AARP Essential Premier. Health Insurance. Health Insurance, A guide to understanding your choices and selecting an insurance plan

AARP Essential Premier Health Insurance, insured by Aetna. Georgia AARP Essential Premier Health Insurance Insured by Aetna A guide to understanding your choices and selecting an insurance plan 49.39.300.1 B (1/13)

Have questions or want a quote? Call a representative toll-free at 1-866-660-4081 (TTY: 1-800-232-7773). Ask about authorized independent insurance agents in your area. 49.39.300.1 B (1/13)

49.44.300.1 B (1/13) 014069453-AARPBKRGA D LFM AARP Essential Premier Health Insurance, insured by Aetna. Georgia Your guide to AARP Essential 5 Premier Health Insurance Aexcel - Aetna's network 25 of high-performing physicians Important disclosure information 55 (the "fine print") Visit: www.premierhealthcoverage.com

Health Care Reform what you need to know The Federal Health Care Reform Legislation, known as The Patient Protection and Affordable Care Act, was signed into law on March 23, 2010. Since then, Aetna has periodically updated the AARP Essential Premier Health Insurance Plan, insured by Aetna to include any necessary changes. It is important for you to know that your plan will always comply with all of the federal health care reform legislation. Women s Preventive Health Benefits new changes effective August 1, 2012 As you may know, the legislation includes changes that are being phased in over a number of years. The latest set of changes now includes coverage of Women s Preventive Health Benefits. As of August 1, 2012, all of the following women s health services are considered preventive and therefore generally covered at no cost share, when provided in-network: Well-woman visits (annual routine physical, annual routine GYN exam and prenatal visits) Screening for gestational diabetes Human Papillomavirus (HPV) DNA testing Counseling for sexually transmitted infections (STI) Counseling and screening for human immunodeficiency virus (HIV) Screening and counseling for interpersonal and domestic violence Breastfeeding support, supplies and counseling Contraceptive methods and counseling 014069453-AARPBKRGA D LFM-2 Visit: www.premierhealthcoverage.com

Welcome to AARP Essential Premier Health Insurance Plan, insured by Aetna. Nothing is more important than your health. That s why health insurance coverage is such an essential part of life for AARP members. Did you or your spouse just leave an employer s insurance plan? Are you looking for something less expensive than COBRA? Want to switch from your current plan? AARP Essential Premier Health Insurance offers quality coverage. An excellent value, this plan was custom-designed exclusively for AARP members aged 50 to 64 and their dependents. This health insurance plan is endorsed by AARP, and it is insured by Aetna. One of the nation s leading health insurers, Aetna has been in business for over 150 years. Many of these plans offer: Coverage for you, your spouse, your dependent children and/or grandchildren Prescription drug, doctor, hospital and preventive care coverage High-deductible plans compatible with tax-advantaged Health Savings Accounts (HSAs) Aetna s nationwide network of doctors and hospitals Here s what to do next: Read through this guide Decide which plan best fits your needs Complete the application Mail it in the enclosed envelope Questions, want a price quote, or want to apply by phone? Call a company representative toll-free at 1-866-660-4081 (TTY: 1-800-232-7773). Ask about speaking to an authorized independent health insurance agent* in your area. You can also apply online at www.premierhealthcoverage.com. Thanks for inquiring about this health insurance plan designed just for AARP members. It represents a strong combination of quality and value in health insurance. 49.44.301.1 C (1/13) * AARP and its affiliate are not insurance agencies or carriers and do not employ or endorse individual agents, brokers, producers, representatives, or advisors. Visit: www.premierhealthcoverage.com 3

4 Visit: www.premierhealthcoverage.com 014069453-AARPBKRGA D LFM-4

Your guide to AARP Essential Premier Health Insurance Here s how to use this guide to select and apply for AARP Essential Premier Health Insurance, insured by Aetna: A. B. Confirm that AARP Essential Premier Health Insurance is available in your area. Section A. Check out the plan s many advantages. Section B. 49.39.301.1 A (1/13) C. Learn about the types of coverage options available to you. Section C. D. E. F. Get some helpful tips on choosing the right coverage for your unique needs. Section D. Compare the plans insured by Aetna and their features side by side. Section E. Apply online, by mail, or ask about speaking to a local authorized independent agent. * Section F. 49.44.308.1 B (1/13) * AARP and its affiliate are not insurance agencies or carriers and do not employ or endorse individual agents, brokers, producers, representatives, or advisors.

A. Is AARP Essential Premier Health Insurance available in your area? Covered counties* are shaded in grey and listed on the opposite page. + Which doctors and hospitals are in the network? Visit www.premierhealthcoverage.com Or call a representative toll-free at 1-866-660-4081 (TTY: 1-800-232-7773) 014069453-AARPBKRGA D LFM-6 6 Visit: www.premierhealthcoverage.com

Network map Georgia Managed Choice Open Access Areas Network I counties* Network II counties Network III counties 49.44.302.1-GA B (1/13) Banks Barrow Bartow Butts Catoosa Chattooga Cherokee Clarke Clayton Cobb Coweta Dawson Dekalb Douglas Elbert Fannin Fayette Floyd Forsyth Franklin Fulton Gilmer Gordon Gwinnett Habersham Hall Haralson Henry Jackson Jasper Lamar Lumpkin Madison Murray Newton Oconee Oglethorpe Paulding Pickens Pike Polk Rabun Rockdale Spalding Stephens Towns Union Walton White Whitfield Appling Baldwin Bibb Bryan Bulloch Candler Chatham Coffee Crawford Dougherty Effingham Evans Houston Jones Laurens Lee Liberty Long Monroe Peach Pulaski Tattnall Twiggs Washington Atkinson Bacon Baker Ben Hill Berrien Bleckley Brantley Brooks Burke Calhoun Camden Carroll Charlton Chattahoochee Clay Clinch Colquitt Columbia Cook Crisp Dade Decatur Dodge Dooly Early Echols Emanuel Glascock Glynn Grady Greene Hancock Harris Hart Heard Irwin Jeff Davis Jefferson Jenkins Johnson Lanier Lincoln Lowndes Macon Marion McDuffie McIntosh Meriwether Miller Mitchell Montgomery Morgan Muscogee Pierce Putnam Quitman Randolph Richmond Schley Screven Seminole Stewart Sumter Talbot Taliaferro Taylor Telfair Terrell Thomas Tift Toombs Treutlen Troup Turner Upson Walker Ware Warren Wayne Webster Wheeler Wilcox Wilkes Wilkinson Worth Visit: www.premierhealthcoverage.com 7

B. The many advantages of AARP Essential Premier Health Insurance These health insurance plans offer many advantages to you, including: Family coverage The plan offers you and your family quality coverage at an excellent value. You can apply for coverage for yourself, and include your spouse or domestic partner, children and grandchildren. Coverage can include prescription drugs, doctor visits, hospitalization and preventive care. Choice Choose from a wide range of health insurance plans, with different price and coverage levels. You can select from three (3) options: robust Premier Preferred Provider Organization plans; High-Deductible plans with taxadvantaged health savings accounts; or more affordable Preventive and Hospital Care plans with limited benefits. Tax advantages Our High Deductible plans are compatible with tax-advantaged Health Savings Accounts (HSAs). You can contribute money to your HSA tax free. That money earns interest tax free. And qualified withdrawals for medical expenses are tax free, too. Coverage when you travel Like to travel? You re covered by a nationwide network of doctors and hospitals that accept Aetna s negotiated fees. There is even reimbursable coverage for health care services when you travel internationally. Help with health information Need health information fast? Through Aetna s secure, award winning website, we offer you access to reliable health tools and resources to help you better understand and manage your health benefits. You can also call a registered nurse toll-free 24/7 through Aetna s Informed Health Line. To the extent permitted by law, AARP Essential Premier Health Insurance plans are medically underwritten by Aetna and you may be declined coverage in accordance with your health condition. If declined coverage, you may be federally eligible under the Health Insurance Portability and Accountability Act (HIPAA) or a special guaranteed issue plan under your state s laws and regulations. Health insurance plans contain exclusions and limitations. Why Aetna? Why did AARP select Aetna to make available health insurance for its members? Because Aetna is focused on addressing the needs of people aged 50 to 64, when insurance coverage is often unavailable or unaffordable. In addition to receiving quality, affordable coverage, eligible AARP members gain access to Aetna s innovative and personalized tools and services to help make better health care decisions. 014069453-AARPBKRGA D LFM-8 8 Visit: www.premierhealthcoverage.com

C. A variety of plans to fit a variety of needs Type 1 Premier PPO Plans: Type 2 High Deductible (HSA Compatible) Plans: Type 3 Preventive and Hospital Care Plans: Robust coverage, competitive premiums An excellent combination of quality coverage and competitively priced premiums. The freedom to see doctors whenever you need to, with no referrals needed for covered services. No claim forms to fill out when you use a network provider. Three (3) plan options, based on an annual deductible of $1500, $2500 or $5000. Tax advantages, lower premiums Lower monthly premiums, with a higher annual deductible. Covers preventive care, prescription drugs, doctor visits, hospitalization and preventive medications at 100% before your deductible (no co-payment) Should be paired with a Health Savings Account (HSA), which lets you pay for qualified medical expenses with tax-advantaged funds. See HSA advantages on the next page for details. Two (2) plan options, based on an annual deductible of $3000 or $5000. Basic coverage with limited benefits, lower premiums The most affordable premiums available. Covers preventive care, including annual GYN exam, well-child care and physical exam. Covers inpatient hospital stays, plus benefits for outpatient surgery, skilled nursing or home health care. Two plan options, based on an annual deductible of $1250 or $3000 (HSA compatible). Note: This plan provides limited benefits only and does not constitute a major medical health insurance plan. It may not cover all expenses associated with your health care needs. Visit: www.premierhealthcoverage.com 9

HSA advantages A Health Savings Account (HSA) has many tax advantages. They are: You or an eligible family member can contribute to your HSA tax free. The dollars in your account earn interest tax free. When you take money out to pay for qualified health care expenses before or after the deductible is met, that s tax free, too. Any money you haven t used at the end of the plan year rolls over to the next year. You can allow your HSA account to grow over time and use it to help pay for future health related expenses. You never lose it. You own your HSA. If you change jobs or health insurance plans, the money in your account is always yours and can be used in conjunction with another health plan. If you are age 55 or older (until enrolled in Medicare), you can also make additional catch-up contributions to your HSA. 014069453-AARPBKRGA D LFM-10 About premiums, deductibles and copays: To get a plan with a lower monthly premium, look for one with a higher annual deductible or a higher copay (what you pay for a specific product or service when care is given). A plan with higher monthly premiums typically has a lower deductible and/or copays. 10 Visit: www.premierhealthcoverage.com

