GA Plan A modernized OLIC
MODERNIZED
GEORGIA RATES
PLAN A
Medicare
Zip Codes: 304-306, 308-309, 317-319, 398
Supplement
Area 1 Non-Tobacco Issue Age
Annual Male
Female
Semi-Annual Male
Female
Quarterly Male
Female
Monthly Male
Female
65 66 67 68
$1,752.00 $1,776.00 $1,812.00 $1,848.00
$1,548.00 $1,572.00 $1,608.00 $1,632.00
$893.80 $906.10 $924.40 $942.80
$789.80 $802.00 $820.40 $832.60
$455.80 $462.10 $471.40 $480.80
$402.80 $409.00 $418.40 $424.60
$151.00 $153.00 $156.10 $159.20
$133.40 $135.50 $138.60 $140.60
69 70 71 72
$1,872.00 $1,908.00 $1,944.00 $1,980.00
$1,656.00 $1,692.00 $1,716.00 $1,752.00
$955.00 $973.40 $991.70 $1,010.10
$844.90 $863.20 $875.50 $893.80
$487.00 $496.40 $505.70 $515.10
$430.90 $440.20 $446.50 $455.80
$161.30 $164.40 $167.50 $170.60
$142.70 $145.80 $147.90 $151.00
73 74
$1,992.00
$1,764.00
$1,016.20
$899.90
$518.20
$458.90
$171.60
$152.00
75 76 77
$2,016.00 $2,028.00 $2,052.00 $2,076.00
$1,788.00 $1,800.00 $1,812.00 $1,836.00
$1,028.50 $1,034.60 $1,046.80 $1,059.10
$912.20 $918.30 $924.40 $936.70
$524.50 $527.60 $533.80 $540.10
$465.20 $468.30 $471.40 $477.70
$173.70 $174.70 $176.80 $178.80
$154.10 $155.10 $156.10 $158.20
78
$2,076.00
$1,836.00
$1,059.10
$936.70
$540.10
$477.70
$178.80
$158.20
79 80 81 82
$2,076.00 $2,076.00 $2,088.00 $2,088.00
$1,836.00 $1,836.00 $1,848.00 $1,848.00
$1,059.10 $1,059.10 $1,065.20 $1,065.20
$936.70 $936.70 $942.80 $942.80
$540.10 $540.10 $543.20 $543.20
$477.70 $477.70 $480.80 $480.80
$178.80 $178.80 $179.90 $179.90
$158.20 $158.20 $159.20 $159.20
83 84
$2,088.00 $2,088.00
$1,848.00 $1,848.00
$1,065.20 $1,065.20
$942.80 $942.80
$543.20 $543.20
$480.80 $480.80
$179.90 $179.90
$159.20 $159.20
85 86
$2,088.00 $2,088.00
$1,848.00 $1,848.00
$1,065.20 $1,065.20
$942.80 $942.80
$543.20 $543.20
$480.80 $480.80
$179.90 $179.90
$159.20 $159.20
87 88
$2,088.00 $2,088.00
$1,848.00 $1,848.00
$1,065.20 $1,065.20
$942.80 $942.80
$543.20 $543.20
$480.80 $480.80
$179.90 $179.90
$159.20 $159.20
89 90 91
$2,088.00 $2,088.00 $2,088.00
$1,848.00 $1,848.00 $1,848.00
$1,065.20 $1,065.20 $1,065.20
$942.80 $942.80 $942.80
$543.20 $543.20 $543.20
$480.80 $480.80 $480.80
$179.90 $179.90 $179.90
$159.20 $159.20 $159.20
92 93
$2,088.00 $2,088.00
$1,848.00 $1,848.00
$1,065.20 $1,065.20
$942.80 $942.80
$543.20 $543.20
$480.80 $480.80
$179.90 $179.90
$159.20 $159.20
94 95 96 97 98
$2,088.00 $2,088.00 $2,088.00
$1,848.00 $1,848.00 $1,848.00
$1,065.20 $1,065.20 $1,065.20
$942.80 $942.80 $942.80
$543.20 $543.20 $543.20
$480.80 $480.80 $480.80
$179.90 $179.90 $179.90
$159.20 $159.20 $159.20
$2,088.00 $2,088.00
$1,848.00 $1,848.00
$1,065.20 $1,065.20
$942.80 $942.80
$543.20 $543.20
$480.80 $480.80
$179.90 $179.90
$159.20 $159.20
99 100 +
$2,088.00 $2,088.00
$1,848.00 $1,848.00
$1,065.20 $1,065.20
$942.80 $942.80
$543.20 $543.20
$480.80 $480.80
$179.90 $179.90
$159.20 $159.20
©OLIC 2010 MedSup MODERNIZED PLAN A- GA Rev. 7-2010 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
MODERNIZED
GEORGIA RATES
PLAN A
Medicare
Zip Codes: 304-306, 308-309, 317-319, 398
Supplement
Area 1 Tobacco Issue Age
Annual Male
Female
Semi-Annual Male
Female
Quarterly Male
Female
Monthly Male
Female
65 66 67 68
$2,014.80 $2,042.40 $2,083.80 $2,125.20
$1,780.20 $1,807.80 $1,849.20 $1,876.80
$1,027.80 $1,041.90 $1,063.00 $1,084.10
$908.20 $922.30 $943.40 $957.50
$524.10 $531.30 $542.10 $552.80
$463.10 $470.30 $481.10 $488.30
$173.60 $175.90 $179.50 $183.10
$153.40 $155.80 $159.30 $161.70
69 70 71 72
$2,152.80 $2,194.20 $2,235.60 $2,277.00
$1,904.40 $1,945.80 $1,973.40 $2,014.80
$1,098.20 $1,119.30 $1,140.50 $1,161.60
$971.50 $992.70 $1,006.70 $1,027.80
$560.00 $570.80 $581.60 $592.30
$495.40 $506.20 $513.40 $524.10
$185.40 $189.00 $192.60 $196.10
$164.10 $167.60 $170.00 $173.60
73 74
$2,290.80
$2,028.60
$1,168.60
$1,034.90
$595.90
$527.70
$197.30
$174.80
75 76 77
$2,318.40 $2,332.20 $2,359.80 $2,387.40
$2,056.20 $2,070.00 $2,083.80 $2,111.40
$1,182.70 $1,189.70 $1,203.80 $1,217.90
$1,049.00 $1,056.00 $1,063.00 $1,077.10
$603.10 $606.70 $613.80 $621.00
$534.90 $538.50 $542.10 $549.30
$199.70 $200.90 $203.20 $205.60
$177.10 $178.30 $179.50 $181.90
78
$2,387.40
$2,111.40
$1,217.90
$1,077.10
$621.00
$549.30
$205.60
$181.90
79 80 81 82
$2,387.40 $2,387.40 $2,401.20 $2,401.20
$2,111.40 $2,111.40 $2,125.20 $2,125.20
$1,217.90 $1,217.90 $1,224.90 $1,224.90
$1,077.10 $1,077.10 $1,084.10 $1,084.10
$621.00 $621.00 $624.60 $624.60
$549.30 $549.30 $552.80 $552.80
$205.60 $205.60 $206.80 $206.80
