IA Plan F N Rates OLIC 69462101 .pdf

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IOWA – PLAN F – MEDICARE SUPPLEMENT RATES
Zip Codes: 500-506, 508-514, 520-525
Attained
Age

Annual

Semi-Annual

– AREA 1 NON-TOBACCO
Quarterly

Monthly

Male

Female

Male

Female

Male

Female

Male

Female

$1,583.65
$1,628.21

$1,401.47
$1,440.89

$807.91
$830.64

$715.00
$735.10

$412.00
$423.58

$364.63
$374.88

$136.44
$140.28

$120.78
$124.17

68
69
70

$1,674.07
$1,739.75
$1,805.46
$1,871.15

$1,481.48
$1,539.62
$1,597.74
$1,655.88

$854.03
$887.52
$921.03
$954.54

$755.80
$785.46
$815.10
$844.75

$435.51
$452.59
$469.67
$486.75

$385.43
$400.55
$415.66
$430.78

$144.22
$149.87
$155.52
$161.17

$127.66
$132.66
$137.66
$142.66

71
72

$1,936.83
$2,002.52

$1,714.00
$1,772.14

$988.03
$1,021.54

$874.39
$904.04

$503.83
$520.91

$445.89
$461.01

$166.82
$172.47

$147.65
$152.65

73
74
75

$2,073.85
$2,145.16
$2,216.49

$1,835.27
$1,898.37
$1,961.50

$1,057.91
$1,094.28
$1,130.66

$936.24
$968.42
$1,000.62

$539.45
$557.99
$576.54

$477.42
$493.83
$510.24

$178.60
$184.73
$190.87

$158.08
$163.51
$168.94

76
77

$2,287.82
$2,359.15

$2,024.62
$2,087.74

$1,167.04
$1,203.42

$1,032.81
$1,065.00

$595.08
$613.63

$526.65
$543.06

$197.00
$203.14

$174.37
$179.80

78
79
80

$2,425.68
$2,494.09
$2,564.42

$2,146.63
$2,207.15
$2,269.40

$1,237.35
$1,272.24
$1,308.10

$1,095.03
$1,125.90
$1,157.64

$630.93
$648.71
$667.00

$558.37
$574.11
$590.29

$208.86
$214.74
$220.79

$184.86
$190.06
$195.42

81
82

$2,629.76
$2,695.13

$2,327.23
$2,385.06

$1,341.43
$1,374.77

$1,187.14
$1,216.63

$683.99
$700.98

$605.33
$620.37

$226.41
$232.03

$200.39
$205.37

83
84
85
86
87
88
89

$2,775.92
$2,856.69
$2,937.48
$3,018.29
$3,099.06
$3,132.50
$3,165.94

$2,456.56
$2,528.04
$2,599.54
$2,671.04
$2,742.52
$2,772.12
$2,801.71

$1,415.97
$1,457.16
$1,498.36
$1,539.58
$1,580.77
$1,597.83
$1,614.88

$1,253.10
$1,289.55
$1,326.02
$1,362.48
$1,398.94
$1,414.03
$1,429.12

$721.99
$742.99
$763.99
$785.01
$806.01
$814.70
$823.39

$638.96
$657.54
$676.13
$694.72
$713.31
$721.00
$728.69

$238.98
$245.93
$252.87
$259.82
$266.77
$269.65
$272.52

$211.51
$217.66
$223.81
$229.96
$236.11
$238.65
$241.20

90
91
92
93
94

$3,232.93
$3,323.85
$3,417.59
$3,513.77
$3,612.80

$2,861.00
$2,941.46
$3,024.42
$3,109.53
$3,197.18

$1,649.04
$1,695.41
$1,743.22
$1,792.27
$1,842.78

$1,459.36
$1,500.39
$1,542.70
$1,586.11
$1,630.81

$840.81
$864.45
$888.82
$913.83
$939.58

$744.11
$765.03
$786.60
$808.73
$831.52

$278.28
$286.10
$294.16
$302.43
$310.95

$246.30
$253.22
$260.35
$267.67
$275.21

95
96
97
98
99

$3,714.43
$3,819.02
$3,926.62
$4,037.25
$4,150.98

$3,287.10
$3,379.67
$3,474.88
$3,572.79
$3,673.42

$1,894.61
$1,947.95
$2,002.83
$2,059.25
$2,117.25

$1,676.67
$1,723.88
$1,772.44
$1,822.37
$1,873.69

$966.00
$993.20
$1,021.17
$1,049.94
$1,079.50

$854.90
$878.96
$903.72
$929.18
$955.34

$319.69
$328.69
$337.94
$347.45
$357.23

$282.94
$290.90
$299.09
$307.51
$316.16

100 +

$4,188.80

$3,706.92

$2,136.54

$1,890.78

$1,089.34

$964.05

$360.49

$319.05

65
66
67

MedSup PLAN F - IA Rev. 6-1-2016

69462101
Printed on recycled paper.
Thank you for recycling.

Printed on recycled paper.
Thank you for recycling.

