4272 Policy Fee $20 www.continentalgeneral.com American Retirement Life ICO 1-866-459-4272 Policy Fee $20 www.continentalgeneral.com Area Sex M/F Prem Type Guar Cross Pre-Ex Date Issue Over Wait Approved A M/F AA N Y 3 9/05/14 Z M AA N Y 0 10/21/14 Z F AA N Y 0 10/21/14 Z M AA N Y 0 5/10/13 Z F AA N Y 0 5/10/13 Z M AA N Y 0 9/11/14 Z F AA N Y 0 9/11/14 Z M AA N Y 6 10/26/13 Z F AA N Y 6 10/26/13 *Rates listed for ages 75 and 80 are available for those individuals applying for coverage 6 or more years after their Medicare Part B effective date and who meet underwriting requirements. Additional discounts for multiinsured and electronic funds transfer are available. Please call for exact rate. 48 A B C D F/F+ G K L M N $1,445 $2,046 $2,531 $2,548 $752 $1,541 $1,719 $1,943 $2,268 $2,581 $2,401 $1,621 $1,794 $2,082 $2,373 $2,235 $1,511 $1,579 $1,989 $2,254 $886+ $1,841 $1,608 $1,374 $1,731 $1,960 $770+ $1,601 $1,399 $1,763 $2,391 $1,276 $1,757 $1,558 $2,113 $1,128 $1,553 $1,723 $2,133 $1,892 $1,502 $1,497 $1,855 $1,645 $1,306 49 Virginia Medigap Policies Age 75 Company **Anthem BC/ BS 1-800-916-2583 www.anthem.com Assured Life Association 1-877-223-3666 Policy Fee: $25 www.denverwoodmen.com Assured Life Association 1-877-223-3666 Policy Fee: $25 www.denverwoodmen.com Bankers Fidelity Life Ins. Co. 1-800-241-1439 www.bflic.com Bankers Fidelity Life Ins. Co. 1-800-241-1439 www.bflic.com Carefirst BlueCross BlueShield 1-800-275-3802 www.carefirst.com Carefirst BlueCross BlueShield 1-800-275-3802 www.carefirst.com Central States Indemnity Co. of Omaha 1-866-664-3988 Policy Fee $25 www.csi-omaha.com Area Sex M/F Prem Guar Cross Pre-Ex Date Type Issue Over Wait Approved Z M/F AA N Y 6 9/24/14 Z M AA N Y 0 7/14/14 Z F AA N Y 0 7/14/14 Z M/F IA N Y 0 12/24/13 Z M/F AA N Y 0 12/24/13 A M AA Y N 0 12/06/13 A F AA Y N 0 12/06/13 Z M AA N Y 0 10/23/14 ** Annual rates shown include the $48 annual discount. 50 A B C D F/F+ G K L M N $1,260 $2,568 $1,824 $2,079 $2,277 $2,910 $2,270 $3,453 $2,170 $1,705 $1,808 $1,980 $2,531 $1,974 $3,003 $2,364 $768+ $1,887 $1,483 $1,692 $1,980 $1,092 $1,764 $1,848 $2,280 $804+ $2,100 $1,620 $1,932 $1,476 $1,596 $1,668 $2,064 $720+ $1,896 $1,464 $1,752 $1,344 $1,659 $1,935 $2,349 $2,399 $1,962 $1,680 51 Virginia Medigap Policies Age 75 Company Central States Indemnity Co. of Omaha 1-866-664-3988 Policy Fee $25 www.csi-omaha.com Colonial Penn Life Ins. Co. 1-800-800-2254 www.bankerslife.com Colonial Penn Life Ins. Co. 1-800-800-2254 www.bankerslife.com Combined Insurance Co. of America 1-800-544-5531 www.combinedinsurance.com Combined Insurance Co. of America 1-800-544-5531 www.combinedinsurance.com Continental General ICO 1-877-293-8499 Policy Fee $25 www.continentalgeneral.com Continental General ICO 1-877-293-8499 Policy Fee $25 www.continentalgeneral.com Equitable Life & Casualty 1-877-358-4060 Policy Fee: $20 www.equilife.com Equitable Life & Casualty 1-877-358-4060 Policy Fee: $20 www.equilife.com Area Sex M/F Prem Guar Cross Pre-Ex Date Type Issue Over Wait Approved Z F AA N Y 0 