$181.90 $181.90 $183.10 $183.10
83 84
$2,401.20 $2,401.20
$2,125.20 $2,125.20
$1,224.90 $1,224.90
$1,084.10 $1,084.10
$624.60 $624.60
$552.80 $552.80
$206.80 $206.80
$183.10 $183.10
85 86
$2,401.20 $2,401.20
$2,125.20 $2,125.20
$1,224.90 $1,224.90
$1,084.10 $1,084.10
$624.60 $624.60
$552.80 $552.80
$206.80 $206.80
$183.10 $183.10
87 88
$2,401.20 $2,401.20
$2,125.20 $2,125.20
$1,224.90 $1,224.90
$1,084.10 $1,084.10
$624.60 $624.60
$552.80 $552.80
$206.80 $206.80
$183.10 $183.10
89 90 91
$2,401.20 $2,401.20 $2,401.20
$2,125.20 $2,125.20 $2,125.20
$1,224.90 $1,224.90 $1,224.90
$1,084.10 $1,084.10 $1,084.10
$624.60 $624.60 $624.60
$552.80 $552.80 $552.80
$206.80 $206.80 $206.80
$183.10 $183.10 $183.10
92 93
$2,401.20 $2,401.20
$2,125.20 $2,125.20
$1,224.90 $1,224.90
$1,084.10 $1,084.10
$624.60 $624.60
$552.80 $552.80
$206.80 $206.80
$183.10 $183.10
94 95 96 97 98
$2,401.20 $2,401.20 $2,401.20
$2,125.20 $2,125.20 $2,125.20
$1,224.90 $1,224.90 $1,224.90
$1,084.10 $1,084.10 $1,084.10
$624.60 $624.60 $624.60
$552.80 $552.80 $552.80
$206.80 $206.80 $206.80
$183.10 $183.10 $183.10
$2,401.20 $2,401.20
$2,125.20 $2,125.20
$1,224.90 $1,224.90
$1,084.10 $1,084.10
$624.60 $624.60
$552.80 $552.80
$206.80 $206.80
$183.10 $183.10
99 100 +
$2,401.20 $2,401.20
$2,125.20 $2,125.20
$1,224.90 $1,224.90
$1,084.10 $1,084.10
$624.60 $624.60
$552.80 $552.80
$206.80 $206.80
$183.10 $183.10
©OLIC 2010 MedSup MODERNIZED PLAN A- GA Rev. 7-2010 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
MODERNIZED
GEORGIA RATES
PLAN A
Medicare
Zip Codes: 300-303, 307, 311-316, 399
Supplement
Area 2 NON-Tobacco Issue Age
Annual Male
Female
Semi-Annual Male
Female
Quarterly Male
Female
Monthly Male
Female
65 66 67 68
$1,883.40 $1,909.20 $1,947.90 $1,986.60
$1,664.10 $1,689.90 $1,728.60 $1,754.40
$960.80 $974.00 $993.70 $1,013.50
$849.00 $862.10 $881.90 $895.00
$490.00 $496.70 $506.70 $516.80
$433.00 $439.70 $449.70 $456.40
$162.30 $164.50 $167.80 $171.10
$143.40 $145.60 $149.00 $151.20
69 70 71 72
$2,012.40 $2,051.10 $2,089.80 $2,128.50
$1,780.20 $1,818.90 $1,844.70 $1,883.40
$1,026.60 $1,046.40 $1,066.10 $1,085.80
$908.20 $927.90 $941.10 $960.80
$523.50 $533.60 $543.60 $553.70
$463.10 $473.20 $479.90 $490.00
$173.40 $176.70 $180.00 $183.30
$153.40 $156.70 $158.90 $162.30
73 74
$2,141.40
$1,896.30
$1,092.40
$967.40
$557.10
$493.30
$184.50
$163.40
75 76 77
$2,167.20 $2,180.10 $2,205.90 $2,231.70
$1,922.10 $1,935.00 $1,947.90 $1,973.70
$1,105.60 $1,112.10 $1,125.30 $1,138.50
$980.60 $987.10 $993.70 $1,006.90
$563.80 $567.10 $573.80 $580.50
$500.00 $503.40 $506.70 $513.50
$186.70 $187.80 $190.00 $192.20
$165.60 $166.70 $167.80 $170.00
78
$2,231.70
$1,973.70
$1,138.50
$1,006.90
$580.50
$513.50
$192.20
$170.00
79 80 81 82
$2,231.70 $2,231.70 $2,244.60 $2,244.60
$1,973.70 $1,973.70 $1,986.60 $1,986.60
$1,138.50 $1,138.50 $1,145.00 $1,145.00
$1,006.90 $1,006.90 $1,013.50 $1,013.50
$580.50 $580.50 $583.90 $583.90
$513.50 $513.50 $516.80 $516.80
$192.20 $192.20 $193.30 $193.30
$170.00 $170.00 $171.10 $171.10
83 84
$2,244.60 $2,244.60
$1,986.60 $1,986.60
$1,145.00 $1,145.00
$1,013.50 $1,013.50
$583.90 $583.90
$516.80 $516.80
$193.30 $193.30
$171.10 $171.10
85 86
$2,244.60 $2,244.60
$1,986.60 $1,986.60
$1,145.00 $1,145.00
$1,013.50 $1,013.50
$583.90 $583.90
$516.80 $516.80
$193.30 $193.30
$171.10 $171.10
87 88
$2,244.60 $2,244.60
$1,986.60 $1,986.60
$1,145.00 $1,145.00
$1,013.50 $1,013.50
$583.90 $583.90
$516.80 $516.80
$193.30 $193.30
$171.10 $171.10
89 90 91
$2,244.60 $2,244.60 $2,244.60
$1,986.60 $1,986.60 $1,986.60
$1,145.00 $1,145.00 $1,145.00
$1,013.50 $1,013.50 $1,013.50
$583.90 $583.90 $583.90
$516.80 $516.80 $516.80
$193.30 $193.30 $193.30
$171.10 $171.10 $171.10
92 93
$2,244.60 $2,244.60
$1,986.60 $1,986.60
$1,145.00 $1,145.00
$1,013.50 $1,013.50
$583.90 $583.90
$516.80 $516.80
$193.30 $193.30
$171.10 $171.10
94 95 96 97 98
$2,244.60 $2,244.60 $2,244.60
$1,986.60 $1,986.60 $1,986.60
$1,145.00 $1,145.00 $1,145.00
$1,013.50 $1,013.50 $1,013.50
$583.90 $583.90 $583.90
$516.80 $516.80 $516.80
$193.30 $193.30 $193.30
$171.10 $171.10 $171.10
$2,244.60 $2,244.60
$1,986.60 $1,986.60
$1,145.00 $1,145.00
$1,013.50 $1,013.50
$583.90 $583.90
$516.80 $516.80
$193.30 $193.30
$171.10 $171.10
99 100 +
$2,244.60 $2,244.60
$1,986.60 $1,986.60
$1,145.00 $1,145.00
$1,013.50 $1,013.50
$583.90 $583.90
$516.80 $516.80
$193.30 $193.30
$171.10 $171.10
©OLIC 2010 MedSup MODERNIZED PLAN A- GA Rev. 7-2010 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
MODERNIZED