FOR PRODUCER USE ONLY­

IOWA – PLAN F – MEDICARE SUPPLEMENT RATES
Zip Codes: 500-506, 508-514, 520-525
Attained
Age

Annual

Semi-Annual

– AREA 1 TOBACCO
Quarterly

Monthly

Male

Female

Male

Female

Male

Female

Male

Female

$1,821.20
$1,872.44

$1,611.69
$1,657.02

$929.06
$955.20

$822.21
$845.33

$473.76
$487.08

$419.29
$431.08

$156.87
$161.28

$138.86
$142.75

68
69
70

$1,925.18
$2,000.71
$2,076.28
$2,151.82

$1,703.70
$1,770.56
$1,837.40
$1,904.26

$982.09
$1,020.61
$1,059.15
$1,097.68

$869.14
$903.24
$937.32
$971.42

$500.80
$520.44
$540.08
$559.72

$443.21
$460.60
$477.97
$495.36

$165.82
$172.31
$178.81
$185.31

$146.77
$152.52
$158.27
$164.02

71
72

$2,227.35
$2,302.90

$1,971.10
$2,037.96

$1,136.20
$1,174.73

$1,005.51
$1,039.61

$579.36
$599.00

$512.74
$530.12

$191.80
$198.30

$169.76
$175.51

73
74
75

$2,384.93
$2,466.93
$2,548.96

$2,110.56
$2,183.13
$2,255.73

$1,216.56
$1,258.39
$1,300.22

$1,076.64
$1,113.64
$1,150.67

$620.33
$641.65
$662.98

$549.00
$567.86
$586.74

$205.35
$212.41
$219.46

$181.76
$188.00
$194.24

76
77

$2,630.99
$2,713.02

$2,328.31
$2,400.90

$1,342.06
$1,383.89

$1,187.69
$1,224.71

$684.31
$705.64

$605.61
$624.48

$226.52
$233.57

$200.48
$206.73

78
79
80

$2,789.53
$2,868.20
$2,949.08

$2,468.62
$2,538.22
$2,609.81

$1,422.91
$1,463.03
$1,504.28

$1,259.25
$1,294.74
$1,331.25

$725.53
$745.98
$767.01

$642.09
$660.19
$678.80

$240.15
$246.92
$253.87

$212.55
$218.54
$224.69

81
82

$3,024.22
$3,099.40

$2,676.31
$2,742.82

$1,542.60
$1,580.94

$1,365.17
$1,399.09

$786.55
$806.09

$696.09
$713.38

$260.33
$266.80

$230.41
$236.13

83
84
85
86
87
88
89

$3,192.31
$3,285.19
$3,378.10
$3,471.03
$3,563.92
$3,602.37
$3,640.83

$2,825.04
$2,907.25
$2,989.47
$3,071.70
$3,153.90
$3,187.94
$3,221.97

$1,628.33
$1,675.70
$1,723.08
$1,770.48
$1,817.85
$1,837.46
$1,857.07

$1,441.02
$1,482.95
$1,524.88
$1,566.81
$1,608.74
$1,626.10
$1,643.45

$830.25
$854.40
$878.56
$902.72
$926.87
$936.87
$946.87

$734.76
$756.13
$777.51
$798.89
$820.26
$829.11
$837.96

$274.79
$282.78
$290.77
$298.76
$306.75
$310.05
$313.36

$243.20
$250.27
$257.34
$264.42
$271.49
$274.41
$277.34

90
91
92
93
94

$3,717.87
$3,822.43
$3,930.23
$4,040.84
$4,154.72

$3,290.15
$3,382.68
$3,478.08
$3,575.96
$3,676.76

$1,896.36
$1,949.69
$2,004.67
$2,061.08
$2,119.16

$1,678.23
$1,725.42
$1,774.07
$1,823.99
$1,875.40

$966.90
$994.08
$1,022.11
$1,050.87
$1,080.48

$855.69
$879.75
$904.55
$930.00
$956.21

$319.99
$328.98
$338.25
$347.76
$357.56

$283.20
$291.16
$299.37
$307.78
$316.45

95
96
97
98
99

$4,271.59
$4,391.87
$4,515.61
$4,642.84
$4,773.63

$3,780.16
$3,886.62
$3,996.11
$4,108.71
$4,224.43

$2,178.76
$2,240.11
$2,303.21
$2,368.10
$2,434.80

$1,928.13
$1,982.43
$2,038.27
$2,095.69
$2,154.71

$1,110.86
$1,142.14
$1,174.31
$1,207.39
$1,241.39

$983.09
$1,010.77
$1,039.24
$1,068.51
$1,098.60

$367.61
$377.95
$388.59
$399.53
$410.78

$325.34
$334.50
$343.92
$353.60
$363.55

100 +

$4,817.12

$4,262.96

$2,456.98

$2,174.36

$1,252.70

$1,108.62

$414.52

$366.86

65
66
67

MedSup PLAN F - IA Rev. 6-1-2016

69462101
Printed on recycled paper.
Thank you for recycling.

Printed on recycled paper.
Thank you for recycling.