10/23/14 A M AA N Y 0 11/20/14 A F AA N Y 0 11/20/14 A M AA N Y 0 5/06/11 A F AA N Y 0 5/06/11 Z M AA N Y 6 9/04/13 Z M AA N Y 6 9/04/13 Z M AA N Y 0 11/25/13 Z F AA N Y 0 11/25/13 52 A B C D F/F+ G K L M N $1,442 $1,683 $2,043 $2,086 $1,707 $1,460 $2,211 $2,408 $3,165 $557+ $2,335 $926 $1,754 $2,283 $1,693 $1,990 $2,168 $2,848 $501+ $2,102 $833 $1,579 $2,055 $1,523 $2,029 $2,571 $1,800 $1,836 $2,326 $1,628 $1,751 $2,297 $2,049 $1,869 $1,522 $1,998 $1,782 $1,625 $1,930 $2,511 $1,768 $1,677 $2,183 $1,538 53 Virginia Medigap Policies Age 75 Company *Everence Association, Inc. 1-800-348-7468 www.everence.com *Everence Association, Inc. 1-800-348-7468 www.everence.com Forethought Life Insurance Co. 1-877-492-5870 Policy Fee: $25 www.forethought.com Forethought Life Insurance Co. 1-877-492-5870 Policy Fee: $25 www.forethought.com Gerber Life Insurance Co. 1-877-778-0839 Policy Fee: $25.00 www.gerberlife.com Gerber Life Insurance Co. 1-877-778-0839 Policy Fee: $25.00 www.gerberlife.com Globe Life & Accident ICO 1-800-801-6831 www.globecaremedsupp.com Area Sex M/F Prem Guar Cross Pre-Ex Date Type Issue Over Wait Approved ^IA ^AA Z M N N 0 2/13/14 Z F ^IA ^AA N N 0 2/13/14 Z M AA N Y 0 7/30/13 Z F AA N Y 0 7/30/13 Z M AA N Y 0 8/20/14 Z F AA N Y 0 8/20/14 A M/F AA N Y 2 4/02/14 *Everence Association, Inc. is a fraternal benefit society. As such, its policies are available only to persons eligible for membership in the Association. ^IA is for Plans A, F and L. ^AA is for Plans C and N. 54 A $1,324 B C D F/F+ $2,222 G K L $1,284 M N $2,184 $1,352 $1,204 $1,985 $2,019 $1,167 $1,228 $1,673 $2,238 $2,295 $1,771 $1,420 $1,455 $1,947 $1,996 $1,540 $1,236 $1,775 $2,812 $2,132 $1,545 $2,446 $1,854 $1,114 $1,723 $2,141 $2,151 55 Virginia Medigap Policies Age 75 Company Government Personnel Mutual Life Ins. Co. 1-866-242-7573 Policy Fee $25 www.gpmlife.com Government Personnel Mutual Life Ins. Co. 1-866-242-7573 Policy Fee $25 www.gpmlife.com Humana Insurance Co. 1-888-310-8482 www.humana-medicare.com Humana Insurance Co. 1-888-310-8482 www.humana-medicare.com Liberty National Life Ins. Co. 1-800-331-2512 www.LibertyNational.com Liberty National Life Ins. Co. 1-800-331-2512 www.LibertyNational.com Medico Insurance Co. 1-800-228-6080 www.gomedico.com Medico Insurance Co. 1-800-228-6080 www.gomedico.com Area Sex M/F Prem Guar Cross Pre-Ex Date Type Issue Over Wait Approved Z M AA N Y 0 7/02/14 Z F AA N Y 0 7/02/14 Z M AA N Y 3 9/22/14 Z F AA N Y 3 9/22/14 Z M AA N Y 2 12/9/13 Z F AA N Y 2 12/9/13 Z M AA N Y 0 9/05/14 Z F AA N Y 0 9/05/14 56 A B C D F/F+ G K L M N $1,619 $2,241 $2,294 $1,688 $1,480 $1,409 $1,949 $1,996 $1,469 $1,288 $1,996 $2,170 $2,546 $2,597 $759+ $1,436 $1,867 $1,625 $1,845 $2,006 $2,352 $2,400 $702+ $1,327 $1,726 $1,503 $2,017 $3,034 $3,706 $706+ $2,895 $1,754 $2,638 $3,223 $614+ $2,517 $1,458 $1,879 $2,352 $1,846 $1,610 $1,239 $1,661 $2,075 $1,628 $1,421 57 Virginia Medigap Policies Age 75 Company Omaha Insurance Company 1-800-667-2937 www.mutualofomaha.com Omaha Insurance Company 1-800-667-2937 