Added coverage We understand you re looking for more coverage. Aetna has answered. Check out the following benefits now available in all AARP Essential Premier plans: One eye exam every 12 months with no copay and no deductible when you see an in-network provider*. Enhanced hospice coverage with an unlimited lifetime maximum. The Aetna Compassionate Care SM program provides additional support to members and their families who are confronting life-threatening illness and to help them access optimal care. A dedicated website provides online tools and information about advance directives and living wills, as well as tips on how to begin discussions about personal wishes at the end of life. More information can be found by visiting www.aetnacompassionatecareprogram.com/eol/. Preventive care Preventive care is covered beginning on the effective date of your policy, with no deductible applied for the following services (in network only): Flu shots (no copay; no physical exam needed). Regular office visits, routine GYN exams, and annual physical exams. Preventive colonoscopies and annual mammograms. Certain preventive medications covered on High Deductible Health Plans (no copay). Visit www.premierhealthcoverage.com for a list of qualified medications. Want to cover your children or grandchildren? You can enroll dependent children or dependent grandchildren on your AARP Essential Premier Health Insurance plan. * To determine which doctors are in the network, visit Aetna DocFind by clicking on Find a Doctor on www.premierhealthcoverage.com. Visit: www.premierhealthcoverage.com 11

D. Tips on selecting the right plan for you Choosing a good health plan for you and your family can be confusing. Here s some help. This chart offers you some tips on selecting the right plan for your unique situation, priorities and budget. Look for what s most important to you on the left, and you ll find suggested plans on the right. If If you want a lower deductible and are willing to pay a higher premium Then Premier $1500 or $2500 If You use only basic health care services and want to keep your monthly premium payments lower Then Premier $5000 Preventive and Hospital Care $3000* High Deductible $5000 If If You don t want to pay a lot for frequent doctor visits You want a balance of lower cost and quality coverage Then Then Premier $1500 Premier $2500 014069453-AARPBKRGA D LFM-12 If You want to cap the amount you ll spend on total medical expenses each year Then Premier $1500 If You want a plan that works with a tax-advantaged Health Savings Account Then High Deductible $3000 or $5000 Preventive and Hospital Care $3000* If You think robust coverage is more important than the amount you will pay Then Premier $1500 * This plan provides limited benefits only and does not constitute a major medical health insurance plan. It may not cover all expenses associated with your health care needs. 12 Visit: www.premierhealthcoverage.com

E. Compare the plans side by side Easy-to-compare benefits charts On the next two pages you ll see all the major features and benefits of each plan in chart form, making it easy to choose the plan that s right for you. Have questions or want a quote? Call a representative toll-free at 1-866-660-4081 (TTY: 1-800-232-7773). 49.39.302.1 (1/11) Ask about authorized independent insurance agents in your area or visit www.premierhealthcoverage.com to Find an Agent in your area. + Which doctors and hospitals are in the network? Visit www.premierhealthcoverage.com Or call a representative toll-free at 1-866-660-4081 (TTY: 1-800-232-7773) 49.44.303.1-GA B (1/13) Visit: www.premierhealthcoverage.com 13

PREMIER $1500 DEDUCTIBLE PLAN (You pay the amounts below) PREMIER $2500 DEDUCTIBLE PLAN (You pay the amounts below) PREMIER $5000 DEDUCTIBLE PLAN (You pay the amounts below) MEMBER BENEFITS In-Network Out-of-Network In-Network Out-of-Network In-Network Out-of-Network Deductible Individual / Family $1,500/$3,000 $3,000/$6,000 $2,500/$5,000 $5,000/$10,000 $5,000/$10,000 $10,000/$20,000 Coinsurance (Member s Responsibility) Coinsurance Maximum Individual / Family Out-of-Pocket Maximum (Includes Deductible) Individual / Family 20% 40% 20% 40% 20% 40% $1,500/$3,000 $1,500/$3,000 $2,500/$5,000 $2,500/$5,000 $2,500/$5,000 $2,500/$5,000 $3,000/$6,000 $4,500/$9,000 $5,000/$10,000 $7,500/$15,000 $7,500/$15,000 $12,500/$25,000 Lifetime Maximum per Insured Unlimited Unlimited Unlimited Non-Specialist Office Visit General Physician, Family Practitioner, Pediatrician or Internist $25 copay ded. waived $30 copay ded. waived $40 copay ded. waived Specialist Visit $35 copay ded. waived $40 copay ded. waived $50 copay ded. waived Hospital Admission 20% 40% 20% 40% 20% 40% Outpatient Surgery 20% 40% 20% 40% 20% 40% Emergency Room $150 copay** (waived if admitted) $150 copay** (waived if admitted) $150 copay** (waived if admitted) Urgent Care $75 copay, deductible waived 50% after deductible $75 copay, deductible waived 50% after deductible $75 copay, deductible waived 50% after deductible Annual Routine GYN Exam Annual Pap $0 copay ded. waived $0 copay ded. waived $0 copay ded. waived Maternity Preventive Health Routine Physical Not covered Except for pregnancy complications $0 copay ded. waived Lab / X-Ray 20% Skilled Nursing In lieu of hospital 30 days per calendar year* 20% 40% 40% Not covered Except for pregnancy complications $0 copay ded. waived 20% 20% 40% 40% Not covered Except for pregnancy complications $0 copay ded. waived 20% 20% 40% 40% 014069453-AARPBKRGA D LFM-14 Physical / Occupational Therapy 24 visits per calendar year* 20% 40% 20% 40% 20% 40% Home Health Care In lieu of hospital 30 visits per calendar year* 20% 40% 20% 40% 20% 40% Durable Medical Equipment Aetna will pay up to $2,000 per calendar year* 20% 40% 20% 40% 20% 40% PHARMACY Pharmacy Deductible Individual / Family Generic Preferred Brand Non-Preferred Brand $250/$500 NA to generic $15 copay ded. waived $25 copay $40 copay $250/$500 NA to generic $15 copay ded. waived $25 copay $40 copay $500/$1,000 NA to generic $15 copay ded. waived $25 copay $40 copay $500/$1,000 NA to generic $15 copay ded. waived $25 copay $40 copay $500/$1,000 NA to generic $15 copay ded. waived $25 copay $40 copay Calendar Year Max per Individual Unlimited Unlimited Unlimited $500/$1,000 NA to generic $15 copay ded. waived $25 copay $40 copay * Maximum applies to combined in- and out-of-network benefits. For a full list of benefit coverage and exclusions refer to plan documents. ** Copay is billed separately and not due at time of service. Copay does not count towards coinsurance or out-of-pocket max. *** Aetna discount available. 14 Visit: www.premierhealthcoverage.com

HIGH DEDUCTIBLE $3000 PLAN (HSA COMPATIBLE) (You pay the amounts below) HIGH DEDUCTIBLE $5000 PLAN (HSA COMPATIBLE) (You pay the amounts below) PREVENTIVE & HOSPITAL $1250 DEDUCTIBLE PLAN (You pay the amounts below) PREVENTIVE & HOSPITAL $3000 DEDUCTIBLE PLAN (HSA COMPATIBLE) (You pay the amounts below) In-Network Out-of-Network + In-Network Out-of-Network + In-Network Out-of-Network + In-Network Out-of-Network + $3,000/$6,000 $6,000/$12,000 $5,000/$10,000 $10,000/$20,000 $1,250/$2,500 $2,500/$5,000 $3,000/$6,000 $6,000/$12,000 0% 0% 20% 40% 20% 40% $0/$0 $6,500/$13,000 $0/$0 $2,500/$5,000 $2,500/$5,000 $5,000/$10,000 $2,000/$4,000 $4,000/$8,000 $3,000/$6,000 $12,500/$25,000 $5,000/$10,000 $12,500/$25,000 $3,750/$7,500 $7,500/$15,000 $5,000/$10,000 $10,000/$20,000 Unlimited Unlimited Unlimited Unlimited 0% 0% Not covered Not covered Not covered Not covered 0% 0% Not covered Not covered Not covered Not covered 0% 0% 20% 40% 20% 40% 0% 0% 20% 40% 20% 40% $0 copay $0 copay $0 copay $0 copay $100 copay** (waived if admitted) 20% $100 copay** (waived if admitted) 20% $75 copay, deductible waived 50% after deductible $75 copay, deductible waived 50% after deductible $75 copay, deductible waived 50% after deductible $75 copay, deductible waived 50% after deductible $0 copay ded. waived $0 copay ded. waived $0 copay ded. waived $0 copay ded. waived 49.39.303.1 (1/11) Not covered Except for pregnancy complications $0 copay ded. waived 0% 0% Not covered Except for pregnancy complications $0 copay ded. waived 0% 0% Not covered Except for pregnancy complications $0 copay ded. waived Not covered Except for pregnancy complications $0 copay ded. waived 20% after ded. 40% after ded. 20% after ded. 40% after ded. preoperative w/covered surgery only preoperative w/covered surgery only 20% 40% 20% 40% 0% 0% Not covered Not covered Not covered Not covered 0% 0% 20% 40% 20% 40% 0% 0% Not covered Not covered Not covered Not covered Integrated Medical/Rx Deductible Integrated Medical/Rx Deductible Not applicable Not applicable Not covered*** Not covered*** 49.44.304.1-GA B (1/13) $0 copay after medical ded. $0 copay after medical ded. $0 copay after medical ded. 0% after med. ded. 0% after med. ded. 0% after med. ded. 0% after med. ded. 0% after med. ded. 0% after med. ded. 0% after med. ded. 0% after med. ded. 0% after med. ded. $15 copay ded. waived $15 copay ded. waived Not covered*** Not covered*** Not covered*** Not covered*** Not covered*** Not covered*** Not covered*** Not covered*** Not covered*** Not covered*** Unlimited Unlimited Unlimited Not applicable Not applicable Payment for out-of-network facility covered expenses is determined based on the Aetna Market Fee Schedule. Payment for out-of-network nonfacility covered expenses is determined based on the negotiated charge that would apply if such services were received from a Network Provider. Visit: www.premierhealthcoverage.com 15

F. Three ways to apply* Option one: Apply online 1. Visit www.premierhealthcoverage.com. 2. Enter and submit your state, ZIP code and birth date. 3. Use the helpful information and tools to choose the best plan for you. (Or call toll-free 1-866-660-4081 (TTY: 1-800-232-7773) if you would like to talk to a company representative.) 4. Click Get a Quote to find out your plan s approximate cost. 5. Complete the online application and use a credit card for payment. Option two: Apply with an agent Option three: Apply by mail 1. Call 1-866-660-4081 toll-free and ask if there s an authorized independent agent available in your area or use the Find an Agent tool located on www.premierhealthcoverage.com. 2. The advantage of using an authorized independent agent is they can best identify your needs and assist you with locating the plan that fits those needs. Also, they can answer any questions regarding plan features and benefits. 3. The agent can assist you with evaluating which plan bests suits your needs and will help you with the application process. 4. There is no additional increase in premium when you utilize the services of one of our authorized independent agents and they are compensated directly from Aetna. 1. Fully complete the application included with this guide. Be sure to indicate which payment method you will use. 2. Use the rates included with this guide to find out how much your plan may cost. 3. Mail the completed application with your payment. 014069453-AARPBKRGA D LFM-16 If you applied online, here s how to check your status: 1. To check your status online, visit www.premierhealthcoverage.com. 2. Click the Apply button. 3. Enter your AARP membership information. 4. When prompted, enter your username and password to access your account. 5. Select the My Account link in the upper right corner to be directed to your application s status. * To the extent permitted by law, AARP Essential Premier Health Insurance plans are medically underwritten by Aetna and you may be declined coverage in accordance with your health condition. 16 Visit: www.premierhealthcoverage.com