FOR PRODUCER USE ONLY­

IOWA – PLAN F – MEDICARE SUPPLEMENT RATES
Zip Codes: 507, 515-516, 526-528 – AREA 2 NON-TOBACCO
Attained
Age

Annual

Semi-Annual

Quarterly

Monthly

Male

Female

Male

Female

Male

Female

Male

Female

$1,673.92
$1,721.02

$1,481.35
$1,523.02

$853.95
$877.97

$755.74
$776.99

$435.47
$447.71

$385.40
$396.24

$144.21
$148.26

$127.65
$131.23

68
69
70

$1,769.49
$1,838.92
$1,908.37
$1,977.81

$1,565.92
$1,627.38
$1,688.81
$1,750.27

$902.69
$938.10
$973.52
$1,008.93

$798.87
$830.21
$861.54
$892.89

$460.32
$478.37
$496.43
$514.48

$407.39
$423.37
$439.34
$455.32

$152.43
$158.40
$164.37
$170.34

$134.92
$140.20
$145.49
$150.77

71
72

$2,047.23
$2,116.66

$1,811.70
$1,873.15

$1,044.34
$1,079.75

$924.22
$955.56

$532.53
$550.58

$471.29
$487.27

$176.31
$182.28

$156.06
$161.34

73
74
75

$2,192.06
$2,267.43
$2,342.83

$1,939.88
$2,006.58
$2,073.31

$1,118.20
$1,156.64
$1,195.09

$989.59
$1,023.60
$1,057.64

$570.19
$589.78
$609.39

$504.62
$521.96
$539.31

$188.77
$195.25
$201.73

$167.08
$172.82
$178.55

76
77

$2,418.23
$2,493.62

$2,140.02
$2,206.74

$1,233.55
$1,272.00

$1,091.66
$1,125.69

$628.99
$648.59

$556.66
$574.00

$208.22
$214.70

$184.29
$190.03

78
79
80

$2,563.94
$2,636.25
$2,710.59

$2,268.99
$2,332.96
$2,398.76

$1,307.86
$1,344.74
$1,382.65

$1,157.43
$1,190.06
$1,223.62

$666.88
$685.68
$705.00

$590.19
$606.82
$623.93

$220.75
$226.97
$233.36

$195.38
$200.88
$206.54

81
82

$2,779.66
$2,848.75

$2,459.88
$2,521.01

$1,417.87
$1,453.11

$1,254.79
$1,285.96

$722.96
$740.93

$639.82
$655.71

$239.30
$245.24

$211.80
$217.06

83
84
85
86
87
88
89

$2,934.15
$3,019.52
$3,104.92
$3,190.33
$3,275.71
$3,311.05
$3,346.40

$2,596.58
$2,672.14
$2,747.71
$2,823.29
$2,898.84
$2,930.13
$2,961.41

$1,496.67
$1,540.21
$1,583.76
$1,627.32
$1,670.86
$1,688.89
$1,706.91

$1,324.51
$1,363.04
$1,401.58
$1,440.13
$1,478.66
$1,494.62
$1,510.57

$763.13
$785.33
$807.53
$829.74
$851.93
$861.12
$870.31

$675.36
$695.01
$714.66
$734.31
$753.95
$762.08
$770.22

$252.59
$259.93
$267.27
$274.62
$281.96
$285.00
$288.04

$223.56
$230.05
$236.55
$243.05
$249.55
$252.24
$254.93

90
91
92
93
94

$3,417.21
$3,513.31
$3,612.39
$3,714.05
$3,818.73

$3,024.08
$3,109.12
$3,196.81
$3,286.77
$3,379.42

$1,743.03
$1,792.04
$1,842.57
$1,894.42
$1,947.80

$1,542.53
$1,585.90
$1,630.62
$1,676.50
$1,723.75

$888.72
$913.71
$939.47
$965.90
$993.12

$786.51
$808.62
$831.42
$854.81
$878.90

$294.13
$302.39
$310.92
$319.66
$328.66

$260.32
$267.63
$275.18
$282.91
$290.88

95
96
97
98
99

$3,926.15
$4,036.70
$4,150.44
$4,267.37
$4,387.59

$3,474.46
$3,572.31
$3,672.95
$3,776.44
$3,882.80

$2,002.59
$2,058.97
$2,116.97
$2,176.61
$2,237.92

$1,772.23
$1,822.13
$1,873.45
$1,926.23
$1,980.48

$1,021.05
$1,049.79
$1,079.36
$1,109.77
$1,141.02

$903.61
$929.05
$955.22
$982.12
$1,009.78

$337.90
$347.41
$357.19
$367.24
$377.58

$299.05
$307.47
$316.12
$325.02
$334.17

100 +

$4,427.56

$3,918.21

$2,258.31

$1,998.54

$1,151.42

$1,018.99

$381.02

$337.22

65
66
67

MedSup PLAN F - IA Rev. 6-1-2016

69462101
Printed on recycled paper.
Thank you for recycling.

Printed on recycled paper.
Thank you for recycling.

