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Regence BlueCross BlueShield Health Insurance
Woodmen of the World

Humana Medicare Supplements

Medicare and You | Choose Medigap

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Rates

Rates effective 6/1/2010
Plan A
Plan B
Plan C
Plan F
High Ded
Plan F
Plan K
Plan L
Monthly Premiums
Male - 65 years old
Preferred Rating
$101.67
$110.47
$127.06
$129.61
$49.85
$60.45
$85.08
Monthly Premiums
Female - 65 years old
Preferred Rating
$101.41
$110.19
$126.74
$129.29
$49.73
$60.30
$84.86
Monthly Premiums
Male - 65 years old
Standard Rating
$150.96
$164.12
$188.92
$192.73
$73.53
$89.36
$126.17
Monthly Premiums
Female - 65 years old
Standard Rating
$150.58
$163.71
$188.44
$192.25
$73.34
$89.13
$125.85
Benefits
Plan A
Plan B
Plan C
Plan F
High Ded
Plan F
Plan K
Plan L
Medicare Part A Coinsurance and Hospital Benefits Yes Yes Yes Yes Yes Yes Yes
Medicare Part A Deductible   Yes Yes Yes Yes 50% 75%
Medicare Part B Coinsurance or Co-payment Yes Yes Yes Yes Yes 50% 75%
Medicare Part B Deductible     Yes Yes Yes    
Medicare Part B Excess Charges       Yes Yes    
Blood (First Three Pints) Yes Yes Yes Yes Yes 50% 75%
Hospice Care Coinsurance or Co-payment Yes Yes Yes Yes Yes 50% 75%
Skilled Nursing Coinsurance     Yes Yes Yes 50% 75%
Foreign Travel Emergency (Up to Plan Limits)3     Yes Yes Yes    
Medicare Preventive Care Part B Coinsurance Yes Yes Yes Yes Yes Yes Yes
2010 out-of-pocket limit4         $2,000 $4,620 $2,310


* Plan F also has an option called a high deductible plan F. This high deductible plan pays the same benefits as Plan F after one has paid a calendar year $2,000 deductible. Benefits from high deductible plan F will not begin until out-of-pocket expenses exceed $2,000. Out-of-pocket expenses for this deductible are expenses that would ordinarily be paid by the policy. These expenses include the Medicare deductibles for Part A and Part B, but do not include the plan’s separate foreign travel emergency deductible.

Monthly premiums presented include $2 for coupon book billing method. If a policyholder elects either automatic bank withdrawal or recurring credit card transaction as a payment method, the premium is $2 less.



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