Special Aetna programs to help you manage your health Aetna Rx Home Delivery With this optional program, you can order prescription drugs through Aetna s convenient and easy mail-order pharmacy. To learn more, visit www.aetnarxhomedelivery.com. Weight management discounts Interested in losing weight, feeling great and saving money? You can with our weight management discounts. You and your eligible family members can get discounts on a variety of weight-loss programs, diet and meal plans, and products from some of today s most popular weight management companies. Aetna s secure member website It s easy and convenient to look up health information and manage your health benefits. Any time day or night, log in to the secure member website. Check the status of claims, estimate the costs of health care services and much more. Informed Health Line Get answers to your health questions, 24 hours a day, 7 days a week, by calling a toll-free hotline staffed by Aetna s team of registered nurses. While only your doctor can diagnose, prescribe or give medical advice, the Informed Health Line nurses can provide information on more than 5,000 health topics. Contact your doctor first with any questions or concerns regarding your health care needs. Natural products and services discounts You and eligible family members can get reduced rates on acupuncture, massage therapy, chiropractic and nutrition services. You can also get discounts on over-the-counter vitamins, herbal and nutritional supplements, and other health-related products. Plus you can get a discount on online consultations and alternative remedies provided by medical doctors. Simple steps to better health are just a few clicks away Quit smoking drop a few pounds deal with stress start eating better. Do you know you need to start making healthier choices but you re not sure where to start? Aetna s Simple Steps To A Healthier Life (Simple Steps) program is a free, customized tool designed to help you make lasting, lifelong health changes in ways that work for you. The Simple Steps tool provides valuable online wellness coaching programs that are included with your health insurance plan, so they won t cost you a penny. You ll learn realistic steps to fit healthy habits into your busy daily routine at your own pace. Simple Steps can help you reach a wide variety of health goals. 49.44.305.1 E (3/13) Neither AARP nor Aetna endorses any vendor, product or service associated with these programs. It is not necessary to be a member of an AARP plan to access the program participating providers. The information provided by the Simple Steps To A Healthier Life program is not meant to be either a recommendation for medical treatment or a diagnosis of medical condition. Participants should consult their health care provider for the advice and care appropriate for their specific medical needs. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Discount programs provide access to discounted prices and are NOT insured benefits. The member is responsible for the full cost of the discounted services. Visit: www.premierhealthcoverage.com 17

Things to know before you apply To qualify for an AARP Essential Premier Health Insurance plan, you must be: Between the ages of 50 and 64-3/4 (if you are applying as a couple, both you and your spouse or domestic partner must be under 64-3/4) and: Under age 26 for eligible dependent* A legal resident in a state with products offered by these plans A legal U.S. resident for at least 6 continuous months An AARP member; however, you do not need to be a member to get a quote Your coverage Your coverage will remain in effect as long as you pay the required premiums on time, and as long as you maintain AARP membership eligibility. Your coverage will end, for example, if you: Do not pay premiums on time Do not meet residency requirements, or any other eligibility requirements noted above Have or obtain similar coverage (duplicate coverage) from another insurance company Become ineligible for other reasons permitted by law; for more information, please see the disclosure section of this brochure Medical underwriting AARP Essential Premier Health Insurance plans are not guaranteed issue plans and to the extent permitted by law, require a review of your health history (called medical underwriting ). You may be declined coverage in accordance with your health condition. Children under the age of 19 cannot be declined coverage for preexisting conditions. If declined coverage you may be federally eligible under the Health Insurance Portability and Accountability Act (HIPAA) or a special guaranteed issue plan under your state s laws and regulations. Applicants, enrolling spouses or domestic partners, and dependents are subject to medical underwriting to determine eligibility and appropriate rate levels. Aetna offers various rate levels based on the known health and medical risk factors of each applicant. Rate levels and enrollment After processing of your application, you may be: Enrolled in your selected plan at the lowest rate available (known as the standard premium charge) Enrolled in your selected plan at a higher premium Declined coverage (except for dependents under age 19) 014069453-AARPBKRGA D LFM-18 * An eligible dependent is defined as under age 26 (or higher if allowed by state law) and dependent upon an AARP member for support and maintenance and is one of the following: natural child, stepchild, legally adopted child, child placed for adoption, child for whom legal guardianship has been awarded to the AARP member, or relative of the AARP member by blood or marriage. 18 Visit: www.premierhealthcoverage.com

Duplicate coverage If you currently have major medical coverage through another insurer, you must agree to discontinue that coverage before or on the effective date of your AARP Essential Premier Health Insurance plan. Do not cancel your current insurance until you are notified you have been accepted for coverage. Pre-existing conditions For applicants 19 and older: During the first 12 months after your effective date of coverage, no coverage will be provided for treatment of a pre-existing condition unless you have prior creditable coverage. A pre-existing condition is any physical or mental condition you ve been diagnosed or treated for during the look-back period before the date your coverage begins. Prior creditable coverage is a person s prior medical coverage as defined in the Health Insurance Portability and Accountability Act of 1996 (HIPAA), and in any applicable state law. You are considered to have prior creditable coverage if the difference between the prior coverage termination date and signature date on you application is NOT greater than 63 days. Prior creditable coverage does not guarantee acceptance into the AARP Essential Premier Health Insurance plan, insured by Aetna. If you have prior creditable coverage within 63 days immediately before the signature date on your application, then the pre-existing conditions exclusion of the plan will be waived. See the Words To Know section of this booklet for more information on the look-back period and creditable coverage. 10-day right to review Do not cancel your current insurance until you re notified you ve been accepted for coverage. Aetna will review your application to determine if you meet underwriting requirements. If you re denied, you will be notified by mail. If approved, you ll be sent an AARP Essential Premier Health Insurance contract and ID card. If, after reviewing the contract, you are not satisfied for any reason, simply return the contract to us within 10 days of your receipt. We will refund any premium you have paid, less the cost of any services paid on behalf of you or any covered dependent. An eligible dependent is defined as under age 26 (or higher if allowed by state law) and dependent upon an AARP member for support and maintenance and is one of the following: natural child, stepchild, legally adopted child, child placed for adoption, child for whom legal guardianship has been awarded to the AARP member, or relative of the AARP member by blood or marriage. Have questions or want a quote? Have questions or want a quote? Call a representative toll-free at 1-866-660-4081 (TTY: 1-800-232-7773). Ask about authorized independent insurance agents in your area or visit www.premierhealthcoverage.com to find an agent in your area. Visit: www.premierhealthcoverage.com 19

Limitations and exclusions Have questions or want a quote? Have questions or want a quote? Call a representative toll-free at 1-866-660-4081 (TTY: 1-800-232-7773). Ask about authorized independent insurance agents in your area or visit www.premierhealthcoverage.com to find an agent in your area. The health insurance plans in this guide do not cover all health care expenses, and they include exclusions and limitations. Refer to plan documents to determine which health care services are covered and to what extent. Services and supplies that are generally NOT covered include, but are not limited to: Surgery or related services for cosmetic purposes to improve appearance, but not to restore bodily function or correct deformity resulting from disease, trauma, or congenital or developmental anomalies. Private duty nursing. Personal care services and home care services not stated in the plan description. Non-replacement fees for blood and blood products. Dental work or treatment, unless otherwise specified in covered services, including hospital or professional care in connection with: The operation or treatment for fitting or wearing of dentures Orthodontic care Dental implants Experimental services 014069453-AARPBKRGA D LFM-20 20 Visit: www.premierhealthcoverage.com

Immunizations related to foreign travel. The purchase, examination or fitting of hearing aids and supplies, and tinnitus maskers, unless included as a covered benefit. Arch support, orthotic devices, in-shoe supports, orthopedic shoes, elastic supports, or exams for their prescription or fitting, unless these services are determined to be medically necessary. Inpatient admissions primarily for physical therapy unless authorized by the plan. Charges in connection with pregnancy care, other than for pregnancy complications. Treatment of sexual dysfunction not related to organic disease. Services to reverse a voluntary sterilization. In vitro fertilization, ovum transplants and gamete intrafallopian tube transfer, or cryogenic or other preservation techniques used in these or similar procedures. Practitioner, hospital or clinical services related to the procedure commonly referred to as LASIK eye surgery, including radial keratomy, myopi keratomileusis and surgery that involved corneal tissue for the purpose of altering, modifying or correcting myopia, hyperopia or stigmatic error. Nonmedical ancillary services, such as vocational rehabilitation, employment, counseling or educational therapy. Services that are not medically necessary. Medical expenses for a pre-existing condition, for the first 12 months after the member s effective date. Look-back period for determining a pre-existing condition (conditions for which diagnosis, care or treatment was recommended or received) is 6 months prior to the effective date of coverage. If the applicant had prior creditable coverage within 63 days immediately before the signature of the application, then the pre-existing conditions exclusion of the plan will be waived. See the Words To Know section of this booklet for more information on pre-existing conditions and prior creditable coverage. Weight control services including surgical procedures, medical treatments, weight control/loss programs, dietary regimens and supplements, appetite suppressants and other medication; food or food supplements, exercise programs, exercise or other equipment; and other services and supplies that are primarily intended to control weight or treat obesity, including morbid obesity, or for the purpose of weight reduction, regardless of the existence of comorbid conditions. Visit: www.premierhealthcoverage.com 21