FOR PRODUCER USE ONLY­

IOWA – PLAN F – MEDICARE SUPPLEMENT RATES
Zip Codes: 507, 515-516, 526-528 – AREA 2 TOBACCO
Attained
Age

Annual

Semi-Annual

Quarterly

Monthly

Male

Female

Male

Female

Male

Female

Male

Female

$1,925.01
$1,979.17

$1,703.56
$1,751.47

$982.00
$1,009.63

$869.06
$893.50

$500.75
$514.83

$443.17
$455.63

$165.80
$170.46

$146.76
$150.88

68
69
70

$2,034.92
$2,114.75
$2,194.63
$2,274.48

$1,800.81
$1,871.49
$1,942.13
$2,012.80

$1,038.06
$1,078.77
$1,119.51
$1,160.23

$918.66
$954.71
$990.74
$1,026.78

$529.33
$550.09
$570.85
$591.61

$468.46
$486.84
$505.20
$523.58

$175.25
$182.12
$188.99
$195.85

$155.12
$161.20
$167.27
$173.35

71
72

$2,354.31
$2,434.16

$2,083.45
$2,154.12

$1,200.95
$1,241.67

$1,062.81
$1,098.85

$612.37
$633.13

$541.95
$560.32

$202.72
$209.59

$179.43
$185.50

73
74
75

$2,520.87
$2,607.55
$2,694.25

$2,230.86
$2,307.56
$2,384.30

$1,285.89
$1,330.10
$1,374.32

$1,137.99
$1,177.11
$1,216.24

$655.68
$678.21
$700.76

$580.27
$600.22
$620.17

$217.04
$224.50
$231.96

$192.10
$198.70
$205.30

76
77

$2,780.96
$2,867.66

$2,461.03
$2,537.75

$1,418.54
$1,462.76

$1,255.37
$1,294.50

$723.30
$745.84

$640.12
$660.07

$239.41
$246.87

$211.90
$218.50

78
79
80

$2,948.54
$3,031.69
$3,117.18

$2,609.34
$2,682.90
$2,758.57

$1,504.00
$1,546.41
$1,590.01

$1,331.01
$1,368.53
$1,407.12

$766.87
$788.49
$810.72

$678.68
$697.80
$717.48

$253.82
$260.98
$268.33

$224.65
$230.98
$237.49

81
82

$3,196.60
$3,276.07

$2,828.86
$2,899.16

$1,630.52
$1,671.04

$1,442.97
$1,478.82

$831.37
$852.03

$735.75
$754.03

$275.16
$281.99

$243.53
$249.58

83
84
85
86
87
88
89

$3,374.27
$3,472.45
$3,570.65
$3,668.88
$3,767.06
$3,807.71
$3,848.36

$2,986.07
$3,072.96
$3,159.87
$3,246.78
$3,333.67
$3,369.65
$3,405.62

$1,721.13
$1,771.20
$1,821.28
$1,871.38
$1,921.45
$1,942.18
$1,962.91

$1,523.15
$1,567.46
$1,611.78
$1,656.11
$1,700.42
$1,718.77
$1,737.12

$877.56
$903.09
$928.62
$954.16
$979.69
$990.25
$1,000.82

$776.63
$799.22
$821.82
$844.41
$867.00
$876.36
$885.71

$290.44
$298.88
$307.33
$315.77
$324.22
$327.71
$331.21

$257.05
$264.52
$272.00
$279.47
$286.95
$290.04
$293.13

90
91
92
93
94

$3,929.79
$4,040.31
$4,154.25
$4,271.16
$4,391.54

$3,477.69
$3,575.49
$3,676.33
$3,779.79
$3,886.33

$2,004.44
$2,060.81
$2,118.92
$2,178.54
$2,239.93

$1,773.87
$1,823.75
$1,875.18
$1,927.94
$1,982.28

$1,021.99
$1,050.73
$1,080.36
$1,110.75
$1,142.05

$904.45
$929.88
$956.10
$983.00
$1,010.70

$338.21
$347.72
$357.52
$367.57
$377.92

$299.33
$307.74
$316.41
$325.31
$334.47

95
96
97
98

$4,515.08
$4,642.21
$4,773.00
$4,907.48
$5,045.72

$3,995.63
$4,108.16
$4,223.89
$4,342.90
$4,465.23

$2,302.94
$2,367.78
$2,434.48
$2,503.06
$2,573.57

$2,038.02
$2,095.41
$2,154.43
$2,215.13
$2,277.52

$1,174.17
$1,207.22
$1,241.23
$1,276.19
$1,312.14

$1,039.11
$1,068.37
$1,098.46
$1,129.41
$1,161.21

$388.55
$399.48
$410.73
$422.29
$434.18

$343.87
$353.55
$363.50
$373.74
$384.26

$5,091.70

$4,505.95

$2,597.01

$2,298.28

$1,324.09

$1,171.80

$438.14

$387.76

65
66
67

99
100 +

MedSup PLAN F - IA Rev. 6-1-2016

69462101
Printed on recycled paper.
Thank you for recycling.

Printed on recycled paper.
Thank you for recycling.