GEORGIA RATES
PLAN A
Medicare
Zip Codes: 300-303, 307, 311-316, 399
Supplement
Area 2 Tobacco Issue Age
Annual Male
Female
Semi-Annual Male
Female
Quarterly Male
Female
Monthly Male
Female
65 66 67 68
$2,165.91 $2,195.58 $2,240.09 $2,284.59
$1,913.72 $1,943.39 $1,987.89 $2,017.56
$1,104.90 $1,120.00 $1,142.70 $1,165.40
$976.30 $991.40 $1,014.10 $1,029.30
$563.40 $571.10 $582.70 $594.30
$497.90 $505.60 $517.10 $524.90
$186.60 $189.10 $192.90 $196.80
$164.90 $167.40 $171.30 $173.80
69 70 71 72
$2,314.26 $2,358.77 $2,403.27 $2,447.78
$2,047.23 $2,091.74 $2,121.41 $2,165.91
$1,180.60 $1,203.30 $1,226.00 $1,248.70
$1,044.40 $1,067.10 $1,082.20 $1,104.90
$602.00 $613.60 $625.10 $636.70
$532.60 $544.10 $551.90 $563.40
$199.30 $203.10 $207.00 $210.80
$176.40 $180.20 $182.70 $186.60
73 74
$2,462.61
$2,180.75
$1,256.20
$1,112.50
$640.60
$567.30
$212.10
$187.80
75 76 77
$2,492.28 $2,507.12 $2,536.79 $2,566.46
$2,210.42 $2,225.25 $2,240.09 $2,269.76
$1,271.40 $1,278.90 $1,294.10 $1,309.20
$1,127.60 $1,135.20 $1,142.70 $1,157.90
$648.30 $652.10 $659.90 $667.60
$575.00 $578.90 $582.70 $590.40
$214.60 $215.90 $218.50 $221.00
$190.40 $191.70 $192.90 $195.50
78
$2,566.46
$2,269.76
$1,309.20
$1,157.90
$667.60
$590.40
$221.00
$195.50
79 80 81 82
$2,566.46 $2,566.46 $2,581.29 $2,581.29
$2,269.76 $2,269.76 $2,284.59 $2,284.59
$1,309.20 $1,309.20 $1,316.80 $1,316.80
$1,157.90 $1,157.90 $1,165.40 $1,165.40
$667.60 $667.60 $671.40 $671.40
$590.40 $590.40 $594.30 $594.30
$221.00 $221.00 $222.30 $222.30
$195.50 $195.50 $196.80 $196.80
83 84
$2,581.29 $2,581.29
$2,284.59 $2,284.59
$1,316.80 $1,316.80
$1,165.40 $1,165.40
$671.40 $671.40
$594.30 $594.30
$222.30 $222.30
$196.80 $196.80
85 86
$2,581.29 $2,581.29
$2,284.59 $2,284.59
$1,316.80 $1,316.80
$1,165.40 $1,165.40
$671.40 $671.40
$594.30 $594.30
$222.30 $222.30
$196.80 $196.80
87 88
$2,581.29 $2,581.29
$2,284.59 $2,284.59
$1,316.80 $1,316.80
$1,165.40 $1,165.40
$671.40 $671.40
$594.30 $594.30
$222.30 $222.30
$196.80 $196.80
89 90 91
$2,581.29 $2,581.29 $2,581.29
$2,284.59 $2,284.59 $2,284.59
$1,316.80 $1,316.80 $1,316.80
$1,165.40 $1,165.40 $1,165.40
$671.40 $671.40 $671.40
$594.30 $594.30 $594.30
$222.30 $222.30 $222.30
$196.80 $196.80 $196.80
92 93
$2,581.29 $2,581.29
$2,284.59 $2,284.59
$1,316.80 $1,316.80
$1,165.40 $1,165.40
$671.40 $671.40
$594.30 $594.30
$222.30 $222.30
$196.80 $196.80
94 95 96 97 98
$2,581.29 $2,581.29 $2,581.29
$2,284.59 $2,284.59 $2,284.59
$1,316.80 $1,316.80 $1,316.80
$1,165.40 $1,165.40 $1,165.40
$671.40 $671.40 $671.40
$594.30 $594.30 $594.30
$222.30 $222.30 $222.30
$196.80 $196.80 $196.80
$2,581.29 $2,581.29
$2,284.59 $2,284.59
$1,316.80 $1,316.80
$1,165.40 $1,165.40
$671.40 $671.40
$594.30 $594.30
$222.30 $222.30
$196.80 $196.80
99 100 +
$2,581.29 $2,581.29
$2,284.59 $2,284.59
$1,316.80 $1,316.80
$1,165.40 $1,165.40
$671.40 $671.40
$594.30 $594.30
$222.30 $222.30
$196.80 $196.80
©OLIC 2010 MedSup MODERNIZED PLAN A- GA Rev. 7-2010 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
MODERNIZED
GEORGIA RATES
PLAN A
Medicare
Zip Codes: 310
Supplement
Area 3 NON-Tobacco Issue Age
Annual Male
Female
Semi-Annual Male
Female
Quarterly Male
Female
Monthly Male
Female
65 66 67 68
$2,163.72 $2,193.36 $2,237.82 $2,282.28
$1,911.78 $1,941.42 $1,985.88 $2,015.52
$1,103.80 $1,118.90 $1,141.60 $1,164.30
$975.30 $990.40 $1,013.10 $1,028.20
$562.90 $570.60 $582.10 $593.70
$497.40 $505.10 $516.60 $524.30
$186.40 $188.90 $192.70 $196.60
$164.70 $167.30 $171.10 $173.60
69 70 71 72
$2,311.92 $2,356.38 $2,400.84 $2,445.30
$2,045.16 $2,089.62 $2,119.26 $2,163.72
$1,179.40 $1,202.00 $1,224.70 $1,247.40
$1,043.30 $1,066.00 $1,081.10 $1,103.80
$601.40 $613.00 $624.50 $636.10
$532.00 $543.60 $551.30 $562.90
$199.10 $202.90 $206.80 $210.60
$176.20 $180.00 $182.60 $186.40
73 74
$2,460.12
$2,178.54
$1,255.00
$1,111.40
$639.90
$566.70
$211.90
$187.60
75 76 77
$2,489.76 $2,504.58 $2,534.22 $2,563.86
$2,208.18 $2,223.00 $2,237.82 $2,267.46
$1,270.10 $1,277.60 $1,292.70 $1,307.90
$1,126.50 $1,134.00 $1,141.60 $1,156.70
$647.60 $651.50 $659.20 $666.90
$574.40 $578.30 $582.10 $589.80
$214.40 $215.70 $218.20 $220.80
$190.20 $191.50 $192.70 $195.30
78
$2,563.86
$2,267.46
$1,307.90
$1,156.70
$666.90
$589.80
$220.80
$195.30
79 80 81 82
$2,563.86 $2,563.86 $2,578.68 $2,578.68
$2,267.46 $2,267.46 $2,282.28 $2,282.28
$1,307.90 $1,307.90 $1,315.40 $1,315.40
$1,156.70 $1,156.70 $1,164.30 $1,164.30
$666.90 $666.90 $670.80 $670.80
$589.80 $589.80 $593.70 $593.70
