KS Plan A F G N OLIC 69462104
KANSAS – PLAN A – MEDICARE SUPPLEMENT RATES Zip Codes: 664-669, 673-679 – AREA 1 NON-TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$1,652.58 $1,652.58
$1,467.38 $1,467.38
$843.07 $843.07
$748.61 $748.61
$429.92 $429.92
$381.77 $381.77
$142.37 $142.37
$126.44 $126.44
67 68 69
$1,681.08 $1,709.57 $1,795.05 $1,880.52
$1,481.63 $1,510.12 $1,581.35 $1,666.83
$857.60 $872.13 $915.73 $959.32
$755.88 $770.41 $806.74 $850.33
$437.33 $444.74 $466.96 $489.19
$385.47 $392.88 $411.40 $433.63
$144.82 $147.27 $154.62 $161.97
$127.67 $130.12 $136.25 $143.60
70 71
$1,966.00 $2,051.48
$1,738.06 $1,823.54
$1,002.91 $1,046.50
$886.66 $930.26
$511.41 $533.63
$452.15 $474.37
$169.33 $176.68
$149.72 $157.07
72 73 74
$2,151.21 $2,208.19 $2,265.18
$1,894.77 $1,951.76 $2,008.74
$1,097.37 $1,126.43 $1,155.49
$966.58 $995.65 $1,024.71
$559.56 $574.38 $589.20
$492.89 $507.71 $522.52
$185.25 $190.15 $195.06
$163.20 $168.10 $173.00
75 76
$2,336.41 $2,393.40
$2,065.73 $2,122.71
$1,191.82 $1,220.88
$1,053.77 $1,082.83
$607.72 $622.53
$537.34 $552.15
$201.18 $206.08
$177.90 $182.80
77 78 79
$2,464.63 $2,493.12 $2,521.61
$2,179.70 $2,208.19 $2,236.68
$1,257.21 $1,271.74 $1,286.27
$1,111.90 $1,126.43 $1,140.96
$641.05 $648.46 $655.87
$566.97 $574.38 $581.79
$212.21 $214.66 $217.11
$187.70 $190.15 $192.60
80 81
$2,550.11 $2,578.60
$2,250.93 $2,279.42
$1,300.81 $1,315.34
$1,148.22 $1,162.75
$663.28 $670.69
$585.49 $592.90
$219.56 $222.01
$193.83 $196.28
82 83 84 85 86 87 88
$2,607.09 $2,649.83 $2,664.08
$2,307.92 $2,350.66 $2,350.66
$1,329.87 $1,351.66 $1,358.93
$1,177.29 $1,199.09 $1,199.09
$678.09 $689.21 $692.91
$600.31 $611.42 $611.42
$224.46 $228.14 $229.36
$198.73 $202.41 $202.41
$2,664.08 $2,664.08 $2,664.08 $2,678.32
$2,350.66 $2,350.66 $2,364.90 $2,364.90
$1,358.93 $1,358.93 $1,358.93 $1,366.19
$1,199.09 $1,199.09 $1,206.35 $1,206.35
$692.91 $692.91 $692.91 $696.61
$611.42 $611.42 $615.12 $615.12
$229.36 $229.36 $229.36 $230.59
$202.41 $202.41 $203.63 $203.63
89 90 91 92 93
$2,678.32 $2,692.57 $2,692.57 $2,706.82 $2,706.82
$2,379.15 $2,379.15 $2,393.40 $2,393.40 $2,407.64
$1,366.19 $1,373.46 $1,373.46 $1,380.73 $1,380.73
$1,213.62 $1,213.62 $1,220.88 $1,220.88 $1,228.15
$696.61 $700.32 $700.32 $704.02 $704.02
$618.83 $618.83 $622.53 $622.53 $626.24
$230.59 $231.81 $231.81 $233.04 $233.04
$204.86 $204.86 $206.08 $206.08 $207.31
94 95 96 97 98
$2,721.06 $2,721.06 $2,735.31 $2,749.56 $2,749.56
$2,407.64 $2,407.64 $2,421.89 $2,421.89 $2,436.13
$1,387.99 $1,387.99 $1,395.26 $1,402.53 $1,402.53
$1,228.15 $1,228.15 $1,235.41 $1,235.41 $1,242.68
$707.73 $707.73 $711.43 $715.14 $715.14
$626.24 $626.24 $629.94 $629.94 $633.64
$234.26 $234.26 $235.49 $236.71 $236.71
$207.31 $207.31 $208.53 $208.53 $209.76
99
$2,763.80 $2,763.80
$2,436.13 $2,450.38
$1,409.79 $1,409.79
$1,242.68 $1,249.94
$718.84 $718.84
$633.64 $637.35
$237.94 $237.94
$209.76 $210.98
< 65 65 66
100 +
MedSup PLAN A- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN A – MEDICARE SUPPLEMENT RATES Zip Codes: 664-669, 673-679 – AREA 1 TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$1,900.47 $1,900.47
$1,687.49 $1,687.49
$969.49 $969.49
$860.87 $860.87
$494.37 $494.37
$439.00 $439.00
$163.69 $163.69
$145.37 $145.37
67 68 69
$1,933.24 $1,966.01 $2,064.31 $2,162.60
$1,703.87 $1,736.64 $1,818.55 $1,916.85
$986.20 $1,002.91 $1,053.05 $1,103.17
$869.23 $885.94 $927.71 $977.85
$502.89 $511.41 $536.97 $562.53
$443.26 $451.78 $473.07 $498.63
$166.51 $169.33 $177.78 $186.23
$146.78 $149.60 $156.65 $165.10
70 71
$2,260.90 $2,359.20
$1,998.77 $2,097.07
$1,153.31 $1,203.44
$1,019.62 $1,069.76
$588.08 $613.64
$519.93 $545.49
$194.69 $203.14
$172.14 $180.60
72 73 74
$2,473.89 $2,539.42 $2,604.96
$2,178.99 $2,244.52 $2,310.05
$1,261.93 $1,295.35 $1,328.78
$1,111.53 $1,144.96 $1,178.38
$643.46 $660.50 $677.54
$566.79 $583.83 $600.86
$213.00 $218.64 $224.28
$187.64 $193.28 $198.91
75 76
$2,686.87 $2,752.41
$2,375.59 $2,441.12
$1,370.55 $1,403.98
$1,211.80 $1,245.22
$698.84 $715.88
$617.90 $634.94
$231.32 $236.96
$204.55 $210.19
77 78 79
$2,834.32 $2,867.09 $2,899.85
$2,506.66 $2,539.42 $2,572.18
$1,445.76 $1,462.46 $1,479.17
$1,278.64 $1,295.35 $1,312.06
$737.17 $745.69 $754.21
$651.98 $660.50 $669.02
$244.00 $246.82 $249.64
$215.82 $218.64 $221.46
80 81
$2,932.63 $2,965.39
$2,588.57 $2,621.33
$1,495.89 $1,512.60
$1,320.42 $1,337.13
$762.73 $771.25
$673.28 $681.80
$252.46 $255.27
$222.87 $225.68
82 83 84 85 86 87 88
$2,998.15 $3,047.30 $3,063.69
$2,654.11 $2,703.26 $2,703.26
$1,529.31 $1,554.38 $1,562.73
$1,353.85 $1,378.91 $1,378.91
$779.77 $792.55 $796.81
$690.32 $703.10 $703.10
$258.09 $262.32 $263.73
$228.50 $232.73 $232.73
$3,063.69 $3,063.69 $3,063.69 $3,080.07
$2,703.26 $2,703.26 $2,719.64 $2,719.64
$1,562.73 $1,562.73 $1,562.73 $1,571.08
$1,378.91 $1,378.91 $1,387.26 $1,387.26
$796.81 $796.81 $796.81 $801.07
$703.10 $703.10 $707.36 $707.36
$263.73 $263.73 $263.73 $265.14
$232.73 $232.73 $234.14 $234.14
89 90 91 92 93
$3,080.07 $3,096.46 $3,096.46 $3,112.84 $3,112.84
$2,736.02 $2,736.02 $2,752.41 $2,752.41 $2,768.79
$1,571.08 $1,579.44 $1,579.44 $1,587.80 $1,587.80
$1,395.62 $1,395.62 $1,403.98 $1,403.98 $1,412.33
$801.07 $805.33 $805.33 $809.59 $809.59
$711.62 $711.62 $715.88 $715.88 $720.13
$265.14 $266.55 $266.55 $267.95 $267.95
$235.55 $235.55 $236.96 $236.96 $238.37
94 95 96 97 98
$3,129.22 $3,129.22 $3,145.61 $3,161.99 $3,161.99
$2,768.79 $2,768.79 $2,785.17 $2,785.17 $2,801.55
$1,596.15 $1,596.15 $1,604.51 $1,612.87 $1,612.87
$1,412.33 $1,412.33 $1,420.69 $1,420.69 $1,429.04
$813.85 $813.85 $818.11 $822.37 $822.37
$720.13 $720.13 $724.40 $724.40 $728.65
$269.36 $269.36 $270.77 $272.18 $272.18
$238.37 $238.37 $239.77 $239.77 $241.18
99
$3,178.37 $3,178.37
$2,801.55 $2,817.94
$1,621.22 $1,621.22
$1,429.04 $1,437.40
$826.63 $826.63
$728.65 $732.91
$273.59 $273.59
$241.18 $242.59
< 65 65 66
100 +
MedSup PLAN A- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN A – MEDICARE SUPPLEMENT RATES Zip Codes: 660-662, 670-672 – AREA 2 NON-TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
< 65 65
$1,776.52 $1,776.52
$1,577.43 $1,577.43
$906.28 $906.28
$804.74 $804.74
$462.15 $462.15
$410.38 $410.38
$153.03 $153.03
$135.91 $135.91
66 67 68 69
$1,807.16 $1,837.79 $1,929.68 $2,021.56
$1,592.75 $1,623.38 $1,699.95 $1,791.84
$921.90 $937.52 $984.39 $1,031.25
$812.55 $828.17 $867.23 $914.09
$470.11 $478.07 $501.97 $525.86
$414.37 $422.33 $442.24 $466.13
$155.67 $158.30 $166.20 $174.10
$137.23 $139.86 $146.45 $154.35
70 71
$2,113.45 $2,205.34
$1,868.41 $1,960.31
$1,078.11 $1,124.97
$953.14 $1,000.01
$549.75 $573.64
$486.04 $509.93
$182.01 $189.91
$160.93 $168.84
72 73 74
$2,312.55 $2,373.80 $2,435.07
$2,036.88 $2,098.14 $2,159.40
$1,179.65 $1,210.89 $1,242.13
$1,039.06 $1,070.30 $1,101.54
$601.51 $617.44 $633.37
$529.84 $545.77 $561.69
$199.13 $204.40 $209.67
$175.42 $180.69 $185.96
75 76
$2,511.64 $2,572.91
$2,220.66 $2,281.91
$1,281.19 $1,312.43
$1,132.79 $1,164.03
$653.28 $669.21
$577.62 $593.55
$216.25 $221.52
$191.23 $196.49
77 78 79
$2,649.48 $2,680.10 $2,710.73
$2,343.18 $2,373.80 $2,404.43
$1,351.48 $1,367.10 $1,382.72
$1,195.27 $1,210.89 $1,226.51
$689.11 $697.08 $705.04
$609.48 $617.44 $625.40
$228.11 $230.74 $233.37
$201.76 $204.40 $207.03
80 81
$2,741.37 $2,772.00
$2,419.75 $2,450.38
$1,398.35 $1,413.97
$1,234.32 $1,249.94
$713.01 $720.97
$629.38 $637.35
$236.01 $238.64
$208.35 $210.98
82 83 84
$2,802.62 $2,848.57 $2,863.89
$2,481.01 $2,526.96 $2,526.96
$1,429.59 $1,453.02 $1,460.83
$1,265.57 $1,289.00 $1,289.00
$728.93 $740.88 $744.86
$645.31 $657.26 $657.26
$241.28 $245.23 $246.54
$213.62 $217.57 $217.57
85 86
$2,863.89 $2,863.89
$2,526.96 $2,526.96
$1,460.83 $1,460.83
$1,289.00 $1,289.00
$744.86 $744.86
$657.26 $657.26
$246.54 $246.54
$217.57 $217.57
87 88 89 90 91
$2,863.89 $2,879.19 $2,879.19 $2,894.51 $2,894.51
$2,542.27 $2,542.27 $2,557.59 $2,557.59 $2,572.91
$1,460.83 $1,468.64 $1,468.64 $1,476.45 $1,476.45
$1,296.81 $1,296.81 $1,304.62 $1,304.62 $1,312.43
$744.86 $748.84 $748.84 $752.82 $752.82
$661.24 $661.24 $665.22 $665.22 $669.21
$246.54 $247.86 $247.86 $249.18 $249.18
$218.89 $218.89 $220.20 $220.20 $221.52
92 93 94 95 96
$2,909.83 $2,909.83 $2,925.14 $2,925.14 $2,940.46
$2,572.91 $2,588.21 $2,588.21 $2,588.21 $2,603.53
$1,484.26 $1,484.26 $1,492.07 $1,492.07 $1,499.88
$1,312.43 $1,320.24 $1,320.24 $1,320.24 $1,328.05
$756.81 $756.81 $760.79 $760.79 $764.77
$669.21 $673.19 $673.19 $673.19 $677.17
$250.50 $250.50 $251.81 $251.81 $253.13
$221.52 $222.84 $222.84 $222.84 $224.15
97 98 99 100 +
$2,955.78 $2,955.78
$2,603.53 $2,618.84
$1,507.70 $1,507.70
$1,328.05 $1,335.86
$768.75 $768.75
$677.17 $681.15
$254.45 $254.45
$224.15 $225.47
$2,971.09 $2,971.09
$2,618.84 $2,634.16
$1,515.50 $1,515.50
$1,335.86 $1,343.67
$772.73 $772.73
$681.15 $685.13
$255.76 $255.76
$225.47 $226.79
MedSup PLAN A- KS Rev. 12-1-2016
69462104
Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN A – MEDICARE SUPPLEMENT RATES Zip Codes: 660-662, 670-672 – AREA 2 TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$2,043.00 $2,043.00
$1,814.05 $1,814.05
$1,042.18 $1,042.18
$925.41 $925.41
$531.43 $531.43
$471.90 $471.90
$175.95 $175.95
$156.26 $156.26
67 68 69
$2,078.24 $2,113.46 $2,219.13 $2,324.79
$1,831.67 $1,866.89 $1,954.94 $2,060.62
$1,060.15 $1,078.11 $1,132.01 $1,185.89
$934.40 $952.36 $997.27 $1,051.17
$540.59 $549.75 $577.22 $604.70
$476.48 $485.64 $508.54 $536.01
$178.98 $182.01 $191.10 $200.18
$157.77 $160.80 $168.38 $177.46
70 71
$2,430.47 $2,536.14
$2,148.68 $2,254.35
$1,239.79 $1,293.68
$1,096.08 $1,149.97
$632.17 $659.65
$558.91 $586.38
$209.27 $218.36
$185.04 $194.12
72 73 74
$2,659.43 $2,729.87 $2,800.33
$2,342.41 $2,412.86 $2,483.30
$1,356.56 $1,392.49 $1,428.42
$1,194.88 $1,230.81 $1,266.74
$691.70 $710.02 $728.34
$609.28 $627.59 $645.91
$228.96 $235.02 $241.08
$201.70 $207.76 $213.81
75 76
$2,888.39 $2,958.84
$2,553.76 $2,624.20
$1,473.33 $1,509.26
$1,302.67 $1,338.59
$751.23 $769.55
$664.23 $682.54
$248.65 $254.71
$219.87 $225.93
77 78 79
$3,046.90 $3,082.12 $3,117.34
$2,694.65 $2,729.87 $2,765.10
$1,554.17 $1,572.13 $1,590.09
$1,374.52 $1,392.49 $1,410.45
$792.44 $801.60 $810.76
$700.86 $710.02 $719.17
$262.28 $265.31 $268.34
$231.99 $235.02 $238.05
80 81
$3,152.57 $3,187.79
$2,782.71 $2,817.93
$1,608.06 $1,626.03
$1,419.43 $1,437.40
$819.92 $829.08
$723.76 $732.91
$271.37 $274.40
$239.56 $242.59
82 83 84 85 86 87 88
$3,223.02 $3,275.85 $3,293.47
$2,853.17 $2,906.00 $2,906.00
$1,643.99 $1,670.93 $1,679.92
$1,455.36 $1,482.31 $1,482.31
$838.23 $851.97 $856.55
$742.07 $755.81 $755.81
$277.43 $281.97 $283.49
$245.62 $250.17 $250.17
$3,293.47 $3,293.47 $3,293.47 $3,311.07
$2,906.00 $2,906.00 $2,923.61 $2,923.61
$1,679.92 $1,679.92 $1,679.92 $1,688.90
$1,482.31 $1,482.31 $1,491.29 $1,491.29
$856.55 $856.55 $856.55 $861.13
$755.81 $755.81 $760.39 $760.39
$283.49 $283.49 $283.49 $285.00
$250.17 $250.17 $251.68 $251.68
89 90 91 92 93
$3,311.07 $3,328.69 $3,328.69 $3,346.31 $3,346.31
$2,941.22 $2,941.22 $2,958.84 $2,958.84 $2,976.44
$1,688.90 $1,697.88 $1,697.88 $1,706.87 $1,706.87
$1,500.27 $1,500.27 $1,509.26 $1,509.26 $1,518.24
$861.13 $865.71 $865.71 $870.29 $870.29
$764.97 $764.97 $769.55 $769.55 $774.13
$285.00 $286.52 $286.52 $288.03 $288.03
$253.20 $253.20 $254.71 $254.71 $256.22
94 95 96 97 98
$3,363.91 $3,363.91 $3,381.53 $3,399.14 $3,399.14
$2,976.44 $2,976.44 $2,994.06 $2,994.06 $3,011.67
$1,715.84 $1,715.84 $1,724.83 $1,733.81 $1,733.81
$1,518.24 $1,518.24 $1,527.22 $1,527.22 $1,536.20
$874.87 $874.87 $879.45 $884.03 $884.03
$774.13 $774.13 $778.71 $778.71 $783.28
$289.55 $289.55 $291.06 $292.58 $292.58
$256.22 $256.22 $257.74 $257.74 $259.25
99
$3,416.75 $3,416.75
$3,011.67 $3,029.28
$1,742.79 $1,742.79
$1,536.20 $1,545.18
$888.60 $888.60
$783.28 $787.86
$294.09 $294.09
$259.25 $260.77
< 65 65 66
100 +