FOR PRODUCER USE ONLY­

IOWA – PLAN N – MEDICARE SUPPLEMENT RATES
Zip Codes: 500-506, 508-514, 520-525
Attained
Age

Annual

Semi-Annual

– AREA 1 NON-TOBACCO
Quarterly

Monthly

Male

Female

Male

Female

Male

Female

Male

Female

$1,008.18
$1,036.55

$892.20
$917.31

$514.42
$528.89

$455.27
$468.08

$262.38
$269.75

$232.22
$238.75

$86.95
$89.39

$76.98
$79.14

68
69
70

$1,065.65
$1,110.63
$1,155.62
$1,200.58

$943.06
$982.86
$1,022.67
$1,062.47

$543.73
$566.67
$589.62
$612.55

$481.21
$501.51
$521.81
$542.11

$277.32
$289.01
$300.71
$312.40

$245.45
$255.79
$266.14
$276.49

$91.90
$95.76
$99.63
$103.50

$81.35
$84.78
$88.20
$91.62

71
72

$1,245.57
$1,290.55

$1,102.27
$1,142.09

$635.49
$658.43

$562.41
$582.72

$324.10
$335.79

$286.84
$297.19

$107.37
$111.24

$95.05
$98.47

73
74
75

$1,341.88
$1,393.18
$1,444.51

$1,187.50
$1,232.91
$1,278.32

$684.61
$710.77
$736.95

$605.88
$629.03
$652.19

$349.14
$362.48
$375.82

$309.00
$320.81
$332.61

$115.65
$120.06
$124.48

$102.37
$106.28
$110.19

76
77

$1,495.82
$1,547.13

$1,323.74
$1,369.15

$763.12
$789.29

$675.36
$698.52

$389.16
$402.50

$344.42
$356.23

$128.89
$133.30

$114.09
$118.00

78
79
80

$1,598.09
$1,649.01
$1,699.95

$1,414.23
$1,459.31
$1,504.38

$815.28
$841.25
$867.22

$721.51
$744.50
$767.48

$415.75
$428.99
$442.24

$367.95
$379.67
$391.39

$137.69
$142.06
$146.45

$121.87
$125.75
$129.63

81
82

$1,750.89
$1,801.83

$1,549.47
$1,594.54

$893.20
$919.18

$790.48
$813.47

$455.48
$468.73

$403.11
$414.83

$150.83
$155.21

$133.50
$137.38

83
84
85
86
87
88
89

$1,870.06
$1,938.33
$2,006.57
$2,074.80
$2,143.07
$2,203.41
$2,244.84

$1,654.93
$1,715.33
$1,775.73
$1,836.11
$1,896.52
$1,949.91
$1,986.58

$953.98
$988.80
$1,023.60
$1,058.40
$1,093.22
$1,123.99
$1,145.12

$844.26
$875.07
$905.87
$936.67
$967.48
$994.70
$1,013.41

$486.47
$504.22
$521.96
$539.70
$557.45
$573.14
$583.91

$430.53
$446.24
$461.94
$477.64
$493.35
$507.23
$516.76

$161.08
$166.95
$172.82
$178.68
$184.55
$189.74
$193.31

$142.57
$147.77
$152.96
$158.16
$163.35
$167.94
$171.10

90
91
92
93
94

$2,287.13
$2,330.01
$2,373.74
$2,418.31
$2,463.74

$2,024.00
$2,061.95
$2,100.67
$2,140.10
$2,180.31

$1,166.69
$1,188.56
$1,210.86
$1,233.59
$1,256.76

$1,032.49
$1,051.84
$1,071.59
$1,091.70
$1,112.21

$594.90
$606.05
$617.42
$629.01
$640.82

$526.49
$536.36
$546.42
$556.68
$567.13

$196.94
$200.63
$204.39
$208.22
$212.13

$174.31
$177.58
$180.91
$184.30
$187.76

95
96
97
98
99

$2,510.06
$2,557.30
$2,605.21
$2,654.05
$2,703.82

$2,221.30
$2,263.10
$2,305.50
$2,348.71
$2,392.77

$1,280.38
$1,304.47
$1,328.91
$1,353.82
$1,379.20

$1,133.11
$1,154.43
$1,176.06
$1,198.09
$1,220.56

$652.87
$665.15
$677.60
$690.30
$703.24

$577.79
$588.66
$599.68
$610.91
$622.37

$216.12
$220.18
$224.30
$228.50
$232.78

$191.28
$194.88
$198.52
$202.24
$206.03

100 +

$2,754.55

$2,437.65

$1,405.07

$1,243.45

$716.43

$634.04

$237.14

$209.89

65
66
67

MedSup PLAN N- IA Rev. 6-1-2016

69462101
Printed on recycled paper.
Thank you for recycling.

Printed on recycled paper.
Thank you for recycling.