$220.80 $220.80 $222.10 $222.10
$195.30 $195.30 $196.60 $196.60
83 84
$2,578.68 $2,578.68
$2,282.28 $2,282.28
$1,315.40 $1,315.40
$1,164.30 $1,164.30
$670.80 $670.80
$593.70 $593.70
$222.10 $222.10
$196.60 $196.60
85 86
$2,578.68 $2,578.68
$2,282.28 $2,282.28
$1,315.40 $1,315.40
$1,164.30 $1,164.30
$670.80 $670.80
$593.70 $593.70
$222.10 $222.10
$196.60 $196.60
87 88
$2,578.68 $2,578.68
$2,282.28 $2,282.28
$1,315.40 $1,315.40
$1,164.30 $1,164.30
$670.80 $670.80
$593.70 $593.70
$222.10 $222.10
$196.60 $196.60
89 90 91
$2,578.68 $2,578.68 $2,578.68
$2,282.28 $2,282.28 $2,282.28
$1,315.40 $1,315.40 $1,315.40
$1,164.30 $1,164.30 $1,164.30
$670.80 $670.80 $670.80
$593.70 $593.70 $593.70
$222.10 $222.10 $222.10
$196.60 $196.60 $196.60
92 93
$2,578.68 $2,578.68
$2,282.28 $2,282.28
$1,315.40 $1,315.40
$1,164.30 $1,164.30
$670.80 $670.80
$593.70 $593.70
$222.10 $222.10
$196.60 $196.60
94 95 96 97 98
$2,578.68 $2,578.68 $2,578.68
$2,282.28 $2,282.28 $2,282.28
$1,315.40 $1,315.40 $1,315.40
$1,164.30 $1,164.30 $1,164.30
$670.80 $670.80 $670.80
$593.70 $593.70 $593.70
$222.10 $222.10 $222.10
$196.60 $196.60 $196.60
$2,578.68 $2,578.68
$2,282.28 $2,282.28
$1,315.40 $1,315.40
$1,164.30 $1,164.30
$670.80 $670.80
$593.70 $593.70
$222.10 $222.10
$196.60 $196.60
99 100 +
$2,578.68 $2,578.68
$2,282.28 $2,282.28
$1,315.40 $1,315.40
$1,164.30 $1,164.30
$670.80 $670.80
$593.70 $593.70
$222.10 $222.10
$196.60 $196.60
©OLIC 2010 MedSup MODERNIZED PLAN A- GA Rev. 7-2010 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
MODERNIZED
GEORGIA RATES
PLAN A
Medicare
Zip Codes: 310
Supplement
Area 3 Tobacco Issue Age
Annual Male
Female
Semi-Annual Male
Female
Quarterly Male
Female
Monthly Male
Female
65 66 67 68
$2,488.28 $2,522.36 $2,573.49 $2,624.62
$2,198.55 $2,232.63 $2,283.76 $2,317.85
$1,269.30 $1,286.70 $1,312.80 $1,338.90
$1,121.60 $1,138.90 $1,165.00 $1,182.40
$647.20 $656.10 $669.40 $682.70
$571.90 $580.80 $594.10 $602.90
$214.30 $217.20 $221.60 $226.00
$189.40 $192.30 $196.70 $199.60
69 70 71 72
$2,658.71 $2,709.84 $2,760.97 $2,812.10
$2,351.93 $2,403.06 $2,437.15 $2,488.28
$1,356.20 $1,382.30 $1,408.40 $1,434.50
$1,199.80 $1,225.90 $1,243.20 $1,269.30
$691.60 $704.90 $718.10 $731.40
$611.80 $625.10 $634.00 $647.20
$228.90 $233.30 $237.70 $242.10
$202.60 $207.00 $209.90 $214.30
73 74
$2,829.14
$2,505.32
$1,443.20
$1,278.00
$735.90
$651.70
$243.60
$215.80
75 76 77
$2,863.22 $2,880.27 $2,914.35 $2,948.44
$2,539.41 $2,556.45 $2,573.49 $2,607.58
$1,460.50 $1,469.20 $1,486.60 $1,504.00
$1,295.40 $1,304.10 $1,312.80 $1,330.20
$744.70 $749.20 $758.00 $766.90
$660.50 $665.00 $669.40 $678.30
$246.50 $248.00 $250.90 $253.90
$218.70 $220.10 $221.60 $224.50
78
$2,948.44
$2,607.58
$1,504.00
$1,330.20
$766.90
$678.30
$253.90
$224.50
79 80 81 82
$2,948.44 $2,948.44 $2,965.48 $2,965.48
$2,607.58 $2,607.58 $2,624.62 $2,624.62
$1,504.00 $1,504.00 $1,512.70 $1,512.70
$1,330.20 $1,330.20 $1,338.90 $1,338.90
$766.90 $766.90 $771.30 $771.30
$678.30 $678.30 $682.70 $682.70
$253.90 $253.90 $255.30 $255.30
$224.50 $224.50 $226.00 $226.00
83 84
$2,965.48 $2,965.48
$2,624.62 $2,624.62
$1,512.70 $1,512.70
$1,338.90 $1,338.90
$771.30 $771.30
$682.70 $682.70
$255.30 $255.30
$226.00 $226.00
85 86
$2,965.48 $2,965.48
$2,624.62 $2,624.62
$1,512.70 $1,512.70
$1,338.90 $1,338.90
$771.30 $771.30
$682.70 $682.70
$255.30 $255.30
$226.00 $226.00
87 88
$2,965.48 $2,965.48
$2,624.62 $2,624.62
$1,512.70 $1,512.70
$1,338.90 $1,338.90
$771.30 $771.30
$682.70 $682.70
$255.30 $255.30
$226.00 $226.00
89 90 91
$2,965.48 $2,965.48 $2,965.48
$2,624.62 $2,624.62 $2,624.62
$1,512.70 $1,512.70 $1,512.70
$1,338.90 $1,338.90 $1,338.90
$771.30 $771.30 $771.30
$682.70 $682.70 $682.70
$255.30 $255.30 $255.30
$226.00 $226.00 $226.00
92 93
$2,965.48 $2,965.48
$2,624.62 $2,624.62
$1,512.70 $1,512.70
$1,338.90 $1,338.90
$771.30 $771.30
$682.70 $682.70
$255.30 $255.30
$226.00 $226.00
94 95 96 97 98
$2,965.48 $2,965.48 $2,965.48
$2,624.62 $2,624.62 $2,624.62
$1,512.70 $1,512.70 $1,512.70
$1,338.90 $1,338.90 $1,338.90
$771.30 $771.30 $771.30
$682.70 $682.70 $682.70
$255.30 $255.30 $255.30
$226.00 $226.00 $226.00
$2,965.48 $2,965.48
$2,624.62 $2,624.62
$1,512.70 $1,512.70
$1,338.90 $1,338.90
$771.30 $771.30
$682.70 $682.70
$255.30 $255.30
$226.00 $226.00
99 100 +
$2,965.48 $2,965.48
$2,624.62 $2,624.62
$1,512.70 $1,512.70
$1,338.90 $1,338.90
$771.30 $771.30
$682.70 $682.70
$255.30 $255.30
$226.00 $226.00
©OLIC 2010 MedSup MODERNIZED PLAN A- GA Rev. 7-2010 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