www.mutualofomaha.com Order of United Commercial Travelers, The 1-800-848-0123 www.uct.org Order of United Commercial Travelers, The 1-800-848-0123 www.uct.org Physicians Mutual Ins. Co. 1-800-469-8157 www.physiciansmutual.com/medicare Area Sex M/F Prem Guar Cross Pre-Ex Type Issue Over Wait Date Approved Z M AA N Y 0 11/1/13 Z F AA N Y 0 11/1/13 Z M AA N Y 0 11/05/12 Z F AA N Y 0 11/05/12 Z M/F AA N Y 0 10/30/13 Reserve National Ins Co. 1-800-654-9106 Policy Fee: $15 www.reservenational.com Reserve National Ins Co. 1-800-654-9106 Policy Fee: $15 www.reservenational.com Standard Life & Accident 1-888-290-1085 www.slaico.com Standard Life & Accident 1-888-290-1085 www.slaico.com A M/F AA N Y 6 8/18/14 Z M F AA N Y 6 8/18/14 Z M AA N Y 0 11/06/14 Z F AA N Y 0 11/06/14 58 A B C D F/F+ G K L M N $1,528 $2,215 $1,794 $1,329 $1,927 $1,561 $2,447 $3,401 $2,592 $2,215 $2,128 $2,959 $2,255 $1,927 $1,357 $2,076 $807+ $1,798 $1,707 $2,536 $2,214 $666+ Call company for rates $1,712 $2,349 $1,513 $6,225 $2,522 $5,062 $3,436 $2,435 $1,939 $1,249 $5,140 $2,082 $4,180 $2,837 $2,011 59 Virginia Medigap Policies Age 75 Company State Farm Mutual Automobile Insurance Company Contact Local State Farm Agent www.statefarm.com State Mutual ICO 1-888-764-1936 Policy Fee: $20 broker only www.statemutualinsurance.com State Mutual ICO 1-888-764-1936 Policy Fee: $20 broker only www.statemutualinsurance.com Thrivent Financial for Lutherans 1-800-847-4836 www.thrivent.com United American Insurance Co. 1-800-331-2512 www.unitedamerican.com United American Insurance Co. 1-800-331-2512 www.unitedamerican.com USAA Life Insurance Co. 1-800-531-8722 www.usaa.com Area Sex M/F Prem Guar Cross Pre-Ex Date Type Issue Over Wait Approved Z M/F AA N Y 0 7/22/14 Z M AA N Y 0 5/13/14 Z F AA N Y 0 5/13/14 Z M/F AA N Y 0 11/5/13 Z M AA N Y 2 12/9/13 Z F AA N Y 2 12/9/13 A M/F AA N Y 0 12/4/13 60 A B C D F/F+ G K L M N $1,452 $2,190 $2,212 $1,809 $2,113 $2,565 $2,214 $2,620 $1030+ $2,227 $1,994 $1,833 $1,574 $1,836 $2,229 $1,925 $2,277 $896+ $1,937 $1,734 $1,594 $1,515 $1,792 $2,517 $2,194 $2,526 $761+ $2,021 $1,431 $1,811 $1,870 $2,878 $3,384 $3,208 $3,464 $669+ $3,221 $2,701 $1,626 $2,503 $2,943 $2,790 $3,013 $582+ $2,801 $2,349 $1,648 $2,156 $1,314 61 Virginia Medigap Policies Age 80 Company *AARP/United Healthcare 1-800-523-5800 www.aarphealthcare.com Aetna Life Insurance Co. 1-888-624-6290 www.aetna.com Aetna Life Insurance Co. 1-888-624-6290 www.aetna.com American Continental ICO 1-800-264-4000 Policy Fee $20 www.cont-life.com American Continental ICO 1-800-264-4000 Policy Fee $20 www.cont-life.com American Republic Ins. Co. 1-888-755-3065 www.americanenterprise.com American Republic Ins. Co. 1-888-755-3065 www.americanenterprise.com American Retirement Life ICO 1-866-459-4272 Policy Fee $20 www.continentalgeneral.com American Retirement Life ICO 1-866-459-4272 Policy Fee $20 www.continentalgeneral.com Are a Sex M/F Prem Type Guar Issue Cross Over Pre-Ex Wait Date Approved A M/F AA N Y 3 9/05/14 Z M AA N Y 0 10/21/14 Z F AA N Y 0 10/21/14 