FOR PRODUCER USE ONLY­

IOWA – PLAN N – MEDICARE SUPPLEMENT RATES
Zip Codes: 500-506, 508-514, 520-525
Attained
Age

Annual

Semi-Annual

– AREA 1 TOBACCO
Quarterly

Monthly

Male

Female

Male

Female

Male

Female

Male

Female

$1,159.41
$1,192.03

$1,026.03
$1,054.91

$591.55
$608.19

$523.53
$538.25

$301.70
$310.18

$267.02
$274.53

$99.96
$102.76

$88.49
$90.97

68
69
70

$1,225.50
$1,277.22
$1,328.96
$1,380.67

$1,084.52
$1,130.29
$1,176.07
$1,221.84

$625.25
$651.63
$678.02
$704.39

$553.35
$576.70
$600.05
$623.39

$318.88
$332.33
$345.78
$359.22

$282.22
$294.13
$306.03
$317.93

$105.64
$110.09
$114.54
$118.99

$93.52
$97.45
$101.39
$105.33

71
72

$1,432.41
$1,484.13

$1,267.61
$1,313.40

$730.78
$757.16

$646.73
$670.09

$372.68
$386.12

$329.83
$341.73

$123.44
$127.89

$109.26
$113.20

73
74
75

$1,543.16
$1,602.16
$1,661.19

$1,365.63
$1,417.85
$1,470.07

$787.26
$817.35
$847.46

$696.72
$723.35
$749.98

$401.47
$416.81
$432.16

$355.31
$368.89
$382.47

$132.96
$138.04
$143.11

$117.69
$122.18
$126.68

76
77

$1,720.19
$1,779.20

$1,522.30
$1,574.52

$877.55
$907.64

$776.62
$803.26

$447.50
$462.84

$396.05
$409.63

$148.19
$153.26

$131.17
$135.66

78
79
80

$1,837.80
$1,896.36
$1,954.94

$1,626.36
$1,678.21
$1,730.04

$937.53
$967.39
$997.27

$829.70
$856.14
$882.57

$478.08
$493.30
$508.54

$423.10
$436.58
$450.06

$158.30
$163.34
$168.38

$140.12
$144.58
$149.03

81
82

$2,013.52
$2,072.10

$1,781.89
$1,833.72

$1,027.15
$1,057.02

$909.01
$935.45

$523.77
$539.00

$463.54
$477.02

$173.41
$178.45

$153.49
$157.95

83
84
85
86
87
88
89

$2,150.57
$2,229.08
$2,307.56
$2,386.02
$2,464.53
$2,533.92
$2,581.57

$1,903.17
$1,972.63
$2,042.09
$2,111.53
$2,181.00
$2,242.40
$2,284.57

$1,097.04
$1,137.08
$1,177.10
$1,217.12
$1,257.16
$1,292.55
$1,316.85

$970.87
$1,006.29
$1,041.72
$1,077.13
$1,112.56
$1,143.87
$1,165.38

$559.40
$579.81
$600.21
$620.62
$641.03
$659.07
$671.46

$495.07
$513.13
$531.19
$549.25
$567.31
$583.27
$594.24

$185.20
$191.95
$198.70
$205.45
$212.20
$218.17
$222.26

$163.92
$169.90
$175.87
$181.84
$187.82
$193.10
$196.72

90
91
92
93
94

$2,630.20
$2,679.51
$2,729.80
$2,781.06
$2,833.30

$2,327.60
$2,371.24
$2,415.77
$2,461.11
$2,507.36

$1,341.65
$1,366.80
$1,392.45
$1,418.59
$1,445.23

$1,187.33
$1,209.58
$1,232.29
$1,255.42
$1,279.00

$684.10
$696.92
$710.00
$723.32
$736.91

$605.43
$616.77
$628.35
$640.14
$652.16

$226.45
$230.69
$235.01
$239.42
$243.91

$200.42
$204.18
$208.01
$211.91
$215.88

95
96
97
98

$2,886.57
$2,940.90
$2,995.99
$3,052.16
$3,109.39

$2,554.50
$2,602.56
$2,651.33
$2,701.02
$2,751.69

$1,472.40
$1,500.11
$1,528.21
$1,556.85
$1,586.04

$1,303.04
$1,327.56
$1,352.43
$1,377.77
$1,403.61

$750.76
$764.88
$779.21
$793.81
$808.69

$664.42
$676.92
$689.59
$702.51
$715.69

$248.49
$253.17
$257.91
$262.74
$267.66

$219.94
$224.07
$228.26
$232.54
$236.89

$3,167.73

$2,803.30

$1,615.79

$1,429.93

$823.86

$729.11

$272.67

$241.33

65
66
67

99
100 +

MedSup PLAN N- IA Rev. 6-1-2016

69462101
Printed on recycled paper.
Thank you for recycling.

Printed on recycled paper.
Thank you for recycling.