MedSup PLAN A- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN F – MEDICARE SUPPLEMENT RATES Zip Codes: 664-669, 673-679 – AREA 1 NON-TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$1,866.28 $1,866.28
$1,652.58 $1,652.58
$952.05 $952.05
$843.07 $843.07
$485.48 $485.48
$429.92 $429.92
$160.75 $160.75
$142.37 $142.37
67 68 69
$1,923.26 $1,980.25 $2,051.48 $2,136.96
$1,709.57 $1,752.31 $1,823.54 $1,894.77
$981.11 $1,010.18 $1,046.50 $1,090.10
$872.13 $893.93 $930.26 $966.58
$500.30 $515.12 $533.63 $555.86
$444.74 $455.85 $474.37 $492.89
$165.65 $170.55 $176.68 $184.03
$147.27 $150.95 $157.07 $163.20
70 71
$2,208.19 $2,293.67
$1,966.00 $2,022.99
$1,126.43 $1,170.02
$1,002.91 $1,031.97
$574.38 $596.60
$511.41 $526.23
$190.15 $197.51
$169.33 $174.23
72 73 74
$2,364.90 $2,450.38 $2,521.61
$2,094.22 $2,165.45 $2,236.68
$1,206.35 $1,249.94 $1,286.27
$1,068.30 $1,104.63 $1,140.96
$615.12 $637.35 $655.87
$544.75 $563.27 $581.79
$203.63 $210.98 $217.11
$180.35 $186.48 $192.60
75 76
$2,592.84 $2,678.32
$2,293.67 $2,364.90
$1,322.60 $1,366.19
$1,170.02 $1,206.35
$674.39 $696.61
$596.60 $615.12
$223.23 $230.59
$197.51 $203.63
77 78 79
$2,749.56 $2,820.79 $2,906.27
$2,436.13 $2,493.12 $2,564.35
$1,402.53 $1,438.85 $1,482.45
$1,242.68 $1,271.74 $1,308.07
$715.14 $733.66 $755.88
$633.64 $648.46 $666.98
$236.71 $242.84 $250.19
$209.76 $214.66 $220.78
80 81
$2,991.74 $3,077.22
$2,649.83 $2,721.06
$1,526.04 $1,569.63
$1,351.66 $1,387.99
$778.10 $800.33
$689.21 $707.73
$257.54 $264.89
$228.14 $234.26
82 83 84 85 86 87 88
$3,162.70 $3,248.18 $3,333.66
$2,792.29 $2,877.77 $2,949.00
$1,613.23 $1,656.82 $1,700.42
$1,424.32 $1,467.91 $1,504.24
$822.55 $844.78 $867.00
$726.25 $748.47 $766.99
$272.24 $279.59 $286.94
$240.39 $247.74 $253.86
$3,433.38 $3,504.61 $3,575.85 $3,647.08
$3,034.48 $3,105.72 $3,162.70 $3,233.93
$1,751.27 $1,787.60 $1,823.93 $1,860.26
$1,547.83 $1,584.17 $1,613.23 $1,649.55
$892.93 $911.45 $929.97 $948.49
$789.21 $807.74 $822.55 $841.07
$295.52 $301.65 $307.77 $313.90
$261.22 $267.34 $272.24 $278.37
89 90 91 92 93
$3,732.56 $3,803.79 $3,889.27 $3,974.75 $4,060.22
$3,305.16 $3,376.40 $3,447.63 $3,518.86 $3,590.09
$1,903.86 $1,940.18 $1,983.78 $2,027.37 $2,070.96
$1,685.88 $1,722.21 $1,758.54 $1,794.87 $1,831.20
$970.72 $989.24 $1,011.46 $1,033.69 $1,055.91
$859.59 $878.11 $896.63 $915.15 $933.67
$321.25 $327.38 $334.73 $342.08 $349.43
$284.49 $290.62 $296.75 $302.87 $309.00
94 95 96 97 98
$4,145.70 $4,231.18 $4,316.66 $4,416.38 $4,501.86
$3,661.32 $3,746.80 $3,818.04 $3,903.51 $3,988.99
$2,114.56 $2,158.15 $2,201.75 $2,252.60 $2,296.20
$1,867.52 $1,911.12 $1,947.45 $1,991.04 $2,034.63
$1,078.13 $1,100.36 $1,122.58 $1,148.51 $1,170.73
$952.19 $974.42 $992.94 $1,015.16 $1,037.39
$356.78 $364.13 $371.48 $380.06 $387.41
$315.12 $322.47 $328.60 $335.95 $343.30
99
$4,601.59 $4,701.31
$4,074.47 $4,159.95
$2,347.06 $2,397.92
$2,078.23 $2,121.82
$1,196.66 $1,222.59
$1,059.61 $1,081.84
$395.99 $404.56
$350.65 $358.01
Disabled< 65
65 66
100 +
MedSup PLAN F- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN F – MEDICARE SUPPLEMENT RATES Zip Codes: 664-669, 673-679 – AREA 1 TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$2,146.22 $2,146.22
$1,900.47 $1,900.47
$1,094.82 $1,094.82
$969.49 $969.49
$558.27 $558.27
$494.37 $494.37
$184.83 $184.83
$163.69 $163.69
67 68 69
$2,211.75 $2,277.29 $2,359.20 $2,457.50
$1,966.01 $2,015.16 $2,097.07 $2,178.99
$1,128.24 $1,161.67 $1,203.44 $1,253.58
$1,002.91 $1,027.98 $1,069.76 $1,111.53
$575.30 $592.34 $613.64 $639.20
$511.41 $524.19 $545.49 $566.79
$190.46 $196.10 $203.14 $211.60
$169.33 $173.55 $180.60 $187.64
70 71
$2,539.42 $2,637.72
$2,260.90 $2,326.44
$1,295.35 $1,345.49
$1,153.31 $1,186.73
$660.50 $686.06
$588.08 $605.12
$218.64 $227.09
$194.69 $200.32
72 73 74
$2,719.64 $2,817.94 $2,899.85
$2,408.35 $2,490.27 $2,572.18
$1,387.26 $1,437.40 $1,479.17
$1,228.51 $1,270.29 $1,312.06
$707.36 $732.91 $754.21
$626.42 $647.72 $669.02
$234.14 $242.59 $249.64
$207.37 $214.41 $221.46
75 76
$2,981.77 $3,080.07
$2,637.72 $2,719.64
$1,520.95 $1,571.08
$1,345.49 $1,387.26
$775.51 $801.07
$686.06 $707.36
$256.68 $265.14
$227.09 $234.14
77 78 79
$3,161.99 $3,243.91 $3,342.21
$2,801.55 $2,867.09 $2,949.00
$1,612.87 $1,654.64 $1,704.78
$1,429.04 $1,462.46 $1,504.24
$822.37 $843.67 $869.22
$728.65 $745.69 $766.99
$272.18 $279.23 $287.68
$241.18 $246.82 $253.86
80 81
$3,440.50 $3,538.80
$3,047.30 $3,129.22
$1,754.91 $1,805.04
$1,554.38 $1,596.15
$894.78 $920.34
$792.55 $813.85
$296.13 $304.59
$262.32 $269.36
82 83 84 85 86 87 88
$3,637.11 $3,735.41 $3,833.71
$3,211.13 $3,309.44 $3,391.35
$1,855.17 $1,905.31 $1,955.44
$1,637.93 $1,688.06 $1,729.84
$945.90 $971.46 $997.01
$835.14 $860.70 $882.00
$313.04 $321.50 $329.95
$276.41 $284.86 $291.91
$3,948.39 $4,030.30 $4,112.23 $4,194.14
$3,489.65 $3,571.58 $3,637.11 $3,719.02
$2,013.93 $2,055.70 $2,097.49 $2,139.26
$1,779.97 $1,821.75 $1,855.17 $1,896.95
$1,026.83 $1,048.13 $1,069.43 $1,090.73
$907.56 $928.86 $945.90 $967.20
$339.81 $346.86 $353.90 $360.95
$300.36 $307.41 $313.04 $320.09
89 90 91 92 93
$4,292.44 $4,374.36 $4,472.66 $4,570.96 $4,669.25
$3,800.93 $3,882.86 $3,964.77 $4,046.69 $4,128.60
$2,189.40 $2,231.17 $2,281.31 $2,331.44 $2,381.57
$1,938.73 $1,980.51 $2,022.28 $2,064.06 $2,105.84
$1,116.29 $1,137.58 $1,163.14 $1,188.70 $1,214.26
$988.49 $1,009.79 $1,031.09 $1,052.39 $1,073.69
$369.40 $376.44 $384.90 $393.35 $401.81
$327.13 $334.18 $341.22 $348.27 $355.31
94 95 96 97 98
$4,767.56 $4,865.86 $4,964.16 $5,078.84 $5,177.14
$4,210.52 $4,308.82 $4,390.75 $4,489.04 $4,587.34
$2,431.70 $2,481.84 $2,531.97 $2,590.46 $2,640.59
$2,147.61 $2,197.75 $2,239.53 $2,289.66 $2,339.79
$1,239.81 $1,265.37 $1,290.93 $1,320.75 $1,346.31
$1,094.98 $1,120.54 $1,141.84 $1,167.40 $1,192.96
$410.26 $418.71 $427.17 $437.03 $445.48
$362.35 $370.81 $377.85 $386.31 $394.76
99
$5,291.83 $5,406.51
$4,685.64 $4,783.94
$2,699.08 $2,757.57
$2,389.93 $2,440.06
$1,376.13 $1,405.94
$1,218.52 $1,244.08
$455.35 $465.21
$403.22 $411.67
Disabled< 65
65 66
100 +
MedSup PLAN F- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN F – MEDICARE SUPPLEMENT RATES Zip Codes: 660-662, 670-672 – AREA 2 NON-TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$2,006.25 $2,006.25
$1,776.52 $1,776.52
$1,023.44 $1,023.44
$906.28 $906.28
$521.88 $521.88
$462.15 $462.15
$172.79 $172.79
$153.03 $153.03
67 68 69
$2,067.50 $2,128.77 $2,205.34 $2,297.23
$1,837.79 $1,883.73 $1,960.31 $2,036.88
$1,054.68 $1,085.92 $1,124.97 $1,171.84
$937.52 $960.95 $1,000.01 $1,039.06
$537.80 $553.73 $573.64 $597.53
$478.07 $490.02 $509.93 $529.84
$178.06 $183.32 $189.91 $197.81
$158.30 $162.25 $168.84 $175.42
70 71
$2,373.80 $2,465.70
$2,113.45 $2,174.71
$1,210.89 $1,257.75
$1,078.11 $1,109.35
$617.44 $641.33
$549.75 $565.68
$204.40 $212.30
$182.01 $187.28
72 73 74
$2,542.27 $2,634.16 $2,710.73
$2,251.29 $2,327.86 $2,404.43
$1,296.81 $1,343.67 $1,382.72
$1,148.41 $1,187.46 $1,226.51
$661.24 $685.13 $705.04
$585.58 $605.49 $625.40
$218.89 $226.79 $233.37
$193.86 $200.45 $207.03
75 76
$2,787.30 $2,879.19
$2,465.70 $2,542.27
$1,421.77 $1,468.64
$1,257.75 $1,296.81
$724.95 $748.84
$641.33 $661.24
$239.96 $247.86
$212.30 $218.89
77 78 79
$2,955.78 $3,032.35 $3,124.24
$2,618.84 $2,680.10 $2,756.68
$1,507.70 $1,546.75 $1,593.61
$1,335.86 $1,367.10 $1,406.15
$768.75 $788.66 $812.55
$681.15 $697.08 $716.99
$254.45 $261.03 $268.93
$225.47 $230.74 $237.32
80 81
$3,216.12 $3,308.01
$2,848.57 $2,925.14
$1,640.47 $1,687.34
$1,453.02 $1,492.07
$836.44 $860.33
$740.88 $760.79
$276.84 $284.74
$245.23 $251.81
82 83 84 85 86 87 88
$3,399.90 $3,491.79 $3,583.68
$3,001.71 $3,093.60 $3,170.18
$1,734.20 $1,781.06 $1,827.93
$1,531.12 $1,577.99 $1,617.04
$884.22 $908.12 $932.01
$780.70 $804.59 $824.50
$292.64 $300.54 $308.45
$258.40 $266.30 $272.89
$3,690.88 $3,767.46 $3,844.04 $3,920.61
$3,262.07 $3,338.65 $3,399.90 $3,476.47
$1,882.60 $1,921.65 $1,960.71 $1,999.76
$1,663.90 $1,702.96 $1,734.20 $1,773.25
$959.88 $979.79 $999.70 $1,019.61
$848.39 $868.30 $884.22 $904.13
$317.67 $324.25 $330.84 $337.42
$280.79 $287.37 $292.64 $299.23
89 90 91 92 93
$4,012.50 $4,089.07 $4,180.97 $4,272.86 $4,364.74
$3,553.05 $3,629.63 $3,706.20 $3,782.77 $3,859.35
$2,046.63 $2,085.68 $2,132.54 $2,179.41 $2,226.27
$1,812.30 $1,851.36 $1,890.41 $1,929.46 $1,968.52
$1,043.50 $1,063.41 $1,087.30 $1,111.19 $1,135.08
$924.04 $943.95 $963.86 $983.77 $1,003.68
$345.33 $351.91 $359.81 $367.72 $375.62
$305.81 $312.40 $318.98 $325.57 $332.15
94 95 96 97 98
$4,456.63 $4,548.52 $4,640.41 $4,747.61 $4,839.50
$3,935.92 $4,027.81 $4,104.39 $4,196.27 $4,288.16
$2,273.13 $2,319.99 $2,366.86 $2,421.53 $2,468.39
$2,007.57 $2,054.43 $2,093.49 $2,140.35 $2,187.21
$1,158.97 $1,182.86 $1,206.76 $1,234.63 $1,258.52
$1,023.59 $1,047.48 $1,067.39 $1,091.28 $1,115.17
$383.52 $391.42 $399.33 $408.54 $416.45
$338.74 $346.64 $353.23 $361.13 $369.03
99
$4,946.71 $5,053.91
$4,380.06 $4,471.95
$2,523.07 $2,577.74
$2,234.08 $2,280.94
$1,286.39 $1,314.27
$1,139.06 $1,162.96
$425.67 $434.89
$376.93 $384.84
Disabled< 65
65 66
100 +
MedSup PLAN F- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN F – MEDICARE SUPPLEMENT RATES Zip Codes: 660-662, 670-672 – AREA 2 TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$2,307.19 $2,307.19
$2,043.00 $2,043.00
$1,176.92 $1,176.92
$1,042.18 $1,042.18
$600.12 $600.12
$531.43 $531.43
$198.67 $198.67
$175.95 $175.95
67 68 69
$2,377.63 $2,448.08 $2,536.14 $2,641.82
$2,113.46 $2,166.29 $2,254.35 $2,342.41
$1,212.84 $1,248.77 $1,293.68 $1,347.58
$1,078.11 $1,105.06 $1,149.97 $1,194.88
$618.43 $636.75 $659.65 $687.12
$549.75 $563.49 $586.38 $609.28
$204.73 $210.79 $218.36 $227.45
$182.01 $186.55 $194.12 $201.70
70 71
$2,729.87 $2,835.55
$2,430.47 $2,500.92
$1,392.49 $1,446.38
$1,239.79 $1,275.72
$710.02 $737.49
$632.17 $650.49
$235.02 $244.11
$209.27 $215.33
72 73 74
$2,923.61 $3,029.28 $3,117.34
$2,588.98 $2,677.04 $2,765.10
$1,491.29 $1,545.18 $1,590.09
$1,320.63 $1,365.54 $1,410.45
$760.39 $787.86 $810.76
$673.38 $696.28 $719.17
$251.68 $260.77 $268.34
$222.90 $230.48 $238.05
75 76
$3,205.40 $3,311.07
$2,835.55 $2,923.61
$1,635.00 $1,688.90
$1,446.38 $1,491.29
$833.65 $861.13
$737.49 $760.39
$275.91 $285.00
$244.11 $251.68
77 78 79
$3,399.14 $3,487.20 $3,592.88
$3,011.67 $3,082.12 $3,170.18
$1,733.81 $1,778.72 $1,832.62
$1,536.20 $1,572.13 $1,617.04
$884.03 $906.92 $934.40
$783.28 $801.60 $824.50
$292.58 $300.15 $309.24
$259.25 $265.31 $272.89
80 81
$3,698.54 $3,804.21
$3,275.85 $3,363.91
$1,886.50 $1,940.40
$1,670.93 $1,715.84
$961.87 $989.35
$851.97 $874.87
$318.32 $327.41
$281.97 $289.55
82 83 84 85 86 87 88
$3,909.89 $4,015.56 $4,121.24
$3,451.97 $3,557.64 $3,645.70
$1,994.29 $2,048.19 $2,102.08
$1,760.75 $1,814.65 $1,859.56
$1,016.82 $1,044.30 $1,071.77
$897.76 $925.24 $948.13
$336.50 $345.59 $354.68
$297.12 $306.21 $313.78
$4,244.52 $4,332.57 $4,420.64 $4,508.70
$3,751.38 $3,839.45 $3,909.89 $3,997.95
$2,164.95 $2,209.86 $2,254.78 $2,299.69
$1,913.45 $1,958.37 $1,994.29 $2,039.20
$1,103.82 $1,126.72 $1,149.62 $1,172.51
$975.61 $998.51 $1,016.82 $1,039.72
$365.28 $372.85 $380.43 $388.00
$322.87 $330.44 $336.50 $344.07
89 90 91 92 93
$4,614.38 $4,702.44 $4,808.11 $4,913.78 $5,019.45
$4,086.00 $4,174.07 $4,262.13 $4,350.19 $4,438.25
$2,353.58 $2,398.49 $2,452.39 $2,506.28 $2,560.17
$2,084.11 $2,129.03 $2,173.94 $2,218.85 $2,263.76
$1,199.99 $1,222.88 $1,250.36 $1,277.83 $1,305.31
$1,062.61 $1,085.51 $1,108.40 $1,131.30 $1,154.19
$397.09 $404.66 $413.75 $422.84 $431.92
$351.65 $359.22 $366.79 $374.37 $381.94
94 95 96 97 98
$5,125.12 $5,230.80 $5,336.47 $5,459.75 $5,565.42
$4,526.31 $4,631.98 $4,720.05 $4,825.71 $4,931.39
$2,614.06 $2,667.96 $2,721.85 $2,784.72 $2,838.62
$2,308.67 $2,362.56 $2,407.48 $2,461.36 $2,515.26
$1,332.78 $1,360.26 $1,387.73 $1,419.78 $1,447.26
$1,177.09 $1,204.57 $1,227.46 $1,254.94 $1,282.41
$441.01 $450.10 $459.19 $469.79 $478.88
$389.51 $398.60 $406.17 $415.26 $424.35
99
$5,688.72 $5,811.99
$5,037.06 $5,142.74
$2,901.49 $2,964.37
$2,569.15 $2,623.05