Z M AA N Y 0 5/10/13 Z F AA N Y 0 5/10/13 Z M AA N Y 0 9/11/14 Z F AA N Y 0 9/11/14 Z M AA N Y 6 10/26/13 Z F AA N Y 6 10/26/13 *Rates listed for ages 75 and 80 are available for those individuals applying for coverage 6 or more years after their Medicare Part B effective date and who meet underwriting requirements. Additional discounts for multiinsured and electronic funds transfer are available. Please call for exact rate. 62 A B C D F/F+ G K L M N $1,445 $2,046 $2,531 $2,548 $752 $1,541 $1,719 $2,111 $2,525 $2,896 $2,779 $1,890 $1,950 $2,318 $2,662 $2,586 $1,763 $1,740 $2,191 $2,438 $958+ $2,028 $1,770 $1,513 $1,905 $2,119 $834+ $1,763 $1,540 $2,031 $2,755 $1,470 $2,025 $1,751 $2,375 $1,267 $1,746 $1,934 $2,472 $2,210 $1,768 $1,682 $2,150 $1,921 $1,537 63 Virginia Medigap Policies Age 80 Company **Anthem BC/ BS 1-800-916-2583 www.anthem.com Assured Life Association 1-877-223-3666 Policy Fee: $25 www.denverwoodmen.com Assured Life Association 1-877-223-3666 Policy Fee: $25 www.denverwoodmen.com Bankers Fidelity Life Ins. Co. 1-800-241-1439 www.bflic.com Bankers Fidelity Life Ins. Co. 1-800-241-1439 www.bflic.com Carefirst BlueCross BlueShield 1-800-275-3802 www.carefirst.com Carefirst BlueCross BlueShield 1-800-275-3802 www.carefirst.com Central States Indemnity Co. of Omaha 1-866-664-3988 Policy Fee $25 www.csi-omaha.com Area Sex M/F Prem Guar Cross Pre-Ex Date Type Issue Over Wait Approved Z M/F AA N Y 6 9/24/14 Z M AA N Y 0 7/14/14 Z F AA N Y 0 7/14/14 Z M/F IA N Y 0 12/24/13 Z M/F AA N Y 0 12/24/13 A M AA Y N 0 12/06/13 A F AA Y N 0 12/06/13 Z M AA N Y 0 10/23/14 ** Annual rates shown include the $48 annual discount. 64 A B C D F/F+ G K L M N $1,260 $2,568 $1,824 $2,209 $2,454 $3,143 $2,466 $3,729 $2,358 $1,852 $1,921 $2,134 $2,733 $2,145 $3,243 $2,050 $1,611 $1,824 $2,544 $828+ $2,244 $1,224 $2,100 $2,196 $2,712 $948+ $2,496 $1,920 $2,292 $1,764 $1,824 $1,920 $2,364 $828+ $2,172 $1,668 $2,004 $1,536 $1,885 $2,200 $2,671 $2,709 $2,216 $1,896 65 Virginia Medigap Policies Age 80 Company Central States Indemnity Co. of Omaha 1-866-664-3988 Policy Fee $25 www.csi-omaha.com Colonial Penn Life Ins. Co. 1-800-800-2254 www.bankerslife.com Colonial Penn Life Ins. Co. 1-800-800-2254 www.bankerslife.com Combined Insurance Co. of America 1-800-544-5531 www.combinedinsurance.com Combined Insurance Co. of America 1-800-544-5531 www.combinedinsurance.com Continental General ICO 1-877-293-8499 Policy Fee $25 www.contientalgeneral.com Continental General ICO 1-877-293-8499 Policy Fee $25 www.contientalgeneral.com Equitable Life & Casualty 1-877-358-4060 Policy Fee: $20 www.equilife.com Equitable Life & Casualty 1-877-358-4060 Policy Fee: $20 www.equilife.com Area Sex M/F Prem Guar Cross Pre-Ex Date Type Issue Over Wait Approved Z F AA N Y 0 10/23/14 A M AA N Y 0 11/20/14 A F AA N Y 0 11/20/14 A M AA N Y 0 5/06/11 A F AA N Y 0 5/06/11 Z M AA N Y 6 9/04/13 Z F AA N Y 6 9/04/13 Z M AA N Y 0 11/25/13 Z F AA N Y 0 11/25/13 66 A B C D F/F+ G K L M N $1,639 $1,913 $2,322 $2,356 $1,927 $1,648 $2,572 $2,806 $3,776 $664+ $2,822 $1,126 $2,095 $2,733 $2,106 $2,314 $2,525 $3,398 $598+ $2,540 $1,013 $1,886 $2,460 $1,895 $2,295 $2,909 $2,036 $2,077 $2,632 $1,842 $1,933 $2,688 $2,422 $2,218 $1,611 $2,240 $2,019 $1,849 $2,111 $2,760 $1,946 $1,835 $2,400 $1,691 67 Virginia Medigap Policies Age 80 Company *Everence Association, Inc. 1-800-348-7468 www.everence.com *Everence Association, Inc. 1-800-348-7468 www.everence.com Forethought Life Insurance Co. 1-877-492-5870 Policy Fee: $25 www.forethought.com Forethought Life Insurance Co. 1-877-492-5870 Policy Fee: $25 www.forethought.com Gerber Life Insurance Co. 1-877-778-0839 Policy Fee: $25.00 www.gerberlife.com Gerber Life Insurance Co. 1-877-778-0839 Policy Fee: $25.00 www.gerberlife.com Globe Life & Accident ICO 1-800-801-6831 www.globecaremedsupp.com Area Sex M/F Prem Guar Cross Pre-Ex Date Type Issue Over Wait Approved ^IA ^AA Z M N N 0 2/13/14 Z F ^IA ^AA N N 0 2/13/14 Z M AA N Y 0 7/30/13 Z F AA N Y 0 7/30/13 Z M AA N Y 0 8/20/14 Z F AA N Y 0 8/20/14 A M/F AA N Y 2 4/02/14 *Everence Association, Inc. is a fraternal benefit society. As such, its policies are available only to persons eligible for membership in the Association. ^IA is for Plans A, F and L. ^AA is for Plans C and N. 68 A $1,404 B C D F/F+ $2,404 G K L $1,394 M N $2,356 $1,476 $1,275 $2,144 $2,186 $1,268 $1,342 $1,829 $2,499 $2,562 $1,981 $1,595 $1,591 $2,174 $2,229 $1,724 $1,388 $1,885 $3,046 $2,315 $1,640 $2,650 $2,014 $1,114 $1,732 $2,375 $2,385 69 Virginia Medigap Policies Age 80 Company Government Personnel Mutual Life Ins. Co. 1-866-242-7573 Policy Fee $25 www.gpmlife.com Government Personnel Mutual Life Ins. Co. 1-866-242-7573 Policy Fee $25 www.gpmlife.com Humana Insurance Co. 1-888-310-8482 www.humana-medicare.com Humana Insurance Co. 1-888-310-8482 www.humana-medicare.com Liberty National Life Ins. Co. 1-800-331-2512 www.LibertyNational.com Liberty National Life Ins. Co. 1-800-331-2512 www.LibertyNational.com Medico Insurance Co. 1-800-228-6080 www.gomedico.com Medico Insurance Co. 1-800-228-6080 www.gomedico.com Area Sex M/F Prem Guar Cross Pre-Ex Date Type Issue Over Wait Approved Z M AA N Y 0 7/02/14 Z F AA N Y 0 7/02/14 Z M AA N Y 3 9/22/14 Z F AA N Y 3 9/22/14 Z M AA N Y 2 12/9/13 Z F AA N Y 2 12/9/13 Z M AA N Y 0 9/05/14 Z F AA N Y 0 9/05/14 70 A B C D F/F+ G K L M N $1,771 $2,501 $2,561 $1,889 $1,662 $1,541 $2,176 $2,228 $1,643 $1,446 $2,355 $2,560 $3,004 $3,065 $892+ $1,692 $2,202 $1,917 $2,094 $2,277 $2,671 $2,725 $795+ $1,506 $1,959 $1,705 $2,017 $3,053 $4,078 $777+ $3,255 $1,754 $2,655 $3,546 $676+ $2,830 $1,657 $2,186 $2,708 $2,140 $1,882 $1,330 $1,868 $2,321 $1,833 $1,613 71 Virginia Medigap Policies Age 80 Sex M/F Prem Guar Cross Pre-Ex Type Issue Over Wait Date Approved Company Omaha Insurance Company 1-800-667-2937 www.Mutualofomaha.com Omaha Insurance Company 1-800-667-2937 www.Mutualofomaha.com Order of United Commercial Travelers, The 1-800-848-0123 www.uct.org Order of United Commercial Travelers, The 1-800-848-0123 www.uct.org Physicians Mutual Ins. Co. 1-800-469-8157 