Medicare Supplement Washington

Plan choices (PDF) | Application | Medicare and You | Choose Medigap

Rates

Rates effective 6/1/2010	Plan A	Plan C	Plan D	Plan F	Plan G	Plan M	Plan N
Monthly Bank Rates (Bank Service Plan)	$109.25	$154.38	$137.75	$158.33	$143.77	$136.95	$125.87
Quarterly Rates	$327.75	$463.13	$413.25	$474.99	$431.31	$410.86	$377.61
Semi-annual Rates	$655.51	$926.26	$826.51	$949.98	$862.62	$821.71	$755.21
Annual Ratee	$1,311.01	$1,852.52	$1,653.01	$1,899.95	$1,725.23	$1,643.42	$1,510.42
Benefits	Plan A	Plan C	Plan D	Plan F	Plan G	Plan M	Plan N
Medicare Part A Coinsurance and Hospital Benefits
Medicare Part A Deductible						50%
Medicare Part B Coinsurance or Co-payment							²
Medicare Part B Deductible
Medicare Part B Excess Charges
Blood (First Three Pints)
Hospice Care Coinsurance or Co-payment
Skilled Nursing Coinsurance
Foreign Travel Emergency (Up to Plan Limits)³
Medicare Preventive Care Part B Coinsurance
2010 out-of-pocket limit⁴

We, Mutual of Omaha, can only raise your premium if we raise the premium for all policies like yours in the same geographic area of the state where you live. This change can be made on any renewal date. Schedules of rates may vary depending upon your Policy Date.

Rates and a summary of benefits (PDF) are available in a single document.