GEORGIA RATES
PLAN A
Medicare
Zip Codes: 304-306, 308-309, 317-319, 398
Supplement
Area 1 Non-Tobacco Issue Age
Annual Male
Female
Semi-Annual Male
Female
Quarterly Male
Female
Monthly Male
Female
65 66 67 68
$1,752.00 $1,776.00 $1,812.00 $1,848.00
$1,548.00 $1,572.00 $1,608.00 $1,632.00
$893.80 $906.10 $924.40 $942.80
$789.80 $802.00 $820.40 $832.60
$455.80 $462.10 $471.40 $480.80
$402.80 $409.00 $418.40 $424.60
$151.00 $153.00 $156.10 $159.20
$133.40 $135.50 $138.60 $140.60
69 70 71 72
$1,872.00 $1,908.00 $1,944.00 $1,980.00
$1,656.00 $1,692.00 $1,716.00 $1,752.00
$955.00 $973.40 $991.70 $1,010.10
$844.90 $863.20 $875.50 $893.80
$487.00 $496.40 $505.70 $515.10
$430.90 $440.20 $446.50 $455.80
$161.30 $164.40 $167.50 $170.60
$142.70 $145.80 $147.90 $151.00
73 74
$1,992.00
$1,764.00
$1,016.20
$899.90
$518.20
$458.90
$171.60
$152.00
75 76 77
$2,016.00 $2,028.00 $2,052.00 $2,076.00
$1,788.00 $1,800.00 $1,812.00 $1,836.00
$1,028.50 $1,034.60 $1,046.80 $1,059.10
$912.20 $918.30 $924.40 $936.70
$524.50 $527.60 $533.80 $540.10
$465.20 $468.30 $471.40 $477.70
$173.70 $174.70 $176.80 $178.80
$154.10 $155.10 $156.10 $158.20
78
$2,076.00
$1,836.00
$1,059.10
$936.70
$540.10
$477.70
$178.80
$158.20
79 80 81 82
$2,076.00 $2,076.00 $2,088.00 $2,088.00
$1,836.00 $1,836.00 $1,848.00 $1,848.00
$1,059.10 $1,059.10 $1,065.20 $1,065.20
$936.70 $936.70 $942.80 $942.80
$540.10 $540.10 $543.20 $543.20
$477.70 $477.70 $480.80 $480.80
$178.80 $178.80 $179.90 $179.90
$158.20 $158.20 $159.20 $159.20
83 84
$2,088.00 $2,088.00
$1,848.00 $1,848.00
$1,065.20 $1,065.20
$942.80 $942.80
$543.20 $543.20
$480.80 $480.80
$179.90 $179.90
$159.20 $159.20
85 86
$2,088.00 $2,088.00
$1,848.00 $1,848.00
$1,065.20 $1,065.20
$942.80 $942.80
$543.20 $543.20
$480.80 $480.80
$179.90 $179.90
$159.20 $159.20
87 88
$2,088.00 $2,088.00
$1,848.00 $1,848.00
$1,065.20 $1,065.20
$942.80 $942.80
$543.20 $543.20
$480.80 $480.80
$179.90 $179.90
$159.20 $159.20
89 90 91
$2,088.00 $2,088.00 $2,088.00
$1,848.00 $1,848.00 $1,848.00
$1,065.20 $1,065.20 $1,065.20
$942.80 $942.80 $942.80
$543.20 $543.20 $543.20
$480.80 $480.80 $480.80
$179.90 $179.90 $179.90
$159.20 $159.20 $159.20
92 93
$2,088.00 $2,088.00
$1,848.00 $1,848.00
$1,065.20 $1,065.20
$942.80 $942.80
$543.20 $543.20
$480.80 $480.80
$179.90 $179.90
$159.20 $159.20
94 95 96 97 98
$2,088.00 $2,088.00 $2,088.00
$1,848.00 $1,848.00 $1,848.00
$1,065.20 $1,065.20 $1,065.20
$942.80 $942.80 $942.80
$543.20 $543.20 $543.20
$480.80 $480.80 $480.80
$179.90 $179.90 $179.90
$159.20 $159.20 $159.20
$2,088.00 $2,088.00
$1,848.00 $1,848.00
$1,065.20 $1,065.20
$942.80 $942.80
$543.20 $543.20
$480.80 $480.80
$179.90 $179.90
$159.20 $159.20
99 100 +
$2,088.00 $2,088.00
$1,848.00 $1,848.00
$1,065.20 $1,065.20
$942.80 $942.80
$543.20 $543.20
$480.80 $480.80
$179.90 $179.90
$159.20 $159.20
©OLIC 2010 MedSup MODERNIZED PLAN A- GA Rev. 7-2010 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
MODERNIZED
GEORGIA RATES
PLAN A
Medicare
Zip Codes: 304-306, 308-309, 317-319, 398
Supplement
Area 1 Tobacco Issue Age
Annual Male
Female
Semi-Annual Male
Female
Quarterly Male
Female
Monthly Male
Female
65 66 67 68
$2,014.80 $2,042.40 $2,083.80 $2,125.20
$1,780.20 $1,807.80 $1,849.20 $1,876.80
$1,027.80 $1,041.90 $1,063.00 $1,084.10
$908.20 $922.30 $943.40 $957.50
$524.10 $531.30 $542.10 $552.80
$463.10 $470.30 $481.10 $488.30
$173.60 $175.90 $179.50 $183.10
$153.40 $155.80 $159.30 $161.70
69 70 71 72
$2,152.80 $2,194.20 $2,235.60 $2,277.00
$1,904.40 $1,945.80 $1,973.40 $2,014.80
$1,098.20 $1,119.30 $1,140.50 $1,161.60
$971.50 $992.70 $1,006.70 $1,027.80
$560.00 $570.80 $581.60 $592.30
$495.40 $506.20 $513.40 $524.10
$185.40 $189.00 $192.60 $196.10
$164.10 $167.60 $170.00 $173.60
73 74
$2,290.80
$2,028.60
$1,168.60
$1,034.90
$595.90
$527.70
$197.30
$174.80
75 76 77
$2,318.40 $2,332.20 $2,359.80 $2,387.40
$2,056.20 $2,070.00 $2,083.80 $2,111.40
$1,182.70 $1,189.70 $1,203.80 $1,217.90
$1,049.00 $1,056.00 $1,063.00 $1,077.10
$603.10 $606.70 $613.80 $621.00
$534.90 $538.50 $542.10 $549.30
$199.70 $200.90 $203.20 $205.60
$177.10 $178.30 $179.50 $181.90
78
$2,387.40
$2,111.40
$1,217.90
$1,077.10
$621.00
$549.30
$205.60
$181.90
79 80 81 82
$2,387.40 $2,387.40 $2,401.20 $2,401.20
$2,111.40 $2,111.40 $2,125.20 $2,125.20
$1,217.90 $1,217.90 $1,224.90 $1,224.90
$1,077.10 $1,077.10 $1,084.10 $1,084.10
$621.00 $621.00 $624.60 $624.60
$549.30 $549.30 $552.80 $552.80
$205.60 $205.60 $206.80 $206.80
$181.90 $181.90 $183.10 $183.10