$1,479.32 $1,511.37
$1,309.89 $1,337.36
$489.48 $500.08
$433.44 $442.53
Disabled< 65
65 66
100 +
MedSup PLAN F- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN G – MEDICARE SUPPLEMENT RATES Zip Codes: 664-669, 673-679 – AREA 1 NON-TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$1,665.44 $1,665.44
$1,473.84 $1,473.84
$849.62 $849.62
$751.91 $751.91
$433.26 $433.26
$383.45 $383.45
$143.48 $143.48
$127.00 $127.00
67 68 69
$1,665.44 $1,665.44 $1,665.44 $1,717.07
$1,473.84 $1,473.84 $1,473.84 $1,519.53
$849.62 $849.62 $849.62 $875.96
$751.91 $751.91 $751.91 $775.21
$433.26 $433.26 $433.26 $446.69
$383.45 $383.45 $383.45 $395.33
$143.48 $143.48 $143.48 $147.92
$127.00 $127.00 $127.00 $130.93
70 71
$1,770.29 $1,826.94
$1,566.63 $1,616.76
$903.10 $931.99
$799.23 $824.80
$460.53 $475.25
$407.57 $420.61
$152.49 $157.37
$134.98 $139.29
72 73 74
$1,883.57 $1,943.85 $2,004.11
$1,666.88 $1,720.22 $1,773.55
$960.87 $991.61 $1,022.35
$850.36 $877.56 $904.76
$489.98 $505.65 $521.32
$433.64 $447.51 $461.37
$162.24 $167.42 $172.60
$143.60 $148.19 $152.78
75 76
$2,066.24 $2,128.23
$1,828.53 $1,883.39
$1,054.03 $1,085.65
$932.80 $960.78
$537.47 $553.59
$475.67 $489.93
$177.95 $183.28
$157.50 $162.22
77 78 79
$2,187.82 $2,246.89 $2,305.30
$1,936.12 $1,988.40 $2,040.09
$1,116.04 $1,146.16 $1,175.95
$987.67 $1,014.33 $1,040.70
$569.08 $584.44 $599.63
$503.64 $517.23 $530.67
$188.40 $193.48 $198.51
$166.76 $171.25 $175.70
80 81
$2,365.25 $2,429.10
$2,093.14 $2,149.65
$1,206.53 $1,239.09
$1,067.75 $1,096.57
$615.22 $631.82
$544.47 $559.16
$203.66 $209.15
$180.26 $185.12
82 83 84 85 86 87 88
$2,494.69 $2,564.55 $2,633.78
$2,207.69 $2,269.51 $2,330.78
$1,272.54 $1,308.17 $1,343.48
$1,126.17 $1,157.70 $1,188.95
$648.87 $667.03 $685.03
$574.25 $590.32 $606.25
$214.79 $220.80 $226.76
$190.11 $195.43 $200.70
$2,699.63 $2,750.93 $2,803.19 $2,856.45
$2,389.05 $2,434.45 $2,480.70 $2,527.83
$1,377.06 $1,403.22 $1,429.88 $1,457.04
$1,218.67 $1,241.82 $1,265.41 $1,289.44
$702.15 $715.49 $729.08 $742.93
$621.40 $633.21 $645.23 $657.49
$232.42 $236.83 $241.32 $245.90
$205.71 $209.61 $213.59 $217.64
89 90 91 92 93
$2,907.87 $2,960.22 $2,986.85 $3,013.73 $3,037.85
$2,573.34 $2,619.66 $2,643.23 $2,667.02 $2,688.36
$1,483.26 $1,509.96 $1,523.54 $1,537.25 $1,549.55
$1,312.65 $1,336.28 $1,348.30 $1,360.43 $1,371.31
$756.30 $769.91 $776.83 $783.82 $790.09
$669.32 $681.36 $687.49 $693.68 $699.22
$250.33 $254.83 $257.12 $259.43 $261.51
$221.56 $225.54 $227.57 $229.61 $231.45
94 95 96 97 98
$3,062.14 $3,089.70 $3,111.33 $3,133.12 $3,155.05
$2,709.86 $2,734.25 $2,753.39 $2,772.67 $2,792.08
$1,561.94 $1,576.00 $1,587.03 $1,598.14 $1,609.33
$1,382.28 $1,394.72 $1,404.48 $1,414.31 $1,424.21
$796.41 $803.57 $809.20 $814.86 $820.56
$704.81 $711.16 $716.13 $721.14 $726.19
$263.59 $265.96 $267.82 $269.70 $271.58
$233.30 $235.40 $237.04 $238.70 $240.37
99
$3,177.13 $3,199.37
$2,811.62 $2,831.30
$1,620.59 $1,631.93
$1,434.18 $1,444.21
$826.30 $832.09
$731.27 $736.39
$273.48 $275.40
$242.05 $243.74
Disabled< 65
65 66
100 +
MedSup PLAN G- KS Rev. 3-16-2017
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN G – MEDICARE SUPPLEMENT RATES Zip Codes: 664-669, 673-679 – AREA 1 TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$1,915.26 $1,915.26
$1,694.92 $1,694.92
$977.03 $977.03
$864.66 $864.66
$498.22 $498.22
$440.93 $440.93
$164.96 $164.96
$146.01 $146.01
67 68 69
$1,915.26 $1,915.26 $1,915.26 $1,974.63
$1,694.92 $1,694.92 $1,694.92 $1,747.46
$977.03 $977.03 $977.03 $1,007.31
$864.66 $864.66 $864.66 $891.45
$498.22 $498.22 $498.22 $513.65
$440.93 $440.93 $440.93 $454.59
$164.96 $164.96 $164.96 $170.07
$146.01 $146.01 $146.01 $150.53
70 71
$2,035.83 $2,100.98
$1,801.62 $1,859.27
$1,038.52 $1,071.75
$919.08 $948.48
$529.57 $546.50
$468.67 $483.66
$175.33 $180.93
$155.19 $160.15
72 73 74
$2,166.11 $2,235.43 $2,304.73
$1,916.91 $1,978.25 $2,039.58
$1,104.97 $1,140.32 $1,175.66
$977.87 $1,009.16 $1,040.44
$563.44 $581.46 $599.48
$498.65 $514.60 $530.54
$186.54 $192.50 $198.46
$165.10 $170.38 $175.65
75 76
$2,376.18 $2,447.46
$2,102.81 $2,165.90
$1,212.10 $1,248.45
$1,072.68 $1,104.86
$618.06 $636.59
$546.98 $563.38
$204.60 $210.73
$181.09 $186.52
77 78 79
$2,515.99 $2,583.92 $2,651.10
$2,226.54 $2,286.66 $2,346.10
$1,283.40 $1,318.05 $1,352.31
$1,135.79 $1,166.45 $1,196.76
$654.41 $672.07 $689.54
$579.15 $594.78 $610.24
$216.63 $222.47 $228.24
$191.73 $196.90 $202.01
80 81
$2,720.04 $2,793.47
$2,407.11 $2,472.10
$1,387.47 $1,424.92
$1,227.88 $1,261.02
$707.46 $726.55
$626.10 $643.00
$234.17 $240.49
$207.26 $212.85
82 83 84 85 86 87 88
$2,868.89 $2,949.23 $3,028.85
$2,538.84 $2,609.94 $2,680.40
$1,463.38 $1,504.36 $1,544.96
$1,295.06 $1,331.32 $1,367.25
$746.16 $767.05 $787.75
$660.35 $678.83 $697.15
$246.97 $253.88 $260.73
$218.59 $224.70 $230.76
$3,104.57 $3,163.57 $3,223.67 $3,284.92
$2,747.41 $2,799.62 $2,852.81 $2,907.00
$1,583.58 $1,613.67 $1,644.32 $1,675.56
$1,401.43 $1,428.06 $1,455.18 $1,482.82
$807.44 $822.78 $838.40 $854.33
$714.58 $728.15 $741.98 $756.07
$267.24 $272.32 $277.49 $282.75
$236.53 $241.02 $245.59 $250.25
89 90 91 92 93
$3,344.05 $3,404.25 $3,434.88 $3,465.79 $3,493.53
$2,959.34 $3,012.61 $3,039.71 $3,067.07 $3,091.61
$1,705.72 $1,736.42 $1,752.04 $1,767.80 $1,781.95
$1,509.51 $1,536.68 $1,550.50 $1,564.46 $1,576.97
$869.70 $885.36 $893.32 $901.36 $908.57
$769.68 $783.53 $790.57 $797.69 $804.07
$287.84 $293.02 $295.65 $298.31 $300.69
$254.75 $259.33 $261.67 $264.02 $266.13
94 95 96 97 98
$3,521.46 $3,553.16 $3,578.03 $3,603.09 $3,628.31
$3,116.34 $3,144.39 $3,166.40 $3,188.57 $3,210.89
$1,796.19 $1,812.36 $1,825.05 $1,837.83 $1,850.69
$1,589.58 $1,603.89 $1,615.11 $1,626.42 $1,637.80
$915.83 $924.07 $930.54 $937.05 $943.61
$810.50 $817.79 $823.51 $829.28 $835.08
$303.10 $305.82 $307.96 $310.12 $312.28
$268.26 $270.67 $272.56 $274.47 $276.39
99
$3,653.70 $3,679.28
$3,233.36 $3,256.00
$1,863.64 $1,876.68
$1,649.26 $1,660.81
$950.21 $956.86
$840.92 $846.81
$314.47 $316.67
$278.32 $280.27
Disabled< 65
65 66
100 +
MedSup PLAN G- KS Rev. 3-16-2017
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN G – MEDICARE SUPPLEMENT RATES Zip Codes: 660-662, 670-672 – AREA 2 NON-TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$1,790.35 $1,790.35
$1,584.38 $1,584.38
$913.33 $913.33
$808.28 $808.28
$465.74 $465.74
$412.19 $412.19
$154.22 $154.22
$136.51 $136.51
67 68 69
$1,790.35 $1,790.35 $1,790.35 $1,845.85
$1,584.38 $1,584.38 $1,584.38 $1,633.49
$913.33 $913.33 $913.33 $941.63
$808.28 $808.28 $808.28 $833.33
$465.74 $465.74 $465.74 $480.17
$412.19 $412.19 $412.19 $424.96
$154.22 $154.22 $154.22 $158.99
$136.51 $136.51 $136.51 $140.73
70 71
$1,903.06 $1,963.96
$1,684.13 $1,738.02
$970.81 $1,001.87
$859.16 $886.64
$495.05 $510.88
$438.12 $452.14
$163.91 $169.15
$145.09 $149.72
72 73 74
$2,024.84 $2,089.64 $2,154.42
$1,791.90 $1,849.24 $1,906.57
$1,032.92 $1,065.97 $1,099.00
$914.12 $943.36 $972.60
$526.71 $543.56 $560.40
$466.14 $481.05 $495.96
$174.39 $179.96 $185.53
$154.35 $159.28 $164.22
75 76
$2,221.21 $2,287.85
$1,965.67 $2,024.64
$1,133.07 $1,167.05
$1,002.74 $1,032.82
$577.76 $595.09
$511.32 $526.66
$191.27 $197.01
$169.30 $174.37
77 78 79
$2,351.91 $2,415.41 $2,478.20
$2,081.33 $2,137.53 $2,193.10
$1,199.72 $1,232.11 $1,264.13
$1,061.73 $1,090.39 $1,118.73
$611.75 $628.26 $644.58
$541.40 $556.01 $570.46
$202.51 $207.98 $213.38
$179.24 $184.08 $188.86
80 81
$2,542.64 $2,611.28
$2,250.13 $2,310.87
$1,297.00 $1,332.00
$1,147.82 $1,178.79
$661.34 $679.18
$585.28 $601.08
$218.92 $224.82
$193.76 $198.98
82 83 84 85 86 87 88
$2,681.79 $2,756.89 $2,831.31
$2,373.27 $2,439.72 $2,505.59
$1,367.96 $1,406.26 $1,444.22
$1,210.62 $1,244.51 $1,278.10
$697.52 $717.04 $736.39
$617.30 $634.58 $651.70
$230.88 $237.34 $243.74
$204.35 $210.07 $215.73
$2,902.10 $2,957.25 $3,013.43 $3,070.68
$2,568.23 $2,617.03 $2,666.75 $2,717.42
$1,480.32 $1,508.45 $1,537.10 $1,566.30
$1,310.05 $1,334.94 $1,360.29 $1,386.13
$754.80 $769.14 $783.74 $798.63
$667.99 $680.68 $693.61 $706.78
$249.83 $254.57 $259.40 $264.33
$221.12 $225.31 $229.59 $233.95
89 90 91 92 93
$3,125.96 $3,182.24 $3,210.86 $3,239.76 $3,265.69
$2,766.34 $2,816.13 $2,841.47 $2,867.05 $2,889.99
$1,594.49 $1,623.19 $1,637.79 $1,652.53 $1,665.75
$1,411.08 $1,436.48 $1,449.40 $1,462.45 $1,474.14
$813.00 $827.63 $835.07 $842.59 $849.33
$719.50 $732.44 $739.03 $745.68 $751.65
$269.08 $273.92 $276.38 $278.87 $281.10
$238.16 $242.44 $244.62 $246.82 $248.79
94 95 96 97 98
$3,291.80 $3,321.43 $3,344.68 $3,368.10 $3,391.68
$2,913.10 $2,939.32 $2,959.89 $2,980.62 $3,001.49
$1,679.07 $1,694.18 $1,706.04 $1,717.98 $1,730.01
$1,485.93 $1,499.30 $1,509.79 $1,520.37 $1,531.01
$856.12 $863.82 $869.87 $875.96 $882.09
$757.66 $764.47 $769.82 $775.21 $780.64
$283.34 $285.89 $287.89 $289.91 $291.93
$250.78 $253.03 $254.80 $256.58 $258.38
99
$3,415.41 $3,439.32
$3,022.49 $3,043.65
$1,742.11 $1,754.30
$1,541.72 $1,552.51
$888.26 $894.47
$786.10 $791.60
$293.98 $296.03
$260.18 $262.00
Disabled< 65
65 66
100 +
MedSup PLAN G- KS Rev. 3-16-2017
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN G – MEDICARE SUPPLEMENT RATES Zip Codes: 660-662, 670-672 – AREA 2 TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$2,058.90 $2,058.90
$1,822.04 $1,822.04
$1,050.29 $1,050.29
$929.49 $929.49
$535.56 $535.56
$473.98 $473.98
$177.32 $177.32
$156.95 $156.95
67 68 69
$2,058.90 $2,058.90 $2,058.90 $2,122.73
$1,822.04 $1,822.04 $1,822.04 $1,878.52
$1,050.29 $1,050.29 $1,050.29 $1,082.84
$929.49 $929.49 $929.49 $958.30
$535.56 $535.56 $535.56 $552.16
$473.98 $473.98 $473.98 $488.67
$177.32 $177.32 $177.32 $182.80
$156.95 $156.95 $156.95 $161.80
70 71
$2,188.52 $2,258.55
$1,936.74 $1,998.72
$1,116.40 $1,152.11
$987.99 $1,019.60
$569.27 $587.47
$503.80 $519.92
$188.46 $194.49
$166.81 $172.14
72 73 74
$2,328.57 $2,403.09 $2,477.58
$2,060.68 $2,126.62 $2,192.55
$1,187.82 $1,225.83 $1,263.82
$1,051.20 $1,084.83 $1,118.45
$605.68 $625.05 $644.42
$536.03 $553.17 $570.31
$200.51 $206.92 $213.32
$177.47 $183.14 $188.81
75 76
$2,554.39 $2,631.02
$2,260.52 $2,328.34
$1,302.99 $1,342.07
$1,153.12 $1,187.70
$664.39 $684.32
$587.99 $605.62
$219.93 $226.52
$194.65 $200.49
77 78 79
$2,704.69 $2,777.71 $2,849.93
$2,393.53 $2,458.16 $2,522.06
$1,379.64 $1,416.88 $1,453.71
$1,220.95 $1,253.91 $1,286.50
$703.47 $722.45 $741.23
$622.57 $639.37 $655.99
$232.85 $239.13 $245.34
$206.09 $211.65 $217.15
80 81
$2,924.04 $3,002.98
$2,587.64 $2,657.51
$1,491.51 $1,531.77
$1,319.95 $1,355.58
$760.50 $781.02
$673.04 $691.20
$251.72 $258.51
$222.79 $228.80
82 83 84 85 86 87 88
$3,084.06 $3,170.42 $3,256.01
$2,729.25 $2,805.69 $2,881.43
$1,573.12 $1,617.16 $1,660.82
$1,392.17 $1,431.15 $1,469.78
$802.11 $824.56 $846.81
$709.86 $729.73 $749.42
$265.48 $272.91 $280.27
$234.97 $241.54 $248.05
$3,337.41 $3,400.84 $3,465.45 $3,531.29
$2,953.47 $3,009.59 $3,066.77 $3,125.03
$1,702.33 $1,734.68 $1,767.63 $1,801.21
$1,506.52 $1,535.14 $1,564.30 $1,594.02
$867.98 $884.47 $901.27 $918.39
$768.15 $782.74 $797.61 $812.76
$287.27 $292.72 $298.28 $303.94
$254.25 $259.07 $263.99 $269.00
89 90 91 92 93
$3,594.85 $3,659.57 $3,692.50 $3,725.72 $3,755.54
$3,181.29 $3,238.56 $3,267.69 $3,297.10 $3,323.48
$1,833.62 $1,866.63 $1,883.43 $1,900.37 $1,915.58
$1,622.71 $1,651.92 $1,666.77 $1,681.77 $1,695.22
$934.91 $951.74 $960.30 $968.94 $976.69
$827.39 $842.28 $849.85 $857.50 $864.35
$309.41 $314.97 $317.81 $320.66 $323.23
$273.84 $278.77 $281.27 $283.80 $286.07
94 95 96 97 98
$3,785.57 $3,819.65 $3,846.38 $3,873.32 $3,900.43
$3,350.07 $3,380.22 $3,403.88 $3,427.71 $3,451.71
$1,930.89 $1,948.27 $1,961.90 $1,975.64 $1,989.47
$1,708.79 $1,724.16 $1,736.23 $1,748.38 $1,760.62
$984.50 $993.36 $1,000.31 $1,007.31 $1,014.36
$871.27 $879.11 $885.26 $891.45 $897.69
$325.81 $328.74 $331.04 $333.36 $335.69
$288.36 $290.95 $292.98 $295.03 $297.10
99
$3,927.73 $3,955.23
$3,475.86 $3,500.20
$2,003.39 $2,017.42
$1,772.94 $1,785.35
$1,021.46 $1,028.61
$903.97 $910.30
