Coverage That Can Help You Relax

Rates as of 07/01/2024. Rates are illustrative only. Actual rates are based on your age, where you live, and your choice of coverage. Please do not send money, you cannot obtain coverage under the above plans until an application is completed and approved. Benefit exclusions and limitations might apply.

Quoted prices are based on the criteria specified during your search. This illustration is subject to Blue Cross and Blue Shield of Texas’s rating or underwriting and approval, as appropriate, and does not guarantee rates, coverage or effective date. Furthermore, rates are subject to change if any of the information you have provided changes when and if a policy is approved. In addition, Blue Cross and Blue Shield of Texas reserves the right to change rates from time to time.

Policy Numbers: Plan A: UWMSP(A)-2010, Plan F: UWMSP(F)-2019, Plan High Deductible F: UWMSP(F-HD)-2019, Plan G: UWMSP(G)-2019, Plan High Deductible G: UWMSP(G-HD)-2020, Plan N: UWMSP(N)-2019, Medicare Select Plan F: UWMSP-SEL(F)-2021, Medicare Select Plan G: UWMSP-SEL(G)-2021, Medicare Select Plan N: UWMSP-SEL(N)-2021.

Benefits and premiums under this policy may be suspended for up to 24 months if you become entitled to benefits under Medicaid. You must request that your policy be suspended within 90 days of becoming entitled to Medicaid. If you lose (are no longer entitled to) benefits from Medicaid, this policy can be reinstated if you request reinstatement within 90 days of the loss of such benefits and pay the required premium.

There is a 30-day free examination period to have the premium paid refunded.

Important Information About Quotes for Medicare Supplement Insurance Plans

Rates as of 07/01/2024. Rates are illustrative only. Actual rates are based on your age, where you live, and your choice of coverage. Please do not send money, you cannot obtain coverage under the above plans until an application is completed and approved. Benefit exclusions and limitations might apply.

¹ Not all of these plans are offered by Blue Cross and Blue Shield of Texas.

²You must live within 30 miles of a participating Medicare Select hospital to be eligible.

³Plans cover medically necessary emergency care services needed immediately because of an injury or illness of sudden and unexpected onset, beginning during the first 60 days of each trip outside the U.S. There is a deductible of $250 and a lifetime maximum benefit of $50,000.

⁴The out-of-pocket annual limit may increase each year for inflation (2024 limits shown).

⁵Plan N requires a copayment of up to $20 for office visits and a copayment of up to $50 for ER.

⁶These high deductible plans pay the same benefits as Plans F and G after one has paid a calendar-year $2,800 deductible. Benefits from High Deductible Plans F and will not begin until out-of-pocket expenses are $2,800. Out-of-pocket expenses for this deductible are expenses that would ordinarily be paid by the policy. This includes the Medicare deductibles for Part A and Part B, but does not include the plan’s separate foreign travel emergency deductible.

⁷Not to exceed any charge limitation established by the Medicare program or state law.