Victorson Associates, Inc.

First United American Life Insurance Company
PO Box 3125 Syracuse, NY 13220-3125

First United American Medicare Supplement
Rates for New York State as of May 1, 2008
The following Rates apply for Zip Codes 100 - 119

A	SA	Q	Mo
Plan A N28 N87
1735	885	451	153
Does not reimburse Part A deduct. Does not reimburse Part B deduct. Pays 20% of Part B approved expenses.
Plan C N30 N89
3124	1593	812	275
Reimburses Part A deductible Reimburses Part B deductible Pays 20% of Part B approved expenses. Foreign Travel Emergency Care
Plan F N32 N91
3153	1608	820	277
Reimburses Part A deductible Reimburses Part B deductible Pays 20% of Part B approved expenses Plus 100% of remaining Medicare approved amounts. Foreign Travel Emergency Care

A	SA	Q	Mo
Plan B N29 N88
2523	1287	656	222
Reimburses Part A deductible Does not reimburse Part B deductible Pays 20% of Part B approved expenses.
Plan D N31 N90
3049	1555	793	268
Reimburses Part A deductible but not Part B deductible Pays 20% of Part B approved expenses. Foreign Travel Emergency Care At-Home Recovery Services
Plan G N33 N92
3054	1558	794	269
Reimburses Part A deductible, but not Part B deductible Pays 20% of Part B approved expenses Plus 80% of remaining Medicare approved amounts. Foreign Travel Emergency Care At-Home Recovery Services

Deduct $3.00 from each premium (all modes) for Automatic Payment Plan.

The following Rates apply for all other Zip Codes in N.Y.
Plan A				Plan B
1570	801	408	138	2283	1164	594	201
Plan C				Plan D
2826	1441	735	249	2759	1407	717	243
Plan F				Plan G
2853	1455	742	251	2762	1409	718	243

Plan F+ (High Deductible) N34 N93
After you have met your calendar year deductible of $1,900
Medicare Part A	Medicare Part B
Plan F+ Reimburses:	Plan F+ Reimburses
Medicare's Part A Deductible Medicare's Blood Deductible Medicare's Hospital co-pays All eligible hospital charges after Medicare runs out (365 day max)	Medicare's Part B Deductible Medicare's Blood Deductible 100% of the difference between the Actual Charges and Medicare's Approved Part B charges.
Included Foreign Travel Emergency Benefit - Lifetime Maximum $50,000

Rates for Plan F+ (High Deductible)
Zip Codes: 100-104, 105-110, 111-119				All other Zip Codes in NY State
A	SA	Q	Mo	A	SA	Q	Mo
1051	536	273	92	859	438	223	76

A consumer's guide to health insurance for people eligible for Medicare may be obtained from your local Social Security Office or from this insurer.

First United American Life Insurance Company is not connected with or endorsed by the U.S. Government or Federal Medicare program.

Important: You must be appointed and licensed BEFORE
you may solicit business.

Download Applications, Brochures
and other supplies

To be sent a supply of Brochures and Applications:
phone, fax, or e-mail to: medicare@victorson.com

This is a solicitation for insurance and you may be contacted by an agent representing First United American Life Insurance Company

Form Number FUAMSVA