Words to know Here are definitions of some commonly used health insurance terms. They may help you make more informed decisions about your health care coverage. (For more terms, please visit www.planforyourhealth.com.) COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985) Some employers are mandated by law to offer employees who terminate employment the option to continue their health coverage for up to 18 months. The employee pays the full premium, up to 102 percent of the employer s cost (the extra 2 percent is the administration fee). COBRA can cover ALL members of your family from the date of your termination of employment, so if your spouse or domestic partner has a preexisting condition that a new, cheaper policy might not cover, you can elect to keep COBRA for him or her. If you re considering COBRA, be sure to get more information from your employer. Copay After you ve met your annual deductible amount, this is the fixed dollar amount you pay for a specific medical service, product or prescription drug. For example, a plan might state your copay for a doctor office visit is $25, while the insurance company pays the rest of the cost. Coinsurance Similar to a copayment, with one exception: The amount you pay for covered medical services is expressed as a percentage instead of a dollar amount. So, for example, if your plan s hospitalization coinsurance is 20 percent, it means you ll pay 20 percent of total hospital fees while the insurance company pays the other 80 percent. Deductible The amount you pay for covered services in a specified time period before the plan will pay benefits. For a plan requiring a $1,000 annual deductible, for instance, you ll pay $1,000 out of your pocket for medical expenses each year before the insurance company starts paying for anything. (Typically, the higher your deductible, the lower your monthly premium.) HSA (health savings account) A tax-advantaged financial account, with various restrictions, that helps cover current and future medical expenses. Look-back period When you enroll for health insurance, you must report any medical conditions for which you have been diagnosed or treated during the lookback period. For example, if a health plan has a six month look-back period, you have to report conditions you had treated in the last six months. Based on your answers, you ll either be accepted, denied or accepted with a pre-existing condition waiting period the time you must wait before your pre-existing conditions can be covered. Out-of-pocket costs Premiums, copayments, deductibles, coinsurance or other fees you re required to pay outside of your health benefits plan. Out-of-pocket maximums After you meet your annual deductible, this is the most coinsurance dollars you ll have to pay in a single year. 014069453-AARPBKRGA D LFM-22 22 Visit: www.premierhealthcoverage.com

Pre-existing conditions Any physical or mental condition you ve been diagnosed or treated for before the date your health coverage begins. Premium The fee you pay, usually monthly, to an insurance company to be covered by a health insurance plan. Primary care physician A doctor who provides, coordinates or arranges for care to patients, and takes continuing responsibility for providing a patient s care. Prior creditable coverage A person s prior medical coverage, as defined in the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This coverage includes: health coverage issued on a group or individual basis; Medicare; Medicaid; health care for members of the uniformed services; a program of the Indian Health Service; a state health benefits risk pool; the Federal Employees Health Benefit Plan (FEHBP); a public health plan (any plan established by a state, the government of the United States, or any subdivision of a state or of the government of the United States, or a foreign country); any health benefit plan under Section 5(e) of the Peace Corps Act; and the State Children s Health Insurance Program (SCHIP). Referrals A doctor s and/or health plan s recommendation for you to receive care from a different physician, specialist or facility. Specialist A doctor who has completed an approved residency, passed an examination given by a medical specialty board, and has been certified as a specialist in a medical area. Underwriting The process insurance companies use to evaluate the costs of insuring you and determining if you re eligible for coverage. It can involve asking medical questions or requiring health exams. If you re eligible for coverage, your rate level (and your premiums) will be based on this underwriting. Have questions or want a quote? Have questions or want a quote? Call a representative toll-free at 1-866-660-4081 (TTY: 1-800-232-7773). Ask about authorized independent insurance agents in your area or visit www.premierhealthcoverage.com to find an agent in your area. AARP and its affiliate are not insurance agencies or carriers and do not employ or endorse individual agents, brokers, producers, representatives or advisors. Visit: www.premierhealthcoverage.com 23

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Aexcel Aetna s network of high-performing physicians 49.39.301.1 A (1/13) Specialists with the Aexcel designation meet standards for clinical performance and efficiency. Get more information about your doctor before you visit. 49.44.309.1 B (1/13) Visit: www.premierhealthcoverage.com 25

The Aexcel network Aexcel, Aetna s performance network, gives you access to some of the highperforming specialists. Specialty doctors and doctor groups with the Aexcel designation: Are part of the Aetna network of health care providers Have met industry-accepted practices for clinical performance Have met Aetna s efficiency standards You ll find other advantages, too. As an AARP Essential Premier Health Insurance member, when you visit one of these doctors, referrals are not needed. Get care in 12 specialty areas. Visit doctors and doctor groups in these 12 areas: Cardiology Cardiothoracic Surgery Gastroenterology General Surgery Neurology Neurosurgery Obstetrics and Gynecology Orthopedics Otolaryngology/ENT Plastic Surgery Urology Vascular Surgery Consider Aexcel-designated doctors when you need specialty care. How does Aetna choose specialists for Aexcel designation? Aetna analyzes specialists performance using nationally recognized standards from many groups. These include the American Heart Association, American College of Obstetricians and Gynecologists, Agency for Health Research and Quality, Society of Thoracic Surgeons, and Centers for Medicare & Medicaid Services. Measurable standards Items tracked: Hospital readmission rates after 30 days Rates of health complications during hospital care Other treatments, by specialty, shown to improve outcomes Aetna also looks at external recognition information specific to the physicians Aexcel specialty. Cost of Care Also reviewed are the costs of treating Aetna members in each of the 12 Aexcel areas of care. Aetna tries to include all costs not just visits to the doctor s office. Items reviewed are inpatient, outpatient, diagnostic, lab and pharmacy claims. The total costs of care from each doctor to the costs of other doctors in the same region are then compared. The doctors who best meet the above standards are chosen to receive the Aexcel designation. 014069453-AARPBKRGA D LFM-26 26 Visit: www.premierhealthcoverage.com

Frequently asked questions How can I find an Aexcel-designated doctor? AARP Essential Premier Health Insurance members can access Aetna s DocFind online provider directory at www.aetna.com/docfind/custom/advplans. Aexceldesignated doctors have a blue star next to their name. More information is available on Aetna Navigator, your secure member website. Just log in, enter DocFind, and search for a specialist. Click on the Provider Details link below an Aexceldesignated specialist and then click on the View Clinical Quality and Efficiency tab. You can find more information on Aexcel designation in our Understanding Aexcel brochure. It s also available online in DocFind at www.understandingaexcel.com. Simply click on the Learn More section. Do I need a referral to see an Aexcel-designated doctor? No. AARP Essential Premier Health Insurance members do not need a referral to see an Aexcel-designated doctor. Will I pay extra for an Aexcel-designated specialist? No. In fact, by visiting an Aexcel-designated specialist, your benefits are considered in-network. Plus, doctors with the Aexcel designation have been shown to work efficiently within the health care system. That is good news for your health. What if a doctor is part of a group? If a doctor is part of a group, we evaluate the entire group. In this case, performance-measurement results of other doctors in the group affect each individual doctor s evaluation. Specialists are regularly reviewed for the Aexcel designation. Please check your doctor s status before making an appointment. 49.44.306.1 A (1/12) Aexcel designation is only a guide for choosing a physician. Members should confer with their existing physicians before making a decision. Designations have risk of error and should not be the sole basis for selecting a doctor. Not all health services are covered. See plan documents for a complete description of benefits, exclusions, limitations, and conditions of coverage. Visit: www.premierhealthcoverage.com 27

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Rates in your area Georgia Effective 01/01/2013 49.44.310.1-GA B (1/13) 49.39.301.1 A (1/13) Visit: www.premierhealthcoverage.com 29

Rates listed here apply to the following counties in your state: Banks Barrow Bartow Butts Catoosa Chattooga Cherokee Clarke Clayton Cobb Coweta Dawson Dekalb Douglas Fayette Floyd Forsyth Fulton Gordon Gwinnett Hall Haralson Henry Jackson Jasper Lamar Madison Newton Oconee Oglethorpe Paulding Pickens Pike Polk Rockdale Spalding Walton Whitfield AARP Essential Premier Health Insurance Plan is the name of the plan provided for AARP members by Aetna Life Insurance Company (Aetna). In some states, individuals may qualify as a business group of one and may be eligible for guaranteed issue, small group health plans. Rates are subject to change based on rate increases implemented to the whole book of business in accordance with state laws and regulations. Your rates may also be higher based on your or any covered family member s medical history, Aetna s underwriting guidelines and any optional benefits selected. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. Premier $1500 Deductible Plan 0 $640 $640 1 $289 $289 2 $189 $189 3 $175 $175 4 $161 $161 5 $149 $149 6 $140 $140 7 $134 $134 8 $130 $130 9 $130 $130 10 $133 $133 11 $139 $139 12 $147 $147 13 $149 $157 14 $159 $168 15 $170 $179 16 $179 $191 17 $187 $204 18 $192 $210 19 $194 $215 20 $188 $212 21 $180 $209 22 $168 $200 23 $168 $206 24 $169 $213 25 $173 $221 26 $179 $230 27 $186 $240 28 $193 $249 29 $200 $257 30 $206 $264 31 $211 $269 32 $214 $273 33 $215 $277 34 $216 $280 35 $217 $283 36 $219 $288 37 $222 $294 38 $227 $302 39 $234 $311 40 $242 $320 41 $252 $329 42 $262 $338 43 $272 $347 44 $283 $356 45 $294 $364 46 $306 $374 47 $317 $383 48 $329 $393 49 $341 $403 50 $354 $412 51 $368 $419 52 $384 $426 53 $403 $433 54 $426 $441 55 $451 $450 56 $478 $461 57 $504 $474 58 $531 $489 59 $558 $505 60 $585 $521 61 $634 $540 62 $689 $559 63 $748 $576 64 $812 $593 014069453-AARPBKRGA D LFM-30 30 Visit: www.premierhealthcoverage.com

Premier $2500 Deductible Plan Premier $5000 Deductible Plan 49.44.312.1-GA B (1/13) 0 $523 $523 1 $236 $236 2 $154 $154 3 $143 $143 4 $132 $132 5 $122 $122 6 $115 $115 7 $109 $109 8 $106 $106 9 $106 $106 10 $109 $109 11 $114 $114 12 $120 $120 13 $122 $128 14 $130 $137 15 $139 $147 16 $147 $157 17 $153 $167 18 $157 $172 19 $159 $176 20 $153 $174 21 $147 $171 22 $137 $164 23 $137 $168 24 $139 $174 25 $142 $181 26 $146 $188 27 $152 $196 28 $158 $204 29 $164 $210 30 $169 $216 31 $172 $220 32 $175 $223 33 $176 $226 34 $177 $229 35 $178 $232 36 $179 $236 37 $182 $241 38 $186 $247 39 $191 $254 40 $198 $262 41 $206 $269 42 $214 $276 43 $223 $284 44 $231 $291 45 $241 $298 46 $250 $305 47 $259 $313 48 $269 $321 49 $279 $329 50 $289 $337 51 $301 $343 52 $314 $349 53 $330 $354 54 $348 $360 55 $369 $368 56 $391 $377 57 $412 $387 58 $434 $400 59 $456 $413 60 $478 $426 61 $519 $442 62 $563 $457 63 $612 $471 64 $664 $485 0 $338 $338 1 $153 $153 2 $100 $100 3 $92 $92 4 $85 $85 5 $79 $79 6 $74 $74 7 $71 $71 8 $69 $69 9 $69 $69 10 $70 $70 11 $73 $73 12 $78 $78 13 $79 $83 14 $84 $89 15 $90 $95 16 $95 $101 17 $99 $108 18 $101 $111 19 $103 $114 20 $99 $112 21 $95 $110 22 $89 $106 23 $89 $109 24 $90 $112 25 $91 $117 26 $94 $122 27 $98 $127 28 $102 $132 29 $106 $136 30 $109 $139 31 $111 $142 32 $113 $144 33 $114 $146 34 $114 $148 35 $115 $150 36 $116 $152 37 $117 $156 38 $120 $160 39 $124 $164 40 $128 $169 41 $133 $174 42 $138 $179 43 $144 $183 44 $150 $188 45 $155 $192 46 $161 $197 47 $168 $202 48 $174 $208 49 $180 $213 50 $187 $217 51 $194 $222 52 $203 $225 53 $213 $229 54 $225 $233 55 $238 $238 56 $252 $243 57 $266 $250 58 $281 $258 59 $295 $267 60 $309 $275 61 $335 $285 62 $364 $295 63 $395 $304 64 $429 $313 Rates are subject to increase upon underwriting review where permitted by law. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. Visit: www.premierhealthcoverage.com 31

