Plan Group Name

PLAN B

Deductible Coverage Level
Medigap 65 - Maryland  $131.00 100%
Age Gender Individual Parent/Child Hus / Wife Family
65 - 69 B $129.97 N/A N/A N/A
70 - 74 B $152.19 N/A N/A N/A
75 - 79 B $175.93 N/A N/A N/A
80 - 84 B $202.51 N/A N/A N/A
85 - 149 B $216.48 N/A N/A N/A

Legend: M = Male, F = Female, B = Both

Rates subject to change without notice