Health Insurance Quote
JAY Age:65 Part B Eff. 0 - 5 years Spouse Age: 65 Part B Eff. 0 - 5 years Zip code: 90291
Part A Hospital ServicesABCDFF-dedGKLMN
Part A Deductible ($1316)
after
ded
Hospital Coinsuranceafter
ded
50%75%50%
365 Additional days after Medicare benefits end
Skilled nursing facility coinsurance

after
ded
50%75%
3 Pints of (unreplaced) bloodafter
ded
50%75%
Part B ServicesABCDFF-dedGKLMN
Part B Annual Deductible ($183)








Part B Coinsurance50%75%$20/$50
Part B Excess Charges







Additional FeaturesABCDFF-dedGKLMN
Out of Pocket LimitNANANANANANANA$5120$2560NANA
Hospice coverageafter
ded
50%75%
Foreign Travel Emergency


Monthly RatesABCDFF-dedGKLMN
UHC (valid to 6/30/2017)215.45297.57352.44
353.77

235.40189.52
238.39
UHC (effective 7/1/2017)196.82271.90322.06
323.28
276.77215.06173.10
217.79
Anthem Application 237.72


319.27
272.38


247.43
Blue Shield Application191.00
283.00233.00309.00119.00
153.00

225.00
Blue Shield (separate)244.00
336.00286.00362.00122.0
156.0

234.0
Combined267.82


362.12
313.18


282.56
Continental (Aetna)272.06344.07

404.22127.09353.57


269.06
Health Net Application210.00
312.00
312.00114.00284.00152.00216.00258.00
Humana322.8350.96431.52
440.24118.94
187.36269.76
260.54
Loyal American Life (Cigna) Application 305.82


386.88
305.56


243.34
Mutual of Omaha329.38


463.7137.34405.02


317.42
Transamerica Life Application 224.28


381.28
302.68


292.08
United American Life Application232.0316.0404.0374.0380.064.0344.0214.0302.0
248.0


UHC rates reflect $2.00 discount for automatic checking account withdrawal
UHC rates reflect 5% two party discount
Anthem rates reflect $2.00 discount for automatic checking account withdrawal
Anthem rates plan F reflect $20 Welcome to Medicare Discount for each spouse ($40 total discount)
Anthem rates reflect 5% two party discount
Health Net rates reflect $15 per spouse Welcome to Medicare Discount (total $30 discount)
Blue Shield rates reflect $3.00 discount for automatic checking account withdrawal
Blue Shield plans A, C, D & F reflect $50 Welcome to Medicare Discount for each spouse ($50 total discount)
Blue Shield rates for split couple reflect $6.00 discount for automatic checking account withdrawal
Blue Shield plans A, C, D & F reflect $50 Welcome to Medicare Discount
Continental (Aetna) rates reflect 5% two party discount
Mutual of Omaha rates reflect 7% two party discount
This is not a legally binding document. Please review literature supplied by the carrier before enrolling.
6/17/2017