Preventive and Hospital Care $1250 Deductible Plan Preventive and Hospital Care $3000 Deductible Plan (HSA Compatible) 49.44.312.1-GA B (1/13) 0 $348 $348 1 $157 $157 2 $103 $103 3 $95 $95 4 $88 $88 5 $81 $81 6 $76 $76 7 $73 $73 8 $71 $71 9 $71 $71 10 $72 $72 11 $76 $76 12 $80 $80 13 $81 $85 14 $87 $91 15 $92 $97 16 $97 $104 17 $102 $111 18 $104 $114 19 $106 $117 20 $102 $115 21 $98 $113 22 $91 $109 23 $91 $112 24 $92 $116 25 $94 $120 26 $97 $125 27 $101 $130 28 $105 $135 29 $109 $140 30 $112 $144 31 $115 $146 32 $116 $149 33 $117 $150 34 $118 $152 35 $118 $154 36 $119 $157 37 $121 $160 38 $124 $164 39 $127 $169 40 $132 $174 41 $137 $179 42 $142 $184 43 $148 $189 44 $154 $193 45 $160 $198 46 $166 $203 47 $173 $208 48 $179 $214 49 $185 $219 50 $192 $224 51 $200 $228 52 $209 $232 53 $219 $236 54 $231 $240 55 $245 $245 56 $260 $251 57 $274 $258 58 $289 $266 59 $303 $275 60 $318 $284 61 $345 $294 62 $375 $304 63 $407 $313 64 $442 $322 0 $243 $243 1 $110 $110 2 $72 $72 3 $66 $66 4 $61 $61 5 $57 $57 6 $53 $53 7 $51 $51 8 $49 $49 9 $49 $49 10 $50 $50 11 $53 $53 12 $56 $56 13 $57 $59 14 $60 $64 15 $64 $68 16 $68 $73 17 $71 $78 18 $73 $80 19 $74 $82 20 $71 $81 21 $68 $79 22 $64 $76 23 $64 $78 24 $64 $81 25 $66 $84 26 $68 $87 27 $71 $91 28 $73 $95 29 $76 $98 30 $78 $100 31 $80 $102 32 $81 $104 33 $82 $105 34 $82 $106 35 $82 $108 36 $83 $109 37 $84 $112 38 $86 $115 39 $89 $118 40 $92 $121 41 $95 $125 42 $99 $128 43 $103 $132 44 $107 $135 45 $112 $138 46 $116 $142 47 $120 $145 48 $125 $149 49 $129 $153 50 $134 $156 51 $140 $159 52 $146 $162 53 $153 $164 54 $162 $167 55 $171 $171 56 $181 $175 57 $191 $180 58 $202 $185 59 $212 $192 60 $222 $198 61 $241 $205 62 $261 $212 63 $284 $219 64 $308 $225 Rates are subject to increase upon underwriting review where permitted by law. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. 014069453-AARPBKRGA D LFM-32 32 Visit: www.premierhealthcoverage.com

High Deductible $3000 Plan (HSA Compatible) High Deductible $5000 Plan (HSA Compatible) 49.44.312.1-GA B (1/13) 0 $436 $436 1 $197 $197 2 $128 $128 3 $119 $119 4 $110 $110 5 $102 $102 6 $95 $95 7 $91 $91 8 $89 $89 9 $88 $88 10 $91 $91 11 $95 $95 12 $100 $100 13 $102 $107 14 $109 $114 15 $116 $122 16 $122 $130 17 $127 $139 18 $131 $143 19 $132 $147 20 $128 $145 21 $122 $142 22 $114 $136 23 $114 $140 24 $115 $145 25 $118 $151 26 $122 $157 27 $127 $163 28 $132 $170 29 $136 $175 30 $141 $180 31 $144 $183 32 $145 $186 33 $147 $188 34 $147 $191 35 $148 $193 36 $149 $196 37 $151 $201 38 $155 $206 39 $159 $212 40 $165 $218 41 $171 $224 42 $178 $230 43 $185 $236 44 $193 $242 45 $200 $248 46 $208 $254 47 $216 $261 48 $224 $268 49 $232 $274 50 $241 $280 51 $251 $286 52 $262 $290 53 $275 $295 54 $290 $300 55 $307 $306 56 $325 $314 57 $343 $323 58 $362 $333 59 $380 $344 60 $398 $355 61 $432 $368 62 $469 $380 63 $510 $392 64 $553 $404 0 $344 $344 1 $155 $155 2 $101 $101 3 $94 $94 4 $87 $87 5 $80 $80 6 $75 $75 7 $72 $72 8 $70 $70 9 $70 $70 10 $71 $71 11 $75 $75 12 $79 $79 13 $80 $84 14 $86 $90 15 $91 $96 16 $96 $103 17 $100 $110 18 $103 $113 19 $104 $116 20 $101 $114 21 $97 $112 22 $90 $108 23 $90 $111 24 $91 $114 25 $93 $119 26 $96 $124 27 $100 $129 28 $104 $134 29 $108 $138 30 $111 $142 31 $113 $145 32 $115 $147 33 $116 $149 34 $116 $150 35 $117 $152 36 $118 $155 37 $120 $158 38 $122 $162 39 $126 $167 40 $130 $172 41 $135 $177 42 $141 $182 43 $146 $186 44 $152 $191 45 $158 $196 46 $164 $201 47 $171 $206 48 $177 $211 49 $183 $216 50 $190 $221 51 $198 $225 52 $207 $229 53 $217 $233 54 $229 $237 55 $243 $242 56 $257 $248 57 $271 $255 58 $285 $263 59 $300 $271 60 $314 $280 61 $341 $290 62 $370 $300 63 $402 $310 64 $436 $319 Rates are subject to increase upon underwriting review where permitted by law. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. Visit: www.premierhealthcoverage.com 33

Rates listed here apply to the following counties in your state: Carroll Chattahoochee Dade Harris Heard Muscogee Troup Walker AARP Essential Premier Health Insurance Plan is the name of the plan provided for AARP members by Aetna Life Insurance Company (Aetna). In some states, individuals may qualify as a business group of one and may be eligible for guaranteed issue, small group health plans. Rates are subject to change based on rate increases implemented to the whole book of business in accordance with state laws and regulations. Your rates may also be higher based on your or any covered family member s medical history, Aetna s underwriting guidelines and any optional benefits selected. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. Premier $1500 Deductible Plan 0 $714 $714 1 $323 $323 2 $210 $210 3 $195 $195 4 $180 $180 5 $167 $167 6 $156 $156 7 $149 $149 8 $145 $145 9 $145 $145 10 $148 $148 11 $155 $155 12 $164 $164 13 $166 $175 14 $178 $187 15 $189 $200 16 $200 $214 17 $209 $228 18 $214 $234 19 $217 $240 20 $209 $237 21 $201 $233 22 $187 $223 23 $187 $229 24 $189 $237 25 $193 $247 26 $200 $257 27 $207 $268 28 $216 $278 29 $224 $287 30 $230 $294 31 $235 $300 32 $238 $305 33 $240 $309 34 $241 $312 35 $242 $316 36 $245 $322 37 $248 $329 38 $254 $337 39 $261 $347 40 $270 $357 41 $281 $367 42 $292 $377 43 $304 $387 44 $316 $397 45 $328 $407 46 $341 $417 47 $354 $428 48 $367 $439 49 $380 $449 50 $395 $459 51 $411 $468 52 $429 $476 53 $450 $483 54 $475 $492 55 $504 $502 56 $533 $514 57 $563 $529 58 $593 $545 59 $623 $563 60 $653 $582 61 $708 $603 62 $769 $623 63 $835 $643 64 $906 $662 014069453-AARPBKRGA D LFM-34 34 Visit: www.premierhealthcoverage.com

Premier $2500 Deductible Plan Premier $5000 Deductible Plan 49.44.312.1-GA B (1/13) 0 $584 $584 1 $264 $264 2 $172 $172 3 $160 $160 4 $147 $147 5 $136 $136 6 $128 $128 7 $122 $122 8 $119 $119 9 $118 $118 10 $121 $121 11 $127 $127 12 $134 $134 13 $136 $143 14 $145 $153 15 $155 $163 16 $164 $175 17 $171 $186 18 $175 $191 19 $177 $197 20 $171 $194 21 $164 $190 22 $153 $183 23 $153 $188 24 $155 $194 25 $158 $202 26 $163 $210 27 $170 $219 28 $176 $227 29 $183 $235 30 $188 $241 31 $192 $246 32 $195 $249 33 $196 $252 34 $197 $255 35 $198 $259 36 $200 $263 37 $203 $269 38 $207 $276 39 $214 $284 40 $221 $292 41 $230 $300 42 $239 $309 43 $248 $317 44 $258 $324 45 $269 $332 46 $279 $341 47 $290 $350 48 $300 $359 49 $311 $367 50 $323 $376 51 $336 $383 52 $351 $389 53 $368 $395 54 $388 $402 55 $412 $410 56 $436 $420 57 $460 $432 58 $485 $446 59 $509 $461 60 $534 $476 61 $579 $493 62 $629 $510 63 $683 $526 64 $741 $541 0 $377 $377 1 $170 $170 2 $111 $111 3 $103 $103 4 $95 $95 5 $88 $88 6 $83 $83 7 $79 $79 8 $77 $77 9 $77 $77 10 $78 $78 11 $82 $82 12 $87 $87 13 $88 $92 14 $94 $99 15 $100 $106 16 $106 $113 17 $110 $120 18 $113 $124 19 $114 $127 20 $111 $125 21 $106 $123 22 $99 $118 23 $99 $121 24 $100 $125 25 $102 $130 26 $105 $136 27 $110 $141 28 $114 $147 29 $118 $152 30 $122 $156 31 $124 $159 32 $126 $161 33 $127 $163 34 $127 $165 35 $128 $167 36 $129 $170 37 $131 $174 38 $134 $178 39 $138 $183 40 $143 $189 41 $148 $194 42 $154 $199 43 $160 $204 44 $167 $210 45 $173 $215 46 $180 $220 47 $187 $226 48 $194 $232 49 $201 $237 50 $209 $243 51 $217 $247 52 $227 $251 53 $238 $255 54 $251 $260 55 $266 $265 56 $282 $272 57 $297 $279 58 $313 $288 59 $329 $298 60 $345 $307 61 $374 $318 62 $406 $329 63 $441 $340 64 $479 $349 Rates are subject to increase upon underwriting review where permitted by law. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. Visit: www.premierhealthcoverage.com 35