$338.03 $340.40
$299.17 $301.27
Disabled< 65
65 66
100 +
MedSup PLAN G- KS Rev. 3-16-2017
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN N – MEDICARE SUPPLEMENT RATES Zip Codes: 664-669, 673-679 – AREA 1 NON-TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$1,339.16 $1,339.16
$1,196.70 $1,196.70
$683.22 $683.22
$610.57 $610.57
$348.43 $348.43
$311.39 $311.39
$115.42 $115.42
$103.17 $103.17
67 68 69
$1,381.90 $1,424.64 $1,481.63 $1,538.61
$1,225.19 $1,253.68 $1,310.67 $1,367.65
$705.02 $726.82 $755.88 $784.94
$625.10 $639.63 $668.69 $697.75
$359.54 $370.66 $385.47 $400.29
$318.80 $326.21 $341.02 $355.84
$119.09 $122.77 $127.67 $132.57
$105.62 $108.07 $112.97 $117.87
70 71
$1,595.60 $1,652.58
$1,410.39 $1,467.38
$814.01 $843.07
$719.55 $748.61
$415.11 $429.92
$366.95 $381.77
$137.47 $142.37
$121.54 $126.44
72 73 74
$1,723.81 $1,780.80 $1,837.79
$1,524.36 $1,567.10 $1,624.09
$879.39 $908.46 $937.52
$777.67 $799.47 $828.54
$448.44 $463.26 $478.08
$396.58 $407.70 $422.51
$148.50 $153.40 $158.30
$131.34 $135.02 $139.92
75 76
$1,894.77 $1,951.76
$1,681.08 $1,723.81
$966.58 $995.65
$857.60 $879.39
$492.89 $507.71
$437.33 $448.44
$163.20 $168.10
$144.82 $148.50
77 78 79
$2,008.74 $2,065.73 $2,122.71
$1,780.80 $1,837.79 $1,880.52
$1,024.71 $1,053.77 $1,082.83
$908.46 $937.52 $959.32
$522.52 $537.34 $552.15
$463.26 $478.08 $489.19
$173.00 $177.90 $182.80
$153.40 $158.30 $161.97
80 81
$2,193.95 $2,250.93
$1,937.51 $1,994.50
$1,119.16 $1,148.22
$988.38 $1,017.45
$570.68 $585.49
$504.00 $518.82
$188.93 $193.83
$166.88 $171.78
82 83 84 85 86 87 88
$2,307.92 $2,379.15 $2,450.38
$2,051.48 $2,108.47 $2,165.45
$1,177.29 $1,213.62 $1,249.94
$1,046.50 $1,075.57 $1,104.63
$600.31 $618.83 $637.35
$533.63 $548.45 $563.27
$198.73 $204.86 $210.98
$176.68 $181.58 $186.48
$2,521.61 $2,592.84 $2,664.08 $2,735.31
$2,222.44 $2,293.67 $2,350.66 $2,421.89
$1,286.27 $1,322.60 $1,358.93 $1,395.26
$1,133.69 $1,170.02 $1,199.09 $1,235.41
$655.87 $674.39 $692.91 $711.43
$578.08 $596.60 $611.42 $629.94
$217.11 $223.23 $229.36 $235.49
$191.38 $197.51 $202.41 $208.53
89 90 91 92 93
$2,806.54 $2,892.02 $2,977.50 $3,048.73 $3,134.21
$2,493.12 $2,550.11 $2,635.58 $2,706.82 $2,778.05
$1,431.59 $1,475.18 $1,518.78 $1,555.10 $1,598.70
$1,271.74 $1,300.81 $1,344.40 $1,380.73 $1,417.06
$729.95 $752.18 $774.40 $792.92 $815.14
$648.46 $663.28 $685.50 $704.02 $722.54
$241.61 $248.96 $256.32 $262.44 $269.79
$214.66 $219.56 $226.91 $233.04 $239.16
94 95 96 97 98
$3,233.93 $3,319.41 $3,419.14 $3,504.61 $3,604.34
$2,863.53 $2,934.76 $3,020.24 $3,105.72 $3,191.19
$1,649.55 $1,693.15 $1,744.01 $1,787.60 $1,838.46
$1,460.65 $1,496.98 $1,540.57 $1,584.17 $1,627.76
$841.07 $863.30 $889.23 $911.45 $937.38
$744.77 $763.29 $785.51 $807.74 $829.96
$278.37 $285.72 $294.30 $301.65 $310.22
$246.51 $252.64 $259.99 $267.34 $274.69
99
$3,704.06 $3,818.04
$3,276.67 $3,376.40
$1,889.32 $1,947.45
$1,671.35 $1,722.21
$963.31 $992.94
$852.18 $878.11
$318.80 $328.60
$282.04 $290.62
< 65 65 66
100 +
MedSup PLAN N- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN N – MEDICARE SUPPLEMENT RATES Zip Codes: 664-669, 673-679 – AREA 1 TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$1,540.03 $1,540.03
$1,376.21 $1,376.21
$785.67 $785.67
$702.11 $702.11
$400.66 $400.66
$358.06 $358.06
$132.69 $132.69
$118.60 $118.60
67 68 69
$1,589.19 $1,638.34 $1,703.87 $1,769.40
$1,408.97 $1,441.73 $1,507.27 $1,572.80
$810.73 $835.80 $869.23 $902.64
$718.82 $735.53 $768.96 $802.38
$413.44 $426.22 $443.26 $460.29
$366.58 $375.10 $392.14 $409.18
$136.92 $141.15 $146.78 $152.42
$121.42 $124.24 $129.88 $135.51
70 71
$1,834.94 $1,900.47
$1,621.95 $1,687.49
$936.07 $969.49
$827.44 $860.87
$477.33 $494.37
$421.96 $439.00
$158.05 $163.69
$139.74 $145.37
72 73 74
$1,982.38 $2,047.92 $2,113.46
$1,753.01 $1,802.17 $1,867.70
$1,011.26 $1,044.69 $1,078.11
$894.29 $919.35 $952.78
$515.67 $532.71 $549.75
$456.03 $468.81 $485.85
$170.73 $176.37 $182.01
$151.01 $155.24 $160.87
75 76
$2,178.99 $2,244.52
$1,933.24 $1,982.38
$1,111.53 $1,144.96
$986.20 $1,011.26
$566.79 $583.83
$502.89 $515.67
$187.64 $193.28
$166.51 $170.73
77 78 79
$2,310.05 $2,375.59 $2,441.12
$2,047.92 $2,113.46 $2,162.60
$1,178.38 $1,211.80 $1,245.22
$1,044.69 $1,078.11 $1,103.17
$600.86 $617.90 $634.94
$532.71 $549.75 $562.53
$198.91 $204.55 $210.19
$176.37 $182.01 $186.23
80 81
$2,523.04 $2,588.57
$2,228.14 $2,293.68
$1,287.00 $1,320.42
$1,136.60 $1,170.02
$656.24 $673.28
$579.57 $596.61
$217.23 $222.87
$191.87 $197.51
82 83 84 85 86 87 88
$2,654.11 $2,736.02 $2,817.94
$2,359.20 $2,424.74 $2,490.27
$1,353.85 $1,395.62 $1,437.40
$1,203.44 $1,236.87 $1,270.29
$690.32 $711.62 $732.91
$613.64 $630.68 $647.72
$228.50 $235.55 $242.59
$203.14 $208.78 $214.41
$2,899.85 $2,981.77 $3,063.69 $3,145.61
$2,555.81 $2,637.72 $2,703.26 $2,785.17
$1,479.17 $1,520.95 $1,562.73 $1,604.51
$1,303.71 $1,345.49 $1,378.91 $1,420.69
$754.21 $775.51 $796.81 $818.11
$664.76 $686.06 $703.10 $724.40
$249.64 $256.68 $263.73 $270.77
$220.05 $227.09 $232.73 $239.77
89 90 91 92 93
$3,227.52 $3,325.82 $3,424.13 $3,506.04 $3,604.34
$2,867.09 $2,932.63 $3,030.92 $3,112.84 $3,194.76
$1,646.29 $1,696.42 $1,746.55 $1,788.33 $1,838.46
$1,462.46 $1,495.89 $1,546.02 $1,587.80 $1,629.58
$839.41 $864.96 $890.52 $911.82 $937.38
$745.69 $762.73 $788.29 $809.59 $830.89
$277.82 $286.27 $294.72 $301.77 $310.22
$246.82 $252.46 $260.91 $267.95 $275.00
94 95 96 97 98
$3,719.02 $3,817.32 $3,932.01 $4,030.30 $4,144.99
$3,293.06 $3,374.97 $3,473.28 $3,571.58 $3,669.87
$1,896.95 $1,947.08 $2,005.58 $2,055.70 $2,114.20
$1,679.71 $1,721.49 $1,771.62 $1,821.75 $1,871.88
$967.20 $992.75 $1,022.57 $1,048.13 $1,077.95
$856.45 $877.74 $903.30 $928.86 $954.42
$320.09 $328.54 $338.40 $346.86 $356.72
$283.45 $290.50 $298.95 $307.41 $315.86
99
$4,259.67 $4,390.75
$3,768.17 $3,882.86
$2,172.68 $2,239.53
$1,922.02 $1,980.51
$1,107.76 $1,141.84
$979.97 $1,009.79
$366.58 $377.85
$324.31 $334.18
< 65 65 66
100 +
MedSup PLAN N- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN N – MEDICARE SUPPLEMENT RATES Zip Codes: 660-662, 670-672 – AREA 2 NON-TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
< 65 65
$1,439.60 $1,439.60
$1,286.45 $1,286.45
$734.44 $734.44
$656.34 $656.34
$374.55 $374.55
$334.73 $334.73
$124.06 $124.06
$110.88 $110.88
66 67 68 69
$1,485.54 $1,531.49 $1,592.75 $1,654.01
$1,317.08 $1,347.71 $1,408.97 $1,470.22
$757.88 $781.31 $812.55 $843.79
$671.96 $687.58 $718.82 $750.06
$386.49 $398.44 $414.37 $430.29
$342.69 $350.65 $366.58 $382.51
$128.01 $131.96 $137.23 $142.49
$113.52 $116.15 $121.42 $126.69
70 71
$1,715.27 $1,776.52
$1,516.17 $1,577.43
$875.04 $906.28
$773.50 $804.74
$446.22 $462.15
$394.45 $410.38
$147.76 $153.03
$130.64 $135.91
72 73 74
$1,853.10 $1,914.36 $1,975.62
$1,638.69 $1,684.63 $1,745.90
$945.33 $976.57 $1,007.82
$835.98 $859.41 $890.66
$482.05 $497.98 $513.91
$426.31 $438.25 $454.18
$159.62 $164.88 $170.15
$141.18 $145.13 $150.40
75 76
$2,036.88 $2,098.14
$1,807.16 $1,853.10
$1,039.06 $1,070.30
$921.90 $945.33
$529.84 $545.77
$470.11 $482.05
$175.42 $180.69
$155.67 $159.62
77 78 79
$2,159.40 $2,220.66 $2,281.91
$1,914.36 $1,975.62 $2,021.56
$1,101.54 $1,132.79 $1,164.03
$976.57 $1,007.82 $1,031.25
$561.69 $577.62 $593.55
$497.98 $513.91 $525.86
$185.96 $191.23 $196.49
$164.88 $170.15 $174.10
80 81
$2,358.50 $2,419.75
$2,082.82 $2,144.09
$1,203.08 $1,234.32
$1,062.49 $1,093.73
$613.46 $629.38
$541.78 $557.71
$203.08 $208.35
$179.37 $184.64
82 83 84
$2,481.01 $2,557.59 $2,634.16
$2,205.34 $2,266.61 $2,327.86
$1,265.57 $1,304.62 $1,343.67
$1,124.97 $1,156.22 $1,187.46
$645.31 $665.22 $685.13
$573.64 $589.57 $605.49
$213.62 $220.20 $226.79
$189.91 $195.18 $200.45
85 86
$2,710.73 $2,787.30
$2,389.12 $2,465.70
$1,382.72 $1,421.77
$1,218.70 $1,257.75
$705.04 $724.95
$621.42 $641.33
$233.37 $239.96
$205.71 $212.30
87 88 89 90 91
$2,863.89 $2,940.46 $3,017.03 $3,108.92 $3,200.81
$2,526.96 $2,603.53 $2,680.10 $2,741.37 $2,833.25
$1,460.83 $1,499.88 $1,538.94 $1,585.80 $1,632.66
$1,289.00 $1,328.05 $1,367.10 $1,398.35 $1,445.21
$744.86 $764.77 $784.68 $808.57 $832.46
$657.26 $677.17 $697.08 $713.01 $736.89
$246.54 $253.13 $259.71 $267.62 $275.52
$217.57 $224.15 $230.74 $236.01 $243.91
92 93 94 95 96
$3,277.38 $3,369.28 $3,476.47 $3,568.37 $3,675.58
$2,909.83 $2,986.40 $3,078.29 $3,154.87 $3,246.76
$1,671.72 $1,718.58 $1,773.25 $1,820.12 $1,874.79
$1,484.26 $1,523.32 $1,570.18 $1,609.23 $1,656.10
$852.37 $876.26 $904.13 $928.03 $955.90
$756.81 $776.71 $800.61 $820.52 $844.41
$282.11 $290.01 $299.23 $307.13 $316.35
$250.50 $257.08 $264.98 $271.57 $279.47
97 98 99 100 +
$3,767.46 $3,874.67
$3,338.65 $3,430.53
$1,921.65 $1,976.33
$1,702.96 $1,749.82
$979.79 $1,007.66
$868.30 $892.19
$324.25 $333.47
$287.37 $295.28
$3,981.86 $4,104.39
$3,522.42 $3,629.63
$2,031.00 $2,093.49
$1,796.68 $1,851.36
$1,035.53 $1,067.39
$916.08 $943.95
$342.69 $353.23
$303.18 $312.40
MedSup PLAN N- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN N – MEDICARE SUPPLEMENT RATES Zip Codes: 660-662, 670-672 – AREA 2 TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$1,655.54 $1,655.54
$1,479.42 $1,479.42
$844.57 $844.57
$754.75 $754.75
$430.69 $430.69
$384.90 $384.90
$142.63 $142.63
$127.48 $127.48
67 68 69
$1,708.37 $1,761.21 $1,831.67 $1,902.11
$1,514.64 $1,549.86 $1,620.32 $1,690.76
$871.52 $898.47 $934.40 $970.32
$772.72 $790.68 $826.61 $862.54
$444.43 $458.16 $476.48 $494.80
$394.06 $403.21 $421.53 $439.85
$147.17 $151.71 $157.77 $163.83
$130.51 $133.54 $139.60 $145.66
70 71
$1,972.56 $2,043.00
$1,743.59 $1,814.05
$1,006.26 $1,042.18
$889.48 $925.41
$513.12 $531.43
$453.58 $471.90
$169.89 $175.95
$150.20 $156.26
72 73 74
$2,131.06 $2,201.51 $2,271.97
$1,884.49 $1,937.33 $2,007.78
$1,087.09 $1,123.02 $1,158.95
$961.34 $988.29 $1,024.22
$554.33 $572.64 $590.96
$490.22 $503.96 $522.27
$183.52 $189.58 $195.64
$162.32 $166.86 $172.92
75 76
$2,342.41 $2,412.86
$2,078.24 $2,131.06
$1,194.88 $1,230.81
$1,060.15 $1,087.09
$609.28 $627.59
$540.59 $554.33
$201.70 $207.76
$178.98 $183.52
77 78 79
$2,483.30 $2,553.76 $2,624.20
$2,201.51 $2,271.97 $2,324.79
$1,266.74 $1,302.67 $1,338.59
$1,123.02 $1,158.95 $1,185.89
$645.91 $664.23 $682.54
$572.64 $590.96 $604.70
$213.81 $219.87 $225.93
$189.58 $195.64 $200.18
80 81
$2,712.27 $2,782.71
$2,395.25 $2,465.70
$1,383.51 $1,419.43
$1,221.83 $1,257.76
$705.44 $723.76
$623.01 $641.33
$233.51 $239.56
$206.24 $212.30
82 83 84 85 86 87 88
$2,853.17 $2,941.22 $3,029.28
$2,536.14 $2,606.60 $2,677.04
$1,455.36 $1,500.27 $1,545.18
$1,293.68 $1,329.61 $1,365.54
$742.07 $764.97 $787.86
$659.65 $677.96 $696.28
$245.62 $253.20 $260.77
$218.36 $224.42 $230.48
$3,117.34 $3,205.40 $3,293.47 $3,381.53
$2,747.49 $2,835.55 $2,906.00 $2,994.06
$1,590.09 $1,635.00 $1,679.92 $1,724.83
$1,401.47 $1,446.38 $1,482.31 $1,527.22
$810.76 $833.65 $856.55 $879.45
$714.60 $737.49 $755.81 $778.71
$268.34 $275.91 $283.49 $291.06
$236.53 $244.11 $250.17 $257.74
89 90 91 92 93
$3,469.59 $3,575.26 $3,680.93 $3,768.99 $3,874.67
$3,082.12 $3,152.57 $3,258.24 $3,346.31 $3,434.36
$1,769.74 $1,823.63 $1,877.53 $1,922.44 $1,976.33
$1,572.13 $1,608.06 $1,661.95 $1,706.87 $1,751.78
$902.34 $929.82 $957.29 $980.19 $1,007.66
$801.60 $819.92 $847.39 $870.29 $893.18
$298.63 $307.72 $316.81 $324.38 $333.47
$265.31 $271.37 $280.46 $288.03 $295.61
94 95 96 97 98
$3,997.95 $4,103.62 $4,226.91 $4,332.57 $4,455.87
$3,540.04 $3,628.10 $3,733.77 $3,839.45 $3,945.11
$2,039.20 $2,093.10 $2,155.98 $2,209.86 $2,272.74
$1,805.67 $1,850.58 $1,904.47 $1,958.37 $2,012.26
$1,039.72 $1,067.19 $1,099.25 $1,126.72 $1,158.77
$920.66 $943.56 $971.03 $998.51 $1,025.98
$344.07 $353.16 $363.76 $372.85 $383.45
$304.69 $312.27 $321.35 $330.44 $339.53
99
$4,579.14 $4,720.05
$4,050.78 $4,174.07
$2,335.61 $2,407.48
$2,066.15 $2,129.03
$1,190.83 $1,227.46
$1,053.45 $1,085.51
$394.06 $406.17
$348.62 $359.22
< 65 65 66
100 +
MedSup PLAN N- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$1,652.58 $1,652.58
