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To view a side-by-side comparison of Blue Medicare Supplement Coverage plans, download the document Outline of Blue Medicare Supplement Coverage
(.pdf, 1.3MB), to help you decide which Blue Medicare Supplement plan best fills your needs and meets your budget.
To view PDF documents you need Adobe Acrobat Reader.
CAUTION: POLICY BENEFITS ARE LIMITED TO THOSE APPROVED BY MEDICARE FOR PAYMENT.
Rates are effective until April 1, 2009. Rates are subject to change, but you alone will not be singled out for premium increases based on your health or age.
This is only a summary of benefits describing the policies' most important features. The policy is the insurance contract. You must read the policy itself to understand all the rights and duties of both you and your insurance company. These policies may not fully cover all of your medical costs. Medicare supplement policies may contain provisions that limit benefits to those approved for payment by Medicare. Neither Blue Cross and Blue Shield of North Carolina nor its agents are connected with Medicare.
1 "Introducing Medicare Rx Prescription Drug Coverage." CMS PUB No. 11142. June 2005, page 1.
2 BCBSNC is a prescription drug plan sponsor with a Medicare contract. Prescription drug coverage is not sold as a benefit of any Medicare supplement plan.
3 Plan A: K-74 A, 2/04, Plan B: K-74 B, 2/04, Plan C: K-74 C, 2/04, Plan D: K-74 D, 2/04, Plan E: K-74 E, 2/04, Plan F: K-74 F, 2/04, Plan G: K-74 G, 2/04, Plan H: K-74 H, 8/05, Plan I: K-74 I, 8/05, Plan J: K-74 J, 8/05
† Blue Medicare Supplement rate for individuals who are on Medicare due to disability.
‡ Plan B under-65 rate is only available to current BCBSNC subscribers who qualify for Medicare due to disability.
®, SM Mark of the Blue Cross and Blue Shield Association. SM1 Mark of Blue Cross and Blue Shield of North Carolina.
U3823 9/07
The information on this page is current as of 02/14/08.