83 84
$2,401.20 $2,401.20
$2,125.20 $2,125.20
$1,224.90 $1,224.90
$1,084.10 $1,084.10
$624.60 $624.60
$552.80 $552.80
$206.80 $206.80
$183.10 $183.10
85 86
$2,401.20 $2,401.20
$2,125.20 $2,125.20
$1,224.90 $1,224.90
$1,084.10 $1,084.10
$624.60 $624.60
$552.80 $552.80
$206.80 $206.80
$183.10 $183.10
87 88
$2,401.20 $2,401.20
$2,125.20 $2,125.20
$1,224.90 $1,224.90
$1,084.10 $1,084.10
$624.60 $624.60
$552.80 $552.80
$206.80 $206.80
$183.10 $183.10
89 90 91
$2,401.20 $2,401.20 $2,401.20
$2,125.20 $2,125.20 $2,125.20
$1,224.90 $1,224.90 $1,224.90
$1,084.10 $1,084.10 $1,084.10
$624.60 $624.60 $624.60
$552.80 $552.80 $552.80
$206.80 $206.80 $206.80
$183.10 $183.10 $183.10
92 93
$2,401.20 $2,401.20
$2,125.20 $2,125.20
$1,224.90 $1,224.90
$1,084.10 $1,084.10
$624.60 $624.60
$552.80 $552.80
$206.80 $206.80
$183.10 $183.10
94 95 96 97 98
$2,401.20 $2,401.20 $2,401.20
$2,125.20 $2,125.20 $2,125.20
$1,224.90 $1,224.90 $1,224.90
$1,084.10 $1,084.10 $1,084.10
$624.60 $624.60 $624.60
$552.80 $552.80 $552.80
$206.80 $206.80 $206.80
$183.10 $183.10 $183.10
$2,401.20 $2,401.20
$2,125.20 $2,125.20
$1,224.90 $1,224.90
$1,084.10 $1,084.10
$624.60 $624.60
$552.80 $552.80
$206.80 $206.80
$183.10 $183.10
99 100 +
$2,401.20 $2,401.20
$2,125.20 $2,125.20
$1,224.90 $1,224.90
$1,084.10 $1,084.10
$624.60 $624.60
$552.80 $552.80
$206.80 $206.80
$183.10 $183.10
©OLIC 2010 MedSup MODERNIZED PLAN A- GA Rev. 7-2010 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
MODERNIZED
GEORGIA RATES
PLAN A
Medicare
Zip Codes: 300-303, 307, 311-316, 399
Supplement
Area 2 NON-Tobacco Issue Age
Annual Male
Female
Semi-Annual Male
Female
Quarterly Male
Female
Monthly Male
Female
65 66 67 68
$1,883.40 $1,909.20 $1,947.90 $1,986.60
$1,664.10 $1,689.90 $1,728.60 $1,754.40
$960.80 $974.00 $993.70 $1,013.50
$849.00 $862.10 $881.90 $895.00
$490.00 $496.70 $506.70 $516.80
$433.00 $439.70 $449.70 $456.40
$162.30 $164.50 $167.80 $171.10
$143.40 $145.60 $149.00 $151.20
69 70 71 72
$2,012.40 $2,051.10 $2,089.80 $2,128.50
$1,780.20 $1,818.90 $1,844.70 $1,883.40
$1,026.60 $1,046.40 $1,066.10 $1,085.80
$908.20 $927.90 $941.10 $960.80
$523.50 $533.60 $543.60 $553.70
$463.10 $473.20 $479.90 $490.00
$173.40 $176.70 $180.00 $183.30
$153.40 $156.70 $158.90 $162.30
73 74
$2,141.40
$1,896.30
$1,092.40
$967.40
$557.10
$493.30
$184.50
$163.40
75 76 77
$2,167.20 $2,180.10 $2,205.90 $2,231.70
$1,922.10 $1,935.00 $1,947.90 $1,973.70
$1,105.60 $1,112.10 $1,125.30 $1,138.50
$980.60 $987.10 $993.70 $1,006.90
$563.80 $567.10 $573.80 $580.50
$500.00 $503.40 $506.70 $513.50
$186.70 $187.80 $190.00 $192.20
$165.60 $166.70 $167.80 $170.00
78
$2,231.70
$1,973.70
$1,138.50
$1,006.90
$580.50
$513.50
$192.20
$170.00
79 80 81 82
$2,231.70 $2,231.70 $2,244.60 $2,244.60
$1,973.70 $1,973.70 $1,986.60 $1,986.60
$1,138.50 $1,138.50 $1,145.00 $1,145.00
$1,006.90 $1,006.90 $1,013.50 $1,013.50
$580.50 $580.50 $583.90 $583.90
$513.50 $513.50 $516.80 $516.80
$192.20 $192.20 $193.30 $193.30
$170.00 $170.00 $171.10 $171.10
83 84
$2,244.60 $2,244.60
$1,986.60 $1,986.60
$1,145.00 $1,145.00
$1,013.50 $1,013.50
$583.90 $583.90
$516.80 $516.80
$193.30 $193.30
$171.10 $171.10
85 86
$2,244.60 $2,244.60
$1,986.60 $1,986.60
$1,145.00 $1,145.00
$1,013.50 $1,013.50
$583.90 $583.90
$516.80 $516.80
$193.30 $193.30
$171.10 $171.10
87 88
$2,244.60 $2,244.60
$1,986.60 $1,986.60
$1,145.00 $1,145.00
$1,013.50 $1,013.50
$583.90 $583.90
$516.80 $516.80
$193.30 $193.30
$171.10 $171.10
89 90 91
$2,244.60 $2,244.60 $2,244.60
$1,986.60 $1,986.60 $1,986.60
$1,145.00 $1,145.00 $1,145.00
$1,013.50 $1,013.50 $1,013.50
$583.90 $583.90 $583.90
$516.80 $516.80 $516.80
$193.30 $193.30 $193.30
$171.10 $171.10 $171.10
92 93
$2,244.60 $2,244.60
$1,986.60 $1,986.60
$1,145.00 $1,145.00
$1,013.50 $1,013.50
$583.90 $583.90
$516.80 $516.80
$193.30 $193.30
$171.10 $171.10
94 95 96 97 98
$2,244.60 $2,244.60 $2,244.60
$1,986.60 $1,986.60 $1,986.60
$1,145.00 $1,145.00 $1,145.00
$1,013.50 $1,013.50 $1,013.50
$583.90 $583.90 $583.90
$516.80 $516.80 $516.80
$193.30 $193.30 $193.30
$171.10 $171.10 $171.10
$2,244.60 $2,244.60
$1,986.60 $1,986.60
$1,145.00 $1,145.00
$1,013.50 $1,013.50
$583.90 $583.90
$516.80 $516.80
$193.30 $193.30
$171.10 $171.10
99 100 +
$2,244.60 $2,244.60
$1,986.60 $1,986.60
$1,145.00 $1,145.00
$1,013.50 $1,013.50
$583.90 $583.90
$516.80 $516.80
$193.30 $193.30
$171.10 $171.10
©OLIC 2010 MedSup MODERNIZED PLAN A- GA Rev. 7-2010 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
MODERNIZED
GEORGIA RATES