FOR PRODUCER USE ONLY­

IOWA – PLAN N – MEDICARE SUPPLEMENT RATES
Zip Codes: 507, 515-516, 526-528 – AREA 2 NON-TOBACCO
Attained
Age

Annual

Semi-Annual

Quarterly

Monthly

Male

Female

Male

Female

Male

Female

Male

Female

$1,065.65
$1,095.63

$943.06
$969.60

$543.73
$559.02

$481.21
$494.74

$277.32
$285.11

$245.44
$252.35

$91.90
$94.47

$81.35
$83.64

68
69
70

$1,126.39
$1,173.94
$1,221.49
$1,269.01

$996.81
$1,038.88
$1,080.96
$1,123.03

$574.71
$598.96
$623.21
$647.45

$508.63
$530.08
$551.54
$573.00

$293.11
$305.47
$317.84
$330.19

$259.42
$270.36
$281.30
$292.24

$97.12
$101.21
$105.30
$109.39

$85.98
$89.59
$93.21
$96.83

71
72

$1,316.57
$1,364.11

$1,165.10
$1,207.19

$671.70
$695.95

$594.45
$615.92

$342.56
$354.92

$303.18
$314.12

$113.47
$117.56

$100.45
$104.07

73
74
75

$1,418.37
$1,472.59
$1,526.85

$1,255.19
$1,303.19
$1,351.18

$723.62
$751.27
$778.94

$640.40
$664.87
$689.35

$369.03
$383.12
$397.23

$326.60
$339.08
$351.56

$122.23
$126.89
$131.56

$108.20
$112.32
$116.45

76
77

$1,581.08
$1,635.32

$1,399.19
$1,447.19

$806.60
$834.26

$713.84
$738.32

$411.33
$425.43

$364.04
$376.52

$136.22
$140.89

$120.58
$124.71

78
79
80

$1,689.18
$1,743.00
$1,796.85

$1,494.84
$1,542.49
$1,590.13

$861.73
$889.18
$916.64

$762.62
$786.92
$811.22

$439.44
$453.43
$467.43

$388.91
$401.30
$413.68

$145.52
$150.15
$154.78

$128.81
$132.90
$137.00

81
82

$1,850.69
$1,904.53

$1,637.79
$1,685.43

$944.10
$971.56

$835.52
$859.82

$481.43
$495.43

$426.08
$438.46

$159.41
$164.04

$141.10
$145.20

83
84
85
86
87
88
89

$1,976.65
$2,048.81
$2,120.94
$2,193.06
$2,265.22
$2,329.00
$2,372.80

$1,749.26
$1,813.10
$1,876.95
$1,940.77
$2,004.62
$2,061.05
$2,099.82

$1,008.34
$1,045.15
$1,081.93
$1,118.71
$1,155.51
$1,188.04
$1,210.38

$892.37
$924.93
$957.49
$990.04
$1,022.61
$1,051.39
$1,071.16

$514.18
$532.94
$551.70
$570.45
$589.21
$605.79
$617.18

$455.06
$471.66
$488.26
$504.85
$521.45
$536.12
$546.20

$170.24
$176.45
$182.65
$188.85
$195.06
$200.54
$204.31

$150.69
$156.18
$161.67
$167.16
$172.65
$177.50
$180.83

90
91
92
93
94

$2,417.50
$2,462.82
$2,509.04
$2,556.15
$2,604.17

$2,139.37
$2,179.48
$2,220.41
$2,262.09
$2,304.59

$1,233.17
$1,256.29
$1,279.86
$1,303.89
$1,328.38

$1,091.33
$1,111.79
$1,132.66
$1,153.91
$1,175.59

$628.80
$640.58
$652.60
$664.85
$677.34

$556.49
$566.92
$577.56
$588.39
$599.44

$208.15
$212.05
$216.03
$220.08
$224.21

$184.24
$187.69
$191.21
$194.79
$198.44

95
96
97
98

$2,653.13
$2,703.07
$2,753.71
$2,805.33
$2,857.94

$2,347.91
$2,392.10
$2,436.91
$2,482.59
$2,529.16

$1,353.35
$1,378.81
$1,404.64
$1,430.97
$1,457.80

$1,197.69
$1,220.22
$1,243.08
$1,266.37
$1,290.12

$690.06
$703.05
$716.21
$729.64
$743.31

$610.71
$622.20
$633.85
$645.72
$657.83

$228.42
$232.71
$237.07
$241.51
$246.03

$202.17
$205.97
$209.82
$213.75
$217.76

$2,911.56

$2,576.60

$1,485.15

$1,314.31

$757.26

$670.16

$250.64

$221.84

65
66
67

99
100 +

MedSup PLAN N- IA Rev. 6-1-2016

69462101
Printed on recycled paper.
Thank you for recycling.

Printed on recycled paper.
Thank you for recycling.