www.physiciansmutual.com/medicare Area Z M AA N Y 0 11/1/13 Z F AA N Y 0 11/1/13 Z M AA N Y 0 11/05/12 Z F AA N Y 0 11/05/12 Z M/F AA N Y 0 10/30/13 Reserve National Ins Co. 1-800-654-9106 Policy Fee: $15 www.reservenational.com Reserve National Ins Co. 1-800-654-9106 Policy Fee: $15 www.reservenational.com Standard Life & Accident 1-888-290-1085 www.slaico.com Standard Life & Accident 1-888-290-1085 www.slaico.com A M/F AA N Y 6 8/18/14 Z M F AA N Y 6 8/18/14 Z M AA N Y 0 11/06/14 Z F AA N Y 0 11/06/14 72 A B C D F/F+ G K L M N $1,788 $2,592 $2,099 $1,556 $2,255 $1,826 $2,695 $3,679 $2,854 $2,396 $2,343 $3,200 $2,482 $2,084 $1,535 $2,513 $1031+ $2,178 $1,979 $2,939 $2,567 $772+ Call company for rates $1,985 $2,821 $1,817 $7,476 $3,028 $6,079 $4,126 $2,924 $2,301 $1,482 $6,099 $2,471 $4,959 $3,366 $2,386 73 Virginia Medigap Policies Age 80 Company State Farm Mutual Automobile Insurance Company 1-866-855-1212 www.statefarm.com State Mutual ICO 1-888-764-1936 Policy Fee: $20 broker only www.statemutualinsurance.com State Mutual ICO 1-888-764-1936 Policy Fee: $20 broker only www.statemutualinsurance.com Thrivent Financial for Lutherans 1-800-847-4836 www.thrivent.com United American Insurance Co. 1-800-331-2512 www.unitedamerican.com United American Insurance Co. 1-800-331-2512 www.unitedamerican.com USAA Life Insurance Co. 1-800-531-8722 www.usaa.com Area Sex M/F Prem Guar Cross Pre-Ex Date Type Issue Over Wait Approved Z M/F AA N Y 0 7/22/14 Z M AA N Y 0 5/13/14 Z F AA N Y 0 5/13/14 Z M/F AA N Y 0 11/5/13 Z M AA N Y 2 12/09/13 Z F AA N Y 2 12/09/13 A M/F AA N Y 0 12/4/13 74 A B C D F/F+ G K L M N $1,631 $2,460 $2,485 $2,958 $2,057 $2,401 $2,914 $2,518 $1,164+ $2,531 $2,266 $2,071 $1,789 $2,087 $2,534 $2,188 $2,571 $1012+ $2,201 $1,971 $1,801 $1,681 $1,987 $2,794 $2,435 $2,803 $844+ $2,244 $1,587 $2,012 $1,870 $2,890 $3,714 $3,539 $3,799 $733+ $3,551 $3,024 $1,626 $2,514 $3,229 $3,077 $3,304 $637+ $3,088 $2,630 $1,907 $2,501 $1,522 75 Virginia Medigap Policies Disabled and Under Age 65 Sex Prem Guar Cross Pre-Ex Date Company Area M/F Type Issue Over Wait Approved Carefirst BlueCross BlueShield Of MD 1-800-275-3802 www.carefirst.com Carefirst BlueCross BlueShield Of MD 1-800-275-3802 www.carefirst.com A M AA *N N 0 12/6/13 A F AA *N N 0 12/6/13 *Individuals who apply for coverage within 6 months of their Medicare Part B effective date (or within the Guaranteed Issue period by other means) are guaranteed issue. Members who apply outside the guaranteed issue period are subject to medical underwriting. 76 A B C D F/F+ G K L M N $9,792 $9,348 77 What Medigap Plans Cover Medicare Part A Coinsurance and Medigap Coverage for hospital benefits Blood (first three pints) Part A Hospice Care Coinsurance or Copayment X X X X X X X Skilled Nursing Facility Coinsurance Medicare Part A Deductible X X X X X X X X X X X X X X X X X X X X $4,940*** Medicare Part B Coinsurance or Copayment X X X X X X X X X X X X X X X Medigap Benefits X X X X X Plan A X Plan B Plan C Plan D Plan F/F* Plan G Plan K X Plan L X 50% 50% 50% 