$1,467.38 $1,467.38
$843.07 $843.07
$748.61 $748.61
$429.92 $429.92
$381.77 $381.77
$142.37 $142.37
$126.44 $126.44
67 68 69
$1,681.08 $1,709.57 $1,795.05 $1,880.52
$1,481.63 $1,510.12 $1,581.35 $1,666.83
$857.60 $872.13 $915.73 $959.32
$755.88 $770.41 $806.74 $850.33
$437.33 $444.74 $466.96 $489.19
$385.47 $392.88 $411.40 $433.63
$144.82 $147.27 $154.62 $161.97
$127.67 $130.12 $136.25 $143.60
70 71
$1,966.00 $2,051.48
$1,738.06 $1,823.54
$1,002.91 $1,046.50
$886.66 $930.26
$511.41 $533.63
$452.15 $474.37
$169.33 $176.68
$149.72 $157.07
72 73 74
$2,151.21 $2,208.19 $2,265.18
$1,894.77 $1,951.76 $2,008.74
$1,097.37 $1,126.43 $1,155.49
$966.58 $995.65 $1,024.71
$559.56 $574.38 $589.20
$492.89 $507.71 $522.52
$185.25 $190.15 $195.06
$163.20 $168.10 $173.00
75 76
$2,336.41 $2,393.40
$2,065.73 $2,122.71
$1,191.82 $1,220.88
$1,053.77 $1,082.83
$607.72 $622.53
$537.34 $552.15
$201.18 $206.08
$177.90 $182.80
77 78 79
$2,464.63 $2,493.12 $2,521.61
$2,179.70 $2,208.19 $2,236.68
$1,257.21 $1,271.74 $1,286.27
$1,111.90 $1,126.43 $1,140.96
$641.05 $648.46 $655.87
$566.97 $574.38 $581.79
$212.21 $214.66 $217.11
$187.70 $190.15 $192.60
80 81
$2,550.11 $2,578.60
$2,250.93 $2,279.42
$1,300.81 $1,315.34
$1,148.22 $1,162.75
$663.28 $670.69
$585.49 $592.90
$219.56 $222.01
$193.83 $196.28
82 83 84 85 86 87 88
$2,607.09 $2,649.83 $2,664.08
$2,307.92 $2,350.66 $2,350.66
$1,329.87 $1,351.66 $1,358.93
$1,177.29 $1,199.09 $1,199.09
$678.09 $689.21 $692.91
$600.31 $611.42 $611.42
$224.46 $228.14 $229.36
$198.73 $202.41 $202.41
$2,664.08 $2,664.08 $2,664.08 $2,678.32
$2,350.66 $2,350.66 $2,364.90 $2,364.90
$1,358.93 $1,358.93 $1,358.93 $1,366.19
$1,199.09 $1,199.09 $1,206.35 $1,206.35
$692.91 $692.91 $692.91 $696.61
$611.42 $611.42 $615.12 $615.12
$229.36 $229.36 $229.36 $230.59
$202.41 $202.41 $203.63 $203.63
89 90 91 92 93
$2,678.32 $2,692.57 $2,692.57 $2,706.82 $2,706.82
$2,379.15 $2,379.15 $2,393.40 $2,393.40 $2,407.64
$1,366.19 $1,373.46 $1,373.46 $1,380.73 $1,380.73
$1,213.62 $1,213.62 $1,220.88 $1,220.88 $1,228.15
$696.61 $700.32 $700.32 $704.02 $704.02
$618.83 $618.83 $622.53 $622.53 $626.24
$230.59 $231.81 $231.81 $233.04 $233.04
$204.86 $204.86 $206.08 $206.08 $207.31
94 95 96 97 98
$2,721.06 $2,721.06 $2,735.31 $2,749.56 $2,749.56
$2,407.64 $2,407.64 $2,421.89 $2,421.89 $2,436.13
$1,387.99 $1,387.99 $1,395.26 $1,402.53 $1,402.53
$1,228.15 $1,228.15 $1,235.41 $1,235.41 $1,242.68
$707.73 $707.73 $711.43 $715.14 $715.14
$626.24 $626.24 $629.94 $629.94 $633.64
$234.26 $234.26 $235.49 $236.71 $236.71
$207.31 $207.31 $208.53 $208.53 $209.76
99
$2,763.80 $2,763.80
$2,436.13 $2,450.38
$1,409.79 $1,409.79
$1,242.68 $1,249.94
$718.84 $718.84
$633.64 $637.35
$237.94 $237.94
$209.76 $210.98
< 65 65 66
100 +
MedSup PLAN A- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN A – MEDICARE SUPPLEMENT RATES Zip Codes: 664-669, 673-679 – AREA 1 TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$1,900.47 $1,900.47
$1,687.49 $1,687.49
$969.49 $969.49
$860.87 $860.87
$494.37 $494.37
$439.00 $439.00
$163.69 $163.69
$145.37 $145.37
67 68 69
$1,933.24 $1,966.01 $2,064.31 $2,162.60
$1,703.87 $1,736.64 $1,818.55 $1,916.85
$986.20 $1,002.91 $1,053.05 $1,103.17
$869.23 $885.94 $927.71 $977.85
$502.89 $511.41 $536.97 $562.53
$443.26 $451.78 $473.07 $498.63
$166.51 $169.33 $177.78 $186.23
$146.78 $149.60 $156.65 $165.10
70 71
$2,260.90 $2,359.20
$1,998.77 $2,097.07
$1,153.31 $1,203.44
$1,019.62 $1,069.76
$588.08 $613.64
$519.93 $545.49
$194.69 $203.14
$172.14 $180.60
72 73 74
$2,473.89 $2,539.42 $2,604.96
$2,178.99 $2,244.52 $2,310.05
$1,261.93 $1,295.35 $1,328.78
$1,111.53 $1,144.96 $1,178.38
$643.46 $660.50 $677.54
$566.79 $583.83 $600.86
$213.00 $218.64 $224.28
$187.64 $193.28 $198.91
75 76
$2,686.87 $2,752.41
$2,375.59 $2,441.12
$1,370.55 $1,403.98
$1,211.80 $1,245.22
$698.84 $715.88
$617.90 $634.94
$231.32 $236.96
$204.55 $210.19
77 78 79
$2,834.32 $2,867.09 $2,899.85
$2,506.66 $2,539.42 $2,572.18
$1,445.76 $1,462.46 $1,479.17
$1,278.64 $1,295.35 $1,312.06
$737.17 $745.69 $754.21
$651.98 $660.50 $669.02
$244.00 $246.82 $249.64
$215.82 $218.64 $221.46
80 81
$2,932.63 $2,965.39
$2,588.57 $2,621.33
$1,495.89 $1,512.60
$1,320.42 $1,337.13
$762.73 $771.25
$673.28 $681.80
$252.46 $255.27
$222.87 $225.68
82 83 84 85 86 87 88
$2,998.15 $3,047.30 $3,063.69
$2,654.11 $2,703.26 $2,703.26
$1,529.31 $1,554.38 $1,562.73
$1,353.85 $1,378.91 $1,378.91
$779.77 $792.55 $796.81
$690.32 $703.10 $703.10
$258.09 $262.32 $263.73
$228.50 $232.73 $232.73
$3,063.69 $3,063.69 $3,063.69 $3,080.07
$2,703.26 $2,703.26 $2,719.64 $2,719.64
$1,562.73 $1,562.73 $1,562.73 $1,571.08
$1,378.91 $1,378.91 $1,387.26 $1,387.26
$796.81 $796.81 $796.81 $801.07
$703.10 $703.10 $707.36 $707.36
$263.73 $263.73 $263.73 $265.14
$232.73 $232.73 $234.14 $234.14
89 90 91 92 93
$3,080.07 $3,096.46 $3,096.46 $3,112.84 $3,112.84
$2,736.02 $2,736.02 $2,752.41 $2,752.41 $2,768.79
$1,571.08 $1,579.44 $1,579.44 $1,587.80 $1,587.80
$1,395.62 $1,395.62 $1,403.98 $1,403.98 $1,412.33
$801.07 $805.33 $805.33 $809.59 $809.59
$711.62 $711.62 $715.88 $715.88 $720.13
$265.14 $266.55 $266.55 $267.95 $267.95
$235.55 $235.55 $236.96 $236.96 $238.37
94 95 96 97 98
$3,129.22 $3,129.22 $3,145.61 $3,161.99 $3,161.99
$2,768.79 $2,768.79 $2,785.17 $2,785.17 $2,801.55
$1,596.15 $1,596.15 $1,604.51 $1,612.87 $1,612.87
$1,412.33 $1,412.33 $1,420.69 $1,420.69 $1,429.04
$813.85 $813.85 $818.11 $822.37 $822.37
$720.13 $720.13 $724.40 $724.40 $728.65
$269.36 $269.36 $270.77 $272.18 $272.18
$238.37 $238.37 $239.77 $239.77 $241.18
99
$3,178.37 $3,178.37
$2,801.55 $2,817.94
$1,621.22 $1,621.22
$1,429.04 $1,437.40
$826.63 $826.63
$728.65 $732.91
$273.59 $273.59
$241.18 $242.59
< 65 65 66
100 +
MedSup PLAN A- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN A – MEDICARE SUPPLEMENT RATES Zip Codes: 660-662, 670-672 – AREA 2 NON-TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
< 65 65
$1,776.52 $1,776.52
$1,577.43 $1,577.43
$906.28 $906.28
$804.74 $804.74
$462.15 $462.15
$410.38 $410.38
$153.03 $153.03
$135.91 $135.91
66 67 68 69
$1,807.16 $1,837.79 $1,929.68 $2,021.56
$1,592.75 $1,623.38 $1,699.95 $1,791.84
$921.90 $937.52 $984.39 $1,031.25
$812.55 $828.17 $867.23 $914.09
$470.11 $478.07 $501.97 $525.86
$414.37 $422.33 $442.24 $466.13
$155.67 $158.30 $166.20 $174.10
$137.23 $139.86 $146.45 $154.35
70 71
$2,113.45 $2,205.34
$1,868.41 $1,960.31
$1,078.11 $1,124.97
$953.14 $1,000.01
$549.75 $573.64
$486.04 $509.93
$182.01 $189.91
$160.93 $168.84
72 73 74
$2,312.55 $2,373.80 $2,435.07
$2,036.88 $2,098.14 $2,159.40
$1,179.65 $1,210.89 $1,242.13
$1,039.06 $1,070.30 $1,101.54
$601.51 $617.44 $633.37
$529.84 $545.77 $561.69
$199.13 $204.40 $209.67
$175.42 $180.69 $185.96
75 76
$2,511.64 $2,572.91
$2,220.66 $2,281.91
$1,281.19 $1,312.43
$1,132.79 $1,164.03
$653.28 $669.21
$577.62 $593.55
$216.25 $221.52
$191.23 $196.49
77 78 79
$2,649.48 $2,680.10 $2,710.73
$2,343.18 $2,373.80 $2,404.43
$1,351.48 $1,367.10 $1,382.72
$1,195.27 $1,210.89 $1,226.51
$689.11 $697.08 $705.04
$609.48 $617.44 $625.40
$228.11 $230.74 $233.37
$201.76 $204.40 $207.03
80 81
$2,741.37 $2,772.00
$2,419.75 $2,450.38
$1,398.35 $1,413.97
$1,234.32 $1,249.94
$713.01 $720.97
$629.38 $637.35
$236.01 $238.64
$208.35 $210.98
82 83 84
$2,802.62 $2,848.57 $2,863.89
$2,481.01 $2,526.96 $2,526.96
$1,429.59 $1,453.02 $1,460.83
$1,265.57 $1,289.00 $1,289.00
$728.93 $740.88 $744.86
$645.31 $657.26 $657.26
$241.28 $245.23 $246.54
$213.62 $217.57 $217.57
85 86
$2,863.89 $2,863.89
$2,526.96 $2,526.96
$1,460.83 $1,460.83
$1,289.00 $1,289.00
$744.86 $744.86
$657.26 $657.26
$246.54 $246.54
$217.57 $217.57
87 88 89 90 91
$2,863.89 $2,879.19 $2,879.19 $2,894.51 $2,894.51
$2,542.27 $2,542.27 $2,557.59 $2,557.59 $2,572.91
$1,460.83 $1,468.64 $1,468.64 $1,476.45 $1,476.45
$1,296.81 $1,296.81 $1,304.62 $1,304.62 $1,312.43
$744.86 $748.84 $748.84 $752.82 $752.82
$661.24 $661.24 $665.22 $665.22 $669.21
$246.54 $247.86 $247.86 $249.18 $249.18
$218.89 $218.89 $220.20 $220.20 $221.52
92 93 94 95 96
$2,909.83 $2,909.83 $2,925.14 $2,925.14 $2,940.46
$2,572.91 $2,588.21 $2,588.21 $2,588.21 $2,603.53
$1,484.26 $1,484.26 $1,492.07 $1,492.07 $1,499.88
$1,312.43 $1,320.24 $1,320.24 $1,320.24 $1,328.05
$756.81 $756.81 $760.79 $760.79 $764.77
$669.21 $673.19 $673.19 $673.19 $677.17
$250.50 $250.50 $251.81 $251.81 $253.13
$221.52 $222.84 $222.84 $222.84 $224.15
97 98 99 100 +
$2,955.78 $2,955.78
$2,603.53 $2,618.84
$1,507.70 $1,507.70
$1,328.05 $1,335.86
$768.75 $768.75
$677.17 $681.15
$254.45 $254.45
$224.15 $225.47
$2,971.09 $2,971.09
$2,618.84 $2,634.16
$1,515.50 $1,515.50
$1,335.86 $1,343.67
$772.73 $772.73
$681.15 $685.13
$255.76 $255.76
$225.47 $226.79
MedSup PLAN A- KS Rev. 12-1-2016
69462104
Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN A – MEDICARE SUPPLEMENT RATES Zip Codes: 660-662, 670-672 – AREA 2 TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$2,043.00 $2,043.00
$1,814.05 $1,814.05
$1,042.18 $1,042.18
$925.41 $925.41
$531.43 $531.43
$471.90 $471.90
$175.95 $175.95
$156.26 $156.26
67 68 69
$2,078.24 $2,113.46 $2,219.13 $2,324.79
$1,831.67 $1,866.89 $1,954.94 $2,060.62
$1,060.15 $1,078.11 $1,132.01 $1,185.89
$934.40 $952.36 $997.27 $1,051.17
$540.59 $549.75 $577.22 $604.70
$476.48 $485.64 $508.54 $536.01
$178.98 $182.01 $191.10 $200.18
$157.77 $160.80 $168.38 $177.46
70 71
$2,430.47 $2,536.14
$2,148.68 $2,254.35
$1,239.79 $1,293.68
$1,096.08 $1,149.97
$632.17 $659.65
$558.91 $586.38
$209.27 $218.36
$185.04 $194.12
72 73 74
$2,659.43 $2,729.87 $2,800.33
$2,342.41 $2,412.86 $2,483.30
$1,356.56 $1,392.49 $1,428.42
$1,194.88 $1,230.81 $1,266.74
$691.70 $710.02 $728.34
$609.28 $627.59 $645.91
$228.96 $235.02 $241.08
$201.70 $207.76 $213.81
75 76
$2,888.39 $2,958.84
$2,553.76 $2,624.20
$1,473.33 $1,509.26
$1,302.67 $1,338.59
$751.23 $769.55
$664.23 $682.54
$248.65 $254.71
$219.87 $225.93
77 78 79
$3,046.90 $3,082.12 $3,117.34
$2,694.65 $2,729.87 $2,765.10
$1,554.17 $1,572.13 $1,590.09
$1,374.52 $1,392.49 $1,410.45
$792.44 $801.60 $810.76
$700.86 $710.02 $719.17
$262.28 $265.31 $268.34
$231.99 $235.02 $238.05
80 81
$3,152.57 $3,187.79
$2,782.71 $2,817.93
$1,608.06 $1,626.03
$1,419.43 $1,437.40
$819.92 $829.08
$723.76 $732.91
$271.37 $274.40
$239.56 $242.59
82 83 84 85 86 87 88
$3,223.02 $3,275.85 $3,293.47
$2,853.17 $2,906.00 $2,906.00
$1,643.99 $1,670.93 $1,679.92
$1,455.36 $1,482.31 $1,482.31
$838.23 $851.97 $856.55
$742.07 $755.81 $755.81
$277.43 $281.97 $283.49
$245.62 $250.17 $250.17
$3,293.47 $3,293.47 $3,293.47 $3,311.07
$2,906.00 $2,906.00 $2,923.61 $2,923.61
$1,679.92 $1,679.92 $1,679.92 $1,688.90
$1,482.31 $1,482.31 $1,491.29 $1,491.29
$856.55 $856.55 $856.55 $861.13
$755.81 $755.81 $760.39 $760.39
$283.49 $283.49 $283.49 $285.00
$250.17 $250.17 $251.68 $251.68
89 90 91 92 93
$3,311.07 $3,328.69 $3,328.69 $3,346.31 $3,346.31
$2,941.22 $2,941.22 $2,958.84 $2,958.84 $2,976.44
$1,688.90 $1,697.88 $1,697.88 $1,706.87 $1,706.87
$1,500.27 $1,500.27 $1,509.26 $1,509.26 $1,518.24
$861.13 $865.71 $865.71 $870.29 $870.29
$764.97 $764.97 $769.55 $769.55 $774.13
$285.00 $286.52 $286.52 $288.03 $288.03
$253.20 $253.20 $254.71 $254.71 $256.22
94 95 96 97 98
$3,363.91 $3,363.91 $3,381.53 $3,399.14 $3,399.14
$2,976.44 $2,976.44 $2,994.06 $2,994.06 $3,011.67
$1,715.84 $1,715.84 $1,724.83 $1,733.81 $1,733.81
$1,518.24 $1,518.24 $1,527.22 $1,527.22 $1,536.20
$874.87 $874.87 $879.45 $884.03 $884.03
$774.13 $774.13 $778.71 $778.71 $783.28
$289.55 $289.55 $291.06 $292.58 $292.58
$256.22 $256.22 $257.74 $257.74 $259.25
99
$3,416.75 $3,416.75
$3,011.67 $3,029.28
$1,742.79 $1,742.79
$1,536.20 $1,545.18
$888.60 $888.60
$783.28 $787.86
$294.09 $294.09
$259.25 $260.77
< 65 65 66
100 +
MedSup PLAN A- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN F – MEDICARE SUPPLEMENT RATES Zip Codes: 664-669, 673-679 – AREA 1 NON-TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$1,866.28 $1,866.28
$1,652.58 $1,652.58
$952.05 $952.05
