Rich Suess Insurance Services

Medicare Supplement Coverage

Medicare supplement coverage can only be sold in 10
standard plans. The charts below compare the monthly
plan dues of the plans offered by Blue Shield. Every
company that offers Medicare Supplement Plans must
offer Plan A, and some plans may not be available in
California.

Blue Shield's Plans A, B, C, D, F, H, and I meet the
requirements for Medicare Supplements established
by the federal government, the State of California,
and the National Association of Insurance Commissioners
(NAIC).

For additional information concering covered benefits, contact the Health Insurance Counseling and Advocacy Program (HICAP) or your agent. HICAP provides health insurance counseling for California senior citizens. Call the HICAP toll-free telephone number, (800) 434-0222, for a referral to your local HICAP office. HICAP is a service provided free of charge by the State of California.

Medicare Supplement Plans

Rates for Northern California
Monthly Plan Dues — billed and to be paid in advance Effective Date 1/1/02

Region 5

Counties: Sacramento, San Joaquin, and Stanislaus

Age Range	A	B	C	D	F	H	I
65 to 66	$ 75	$ 89	$ 92	$ 98	$ 98	$172	$190
67 to 69	$ 80	$ 90	$ 93	$107	$105	$194	$206
70 to 74	$ 97	$131	$131	$120	$133	$215	$221
75 to 79	$112	$142	$156	$143	$177	$256	$277
80+	$121	$171	$159	$165	$194	$299	$323
64 or younger*	$266	$425	$473	$380	$490	$576	$664

Region 6

Counties: Alameda, Alpine, Amador, Butte, Calaveras, Colusa, Contra Costa, Del Norte, El Dorado, Fresno, Glenn, Humboldt, Imperial, Inyo, Kings, Lake, Lassen, Madera, Marin, Mariposa, Mendocino, Merced, Modoc, Monterey, Napa, Nevada, Placer, Plumas, San Benito, San Francisco, San Luis Obispo, San Mateo, Santa Clara, Santa Cruz, Shasta, Sierra, Siskiyou, Solano, Sonoma, Sutter, Tehama, Trinity, Tulare, Tuolomne, Yolo, and Yuba

Age Range	A	B	C	D	F	H	I
65 to 66	$ 80	$ 82	$ 86	$ 99	$ 91	$166	$188
67 to 69	$ 82	$ 85	$ 87	$104	$ 97	$188	$204
70 to 74	$ 97	$129	$131	$123	$131	$208	$220
75 to 79	$114	$152	$156	$146	$174	$248	$273
80+	$124	$162	$159	$170	$180	$289	$320
64 or younger*	$261	$390	$444	$345	$490	$576	$664

* If you are 64 or younger and do not have End Stage Renal Disease, you may apply for Blue Shield of California Medicare Supplement Coverage. Blue Shield of California does not offer coverage if you are 64 or younger unless you qualify for guaranteed issue as described in the Guaranteed Issue Guide.

In 2000, the ratio of the value of health services provided to the amount of Blue Shield collected in plan dues was 80.8%. This ratio was calculated after provider discounts were applied. The provider discounts on an aggregate exceeded 30% of billed charges.

Medicare Supplement Coverage

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