Preventive and Hospital Care $1250 Deductible Plan Preventive and Hospital Care $3000 Deductible Plan (HSA Compatible) 49.44.312.1-GA B (1/13) 0 $388 $388 1 $175 $175 2 $114 $114 3 $106 $106 4 $98 $98 5 $91 $91 6 $85 $85 7 $81 $81 8 $79 $79 9 $79 $79 10 $81 $81 11 $84 $84 12 $89 $89 13 $91 $95 14 $97 $102 15 $103 $109 16 $109 $116 17 $113 $124 18 $116 $127 19 $118 $131 20 $114 $129 21 $109 $127 22 $102 $121 23 $102 $125 24 $103 $129 25 $105 $134 26 $109 $140 27 $113 $146 28 $117 $151 29 $122 $156 30 $125 $160 31 $128 $163 32 $130 $166 33 $131 $168 34 $131 $170 35 $132 $172 36 $133 $175 37 $135 $179 38 $138 $183 39 $142 $189 40 $147 $194 41 $153 $200 42 $159 $205 43 $165 $211 44 $172 $216 45 $179 $221 46 $186 $227 47 $193 $233 48 $200 $239 49 $207 $244 50 $215 $250 51 $223 $255 52 $233 $259 53 $245 $263 54 $258 $267 55 $274 $273 56 $290 $280 57 $306 $288 58 $322 $297 59 $339 $306 60 $355 $316 61 $385 $328 62 $418 $339 63 $454 $350 64 $493 $360 0 $271 $271 1 $122 $122 2 $80 $80 3 $74 $74 4 $68 $68 5 $63 $63 6 $59 $59 7 $57 $57 8 $55 $55 9 $55 $55 10 $56 $56 11 $59 $59 12 $62 $62 13 $63 $66 14 $68 $71 15 $72 $76 16 $76 $81 17 $79 $87 18 $81 $89 19 $82 $91 20 $79 $90 21 $76 $88 22 $71 $85 23 $71 $87 24 $72 $90 25 $73 $94 26 $76 $98 27 $79 $102 28 $82 $105 29 $85 $109 30 $87 $112 31 $89 $114 32 $90 $116 33 $91 $117 34 $92 $119 35 $92 $120 36 $93 $122 37 $94 $125 38 $96 $128 39 $99 $132 40 $103 $136 41 $107 $139 42 $111 $143 43 $115 $147 44 $120 $151 45 $125 $154 46 $129 $158 47 $134 $162 48 $139 $167 49 $144 $171 50 $150 $174 51 $156 $178 52 $163 $181 53 $171 $183 54 $180 $187 55 $191 $190 56 $202 $195 57 $214 $201 58 $225 $207 59 $236 $214 60 $248 $221 61 $269 $229 62 $292 $237 63 $317 $244 64 $344 $251 Rates are subject to increase upon underwriting review where permitted by law. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. 014069453-AARPBKRGA D LFM-36 36 Visit: www.premierhealthcoverage.com

High Deductible $3000 Plan (HSA Compatible) High Deductible $5000 Plan (HSA Compatible) 49.44.312.1-GA B (1/13) 0 $487 $487 1 $220 $220 2 $143 $143 3 $133 $133 4 $122 $122 5 $114 $114 6 $107 $107 7 $102 $102 8 $99 $99 9 $99 $99 10 $101 $101 11 $106 $106 12 $112 $112 13 $113 $119 14 $121 $127 15 $129 $136 16 $136 $146 17 $142 $155 18 $146 $159 19 $148 $164 20 $143 $161 21 $137 $159 22 $128 $152 23 $128 $156 24 $129 $162 25 $132 $168 26 $136 $175 27 $141 $182 28 $147 $189 29 $152 $195 30 $157 $201 31 $160 $205 32 $162 $208 33 $164 $210 34 $164 $213 35 $165 $215 36 $167 $219 37 $169 $224 38 $173 $230 39 $178 $236 40 $184 $243 41 $191 $250 42 $199 $257 43 $207 $264 44 $215 $270 45 $224 $277 46 $232 $284 47 $241 $291 48 $250 $299 49 $259 $306 50 $269 $313 51 $280 $319 52 $292 $324 53 $307 $329 54 $324 $335 55 $343 $342 56 $363 $350 57 $383 $360 58 $404 $371 59 $424 $384 60 $445 $396 61 $482 $411 62 $524 $425 63 $569 $438 64 $617 $451 0 $384 $384 1 $173 $173 2 $113 $113 3 $105 $105 4 $97 $97 5 $90 $90 6 $84 $84 7 $80 $80 8 $78 $78 9 $78 $78 10 $80 $80 11 $83 $83 12 $88 $88 13 $89 $94 14 $96 $100 15 $102 $107 16 $108 $115 17 $112 $123 18 $115 $126 19 $116 $129 20 $112 $127 21 $108 $125 22 $101 $120 23 $101 $123 24 $102 $128 25 $104 $133 26 $107 $138 27 $111 $144 28 $116 $149 29 $120 $154 30 $124 $158 31 $126 $161 32 $128 $164 33 $129 $166 34 $130 $168 35 $130 $170 36 $131 $173 37 $133 $177 38 $136 $181 39 $140 $186 40 $145 $192 41 $151 $197 42 $157 $203 43 $163 $208 44 $170 $213 45 $176 $219 46 $183 $224 47 $190 $230 48 $197 $236 49 $204 $242 50 $212 $247 51 $221 $252 52 $231 $256 53 $242 $260 54 $255 $264 55 $271 $270 56 $286 $276 57 $302 $284 58 $319 $293 59 $335 $303 60 $351 $313 61 $381 $324 62 $413 $335 63 $449 $346 64 $487 $356 Rates are subject to increase upon underwriting review where permitted by law. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. Visit: www.premierhealthcoverage.com 37

Rates listed here apply to the following counties in your state: Elbert Fannin Franklin Gilmer Habersham Lumpkin Murray Rabun Stephens Towns Union White Whitfield AARP Essential Premier Health Insurance Plan is the name of the plan provided for AARP members by Aetna Life Insurance Company (Aetna). In some states, individuals may qualify as a business group of one and may be eligible for guaranteed issue, small group health plans. Rates are subject to change based on rate increases implemented to the whole book of business in accordance with state laws and regulations. Your rates may also be higher based on your or any covered family member s medical history, Aetna s underwriting guidelines and any optional benefits selected. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. Premier $1500 Deductible Plan 0 $687 $687 1 $310 $310 2 $202 $202 3 $188 $188 4 $173 $173 5 $160 $160 6 $151 $151 7 $143 $143 8 $140 $140 9 $139 $139 10 $143 $143 11 $149 $149 12 $158 $158 13 $160 $168 14 $171 $180 15 $182 $192 16 $193 $206 17 $201 $219 18 $206 $225 19 $208 $231 20 $201 $228 21 $193 $224 22 $180 $215 23 $180 $221 24 $182 $228 25 $186 $237 26 $192 $247 27 $200 $258 28 $208 $267 29 $215 $276 30 $222 $283 31 $226 $289 32 $229 $294 33 $231 $297 34 $232 $301 35 $233 $304 36 $235 $310 37 $239 $316 38 $244 $324 39 $251 $334 40 $260 $344 41 $270 $354 42 $281 $363 43 $292 $373 44 $304 $382 45 $316 $391 46 $328 $401 47 $341 $412 48 $353 $422 49 $366 $433 50 $380 $442 51 $395 $450 52 $413 $458 53 $433 $465 54 $457 $473 55 $485 $483 56 $513 $495 57 $542 $509 58 $570 $525 59 $599 $542 60 $628 $560 61 $681 $580 62 $740 $600 63 $803 $619 64 $872 $637 014069453-AARPBKRGA D LFM-38 38 Visit: www.premierhealthcoverage.com

Premier $2500 Deductible Plan Premier $5000 Deductible Plan 49.44.312.1-GA B (1/13) 0 $562 $562 1 $254 $254 2 $166 $166 3 $154 $154 4 $141 $141 5 $131 $131 6 $123 $123 7 $117 $117 8 $114 $114 9 $114 $114 10 $117 $117 11 $122 $122 12 $129 $129 13 $131 $138 14 $140 $147 15 $149 $157 16 $157 $168 17 $164 $179 18 $168 $184 19 $170 $189 20 $165 $186 21 $158 $183 22 $147 $176 23 $147 $181 24 $149 $187 25 $152 $194 26 $157 $202 27 $163 $211 28 $170 $219 29 $176 $226 30 $181 $232 31 $185 $236 32 $188 $240 33 $189 $243 34 $190 $246 35 $191 $249 36 $192 $253 37 $195 $259 38 $200 $265 39 $206 $273 40 $213 $281 41 $221 $289 42 $230 $297 43 $239 $305 44 $249 $312 45 $258 $320 46 $268 $328 47 $279 $337 48 $289 $345 49 $299 $354 50 $311 $361 51 $323 $368 52 $338 $374 53 $354 $380 54 $374 $387 55 $396 $395 56 $419 $405 57 $443 $416 58 $466 $429 59 $490 $443 60 $514 $458 61 $557 $474 62 $605 $490 63 $657 $506 64 $713 $521 0 $363 $363 1 $164 $164 2 $107 $107 3 $99 $99 4 $91 $91 5 $85 $85 6 $80 $80 7 $76 $76 8 $74 $74 9 $74 $74 10 $75 $75 11 $79 $79 12 $84 $84 13 $85 $89 14 $90 $95 15 $96 $102 16 $102 $109 17 $106 $116 18 $109 $119 19 $110 $122 20 $106 $120 21 $102 $118 22 $95 $114 23 $95 $117 24 $96 $121 25 $98 $125 26 $101 $131 27 $105 $136 28 $110 $141 29 $114 $146 30 $117 $150 31 $120 $153 32 $121 $155 33 $122 $157 34 $123 $159 35 $123 $161 36 $124 $164 37 $126 $167 38 $129 $171 39 $133 $176 40 $137 $182 41 $143 $187 42 $148 $192 43 $154 $197 44 $161 $202 45 $167 $207 46 $173 $212 47 $180 $217 48 $187 $223 49 $193 $228 50 $201 $234 51 $209 $238 52 $218 $242 53 $229 $246 54 $241 $250 55 $256 $255 56 $271 $261 57 $286 $269 58 $301 $277 59 $317 $286 60 $332 $296 61 $360 $306 62 $391 $317 63 $424 $327 64 $461 $336 Rates are subject to increase upon underwriting review where permitted by law. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. Visit: www.premierhealthcoverage.com 39