$843.07 $843.07
$485.48 $485.48
$429.92 $429.92
$160.75 $160.75
$142.37 $142.37
67 68 69
$1,923.26 $1,980.25 $2,051.48 $2,136.96
$1,709.57 $1,752.31 $1,823.54 $1,894.77
$981.11 $1,010.18 $1,046.50 $1,090.10
$872.13 $893.93 $930.26 $966.58
$500.30 $515.12 $533.63 $555.86
$444.74 $455.85 $474.37 $492.89
$165.65 $170.55 $176.68 $184.03
$147.27 $150.95 $157.07 $163.20
70 71
$2,208.19 $2,293.67
$1,966.00 $2,022.99
$1,126.43 $1,170.02
$1,002.91 $1,031.97
$574.38 $596.60
$511.41 $526.23
$190.15 $197.51
$169.33 $174.23
72 73 74
$2,364.90 $2,450.38 $2,521.61
$2,094.22 $2,165.45 $2,236.68
$1,206.35 $1,249.94 $1,286.27
$1,068.30 $1,104.63 $1,140.96
$615.12 $637.35 $655.87
$544.75 $563.27 $581.79
$203.63 $210.98 $217.11
$180.35 $186.48 $192.60
75 76
$2,592.84 $2,678.32
$2,293.67 $2,364.90
$1,322.60 $1,366.19
$1,170.02 $1,206.35
$674.39 $696.61
$596.60 $615.12
$223.23 $230.59
$197.51 $203.63
77 78 79
$2,749.56 $2,820.79 $2,906.27
$2,436.13 $2,493.12 $2,564.35
$1,402.53 $1,438.85 $1,482.45
$1,242.68 $1,271.74 $1,308.07
$715.14 $733.66 $755.88
$633.64 $648.46 $666.98
$236.71 $242.84 $250.19
$209.76 $214.66 $220.78
80 81
$2,991.74 $3,077.22
$2,649.83 $2,721.06
$1,526.04 $1,569.63
$1,351.66 $1,387.99
$778.10 $800.33
$689.21 $707.73
$257.54 $264.89
$228.14 $234.26
82 83 84 85 86 87 88
$3,162.70 $3,248.18 $3,333.66
$2,792.29 $2,877.77 $2,949.00
$1,613.23 $1,656.82 $1,700.42
$1,424.32 $1,467.91 $1,504.24
$822.55 $844.78 $867.00
$726.25 $748.47 $766.99
$272.24 $279.59 $286.94
$240.39 $247.74 $253.86
$3,433.38 $3,504.61 $3,575.85 $3,647.08
$3,034.48 $3,105.72 $3,162.70 $3,233.93
$1,751.27 $1,787.60 $1,823.93 $1,860.26
$1,547.83 $1,584.17 $1,613.23 $1,649.55
$892.93 $911.45 $929.97 $948.49
$789.21 $807.74 $822.55 $841.07
$295.52 $301.65 $307.77 $313.90
$261.22 $267.34 $272.24 $278.37
89 90 91 92 93
$3,732.56 $3,803.79 $3,889.27 $3,974.75 $4,060.22
$3,305.16 $3,376.40 $3,447.63 $3,518.86 $3,590.09
$1,903.86 $1,940.18 $1,983.78 $2,027.37 $2,070.96
$1,685.88 $1,722.21 $1,758.54 $1,794.87 $1,831.20
$970.72 $989.24 $1,011.46 $1,033.69 $1,055.91
$859.59 $878.11 $896.63 $915.15 $933.67
$321.25 $327.38 $334.73 $342.08 $349.43
$284.49 $290.62 $296.75 $302.87 $309.00
94 95 96 97 98
$4,145.70 $4,231.18 $4,316.66 $4,416.38 $4,501.86
$3,661.32 $3,746.80 $3,818.04 $3,903.51 $3,988.99
$2,114.56 $2,158.15 $2,201.75 $2,252.60 $2,296.20
$1,867.52 $1,911.12 $1,947.45 $1,991.04 $2,034.63
$1,078.13 $1,100.36 $1,122.58 $1,148.51 $1,170.73
$952.19 $974.42 $992.94 $1,015.16 $1,037.39
$356.78 $364.13 $371.48 $380.06 $387.41
$315.12 $322.47 $328.60 $335.95 $343.30
99
$4,601.59 $4,701.31
$4,074.47 $4,159.95
$2,347.06 $2,397.92
$2,078.23 $2,121.82
$1,196.66 $1,222.59
$1,059.61 $1,081.84
$395.99 $404.56
$350.65 $358.01
Disabled< 65
65 66
100 +
MedSup PLAN F- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN F – MEDICARE SUPPLEMENT RATES Zip Codes: 664-669, 673-679 – AREA 1 TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$2,146.22 $2,146.22
$1,900.47 $1,900.47
$1,094.82 $1,094.82
$969.49 $969.49
$558.27 $558.27
$494.37 $494.37
$184.83 $184.83
$163.69 $163.69
67 68 69
$2,211.75 $2,277.29 $2,359.20 $2,457.50
$1,966.01 $2,015.16 $2,097.07 $2,178.99
$1,128.24 $1,161.67 $1,203.44 $1,253.58
$1,002.91 $1,027.98 $1,069.76 $1,111.53
$575.30 $592.34 $613.64 $639.20
$511.41 $524.19 $545.49 $566.79
$190.46 $196.10 $203.14 $211.60
$169.33 $173.55 $180.60 $187.64
70 71
$2,539.42 $2,637.72
$2,260.90 $2,326.44
$1,295.35 $1,345.49
$1,153.31 $1,186.73
$660.50 $686.06
$588.08 $605.12
$218.64 $227.09
$194.69 $200.32
72 73 74
$2,719.64 $2,817.94 $2,899.85
$2,408.35 $2,490.27 $2,572.18
$1,387.26 $1,437.40 $1,479.17
$1,228.51 $1,270.29 $1,312.06
$707.36 $732.91 $754.21
$626.42 $647.72 $669.02
$234.14 $242.59 $249.64
$207.37 $214.41 $221.46
75 76
$2,981.77 $3,080.07
$2,637.72 $2,719.64
$1,520.95 $1,571.08
$1,345.49 $1,387.26
$775.51 $801.07
$686.06 $707.36
$256.68 $265.14
$227.09 $234.14
77 78 79
$3,161.99 $3,243.91 $3,342.21
$2,801.55 $2,867.09 $2,949.00
$1,612.87 $1,654.64 $1,704.78
$1,429.04 $1,462.46 $1,504.24
$822.37 $843.67 $869.22
$728.65 $745.69 $766.99
$272.18 $279.23 $287.68
$241.18 $246.82 $253.86
80 81
$3,440.50 $3,538.80
$3,047.30 $3,129.22
$1,754.91 $1,805.04
$1,554.38 $1,596.15
$894.78 $920.34
$792.55 $813.85
$296.13 $304.59
$262.32 $269.36
82 83 84 85 86 87 88
$3,637.11 $3,735.41 $3,833.71
$3,211.13 $3,309.44 $3,391.35
$1,855.17 $1,905.31 $1,955.44
$1,637.93 $1,688.06 $1,729.84
$945.90 $971.46 $997.01
$835.14 $860.70 $882.00
$313.04 $321.50 $329.95
$276.41 $284.86 $291.91
$3,948.39 $4,030.30 $4,112.23 $4,194.14
$3,489.65 $3,571.58 $3,637.11 $3,719.02
$2,013.93 $2,055.70 $2,097.49 $2,139.26
$1,779.97 $1,821.75 $1,855.17 $1,896.95
$1,026.83 $1,048.13 $1,069.43 $1,090.73
$907.56 $928.86 $945.90 $967.20
$339.81 $346.86 $353.90 $360.95
$300.36 $307.41 $313.04 $320.09
89 90 91 92 93
$4,292.44 $4,374.36 $4,472.66 $4,570.96 $4,669.25
$3,800.93 $3,882.86 $3,964.77 $4,046.69 $4,128.60
$2,189.40 $2,231.17 $2,281.31 $2,331.44 $2,381.57
$1,938.73 $1,980.51 $2,022.28 $2,064.06 $2,105.84
$1,116.29 $1,137.58 $1,163.14 $1,188.70 $1,214.26
$988.49 $1,009.79 $1,031.09 $1,052.39 $1,073.69
$369.40 $376.44 $384.90 $393.35 $401.81
$327.13 $334.18 $341.22 $348.27 $355.31
94 95 96 97 98
$4,767.56 $4,865.86 $4,964.16 $5,078.84 $5,177.14
$4,210.52 $4,308.82 $4,390.75 $4,489.04 $4,587.34
$2,431.70 $2,481.84 $2,531.97 $2,590.46 $2,640.59
$2,147.61 $2,197.75 $2,239.53 $2,289.66 $2,339.79
$1,239.81 $1,265.37 $1,290.93 $1,320.75 $1,346.31
$1,094.98 $1,120.54 $1,141.84 $1,167.40 $1,192.96
$410.26 $418.71 $427.17 $437.03 $445.48
$362.35 $370.81 $377.85 $386.31 $394.76
99
$5,291.83 $5,406.51
$4,685.64 $4,783.94
$2,699.08 $2,757.57
$2,389.93 $2,440.06
$1,376.13 $1,405.94
$1,218.52 $1,244.08
$455.35 $465.21
$403.22 $411.67
Disabled< 65
65 66
100 +
MedSup PLAN F- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN F – MEDICARE SUPPLEMENT RATES Zip Codes: 660-662, 670-672 – AREA 2 NON-TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$2,006.25 $2,006.25
$1,776.52 $1,776.52
$1,023.44 $1,023.44
$906.28 $906.28
$521.88 $521.88
$462.15 $462.15
$172.79 $172.79
$153.03 $153.03
67 68 69
$2,067.50 $2,128.77 $2,205.34 $2,297.23
$1,837.79 $1,883.73 $1,960.31 $2,036.88
$1,054.68 $1,085.92 $1,124.97 $1,171.84
$937.52 $960.95 $1,000.01 $1,039.06
$537.80 $553.73 $573.64 $597.53
$478.07 $490.02 $509.93 $529.84
$178.06 $183.32 $189.91 $197.81
$158.30 $162.25 $168.84 $175.42
70 71
$2,373.80 $2,465.70
$2,113.45 $2,174.71
$1,210.89 $1,257.75
$1,078.11 $1,109.35
$617.44 $641.33
$549.75 $565.68
$204.40 $212.30
$182.01 $187.28
72 73 74
$2,542.27 $2,634.16 $2,710.73
$2,251.29 $2,327.86 $2,404.43
$1,296.81 $1,343.67 $1,382.72
$1,148.41 $1,187.46 $1,226.51
$661.24 $685.13 $705.04
$585.58 $605.49 $625.40
$218.89 $226.79 $233.37
$193.86 $200.45 $207.03
75 76
$2,787.30 $2,879.19
$2,465.70 $2,542.27
$1,421.77 $1,468.64
$1,257.75 $1,296.81
$724.95 $748.84
$641.33 $661.24
$239.96 $247.86
$212.30 $218.89
77 78 79
$2,955.78 $3,032.35 $3,124.24
$2,618.84 $2,680.10 $2,756.68
$1,507.70 $1,546.75 $1,593.61
$1,335.86 $1,367.10 $1,406.15
$768.75 $788.66 $812.55
$681.15 $697.08 $716.99
$254.45 $261.03 $268.93
$225.47 $230.74 $237.32
80 81
$3,216.12 $3,308.01
$2,848.57 $2,925.14
$1,640.47 $1,687.34
$1,453.02 $1,492.07
$836.44 $860.33
$740.88 $760.79
$276.84 $284.74
$245.23 $251.81
82 83 84 85 86 87 88
$3,399.90 $3,491.79 $3,583.68
$3,001.71 $3,093.60 $3,170.18
$1,734.20 $1,781.06 $1,827.93
$1,531.12 $1,577.99 $1,617.04
$884.22 $908.12 $932.01
$780.70 $804.59 $824.50
$292.64 $300.54 $308.45
$258.40 $266.30 $272.89
$3,690.88 $3,767.46 $3,844.04 $3,920.61
$3,262.07 $3,338.65 $3,399.90 $3,476.47
$1,882.60 $1,921.65 $1,960.71 $1,999.76
$1,663.90 $1,702.96 $1,734.20 $1,773.25
$959.88 $979.79 $999.70 $1,019.61
$848.39 $868.30 $884.22 $904.13
$317.67 $324.25 $330.84 $337.42
$280.79 $287.37 $292.64 $299.23
89 90 91 92 93
$4,012.50 $4,089.07 $4,180.97 $4,272.86 $4,364.74
$3,553.05 $3,629.63 $3,706.20 $3,782.77 $3,859.35
$2,046.63 $2,085.68 $2,132.54 $2,179.41 $2,226.27
$1,812.30 $1,851.36 $1,890.41 $1,929.46 $1,968.52
$1,043.50 $1,063.41 $1,087.30 $1,111.19 $1,135.08
$924.04 $943.95 $963.86 $983.77 $1,003.68
$345.33 $351.91 $359.81 $367.72 $375.62
$305.81 $312.40 $318.98 $325.57 $332.15
94 95 96 97 98
$4,456.63 $4,548.52 $4,640.41 $4,747.61 $4,839.50
$3,935.92 $4,027.81 $4,104.39 $4,196.27 $4,288.16
$2,273.13 $2,319.99 $2,366.86 $2,421.53 $2,468.39
$2,007.57 $2,054.43 $2,093.49 $2,140.35 $2,187.21
$1,158.97 $1,182.86 $1,206.76 $1,234.63 $1,258.52
$1,023.59 $1,047.48 $1,067.39 $1,091.28 $1,115.17
$383.52 $391.42 $399.33 $408.54 $416.45
$338.74 $346.64 $353.23 $361.13 $369.03
99
$4,946.71 $5,053.91
$4,380.06 $4,471.95
$2,523.07 $2,577.74
$2,234.08 $2,280.94
$1,286.39 $1,314.27
$1,139.06 $1,162.96
$425.67 $434.89
$376.93 $384.84
Disabled< 65
65 66
100 +
MedSup PLAN F- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN F – MEDICARE SUPPLEMENT RATES Zip Codes: 660-662, 670-672 – AREA 2 TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$2,307.19 $2,307.19
$2,043.00 $2,043.00
$1,176.92 $1,176.92
$1,042.18 $1,042.18
$600.12 $600.12
$531.43 $531.43
$198.67 $198.67
$175.95 $175.95
67 68 69
$2,377.63 $2,448.08 $2,536.14 $2,641.82
$2,113.46 $2,166.29 $2,254.35 $2,342.41
$1,212.84 $1,248.77 $1,293.68 $1,347.58
$1,078.11 $1,105.06 $1,149.97 $1,194.88
$618.43 $636.75 $659.65 $687.12
$549.75 $563.49 $586.38 $609.28
$204.73 $210.79 $218.36 $227.45
$182.01 $186.55 $194.12 $201.70
70 71
$2,729.87 $2,835.55
$2,430.47 $2,500.92
$1,392.49 $1,446.38
$1,239.79 $1,275.72
$710.02 $737.49
$632.17 $650.49
$235.02 $244.11
$209.27 $215.33
72 73 74
$2,923.61 $3,029.28 $3,117.34
$2,588.98 $2,677.04 $2,765.10
$1,491.29 $1,545.18 $1,590.09
$1,320.63 $1,365.54 $1,410.45
$760.39 $787.86 $810.76
$673.38 $696.28 $719.17
$251.68 $260.77 $268.34
$222.90 $230.48 $238.05
75 76
$3,205.40 $3,311.07
$2,835.55 $2,923.61
$1,635.00 $1,688.90
$1,446.38 $1,491.29
$833.65 $861.13
$737.49 $760.39
$275.91 $285.00
$244.11 $251.68
77 78 79
$3,399.14 $3,487.20 $3,592.88
$3,011.67 $3,082.12 $3,170.18
$1,733.81 $1,778.72 $1,832.62
$1,536.20 $1,572.13 $1,617.04
$884.03 $906.92 $934.40
$783.28 $801.60 $824.50
$292.58 $300.15 $309.24
$259.25 $265.31 $272.89
80 81
$3,698.54 $3,804.21
$3,275.85 $3,363.91
$1,886.50 $1,940.40
$1,670.93 $1,715.84
$961.87 $989.35
$851.97 $874.87
$318.32 $327.41
$281.97 $289.55
82 83 84 85 86 87 88
$3,909.89 $4,015.56 $4,121.24
$3,451.97 $3,557.64 $3,645.70
$1,994.29 $2,048.19 $2,102.08
$1,760.75 $1,814.65 $1,859.56
$1,016.82 $1,044.30 $1,071.77
$897.76 $925.24 $948.13
$336.50 $345.59 $354.68
$297.12 $306.21 $313.78
$4,244.52 $4,332.57 $4,420.64 $4,508.70
$3,751.38 $3,839.45 $3,909.89 $3,997.95
$2,164.95 $2,209.86 $2,254.78 $2,299.69
$1,913.45 $1,958.37 $1,994.29 $2,039.20
$1,103.82 $1,126.72 $1,149.62 $1,172.51
$975.61 $998.51 $1,016.82 $1,039.72
$365.28 $372.85 $380.43 $388.00
$322.87 $330.44 $336.50 $344.07
89 90 91 92 93
$4,614.38 $4,702.44 $4,808.11 $4,913.78 $5,019.45
$4,086.00 $4,174.07 $4,262.13 $4,350.19 $4,438.25
$2,353.58 $2,398.49 $2,452.39 $2,506.28 $2,560.17
$2,084.11 $2,129.03 $2,173.94 $2,218.85 $2,263.76
$1,199.99 $1,222.88 $1,250.36 $1,277.83 $1,305.31
$1,062.61 $1,085.51 $1,108.40 $1,131.30 $1,154.19
$397.09 $404.66 $413.75 $422.84 $431.92
$351.65 $359.22 $366.79 $374.37 $381.94
94 95 96 97 98
$5,125.12 $5,230.80 $5,336.47 $5,459.75 $5,565.42
$4,526.31 $4,631.98 $4,720.05 $4,825.71 $4,931.39
$2,614.06 $2,667.96 $2,721.85 $2,784.72 $2,838.62
$2,308.67 $2,362.56 $2,407.48 $2,461.36 $2,515.26
$1,332.78 $1,360.26 $1,387.73 $1,419.78 $1,447.26
$1,177.09 $1,204.57 $1,227.46 $1,254.94 $1,282.41
$441.01 $450.10 $459.19 $469.79 $478.88
$389.51 $398.60 $406.17 $415.26 $424.35
99
$5,688.72 $5,811.99
$5,037.06 $5,142.74
$2,901.49 $2,964.37
$2,569.15 $2,623.05
$1,479.32 $1,511.37
$1,309.89 $1,337.36
$489.48 $500.08
$433.44 $442.53
Disabled< 65
65 66
100 +
