Plan Group Name

PLAN F

Deductible Coverage Level
Medigap 65 - Maryland  $0.00 100%
Age Gender Individual Parent/Child Hus / Wife Family
65 - 69 B $154.88 N/A N/A N/A
70 - 74 B $181.37 N/A N/A N/A
75 - 79 B $209.67 N/A N/A N/A
80 - 84 B $241.34 N/A N/A N/A
85 - 149 B $257.98 N/A N/A N/A


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

Rates subject to change without notice