FOR PRODUCER USE ONLY­

IOWA – PLAN N – MEDICARE SUPPLEMENT RATES
Zip Codes: 507, 515-516, 526-528 – AREA 2 TOBACCO
Attained
Age

Annual

Semi-Annual

Quarterly

Monthly

Male

Female

Male

Female

Male

Female

Male

Female

$1,225.49
$1,259.98

$1,084.51
$1,115.04

$625.25
$642.84

$553.35
$568.92

$318.88
$327.84

$282.22
$290.16

$105.64
$108.61

$93.52
$96.14

68
69
70

$1,295.35
$1,350.03
$1,404.71
$1,459.37

$1,146.34
$1,194.72
$1,243.11
$1,291.49

$660.88
$688.76
$716.65
$744.53

$584.88
$609.55
$634.23
$658.91

$337.04
$351.26
$365.48
$379.68

$298.30
$310.88
$323.46
$336.04

$111.65
$116.35
$121.06
$125.76

$98.83
$103.00
$107.16
$111.32

71
72

$1,514.05
$1,568.73

$1,339.86
$1,388.27

$772.42
$800.30

$683.58
$708.27

$393.90
$408.12

$348.61
$361.20

$130.46
$135.16

$115.48
$119.64

73
74
75

$1,631.12
$1,693.48
$1,755.87

$1,443.47
$1,498.66
$1,553.86

$832.12
$863.92
$895.75

$736.42
$764.57
$792.72

$424.34
$440.55
$456.78

$375.55
$389.90
$404.25

$140.53
$145.89
$151.26

$124.39
$129.14
$133.88

76
77

$1,818.24
$1,880.61

$1,609.07
$1,664.27

$927.55
$959.36

$820.88
$849.03

$472.99
$489.21

$418.61
$432.96

$156.62
$161.98

$138.63
$143.38

78
79
80

$1,942.56
$2,004.45
$2,066.37

$1,719.07
$1,773.86
$1,828.65

$990.95
$1,022.52
$1,054.10

$876.97
$904.92
$932.86

$505.32
$521.41
$537.51

$447.21
$461.45
$475.70

$167.31
$172.63
$177.96

$148.09
$152.80
$157.51

81
82

$2,128.29
$2,190.21

$1,883.46
$1,938.24

$1,085.68
$1,117.26

$960.81
$988.75

$553.61
$569.71

$489.95
$504.19

$183.28
$188.61

$162.23
$166.94

83
84
85
86
87
88
89

$2,273.15
$2,356.14
$2,439.09
$2,522.02
$2,605.01
$2,678.36
$2,728.72

$2,011.65
$2,085.07
$2,158.49
$2,231.88
$2,305.31
$2,370.21
$2,414.79

$1,159.56
$1,201.88
$1,244.18
$1,286.48
$1,328.80
$1,366.21
$1,391.89

$1,026.19
$1,063.64
$1,101.08
$1,138.51
$1,175.96
$1,209.06
$1,231.79

$591.27
$612.85
$634.41
$655.98
$677.55
$696.62
$709.72

$523.28
$542.37
$561.46
$580.54
$599.63
$616.51
$628.09

$195.74
$202.88
$210.01
$217.14
$224.28
$230.59
$234.92

$173.25
$179.57
$185.88
$192.19
$198.51
$204.09
$207.92

90
91
92
93
94

$2,780.12
$2,832.24
$2,885.40
$2,939.58
$2,994.80

$2,460.27
$2,506.40
$2,553.47
$2,601.40
$2,650.28

$1,418.11
$1,444.69
$1,471.80
$1,499.43
$1,527.60

$1,254.99
$1,278.52
$1,302.52
$1,326.96
$1,351.89

$723.08
$736.63
$750.45
$764.54
$778.90

$639.92
$651.91
$664.15
$676.61
$689.32

$239.34
$243.82
$248.39
$253.05
$257.80

$211.83
$215.80
$219.85
$223.97
$228.17

95
96
97
98
99

$3,051.10
$3,108.53
$3,166.76
$3,226.13
$3,286.63

$2,700.10
$2,750.91
$2,802.45
$2,854.97
$2,908.53

$1,556.31
$1,585.60
$1,615.30
$1,645.58
$1,676.43

$1,377.30
$1,403.21
$1,429.50
$1,456.29
$1,483.60

$793.54
$808.47
$823.61
$839.04
$854.77

$702.28
$715.49
$728.89
$742.54
$756.47

$262.64
$267.58
$272.59
$277.70
$282.90

$232.46
$236.83
$241.26
$245.78
$250.38

100 +

$3,348.29

$2,963.09

$1,707.88

$1,511.42

$870.81

$770.65

$288.20

$255.08

65
66
67

MedSup PLAN N- IA Rev. 6-1-2016

69462101
Printed on recycled paper.
Thank you for recycling.

Printed on recycled paper.
Thank you for recycling.

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