50% 50% Plan M X Plan N X 75% X X**** 75% X X 75% X X 75% X X 75% 50% X Medicare Part B Deductible Medicare Part B Excess Charges ** Foreign Travel Emergency (up to plan limits - 80%/$50,000) Medicare Preventive Care Coinsurance Part B 2015 out-of-pocket yearly X X X X *Medigap Plan F offers a high deductible option. You must pay the first $2,180 (deductible) in Medigap-covered costs before the Medigap policy pays anything. **You must also pay a separate deductible for foreign travel emergency - $250 per year. ***After you meet your out-of-pocket yearly limit and your $147 Part B deductible in 2015, the plan pays 100% of covered services for the rest of the calendar year. ****Plan N –You may be charged up to $20.00 for an office visit and up to $50.00 for an emergency room visit before the plan pays. The emergency room copayment will be waived if you are admitted to the hospital Note – Plan A represents the basic core benefits (included in all plans with some variations). $2,470*** 12 78 2015 Medicare Premiums/Deductibles/Co-insurance Part A (Hospital) Premiums (Part A is Premium-Free for most individuals) Inpatient Deductible and Co-insurance First 60 Days - $1,260.00/benefit pd. Day 61-90 - $315.00/per day Day 91-150 - $630.00/per day Beyond 150 - All Costs NOTE: Medigap policies may cover additional days. Please refer to your policy. Part B (Doctor) Premium: $104.90/Month Deductible: $147.00/Year Co-insurance: 20% of the approved amount Skilled Nursing Facility (SNF) Co-insurance Per Benefit Period: First 20 days - $0 Days 21-100 - $157/per day Beyond 100 - All Costs · · · Annual Deductibles for Medigap High Deductible Plan F is $2,180 For those who kept their High Deductible Plan J the annual deductible is also $2,180 Annual Out-Of-Pocket Limits for Medigap Plans: Plan K - $4,940; Plan L - $2,470 10/14 79
Veterans Compensation Benefits Rate Tables - Effective 12/1/14 - Compensation
Dec 14, 2013.. The 2015 VA Disability rates increased by 1.7% on December 1, 2014. If you receive disability payments from the VA, you will see a small raise ..
Virginia Medigap Policies. Premium Charts. Fourth Quarter. December 2014. Premiums at age 65. 18-33. Premiums at age 70. 34-47. Premiums at age 75.
Go to our How to Read Compensation Benefits Rate Tables to learn how to use the table.. Rates (No Dependents): 10% - 20% Basic Rates - 10%-100% Combined Degree Only Effective 12/1/14
Nov 6, 2013.. Wednesday, 1 October 2014. Friday, 31 October 2014. Monday, 1 December 2014. Wednesday, 31 December 2014. Hope that helps you plan!
Virginia Medigap Policies
Coordinator. Robin Poe, MSN. Security Chief. Tommy Cullop. Southwestern Virginia. Mental Health Institute. Facility Organizational Chart. December 2014.
Dec 10, 2014.. Veterans Compensation Benefits Rate Tables - Effective 12/1/14.. All other entries on this chart reflecting a rate for children show the rate ..
December 2014, December 31, 2014. January 2015, January 30. February, February 27. March, April 1. April, May 1. May, June 1. June, July 1. July, July 31.