Preventive and Hospital Care $1250 Deductible Plan Preventive and Hospital Care $3000 Deductible Plan (HSA Compatible) 49.44.312.1-GA B (1/13) 0 $374 $374 1 $169 $169 2 $110 $110 3 $102 $102 4 $94 $94 5 $87 $87 6 $82 $82 7 $78 $78 8 $76 $76 9 $76 $76 10 $78 $78 11 $81 $81 12 $86 $86 13 $87 $91 14 $93 $98 15 $99 $105 16 $105 $112 17 $109 $119 18 $112 $123 19 $113 $126 20 $110 $124 21 $105 $122 22 $98 $117 23 $98 $120 24 $99 $124 25 $101 $129 26 $104 $135 27 $109 $140 28 $113 $145 29 $117 $150 30 $120 $154 31 $123 $157 32 $125 $160 33 $126 $162 34 $126 $163 35 $127 $166 36 $128 $168 37 $130 $172 38 $133 $176 39 $137 $182 40 $142 $187 41 $147 $192 42 $153 $198 43 $159 $203 44 $165 $208 45 $172 $213 46 $179 $218 47 $185 $224 48 $192 $230 49 $199 $235 50 $207 $240 51 $215 $245 52 $225 $249 53 $236 $253 54 $249 $257 55 $264 $263 56 $279 $269 57 $295 $277 58 $310 $285 59 $326 $295 60 $342 $305 61 $371 $316 62 $402 $326 63 $437 $336 64 $474 $346 0 $261 $261 1 $118 $118 2 $77 $77 3 $71 $71 4 $66 $66 5 $61 $61 6 $57 $57 7 $54 $54 8 $53 $53 9 $53 $53 10 $54 $54 11 $57 $57 12 $60 $60 13 $61 $64 14 $65 $68 15 $69 $73 16 $73 $78 17 $76 $83 18 $78 $86 19 $79 $88 20 $76 $87 21 $73 $85 22 $68 $82 23 $68 $84 24 $69 $87 25 $71 $90 26 $73 $94 27 $76 $98 28 $79 $102 29 $82 $105 30 $84 $108 31 $86 $110 32 $87 $111 33 $88 $113 34 $88 $114 35 $89 $116 36 $89 $117 37 $91 $120 38 $93 $123 39 $95 $127 40 $99 $130 41 $103 $134 42 $107 $138 43 $111 $141 44 $115 $145 45 $120 $149 46 $125 $152 47 $129 $156 48 $134 $160 49 $139 $164 50 $144 $168 51 $150 $171 52 $157 $174 53 $164 $177 54 $173 $180 55 $184 $183 56 $195 $188 57 $206 $193 58 $216 $199 59 $227 $206 60 $238 $213 61 $259 $220 62 $281 $228 63 $305 $235 64 $331 $242 Rates are subject to increase upon underwriting review where permitted by law. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. 014069453-AARPBKRGA D LFM-40 40 Visit: www.premierhealthcoverage.com

High Deductible $3000 Plan (HSA Compatible) High Deductible $5000 Plan (HSA Compatible) 49.44.312.1-GA B (1/13) 0 $468 $468 1 $211 $211 2 $138 $138 3 $128 $128 4 $118 $118 5 $109 $109 6 $103 $103 7 $98 $98 8 $95 $95 9 $95 $95 10 $97 $97 11 $102 $102 12 $108 $108 13 $109 $115 14 $117 $123 15 $124 $131 16 $131 $140 17 $137 $149 18 $140 $153 19 $142 $158 20 $137 $155 21 $132 $153 22 $123 $146 23 $123 $150 24 $124 $156 25 $127 $162 26 $131 $169 27 $136 $176 28 $141 $182 29 $147 $188 30 $151 $193 31 $154 $197 32 $156 $200 33 $157 $202 34 $158 $205 35 $159 $207 36 $160 $211 37 $163 $215 38 $166 $221 39 $171 $227 40 $177 $234 41 $184 $241 42 $191 $247 43 $199 $254 44 $207 $260 45 $215 $267 46 $224 $273 47 $232 $280 48 $241 $288 49 $249 $295 50 $259 $301 51 $269 $307 52 $281 $312 53 $295 $317 54 $311 $322 55 $330 $329 56 $349 $337 57 $369 $347 58 $389 $358 59 $408 $369 60 $428 $381 61 $464 $395 62 $504 $409 63 $547 $421 64 $594 $434 0 $369 $369 1 $167 $167 2 $109 $109 3 $101 $101 4 $93 $93 5 $86 $86 6 $81 $81 7 $77 $77 8 $75 $75 9 $75 $75 10 $77 $77 11 $80 $80 12 $85 $85 13 $86 $90 14 $92 $97 15 $98 $103 16 $103 $111 17 $108 $118 18 $111 $121 19 $112 $124 20 $108 $123 21 $104 $120 22 $97 $115 23 $97 $119 24 $98 $123 25 $100 $128 26 $103 $133 27 $107 $138 28 $112 $144 29 $116 $148 30 $119 $152 31 $122 $155 32 $123 $158 33 $124 $160 34 $125 $162 35 $125 $164 36 $126 $166 37 $128 $170 38 $131 $174 39 $135 $179 40 $140 $185 41 $145 $190 42 $151 $195 43 $157 $200 44 $163 $205 45 $170 $210 46 $176 $216 47 $183 $221 48 $190 $227 49 $197 $232 50 $204 $238 51 $212 $242 52 $222 $246 53 $233 $250 54 $246 $254 55 $260 $260 56 $276 $266 57 $291 $273 58 $307 $282 59 $322 $291 60 $338 $301 61 $366 $312 62 $398 $322 63 $432 $332 64 $469 $342 Rates are subject to increase upon underwriting review where permitted by law. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. Visit: www.premierhealthcoverage.com 41

Rates listed here apply to the following counties in your state: Atkinson Bacon Baker Ben Hill Berrien Bleckley Brantley Brooks Burke Calhoun Camden Charlton Clay Clinch Colquitt Columbia Cook Crisp Decatur Dodge Dooly Early Echols Emanuel Glascock Glynn Grady Greene Hancock Hart Irwin Jeff Davis Jefferson Jenkins Johnson Lanier Lincoln Lowndes Macon Marion Mcduffie Mcintosh Meriwether Miller Mitchell Montgomery Morgan Oconee Pierce Putnam Quitman Randolph Richmond Schley Screven Seminole Stewart Sumter Talbot Taliaferro Taylor Telfair Terrell Thomas Tift Toombs Treutlen Turner Upson Ware Warren Wayne Webster Wheeler Wilcox Wilkes Wilkinson Worth AARP Essential Premier Health Insurance Plan is the name of the plan provided for AARP members by Aetna Life Insurance Company (Aetna). In some states, individuals may qualify as a business group of one and may be eligible for guaranteed issue, small group health plans. Rates are subject to change based on rate increases implemented to the whole book of business in accordance with state laws and regulations. Your rates may also be higher based on your or any covered family member s medical history, Aetna s underwriting guidelines and any optional benefits selected. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. Premier $1500 Deductible Plan 0 $745 $745 1 $336 $336 2 $219 $219 3 $204 $204 4 $188 $188 5 $174 $174 6 $163 $163 7 $155 $155 8 $151 $151 9 $151 $151 10 $155 $155 11 $162 $162 12 $171 $171 13 $174 $182 14 $186 $195 15 $198 $209 16 $209 $223 17 $218 $238 18 $223 $244 19 $226 $251 20 $218 $247 21 $209 $243 22 $195 $233 23 $195 $239 24 $197 $247 25 $202 $257 26 $208 $268 27 $216 $279 28 $225 $290 29 $233 $299 30 $240 $307 31 $245 $313 32 $249 $318 33 $251 $322 34 $252 $326 35 $253 $330 36 $255 $335 37 $259 $343 38 $265 $352 39 $272 $362 40 $282 $372 41 $293 $383 42 $305 $394 43 $317 $404 44 $329 $414 45 $343 $424 46 $356 $435 47 $369 $446 48 $383 $458 49 $397 $469 50 $412 $479 51 $428 $488 52 $447 $496 53 $470 $504 54 $495 $513 55 $525 $523 56 $556 $536 57 $587 $552 58 $618 $569 59 $650 $588 60 $681 $607 61 $739 $629 62 $802 $650 63 $871 $671 64 $945 $690 014069453-AARPBKRGA D LFM-42 42 Visit: www.premierhealthcoverage.com

Premier $2500 Deductible Plan Premier $5000 Deductible Plan 49.44.312.1-GA B (1/13) 0 $609 $609 1 $275 $275 2 $179 $179 3 $167 $167 4 $153 $153 5 $142 $142 6 $133 $133 7 $127 $127 8 $124 $124 9 $124 $124 10 $126 $126 11 $132 $132 12 $140 $140 13 $142 $149 14 $152 $159 15 $162 $171 16 $171 $182 17 $178 $194 18 $182 $200 19 $185 $205 20 $179 $202 21 $171 $199 22 $160 $190 23 $160 $196 24 $161 $202 25 $165 $210 26 $170 $219 27 $177 $228 28 $184 $237 29 $191 $245 30 $196 $251 31 $201 $256 32 $203 $260 33 $205 $263 34 $206 $266 35 $207 $270 36 $209 $274 37 $212 $280 38 $216 $287 39 $223 $296 40 $231 $305 41 $239 $313 42 $249 $322 43 $259 $330 44 $269 $338 45 $280 $347 46 $291 $356 47 $302 $365 48 $313 $374 49 $324 $383 50 $337 $392 51 $350 $399 52 $366 $406 53 $384 $412 54 $405 $419 55 $429 $428 56 $455 $439 57 $480 $451 58 $505 $465 59 $531 $480 60 $557 $496 61 $604 $514 62 $656 $532 63 $712 $548 64 $773 $564 0 $394 $394 1 $178 $178 2 $116 $116 3 $108 $108 4 $99 $99 5 $92 $92 6 $86 $86 7 $82 $82 8 $80 $80 9 $80 $80 10 $82 $82 11 $85 $85 12 $91 $91 13 $92 $96 14 $98 $103 15 $104 $110 16 $110 $118 17 $115 $126 18 $118 $129 19 $119 $132 20 $115 $131 21 $111 $128 22 $103 $123 23 $103 $126 24 $104 $131 25 $106 $136 26 $110 $142 27 $114 $148 28 $119 $153 29 $123 $158 30 $127 $162 31 $130 $166 32 $131 $168 33 $132 $170 34 $133 $172 35 $134 $174 36 $135 $177 37 $137 $181 38 $140 $186 39 $144 $191 40 $149 $197 41 $155 $202 42 $161 $208 43 $167 $213 44 $174 $219 45 $181 $224 46 $188 $230 47 $195 $236 48 $202 $242 49 $210 $248 50 $218 $253 51 $226 $258 52 $236 $262 53 $248 $266 54 $262 $271 55 $277 $277 56 $294 $283 57 $310 $291 58 $327 $300 59 $343 $310 60 $360 $321 61 $390 $332 62 $424 $343 63 $460 $354 64 $499 $365 Rates are subject to increase upon underwriting review where permitted by law. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. Visit: www.premierhealthcoverage.com 43