MedSup PLAN F- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN G – MEDICARE SUPPLEMENT RATES Zip Codes: 664-669, 673-679 – AREA 1 NON-TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$1,665.44 $1,665.44
$1,473.84 $1,473.84
$849.62 $849.62
$751.91 $751.91
$433.26 $433.26
$383.45 $383.45
$143.48 $143.48
$127.00 $127.00
67 68 69
$1,665.44 $1,665.44 $1,665.44 $1,717.07
$1,473.84 $1,473.84 $1,473.84 $1,519.53
$849.62 $849.62 $849.62 $875.96
$751.91 $751.91 $751.91 $775.21
$433.26 $433.26 $433.26 $446.69
$383.45 $383.45 $383.45 $395.33
$143.48 $143.48 $143.48 $147.92
$127.00 $127.00 $127.00 $130.93
70 71
$1,770.29 $1,826.94
$1,566.63 $1,616.76
$903.10 $931.99
$799.23 $824.80
$460.53 $475.25
$407.57 $420.61
$152.49 $157.37
$134.98 $139.29
72 73 74
$1,883.57 $1,943.85 $2,004.11
$1,666.88 $1,720.22 $1,773.55
$960.87 $991.61 $1,022.35
$850.36 $877.56 $904.76
$489.98 $505.65 $521.32
$433.64 $447.51 $461.37
$162.24 $167.42 $172.60
$143.60 $148.19 $152.78
75 76
$2,066.24 $2,128.23
$1,828.53 $1,883.39
$1,054.03 $1,085.65
$932.80 $960.78
$537.47 $553.59
$475.67 $489.93
$177.95 $183.28
$157.50 $162.22
77 78 79
$2,187.82 $2,246.89 $2,305.30
$1,936.12 $1,988.40 $2,040.09
$1,116.04 $1,146.16 $1,175.95
$987.67 $1,014.33 $1,040.70
$569.08 $584.44 $599.63
$503.64 $517.23 $530.67
$188.40 $193.48 $198.51
$166.76 $171.25 $175.70
80 81
$2,365.25 $2,429.10
$2,093.14 $2,149.65
$1,206.53 $1,239.09
$1,067.75 $1,096.57
$615.22 $631.82
$544.47 $559.16
$203.66 $209.15
$180.26 $185.12
82 83 84 85 86 87 88
$2,494.69 $2,564.55 $2,633.78
$2,207.69 $2,269.51 $2,330.78
$1,272.54 $1,308.17 $1,343.48
$1,126.17 $1,157.70 $1,188.95
$648.87 $667.03 $685.03
$574.25 $590.32 $606.25
$214.79 $220.80 $226.76
$190.11 $195.43 $200.70
$2,699.63 $2,750.93 $2,803.19 $2,856.45
$2,389.05 $2,434.45 $2,480.70 $2,527.83
$1,377.06 $1,403.22 $1,429.88 $1,457.04
$1,218.67 $1,241.82 $1,265.41 $1,289.44
$702.15 $715.49 $729.08 $742.93
$621.40 $633.21 $645.23 $657.49
$232.42 $236.83 $241.32 $245.90
$205.71 $209.61 $213.59 $217.64
89 90 91 92 93
$2,907.87 $2,960.22 $2,986.85 $3,013.73 $3,037.85
$2,573.34 $2,619.66 $2,643.23 $2,667.02 $2,688.36
$1,483.26 $1,509.96 $1,523.54 $1,537.25 $1,549.55
$1,312.65 $1,336.28 $1,348.30 $1,360.43 $1,371.31
$756.30 $769.91 $776.83 $783.82 $790.09
$669.32 $681.36 $687.49 $693.68 $699.22
$250.33 $254.83 $257.12 $259.43 $261.51
$221.56 $225.54 $227.57 $229.61 $231.45
94 95 96 97 98
$3,062.14 $3,089.70 $3,111.33 $3,133.12 $3,155.05
$2,709.86 $2,734.25 $2,753.39 $2,772.67 $2,792.08
$1,561.94 $1,576.00 $1,587.03 $1,598.14 $1,609.33
$1,382.28 $1,394.72 $1,404.48 $1,414.31 $1,424.21
$796.41 $803.57 $809.20 $814.86 $820.56
$704.81 $711.16 $716.13 $721.14 $726.19
$263.59 $265.96 $267.82 $269.70 $271.58
$233.30 $235.40 $237.04 $238.70 $240.37
99
$3,177.13 $3,199.37
$2,811.62 $2,831.30
$1,620.59 $1,631.93
$1,434.18 $1,444.21
$826.30 $832.09
$731.27 $736.39
$273.48 $275.40
$242.05 $243.74
Disabled< 65
65 66
100 +
MedSup PLAN G- KS Rev. 3-16-2017
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN G – MEDICARE SUPPLEMENT RATES Zip Codes: 664-669, 673-679 – AREA 1 TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$1,915.26 $1,915.26
$1,694.92 $1,694.92
$977.03 $977.03
$864.66 $864.66
$498.22 $498.22
$440.93 $440.93
$164.96 $164.96
$146.01 $146.01
67 68 69
$1,915.26 $1,915.26 $1,915.26 $1,974.63
$1,694.92 $1,694.92 $1,694.92 $1,747.46
$977.03 $977.03 $977.03 $1,007.31
$864.66 $864.66 $864.66 $891.45
$498.22 $498.22 $498.22 $513.65
$440.93 $440.93 $440.93 $454.59
$164.96 $164.96 $164.96 $170.07
$146.01 $146.01 $146.01 $150.53
70 71
$2,035.83 $2,100.98
$1,801.62 $1,859.27
$1,038.52 $1,071.75
$919.08 $948.48
$529.57 $546.50
$468.67 $483.66
$175.33 $180.93
$155.19 $160.15
72 73 74
$2,166.11 $2,235.43 $2,304.73
$1,916.91 $1,978.25 $2,039.58
$1,104.97 $1,140.32 $1,175.66
$977.87 $1,009.16 $1,040.44
$563.44 $581.46 $599.48
$498.65 $514.60 $530.54
$186.54 $192.50 $198.46
$165.10 $170.38 $175.65
75 76
$2,376.18 $2,447.46
$2,102.81 $2,165.90
$1,212.10 $1,248.45
$1,072.68 $1,104.86
$618.06 $636.59
$546.98 $563.38
$204.60 $210.73
$181.09 $186.52
77 78 79
$2,515.99 $2,583.92 $2,651.10
$2,226.54 $2,286.66 $2,346.10
$1,283.40 $1,318.05 $1,352.31
$1,135.79 $1,166.45 $1,196.76
$654.41 $672.07 $689.54
$579.15 $594.78 $610.24
$216.63 $222.47 $228.24
$191.73 $196.90 $202.01
80 81
$2,720.04 $2,793.47
$2,407.11 $2,472.10
$1,387.47 $1,424.92
$1,227.88 $1,261.02
$707.46 $726.55
$626.10 $643.00
$234.17 $240.49
$207.26 $212.85
82 83 84 85 86 87 88
$2,868.89 $2,949.23 $3,028.85
$2,538.84 $2,609.94 $2,680.40
$1,463.38 $1,504.36 $1,544.96
$1,295.06 $1,331.32 $1,367.25
$746.16 $767.05 $787.75
$660.35 $678.83 $697.15
$246.97 $253.88 $260.73
$218.59 $224.70 $230.76
$3,104.57 $3,163.57 $3,223.67 $3,284.92
$2,747.41 $2,799.62 $2,852.81 $2,907.00
$1,583.58 $1,613.67 $1,644.32 $1,675.56
$1,401.43 $1,428.06 $1,455.18 $1,482.82
$807.44 $822.78 $838.40 $854.33
$714.58 $728.15 $741.98 $756.07
$267.24 $272.32 $277.49 $282.75
$236.53 $241.02 $245.59 $250.25
89 90 91 92 93
$3,344.05 $3,404.25 $3,434.88 $3,465.79 $3,493.53
$2,959.34 $3,012.61 $3,039.71 $3,067.07 $3,091.61
$1,705.72 $1,736.42 $1,752.04 $1,767.80 $1,781.95
$1,509.51 $1,536.68 $1,550.50 $1,564.46 $1,576.97
$869.70 $885.36 $893.32 $901.36 $908.57
$769.68 $783.53 $790.57 $797.69 $804.07
$287.84 $293.02 $295.65 $298.31 $300.69
$254.75 $259.33 $261.67 $264.02 $266.13
94 95 96 97 98
$3,521.46 $3,553.16 $3,578.03 $3,603.09 $3,628.31
$3,116.34 $3,144.39 $3,166.40 $3,188.57 $3,210.89
$1,796.19 $1,812.36 $1,825.05 $1,837.83 $1,850.69
$1,589.58 $1,603.89 $1,615.11 $1,626.42 $1,637.80
$915.83 $924.07 $930.54 $937.05 $943.61
$810.50 $817.79 $823.51 $829.28 $835.08
$303.10 $305.82 $307.96 $310.12 $312.28
$268.26 $270.67 $272.56 $274.47 $276.39
99
$3,653.70 $3,679.28
$3,233.36 $3,256.00
$1,863.64 $1,876.68
$1,649.26 $1,660.81
$950.21 $956.86
$840.92 $846.81
$314.47 $316.67
$278.32 $280.27
Disabled< 65
65 66
100 +
MedSup PLAN G- KS Rev. 3-16-2017
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN G – MEDICARE SUPPLEMENT RATES Zip Codes: 660-662, 670-672 – AREA 2 NON-TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$1,790.35 $1,790.35
$1,584.38 $1,584.38
$913.33 $913.33
$808.28 $808.28
$465.74 $465.74
$412.19 $412.19
$154.22 $154.22
$136.51 $136.51
67 68 69
$1,790.35 $1,790.35 $1,790.35 $1,845.85
$1,584.38 $1,584.38 $1,584.38 $1,633.49
$913.33 $913.33 $913.33 $941.63
$808.28 $808.28 $808.28 $833.33
$465.74 $465.74 $465.74 $480.17
$412.19 $412.19 $412.19 $424.96
$154.22 $154.22 $154.22 $158.99
$136.51 $136.51 $136.51 $140.73
70 71
$1,903.06 $1,963.96
$1,684.13 $1,738.02
$970.81 $1,001.87
$859.16 $886.64
$495.05 $510.88
$438.12 $452.14
$163.91 $169.15
$145.09 $149.72
72 73 74
$2,024.84 $2,089.64 $2,154.42
$1,791.90 $1,849.24 $1,906.57
$1,032.92 $1,065.97 $1,099.00
$914.12 $943.36 $972.60
$526.71 $543.56 $560.40
$466.14 $481.05 $495.96
$174.39 $179.96 $185.53
$154.35 $159.28 $164.22
75 76
$2,221.21 $2,287.85
$1,965.67 $2,024.64
$1,133.07 $1,167.05
$1,002.74 $1,032.82
$577.76 $595.09
$511.32 $526.66
$191.27 $197.01
$169.30 $174.37
77 78 79
$2,351.91 $2,415.41 $2,478.20
$2,081.33 $2,137.53 $2,193.10
$1,199.72 $1,232.11 $1,264.13
$1,061.73 $1,090.39 $1,118.73
$611.75 $628.26 $644.58
$541.40 $556.01 $570.46
$202.51 $207.98 $213.38
$179.24 $184.08 $188.86
80 81
$2,542.64 $2,611.28
$2,250.13 $2,310.87
$1,297.00 $1,332.00
$1,147.82 $1,178.79
$661.34 $679.18
$585.28 $601.08
$218.92 $224.82
$193.76 $198.98
82 83 84 85 86 87 88
$2,681.79 $2,756.89 $2,831.31
$2,373.27 $2,439.72 $2,505.59
$1,367.96 $1,406.26 $1,444.22
$1,210.62 $1,244.51 $1,278.10
$697.52 $717.04 $736.39
$617.30 $634.58 $651.70
$230.88 $237.34 $243.74
$204.35 $210.07 $215.73
$2,902.10 $2,957.25 $3,013.43 $3,070.68
$2,568.23 $2,617.03 $2,666.75 $2,717.42
$1,480.32 $1,508.45 $1,537.10 $1,566.30
$1,310.05 $1,334.94 $1,360.29 $1,386.13
$754.80 $769.14 $783.74 $798.63
$667.99 $680.68 $693.61 $706.78
$249.83 $254.57 $259.40 $264.33
$221.12 $225.31 $229.59 $233.95
89 90 91 92 93
$3,125.96 $3,182.24 $3,210.86 $3,239.76 $3,265.69
$2,766.34 $2,816.13 $2,841.47 $2,867.05 $2,889.99
$1,594.49 $1,623.19 $1,637.79 $1,652.53 $1,665.75
$1,411.08 $1,436.48 $1,449.40 $1,462.45 $1,474.14
$813.00 $827.63 $835.07 $842.59 $849.33
$719.50 $732.44 $739.03 $745.68 $751.65
$269.08 $273.92 $276.38 $278.87 $281.10
$238.16 $242.44 $244.62 $246.82 $248.79
94 95 96 97 98
$3,291.80 $3,321.43 $3,344.68 $3,368.10 $3,391.68
$2,913.10 $2,939.32 $2,959.89 $2,980.62 $3,001.49
$1,679.07 $1,694.18 $1,706.04 $1,717.98 $1,730.01
$1,485.93 $1,499.30 $1,509.79 $1,520.37 $1,531.01
$856.12 $863.82 $869.87 $875.96 $882.09
$757.66 $764.47 $769.82 $775.21 $780.64
$283.34 $285.89 $287.89 $289.91 $291.93
$250.78 $253.03 $254.80 $256.58 $258.38
99
$3,415.41 $3,439.32
$3,022.49 $3,043.65
$1,742.11 $1,754.30
$1,541.72 $1,552.51
$888.26 $894.47
$786.10 $791.60
$293.98 $296.03
$260.18 $262.00
Disabled< 65
65 66
100 +
MedSup PLAN G- KS Rev. 3-16-2017
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN G – MEDICARE SUPPLEMENT RATES Zip Codes: 660-662, 670-672 – AREA 2 TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$2,058.90 $2,058.90
$1,822.04 $1,822.04
$1,050.29 $1,050.29
$929.49 $929.49
$535.56 $535.56
$473.98 $473.98
$177.32 $177.32
$156.95 $156.95
67 68 69
$2,058.90 $2,058.90 $2,058.90 $2,122.73
$1,822.04 $1,822.04 $1,822.04 $1,878.52
$1,050.29 $1,050.29 $1,050.29 $1,082.84
$929.49 $929.49 $929.49 $958.30
$535.56 $535.56 $535.56 $552.16
$473.98 $473.98 $473.98 $488.67
$177.32 $177.32 $177.32 $182.80
$156.95 $156.95 $156.95 $161.80
70 71
$2,188.52 $2,258.55
$1,936.74 $1,998.72
$1,116.40 $1,152.11
$987.99 $1,019.60
$569.27 $587.47
$503.80 $519.92
$188.46 $194.49
$166.81 $172.14
72 73 74
$2,328.57 $2,403.09 $2,477.58
$2,060.68 $2,126.62 $2,192.55
$1,187.82 $1,225.83 $1,263.82
$1,051.20 $1,084.83 $1,118.45
$605.68 $625.05 $644.42
$536.03 $553.17 $570.31
$200.51 $206.92 $213.32
$177.47 $183.14 $188.81
75 76
$2,554.39 $2,631.02
$2,260.52 $2,328.34
$1,302.99 $1,342.07
$1,153.12 $1,187.70
$664.39 $684.32
$587.99 $605.62
$219.93 $226.52
$194.65 $200.49
77 78 79
$2,704.69 $2,777.71 $2,849.93
$2,393.53 $2,458.16 $2,522.06
$1,379.64 $1,416.88 $1,453.71
$1,220.95 $1,253.91 $1,286.50
$703.47 $722.45 $741.23
$622.57 $639.37 $655.99
$232.85 $239.13 $245.34
$206.09 $211.65 $217.15
80 81
$2,924.04 $3,002.98
$2,587.64 $2,657.51
$1,491.51 $1,531.77
$1,319.95 $1,355.58
$760.50 $781.02
$673.04 $691.20
$251.72 $258.51
$222.79 $228.80
82 83 84 85 86 87 88
$3,084.06 $3,170.42 $3,256.01
$2,729.25 $2,805.69 $2,881.43
$1,573.12 $1,617.16 $1,660.82
$1,392.17 $1,431.15 $1,469.78
$802.11 $824.56 $846.81
$709.86 $729.73 $749.42
$265.48 $272.91 $280.27
$234.97 $241.54 $248.05
$3,337.41 $3,400.84 $3,465.45 $3,531.29
$2,953.47 $3,009.59 $3,066.77 $3,125.03
$1,702.33 $1,734.68 $1,767.63 $1,801.21
$1,506.52 $1,535.14 $1,564.30 $1,594.02
$867.98 $884.47 $901.27 $918.39
$768.15 $782.74 $797.61 $812.76
$287.27 $292.72 $298.28 $303.94
$254.25 $259.07 $263.99 $269.00
89 90 91 92 93
$3,594.85 $3,659.57 $3,692.50 $3,725.72 $3,755.54
$3,181.29 $3,238.56 $3,267.69 $3,297.10 $3,323.48
$1,833.62 $1,866.63 $1,883.43 $1,900.37 $1,915.58
$1,622.71 $1,651.92 $1,666.77 $1,681.77 $1,695.22
$934.91 $951.74 $960.30 $968.94 $976.69
$827.39 $842.28 $849.85 $857.50 $864.35
$309.41 $314.97 $317.81 $320.66 $323.23
$273.84 $278.77 $281.27 $283.80 $286.07
94 95 96 97 98
$3,785.57 $3,819.65 $3,846.38 $3,873.32 $3,900.43
$3,350.07 $3,380.22 $3,403.88 $3,427.71 $3,451.71
$1,930.89 $1,948.27 $1,961.90 $1,975.64 $1,989.47
$1,708.79 $1,724.16 $1,736.23 $1,748.38 $1,760.62
$984.50 $993.36 $1,000.31 $1,007.31 $1,014.36
$871.27 $879.11 $885.26 $891.45 $897.69
$325.81 $328.74 $331.04 $333.36 $335.69
$288.36 $290.95 $292.98 $295.03 $297.10
99
$3,927.73 $3,955.23
$3,475.86 $3,500.20
$2,003.39 $2,017.42
$1,772.94 $1,785.35
$1,021.46 $1,028.61
$903.97 $910.30
$338.03 $340.40
$299.17 $301.27
Disabled< 65
65 66
100 +
MedSup PLAN G- KS Rev. 3-16-2017