PLAN A
Medicare
Zip Codes: 300-303, 307, 311-316, 399
Supplement
Area 2 Tobacco Issue Age
Annual Male
Female
Semi-Annual Male
Female
Quarterly Male
Female
Monthly Male
Female
65 66 67 68
$2,165.91 $2,195.58 $2,240.09 $2,284.59
$1,913.72 $1,943.39 $1,987.89 $2,017.56
$1,104.90 $1,120.00 $1,142.70 $1,165.40
$976.30 $991.40 $1,014.10 $1,029.30
$563.40 $571.10 $582.70 $594.30
$497.90 $505.60 $517.10 $524.90
$186.60 $189.10 $192.90 $196.80
$164.90 $167.40 $171.30 $173.80
69 70 71 72
$2,314.26 $2,358.77 $2,403.27 $2,447.78
$2,047.23 $2,091.74 $2,121.41 $2,165.91
$1,180.60 $1,203.30 $1,226.00 $1,248.70
$1,044.40 $1,067.10 $1,082.20 $1,104.90
$602.00 $613.60 $625.10 $636.70
$532.60 $544.10 $551.90 $563.40
$199.30 $203.10 $207.00 $210.80
$176.40 $180.20 $182.70 $186.60
73 74
$2,462.61
$2,180.75
$1,256.20
$1,112.50
$640.60
$567.30
$212.10
$187.80
75 76 77
$2,492.28 $2,507.12 $2,536.79 $2,566.46
$2,210.42 $2,225.25 $2,240.09 $2,269.76
$1,271.40 $1,278.90 $1,294.10 $1,309.20
$1,127.60 $1,135.20 $1,142.70 $1,157.90
$648.30 $652.10 $659.90 $667.60
$575.00 $578.90 $582.70 $590.40
$214.60 $215.90 $218.50 $221.00
$190.40 $191.70 $192.90 $195.50
78
$2,566.46
$2,269.76
$1,309.20
$1,157.90
$667.60
$590.40
$221.00
$195.50
79 80 81 82
$2,566.46 $2,566.46 $2,581.29 $2,581.29
$2,269.76 $2,269.76 $2,284.59 $2,284.59
$1,309.20 $1,309.20 $1,316.80 $1,316.80
$1,157.90 $1,157.90 $1,165.40 $1,165.40
$667.60 $667.60 $671.40 $671.40
$590.40 $590.40 $594.30 $594.30
$221.00 $221.00 $222.30 $222.30
$195.50 $195.50 $196.80 $196.80
83 84
$2,581.29 $2,581.29
$2,284.59 $2,284.59
$1,316.80 $1,316.80
$1,165.40 $1,165.40
$671.40 $671.40
$594.30 $594.30
$222.30 $222.30
$196.80 $196.80
85 86
$2,581.29 $2,581.29
$2,284.59 $2,284.59
$1,316.80 $1,316.80
$1,165.40 $1,165.40
$671.40 $671.40
$594.30 $594.30
$222.30 $222.30
$196.80 $196.80
87 88
$2,581.29 $2,581.29
$2,284.59 $2,284.59
$1,316.80 $1,316.80
$1,165.40 $1,165.40
$671.40 $671.40
$594.30 $594.30
$222.30 $222.30
$196.80 $196.80
89 90 91
$2,581.29 $2,581.29 $2,581.29
$2,284.59 $2,284.59 $2,284.59
$1,316.80 $1,316.80 $1,316.80
$1,165.40 $1,165.40 $1,165.40
$671.40 $671.40 $671.40
$594.30 $594.30 $594.30
$222.30 $222.30 $222.30
$196.80 $196.80 $196.80
92 93
$2,581.29 $2,581.29
$2,284.59 $2,284.59
$1,316.80 $1,316.80
$1,165.40 $1,165.40
$671.40 $671.40
$594.30 $594.30
$222.30 $222.30
$196.80 $196.80
94 95 96 97 98
$2,581.29 $2,581.29 $2,581.29
$2,284.59 $2,284.59 $2,284.59
$1,316.80 $1,316.80 $1,316.80
$1,165.40 $1,165.40 $1,165.40
$671.40 $671.40 $671.40
$594.30 $594.30 $594.30
$222.30 $222.30 $222.30
$196.80 $196.80 $196.80
$2,581.29 $2,581.29
$2,284.59 $2,284.59
$1,316.80 $1,316.80
$1,165.40 $1,165.40
$671.40 $671.40
$594.30 $594.30
$222.30 $222.30
$196.80 $196.80
99 100 +
$2,581.29 $2,581.29
$2,284.59 $2,284.59
$1,316.80 $1,316.80
$1,165.40 $1,165.40
$671.40 $671.40
$594.30 $594.30
$222.30 $222.30
$196.80 $196.80
©OLIC 2010 MedSup MODERNIZED PLAN A- GA Rev. 7-2010 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
MODERNIZED
GEORGIA RATES
PLAN A
Medicare
Zip Codes: 310
Supplement
Area 3 NON-Tobacco Issue Age
Annual Male
Female
Semi-Annual Male
Female
Quarterly Male
Female
Monthly Male
Female
65 66 67 68
$2,163.72 $2,193.36 $2,237.82 $2,282.28
$1,911.78 $1,941.42 $1,985.88 $2,015.52
$1,103.80 $1,118.90 $1,141.60 $1,164.30
$975.30 $990.40 $1,013.10 $1,028.20
$562.90 $570.60 $582.10 $593.70
$497.40 $505.10 $516.60 $524.30
$186.40 $188.90 $192.70 $196.60
$164.70 $167.30 $171.10 $173.60
69 70 71 72
$2,311.92 $2,356.38 $2,400.84 $2,445.30
$2,045.16 $2,089.62 $2,119.26 $2,163.72
$1,179.40 $1,202.00 $1,224.70 $1,247.40
$1,043.30 $1,066.00 $1,081.10 $1,103.80
$601.40 $613.00 $624.50 $636.10
$532.00 $543.60 $551.30 $562.90
$199.10 $202.90 $206.80 $210.60
$176.20 $180.00 $182.60 $186.40
73 74
$2,460.12
$2,178.54
$1,255.00
$1,111.40
$639.90
$566.70
$211.90
$187.60
75 76 77
$2,489.76 $2,504.58 $2,534.22 $2,563.86
$2,208.18 $2,223.00 $2,237.82 $2,267.46
$1,270.10 $1,277.60 $1,292.70 $1,307.90
$1,126.50 $1,134.00 $1,141.60 $1,156.70
$647.60 $651.50 $659.20 $666.90
$574.40 $578.30 $582.10 $589.80
$214.40 $215.70 $218.20 $220.80
$190.20 $191.50 $192.70 $195.30
78
$2,563.86
$2,267.46
$1,307.90
$1,156.70
$666.90
$589.80
$220.80
$195.30
79 80 81 82
$2,563.86 $2,563.86 $2,578.68 $2,578.68
$2,267.46 $2,267.46 $2,282.28 $2,282.28
$1,307.90 $1,307.90 $1,315.40 $1,315.40
$1,156.70 $1,156.70 $1,164.30 $1,164.30
$666.90 $666.90 $670.80 $670.80
$589.80 $589.80 $593.70 $593.70
$220.80 $220.80 $222.10 $222.10
