Plan Group Name

PLAN F HIGH DEDUCTIBLE

Deductible Coverage Level
Medigap 65 - Maryland  $1,860.00 100%
Age Gender Individual Parent/Child Hus / Wife Family
65 - 69 B $63.29 N/A N/A N/A
70 - 74 B $74.12 N/A N/A N/A
75 - 79 B $85.68 N/A N/A N/A
80 - 84 B $98.62 N/A N/A N/A
85 - 149 B $105.42 N/A N/A N/A

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

Rates Subject to change without notice