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN N – MEDICARE SUPPLEMENT RATES Zip Codes: 664-669, 673-679 – AREA 1 NON-TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$1,339.16 $1,339.16
$1,196.70 $1,196.70
$683.22 $683.22
$610.57 $610.57
$348.43 $348.43
$311.39 $311.39
$115.42 $115.42
$103.17 $103.17
67 68 69
$1,381.90 $1,424.64 $1,481.63 $1,538.61
$1,225.19 $1,253.68 $1,310.67 $1,367.65
$705.02 $726.82 $755.88 $784.94
$625.10 $639.63 $668.69 $697.75
$359.54 $370.66 $385.47 $400.29
$318.80 $326.21 $341.02 $355.84
$119.09 $122.77 $127.67 $132.57
$105.62 $108.07 $112.97 $117.87
70 71
$1,595.60 $1,652.58
$1,410.39 $1,467.38
$814.01 $843.07
$719.55 $748.61
$415.11 $429.92
$366.95 $381.77
$137.47 $142.37
$121.54 $126.44
72 73 74
$1,723.81 $1,780.80 $1,837.79
$1,524.36 $1,567.10 $1,624.09
$879.39 $908.46 $937.52
$777.67 $799.47 $828.54
$448.44 $463.26 $478.08
$396.58 $407.70 $422.51
$148.50 $153.40 $158.30
$131.34 $135.02 $139.92
75 76
$1,894.77 $1,951.76
$1,681.08 $1,723.81
$966.58 $995.65
$857.60 $879.39
$492.89 $507.71
$437.33 $448.44
$163.20 $168.10
$144.82 $148.50
77 78 79
$2,008.74 $2,065.73 $2,122.71
$1,780.80 $1,837.79 $1,880.52
$1,024.71 $1,053.77 $1,082.83
$908.46 $937.52 $959.32
$522.52 $537.34 $552.15
$463.26 $478.08 $489.19
$173.00 $177.90 $182.80
$153.40 $158.30 $161.97
80 81
$2,193.95 $2,250.93
$1,937.51 $1,994.50
$1,119.16 $1,148.22
$988.38 $1,017.45
$570.68 $585.49
$504.00 $518.82
$188.93 $193.83
$166.88 $171.78
82 83 84 85 86 87 88
$2,307.92 $2,379.15 $2,450.38
$2,051.48 $2,108.47 $2,165.45
$1,177.29 $1,213.62 $1,249.94
$1,046.50 $1,075.57 $1,104.63
$600.31 $618.83 $637.35
$533.63 $548.45 $563.27
$198.73 $204.86 $210.98
$176.68 $181.58 $186.48
$2,521.61 $2,592.84 $2,664.08 $2,735.31
$2,222.44 $2,293.67 $2,350.66 $2,421.89
$1,286.27 $1,322.60 $1,358.93 $1,395.26
$1,133.69 $1,170.02 $1,199.09 $1,235.41
$655.87 $674.39 $692.91 $711.43
$578.08 $596.60 $611.42 $629.94
$217.11 $223.23 $229.36 $235.49
$191.38 $197.51 $202.41 $208.53
89 90 91 92 93
$2,806.54 $2,892.02 $2,977.50 $3,048.73 $3,134.21
$2,493.12 $2,550.11 $2,635.58 $2,706.82 $2,778.05
$1,431.59 $1,475.18 $1,518.78 $1,555.10 $1,598.70
$1,271.74 $1,300.81 $1,344.40 $1,380.73 $1,417.06
$729.95 $752.18 $774.40 $792.92 $815.14
$648.46 $663.28 $685.50 $704.02 $722.54
$241.61 $248.96 $256.32 $262.44 $269.79
$214.66 $219.56 $226.91 $233.04 $239.16
94 95 96 97 98
$3,233.93 $3,319.41 $3,419.14 $3,504.61 $3,604.34
$2,863.53 $2,934.76 $3,020.24 $3,105.72 $3,191.19
$1,649.55 $1,693.15 $1,744.01 $1,787.60 $1,838.46
$1,460.65 $1,496.98 $1,540.57 $1,584.17 $1,627.76
$841.07 $863.30 $889.23 $911.45 $937.38
$744.77 $763.29 $785.51 $807.74 $829.96
$278.37 $285.72 $294.30 $301.65 $310.22
$246.51 $252.64 $259.99 $267.34 $274.69
99
$3,704.06 $3,818.04
$3,276.67 $3,376.40
$1,889.32 $1,947.45
$1,671.35 $1,722.21
$963.31 $992.94
$852.18 $878.11
$318.80 $328.60
$282.04 $290.62
< 65 65 66
100 +
MedSup PLAN N- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN N – MEDICARE SUPPLEMENT RATES Zip Codes: 664-669, 673-679 – AREA 1 TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$1,540.03 $1,540.03
$1,376.21 $1,376.21
$785.67 $785.67
$702.11 $702.11
$400.66 $400.66
$358.06 $358.06
$132.69 $132.69
$118.60 $118.60
67 68 69
$1,589.19 $1,638.34 $1,703.87 $1,769.40
$1,408.97 $1,441.73 $1,507.27 $1,572.80
$810.73 $835.80 $869.23 $902.64
$718.82 $735.53 $768.96 $802.38
$413.44 $426.22 $443.26 $460.29
$366.58 $375.10 $392.14 $409.18
$136.92 $141.15 $146.78 $152.42
$121.42 $124.24 $129.88 $135.51
70 71
$1,834.94 $1,900.47
$1,621.95 $1,687.49
$936.07 $969.49
$827.44 $860.87
$477.33 $494.37
$421.96 $439.00
$158.05 $163.69
$139.74 $145.37
72 73 74
$1,982.38 $2,047.92 $2,113.46
$1,753.01 $1,802.17 $1,867.70
$1,011.26 $1,044.69 $1,078.11
$894.29 $919.35 $952.78
$515.67 $532.71 $549.75
$456.03 $468.81 $485.85
$170.73 $176.37 $182.01
$151.01 $155.24 $160.87
75 76
$2,178.99 $2,244.52
$1,933.24 $1,982.38
$1,111.53 $1,144.96
$986.20 $1,011.26
$566.79 $583.83
$502.89 $515.67
$187.64 $193.28
$166.51 $170.73
77 78 79
$2,310.05 $2,375.59 $2,441.12
$2,047.92 $2,113.46 $2,162.60
$1,178.38 $1,211.80 $1,245.22
$1,044.69 $1,078.11 $1,103.17
$600.86 $617.90 $634.94
$532.71 $549.75 $562.53
$198.91 $204.55 $210.19
$176.37 $182.01 $186.23
80 81
$2,523.04 $2,588.57
$2,228.14 $2,293.68
$1,287.00 $1,320.42
$1,136.60 $1,170.02
$656.24 $673.28
$579.57 $596.61
$217.23 $222.87
$191.87 $197.51
82 83 84 85 86 87 88
$2,654.11 $2,736.02 $2,817.94
$2,359.20 $2,424.74 $2,490.27
$1,353.85 $1,395.62 $1,437.40
$1,203.44 $1,236.87 $1,270.29
$690.32 $711.62 $732.91
$613.64 $630.68 $647.72
$228.50 $235.55 $242.59
$203.14 $208.78 $214.41
$2,899.85 $2,981.77 $3,063.69 $3,145.61
$2,555.81 $2,637.72 $2,703.26 $2,785.17
$1,479.17 $1,520.95 $1,562.73 $1,604.51
$1,303.71 $1,345.49 $1,378.91 $1,420.69
$754.21 $775.51 $796.81 $818.11
$664.76 $686.06 $703.10 $724.40
$249.64 $256.68 $263.73 $270.77
$220.05 $227.09 $232.73 $239.77
89 90 91 92 93
$3,227.52 $3,325.82 $3,424.13 $3,506.04 $3,604.34
$2,867.09 $2,932.63 $3,030.92 $3,112.84 $3,194.76
$1,646.29 $1,696.42 $1,746.55 $1,788.33 $1,838.46
$1,462.46 $1,495.89 $1,546.02 $1,587.80 $1,629.58
$839.41 $864.96 $890.52 $911.82 $937.38
$745.69 $762.73 $788.29 $809.59 $830.89
$277.82 $286.27 $294.72 $301.77 $310.22
$246.82 $252.46 $260.91 $267.95 $275.00
94 95 96 97 98
$3,719.02 $3,817.32 $3,932.01 $4,030.30 $4,144.99
$3,293.06 $3,374.97 $3,473.28 $3,571.58 $3,669.87
$1,896.95 $1,947.08 $2,005.58 $2,055.70 $2,114.20
$1,679.71 $1,721.49 $1,771.62 $1,821.75 $1,871.88
$967.20 $992.75 $1,022.57 $1,048.13 $1,077.95
$856.45 $877.74 $903.30 $928.86 $954.42
$320.09 $328.54 $338.40 $346.86 $356.72
$283.45 $290.50 $298.95 $307.41 $315.86
99
$4,259.67 $4,390.75
$3,768.17 $3,882.86
$2,172.68 $2,239.53
$1,922.02 $1,980.51
$1,107.76 $1,141.84
$979.97 $1,009.79
$366.58 $377.85
$324.31 $334.18
< 65 65 66
100 +
MedSup PLAN N- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN N – MEDICARE SUPPLEMENT RATES Zip Codes: 660-662, 670-672 – AREA 2 NON-TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
< 65 65
$1,439.60 $1,439.60
$1,286.45 $1,286.45
$734.44 $734.44
$656.34 $656.34
$374.55 $374.55
$334.73 $334.73
$124.06 $124.06
$110.88 $110.88
66 67 68 69
$1,485.54 $1,531.49 $1,592.75 $1,654.01
$1,317.08 $1,347.71 $1,408.97 $1,470.22
$757.88 $781.31 $812.55 $843.79
$671.96 $687.58 $718.82 $750.06
$386.49 $398.44 $414.37 $430.29
$342.69 $350.65 $366.58 $382.51
$128.01 $131.96 $137.23 $142.49
$113.52 $116.15 $121.42 $126.69
70 71
$1,715.27 $1,776.52
$1,516.17 $1,577.43
$875.04 $906.28
$773.50 $804.74
$446.22 $462.15
$394.45 $410.38
$147.76 $153.03
$130.64 $135.91
72 73 74
$1,853.10 $1,914.36 $1,975.62
$1,638.69 $1,684.63 $1,745.90
$945.33 $976.57 $1,007.82
$835.98 $859.41 $890.66
$482.05 $497.98 $513.91
$426.31 $438.25 $454.18
$159.62 $164.88 $170.15
$141.18 $145.13 $150.40
75 76
$2,036.88 $2,098.14
$1,807.16 $1,853.10
$1,039.06 $1,070.30
$921.90 $945.33
$529.84 $545.77
$470.11 $482.05
$175.42 $180.69
$155.67 $159.62
77 78 79
$2,159.40 $2,220.66 $2,281.91
$1,914.36 $1,975.62 $2,021.56
$1,101.54 $1,132.79 $1,164.03
$976.57 $1,007.82 $1,031.25
$561.69 $577.62 $593.55
$497.98 $513.91 $525.86
$185.96 $191.23 $196.49
$164.88 $170.15 $174.10
80 81
$2,358.50 $2,419.75
$2,082.82 $2,144.09
$1,203.08 $1,234.32
$1,062.49 $1,093.73
$613.46 $629.38
$541.78 $557.71
$203.08 $208.35
$179.37 $184.64
82 83 84
$2,481.01 $2,557.59 $2,634.16
$2,205.34 $2,266.61 $2,327.86
$1,265.57 $1,304.62 $1,343.67
$1,124.97 $1,156.22 $1,187.46
$645.31 $665.22 $685.13
$573.64 $589.57 $605.49
$213.62 $220.20 $226.79
$189.91 $195.18 $200.45
85 86
$2,710.73 $2,787.30
$2,389.12 $2,465.70
$1,382.72 $1,421.77
$1,218.70 $1,257.75
$705.04 $724.95
$621.42 $641.33
$233.37 $239.96
$205.71 $212.30
87 88 89 90 91
$2,863.89 $2,940.46 $3,017.03 $3,108.92 $3,200.81
$2,526.96 $2,603.53 $2,680.10 $2,741.37 $2,833.25
$1,460.83 $1,499.88 $1,538.94 $1,585.80 $1,632.66
$1,289.00 $1,328.05 $1,367.10 $1,398.35 $1,445.21
$744.86 $764.77 $784.68 $808.57 $832.46
$657.26 $677.17 $697.08 $713.01 $736.89
$246.54 $253.13 $259.71 $267.62 $275.52
$217.57 $224.15 $230.74 $236.01 $243.91
92 93 94 95 96
$3,277.38 $3,369.28 $3,476.47 $3,568.37 $3,675.58
$2,909.83 $2,986.40 $3,078.29 $3,154.87 $3,246.76
$1,671.72 $1,718.58 $1,773.25 $1,820.12 $1,874.79
$1,484.26 $1,523.32 $1,570.18 $1,609.23 $1,656.10
$852.37 $876.26 $904.13 $928.03 $955.90
$756.81 $776.71 $800.61 $820.52 $844.41
$282.11 $290.01 $299.23 $307.13 $316.35
$250.50 $257.08 $264.98 $271.57 $279.47
97 98 99 100 +
$3,767.46 $3,874.67
$3,338.65 $3,430.53
$1,921.65 $1,976.33
$1,702.96 $1,749.82
$979.79 $1,007.66
$868.30 $892.19
$324.25 $333.47
$287.37 $295.28
$3,981.86 $4,104.39
$3,522.42 $3,629.63
$2,031.00 $2,093.49
$1,796.68 $1,851.36
$1,035.53 $1,067.39
$916.08 $943.95
$342.69 $353.23
$303.18 $312.40
MedSup PLAN N- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
KANSAS – PLAN N – MEDICARE SUPPLEMENT RATES Zip Codes: 660-662, 670-672 – AREA 2 TOBACCO Attained Age
Annual
Semi-Annual
Quarterly
Monthly
Male
Female
Male
Female
Male
Female
Male
Female
$1,655.54 $1,655.54
$1,479.42 $1,479.42
$844.57 $844.57
$754.75 $754.75
$430.69 $430.69
$384.90 $384.90
$142.63 $142.63
$127.48 $127.48
67 68 69
$1,708.37 $1,761.21 $1,831.67 $1,902.11
$1,514.64 $1,549.86 $1,620.32 $1,690.76
$871.52 $898.47 $934.40 $970.32
$772.72 $790.68 $826.61 $862.54
$444.43 $458.16 $476.48 $494.80
$394.06 $403.21 $421.53 $439.85
$147.17 $151.71 $157.77 $163.83
$130.51 $133.54 $139.60 $145.66
70 71
$1,972.56 $2,043.00
$1,743.59 $1,814.05
$1,006.26 $1,042.18
$889.48 $925.41
$513.12 $531.43
$453.58 $471.90
$169.89 $175.95
$150.20 $156.26
72 73 74
$2,131.06 $2,201.51 $2,271.97
$1,884.49 $1,937.33 $2,007.78
$1,087.09 $1,123.02 $1,158.95
$961.34 $988.29 $1,024.22
$554.33 $572.64 $590.96
$490.22 $503.96 $522.27
$183.52 $189.58 $195.64
$162.32 $166.86 $172.92
75 76
$2,342.41 $2,412.86
$2,078.24 $2,131.06
$1,194.88 $1,230.81
$1,060.15 $1,087.09
$609.28 $627.59
$540.59 $554.33
$201.70 $207.76
$178.98 $183.52
77 78 79
$2,483.30 $2,553.76 $2,624.20
$2,201.51 $2,271.97 $2,324.79
$1,266.74 $1,302.67 $1,338.59
$1,123.02 $1,158.95 $1,185.89
$645.91 $664.23 $682.54
$572.64 $590.96 $604.70
$213.81 $219.87 $225.93
$189.58 $195.64 $200.18
80 81
$2,712.27 $2,782.71
$2,395.25 $2,465.70
$1,383.51 $1,419.43
$1,221.83 $1,257.76
$705.44 $723.76
$623.01 $641.33
$233.51 $239.56
$206.24 $212.30
82 83 84 85 86 87 88
$2,853.17 $2,941.22 $3,029.28
$2,536.14 $2,606.60 $2,677.04
$1,455.36 $1,500.27 $1,545.18
$1,293.68 $1,329.61 $1,365.54
$742.07 $764.97 $787.86
$659.65 $677.96 $696.28
$245.62 $253.20 $260.77
$218.36 $224.42 $230.48
$3,117.34 $3,205.40 $3,293.47 $3,381.53
$2,747.49 $2,835.55 $2,906.00 $2,994.06
$1,590.09 $1,635.00 $1,679.92 $1,724.83
$1,401.47 $1,446.38 $1,482.31 $1,527.22
$810.76 $833.65 $856.55 $879.45
$714.60 $737.49 $755.81 $778.71
$268.34 $275.91 $283.49 $291.06
$236.53 $244.11 $250.17 $257.74
89 90 91 92 93
$3,469.59 $3,575.26 $3,680.93 $3,768.99 $3,874.67
$3,082.12 $3,152.57 $3,258.24 $3,346.31 $3,434.36
$1,769.74 $1,823.63 $1,877.53 $1,922.44 $1,976.33
$1,572.13 $1,608.06 $1,661.95 $1,706.87 $1,751.78
$902.34 $929.82 $957.29 $980.19 $1,007.66
$801.60 $819.92 $847.39 $870.29 $893.18
$298.63 $307.72 $316.81 $324.38 $333.47
$265.31 $271.37 $280.46 $288.03 $295.61
94 95 96 97 98
$3,997.95 $4,103.62 $4,226.91 $4,332.57 $4,455.87
$3,540.04 $3,628.10 $3,733.77 $3,839.45 $3,945.11
$2,039.20 $2,093.10 $2,155.98 $2,209.86 $2,272.74
$1,805.67 $1,850.58 $1,904.47 $1,958.37 $2,012.26
$1,039.72 $1,067.19 $1,099.25 $1,126.72 $1,158.77
$920.66 $943.56 $971.03 $998.51 $1,025.98
$344.07 $353.16 $363.76 $372.85 $383.45
$304.69 $312.27 $321.35 $330.44 $339.53
99
$4,579.14 $4,720.05
$4,050.78 $4,174.07
$2,335.61 $2,407.48
$2,066.15 $2,129.03
$1,190.83 $1,227.46
$1,053.45 $1,085.51
$394.06 $406.17
$348.62 $359.22
< 65 65 66
100 +
MedSup PLAN N- KS Rev. 12-1-2016
69462104 Printed on recycled paper. Thank you for recycling.
Printed on recycled paper. Thank you for recycling.
FOR PRODUCER USE ONLY