$195.30 $195.30 $196.60 $196.60
83 84
$2,578.68 $2,578.68
$2,282.28 $2,282.28
$1,315.40 $1,315.40
$1,164.30 $1,164.30
$670.80 $670.80
$593.70 $593.70
$222.10 $222.10
$196.60 $196.60
85 86
$2,578.68 $2,578.68
$2,282.28 $2,282.28
$1,315.40 $1,315.40
$1,164.30 $1,164.30
$670.80 $670.80
$593.70 $593.70
$222.10 $222.10
$196.60 $196.60
87 88
$2,578.68 $2,578.68
$2,282.28 $2,282.28
$1,315.40 $1,315.40
$1,164.30 $1,164.30
$670.80 $670.80
$593.70 $593.70
$222.10 $222.10
$196.60 $196.60
89 90 91
$2,578.68 $2,578.68 $2,578.68
$2,282.28 $2,282.28 $2,282.28
$1,315.40 $1,315.40 $1,315.40
$1,164.30 $1,164.30 $1,164.30
$670.80 $670.80 $670.80
$593.70 $593.70 $593.70
$222.10 $222.10 $222.10
$196.60 $196.60 $196.60
92 93
$2,578.68 $2,578.68
$2,282.28 $2,282.28
$1,315.40 $1,315.40
$1,164.30 $1,164.30
$670.80 $670.80
$593.70 $593.70
$222.10 $222.10
$196.60 $196.60
94 95 96 97 98
$2,578.68 $2,578.68 $2,578.68
$2,282.28 $2,282.28 $2,282.28
$1,315.40 $1,315.40 $1,315.40
$1,164.30 $1,164.30 $1,164.30
$670.80 $670.80 $670.80
$593.70 $593.70 $593.70
$222.10 $222.10 $222.10
$196.60 $196.60 $196.60
$2,578.68 $2,578.68
$2,282.28 $2,282.28
$1,315.40 $1,315.40
$1,164.30 $1,164.30
$670.80 $670.80
$593.70 $593.70
$222.10 $222.10
$196.60 $196.60
99 100 +
$2,578.68 $2,578.68
$2,282.28 $2,282.28
$1,315.40 $1,315.40
$1,164.30 $1,164.30
$670.80 $670.80
$593.70 $593.70
$222.10 $222.10
$196.60 $196.60
©OLIC 2010 MedSup MODERNIZED PLAN A- GA Rev. 7-2010 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
MODERNIZED
GEORGIA RATES
PLAN A
Medicare
Zip Codes: 310
Supplement
Area 3 Tobacco Issue Age
Annual Male
Female
Semi-Annual Male
Female
Quarterly Male
Female
Monthly Male
Female
65 66 67 68
$2,488.28 $2,522.36 $2,573.49 $2,624.62
$2,198.55 $2,232.63 $2,283.76 $2,317.85
$1,269.30 $1,286.70 $1,312.80 $1,338.90
$1,121.60 $1,138.90 $1,165.00 $1,182.40
$647.20 $656.10 $669.40 $682.70
$571.90 $580.80 $594.10 $602.90
$214.30 $217.20 $221.60 $226.00
$189.40 $192.30 $196.70 $199.60
69 70 71 72
$2,658.71 $2,709.84 $2,760.97 $2,812.10
$2,351.93 $2,403.06 $2,437.15 $2,488.28
$1,356.20 $1,382.30 $1,408.40 $1,434.50
$1,199.80 $1,225.90 $1,243.20 $1,269.30
$691.60 $704.90 $718.10 $731.40
$611.80 $625.10 $634.00 $647.20
$228.90 $233.30 $237.70 $242.10
$202.60 $207.00 $209.90 $214.30
73 74
$2,829.14
$2,505.32
$1,443.20
$1,278.00
$735.90
$651.70
$243.60
$215.80
75 76 77
$2,863.22 $2,880.27 $2,914.35 $2,948.44
$2,539.41 $2,556.45 $2,573.49 $2,607.58
$1,460.50 $1,469.20 $1,486.60 $1,504.00
$1,295.40 $1,304.10 $1,312.80 $1,330.20
$744.70 $749.20 $758.00 $766.90
$660.50 $665.00 $669.40 $678.30
$246.50 $248.00 $250.90 $253.90
$218.70 $220.10 $221.60 $224.50
78
$2,948.44
$2,607.58
$1,504.00
$1,330.20
$766.90
$678.30
$253.90
$224.50
79 80 81 82
$2,948.44 $2,948.44 $2,965.48 $2,965.48
$2,607.58 $2,607.58 $2,624.62 $2,624.62
$1,504.00 $1,504.00 $1,512.70 $1,512.70
$1,330.20 $1,330.20 $1,338.90 $1,338.90
$766.90 $766.90 $771.30 $771.30
$678.30 $678.30 $682.70 $682.70
$253.90 $253.90 $255.30 $255.30
$224.50 $224.50 $226.00 $226.00
83 84
$2,965.48 $2,965.48
$2,624.62 $2,624.62
$1,512.70 $1,512.70
$1,338.90 $1,338.90
$771.30 $771.30
$682.70 $682.70
$255.30 $255.30
$226.00 $226.00
85 86
$2,965.48 $2,965.48
$2,624.62 $2,624.62
$1,512.70 $1,512.70
$1,338.90 $1,338.90
$771.30 $771.30
$682.70 $682.70
$255.30 $255.30
$226.00 $226.00
87 88
$2,965.48 $2,965.48
$2,624.62 $2,624.62
$1,512.70 $1,512.70
$1,338.90 $1,338.90
$771.30 $771.30
$682.70 $682.70
$255.30 $255.30
$226.00 $226.00
89 90 91
$2,965.48 $2,965.48 $2,965.48
$2,624.62 $2,624.62 $2,624.62
$1,512.70 $1,512.70 $1,512.70
$1,338.90 $1,338.90 $1,338.90
$771.30 $771.30 $771.30
$682.70 $682.70 $682.70
$255.30 $255.30 $255.30
$226.00 $226.00 $226.00
92 93
$2,965.48 $2,965.48
$2,624.62 $2,624.62
$1,512.70 $1,512.70
$1,338.90 $1,338.90
$771.30 $771.30
$682.70 $682.70
$255.30 $255.30
$226.00 $226.00
94 95 96 97 98
$2,965.48 $2,965.48 $2,965.48
$2,624.62 $2,624.62 $2,624.62
$1,512.70 $1,512.70 $1,512.70
$1,338.90 $1,338.90 $1,338.90
$771.30 $771.30 $771.30
$682.70 $682.70 $682.70
$255.30 $255.30 $255.30
$226.00 $226.00 $226.00
$2,965.48 $2,965.48
$2,624.62 $2,624.62
$1,512.70 $1,512.70
$1,338.90 $1,338.90
$771.30 $771.30
$682.70 $682.70
$255.30 $255.30
$226.00 $226.00
99 100 +
$2,965.48 $2,965.48
$2,624.62 $2,624.62
$1,512.70 $1,512.70
$1,338.90 $1,338.90
$771.30 $771.30
$682.70 $682.70
$255.30 $255.30
$226.00 $226.00
©OLIC 2010 MedSup MODERNIZED PLAN A- GA Rev. 7-2010 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
