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Viewdetailedbenefits,copaysandcoveragesfortheseplans.Plan Overview
03/02/1951
03/01/2016
04/01/2016
Date of Birth:
Part B Date:
Plan Start Date:
Customize my Rate
Medicare
Supplement Plan
Plan C
Benefits Table
Rates
Basic Benefits
Part A
Deductible
Part B
Deductible +
Part B Excess
Charges
Skilled
Nursing
Facility (SNF)
Coinsurance
Foreign
Emergency
Care
Standard Rate
With Enrollment
Discount
$147.00
Standard Rate
With Enrollment
Discount
$79.62
Standard Rate
With Enrollment
Discount
$123.02
Standard Rate
With Enrollment
Discount
$147.52
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Plan A
Benefits Table
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Plan B
Benefits Table
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Plan F
Benefits Table
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3/9/2016
UnitedHealthcareMedicareSolutions|AARPMedicareSupplementPlans
Your guide to AARP Medicare Supplement
Insurance Plans
Guide to Health Insurance for People with
Medicare
Rules and Disclosures
Member Resources
The AARP Medicare Supplement Insurance Plans carry the AARP name and UnitedHealthcare pays a royalty fee to AARP for use of the
AARP intellectual property. Amounts paid are used for the general purpose of AARP and its members. Neither AARP nor its affiliate is
the insurer.
*Insured by UnitedHealthcare Insurance Company, Horsham, PA (UnitedHealthcare Insurance Company of New York, Islandia, NY for New York Residents). Policy
Form Number GRP 79171 GPS-1 (G-36000-4). In some states, plans may be available to persons eligible for Medicare by reason of disability. All plans may not be
available in your state/area. Call for complete information including benefits, costs, eligibility requirements, exclusions and limitations.
AARP does not recommend health related products, services, insurance or programs. You are encouraged to evaluate your needs.
This is a solicitation of insurance. An agent may contact you.
AARP and its affiliate are not insurance agencies or carriers and do not employ or endorse insurance agents, brokers, producers, representatives or advisors.
Not connected with or endorsed by the United States government or the federal Medicare program.
WB25168 (03/10)
2016UnitedHealthCareServices,Inc.Allrightsreserved.
Lastupdated:02.17.2016at12:01AMCT|Y0066_151030_111851Pending
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