Preventive and Hospital Care $1250 Deductible Plan Preventive and Hospital Care $3000 Deductible Plan (HSA Compatible) 49.44.312.1-GA B (1/13) 0 $405 $405 1 $183 $183 2 $119 $119 3 $111 $111 4 $102 $102 5 $95 $95 6 $89 $89 7 $85 $85 8 $82 $82 9 $82 $82 10 $84 $84 11 $88 $88 12 $93 $93 13 $94 $99 14 $101 $106 15 $107 $113 16 $113 $121 17 $118 $129 18 $121 $133 19 $123 $136 20 $119 $134 21 $114 $132 22 $106 $127 23 $106 $130 24 $107 $135 25 $110 $140 26 $113 $146 27 $118 $152 28 $122 $158 29 $127 $163 30 $131 $167 31 $133 $170 32 $135 $173 33 $136 $175 34 $137 $177 35 $138 $179 36 $139 $182 37 $141 $186 38 $144 $191 39 $148 $197 40 $153 $203 41 $159 $208 42 $166 $214 43 $172 $220 44 $179 $225 45 $186 $231 46 $194 $237 47 $201 $243 48 $208 $249 49 $216 $255 50 $224 $261 51 $233 $266 52 $243 $270 53 $255 $274 54 $269 $279 55 $286 $285 56 $302 $292 57 $319 $300 58 $336 $309 59 $353 $320 60 $370 $330 61 $402 $342 62 $436 $354 63 $474 $365 64 $514 $375 0 $283 $283 1 $128 $128 2 $83 $83 3 $77 $77 4 $71 $71 5 $66 $66 6 $62 $62 7 $59 $59 8 $57 $57 9 $57 $57 10 $59 $59 11 $61 $61 12 $65 $65 13 $66 $69 14 $70 $74 15 $75 $79 16 $79 $85 17 $83 $90 18 $85 $93 19 $86 $95 20 $83 $94 21 $79 $92 22 $74 $88 23 $74 $91 24 $75 $94 25 $77 $98 26 $79 $102 27 $82 $106 28 $85 $110 29 $89 $114 30 $91 $117 31 $93 $119 32 $94 $121 33 $95 $122 34 $96 $124 35 $96 $125 36 $97 $127 37 $98 $130 38 $100 $133 39 $103 $137 40 $107 $141 41 $111 $145 42 $116 $149 43 $120 $153 44 $125 $157 45 $130 $161 46 $135 $165 47 $140 $169 48 $145 $174 49 $151 $178 50 $156 $182 51 $163 $185 52 $170 $188 53 $178 $191 54 $188 $195 55 $199 $199 56 $211 $204 57 $223 $209 58 $235 $216 59 $247 $223 60 $258 $230 61 $280 $239 62 $304 $247 63 $330 $254 64 $359 $262 Rates are subject to increase upon underwriting review where permitted by law. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. 014069453-AARPBKRGA D LFM-44 44 Visit: www.premierhealthcoverage.com

High Deductible $3000 Plan (HSA Compatible) High Deductible $5000 Plan (HSA Compatible) 49.44.312.1-GA B (1/13) 0 $507 $507 1 $229 $229 2 $149 $149 3 $139 $139 4 $128 $128 5 $118 $118 6 $111 $111 7 $106 $106 8 $103 $103 9 $103 $103 10 $105 $105 11 $110 $110 12 $117 $117 13 $118 $124 14 $126 $133 15 $135 $142 16 $142 $152 17 $148 $162 18 $152 $166 19 $154 $171 20 $149 $168 21 $143 $165 22 $133 $159 23 $133 $163 24 $134 $169 25 $137 $175 26 $142 $183 27 $147 $190 28 $153 $197 29 $159 $204 30 $164 $209 31 $167 $213 32 $169 $217 33 $171 $219 34 $171 $222 35 $172 $225 36 $174 $229 37 $176 $233 38 $180 $239 39 $186 $246 40 $192 $254 41 $199 $261 42 $207 $268 43 $216 $275 44 $224 $282 45 $233 $289 46 $242 $296 47 $252 $304 48 $261 $312 49 $270 $319 50 $280 $326 51 $292 $333 52 $305 $338 53 $320 $343 54 $337 $349 55 $358 $357 56 $379 $365 57 $400 $376 58 $421 $387 59 $442 $400 60 $464 $413 61 $503 $428 62 $546 $443 63 $593 $457 64 $644 $470 0 $400 $400 1 $181 $181 2 $118 $118 3 $109 $109 4 $101 $101 5 $93 $93 6 $88 $88 7 $84 $84 8 $81 $81 9 $81 $81 10 $83 $83 11 $87 $87 12 $92 $92 13 $93 $98 14 $100 $105 15 $106 $112 16 $112 $120 17 $117 $128 18 $120 $131 19 $121 $135 20 $117 $133 21 $112 $131 22 $105 $125 23 $105 $129 24 $106 $133 25 $108 $138 26 $112 $144 27 $116 $150 28 $121 $156 29 $125 $161 30 $129 $165 31 $132 $168 32 $134 $171 33 $135 $173 34 $135 $175 35 $136 $177 36 $137 $180 37 $139 $184 38 $142 $189 39 $146 $194 40 $152 $200 41 $157 $206 42 $164 $212 43 $170 $217 44 $177 $222 45 $184 $228 46 $191 $234 47 $198 $240 48 $206 $246 49 $213 $252 50 $221 $257 51 $230 $262 52 $240 $267 53 $252 $271 54 $266 $276 55 $282 $281 56 $299 $288 57 $315 $296 58 $332 $306 59 $349 $316 60 $366 $326 61 $397 $338 62 $431 $349 63 $468 $360 64 $508 $371 Rates are subject to increase upon underwriting review where permitted by law. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. Visit: www.premierhealthcoverage.com 45

Rates listed here apply to the following counties in your state: Appling Baldwin Bibb Bryan Bulloch Candler Chatham Coffee Crawford Dougherty Effingham Evans Houston Jones Laurens Lee Liberty Long Monroe Peach Pulaski Tattnall Twiggs Washington AARP Essential Premier Health Insurance Plan is the name of the plan provided for AARP members by Aetna Life Insurance Company (Aetna). In some states, individuals may qualify as a business group of one and may be eligible for guaranteed issue, small group health plans. Rates are subject to change based on rate increases implemented to the whole book of business in accordance with state laws and regulations. Your rates may also be higher based on your or any covered family member s medical history, Aetna s underwriting guidelines and any optional benefits selected. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. Premier $1500 Deductible Plan 0 $666 $666 1 $301 $301 2 $196 $196 3 $182 $182 4 $168 $168 5 $156 $156 6 $146 $146 7 $139 $139 8 $135 $135 9 $135 $135 10 $138 $138 11 $145 $145 12 $153 $153 13 $155 $163 14 $166 $174 15 $177 $187 16 $187 $199 17 $195 $213 18 $200 $218 19 $202 $224 20 $195 $221 21 $187 $217 22 $175 $208 23 $175 $214 24 $176 $221 25 $180 $230 26 $186 $240 27 $193 $250 28 $201 $259 29 $209 $268 30 $215 $275 31 $219 $280 32 $222 $285 33 $224 $288 34 $225 $291 35 $226 $295 36 $228 $300 37 $231 $306 38 $237 $314 39 $244 $323 40 $252 $333 41 $262 $343 42 $272 $352 43 $283 $361 44 $295 $370 45 $306 $379 46 $318 $389 47 $330 $399 48 $342 $409 49 $355 $419 50 $368 $428 51 $383 $437 52 $400 $444 53 $420 $451 54 $443 $459 55 $470 $468 56 $497 $480 57 $525 $493 58 $553 $509 59 $581 $525 60 $609 $543 61 $660 $562 62 $717 $581 63 $779 $600 64 $845 $617 014069453-AARPBKRGA D LFM-46 46 Visit: www.premierhealthcoverage.com

Premier $2500 Deductible Plan Premier $5000 Deductible Plan 49.44.312.1-GA B (1/13) 0 $545 $545 1 $246 $246 2 $160 $160 3 $149 $149 4 $137 $137 5 $127 $127 6 $119 $119 7 $114 $114 8 $111 $111 9 $111 $111 10 $113 $113 11 $118 $118 12 $125 $125 13 $127 $133 14 $136 $143 15 $144 $153 16 $153 $163 17 $159 $174 18 $163 $179 19 $165 $183 20 $160 $181 21 $153 $178 22 $143 $170 23 $143 $175 24 $144 $181 25 $147 $188 26 $152 $196 27 $158 $204 28 $165 $212 29 $171 $219 30 $176 $225 31 $179 $229 32 $182 $233 33 $183 $235 34 $184 $238 35 $185 $241 36 $186 $245 37 $189 $251 38 $194 $257 39 $199 $264 40 $206 $272 41 $214 $280 42 $223 $288 43 $232 $295 44 $241 $303 45 $250 $310 46 $260 $318 47 $270 $326 48 $280 $335 49 $290 $343 50 $301 $350 51 $313 $357 52 $327 $363 53 $343 $369 54 $362 $375 55 $384 $383 56 $407 $392 57 $429 $403 58 $452 $416 59 $475 $430 60 $498 $444 61 $540 $460 62 $586 $475 63 $637 $490 64 $691 $505 0 $352 $352 1 $159 $159 2 $104 $104 3 $96 $96 4 $89 $89 5 $82 $82 6 $77 $77 7 $73 $73 8 $72 $72 9 $71 $71 10 $73 $73 11 $76 $76 12 $81 $81 13 $82 $86 14 $88 $92 15 $93 $99 16 $99 $105 17 $103 $112 18 $105 $115 19 $107 $118 20 $103 $117 21 $99 $115 22 $92 $110 23 $92 $113 24 $93 $117 25 $95 $122 26 $98 $127 27 $102 $132 28 $106 $137 29 $110 $141 30 $113 $145 31 $116 $148 32 $117 $150 33 $118 $152 34 $119 $154 35 $119 $156 36 $120 $158 37 $122 $162 38 $125 $166 39 $129 $171 40 $133 $176 41 $138 $181 42 $144 $186 43 $150 $191 44 $156 $196 45 $162 $200 46 $168 $205 47 $174 $211 48 $181 $216 49 $187 $221 50 $195 $226 51 $202 $231 52 $211 $234 53 $222 $238 54 $234 $242 55 $248 $247 56 $263 $253 57 $277 $261 58 $292 $269 59 $307 $278 60 $322 $287 61 $349 $297 62 $379 $307 63 $411 $317 64 $447 $326 Rates are subject to increase upon underwriting review where permitted by law. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. Visit: www.premierhealthcoverage.com 47

Preventive and Hospital Care $1250 Deductible Plan Preventive and Hospital Care $3000 Deductible Plan (HSA Compatible) 49.44.312.1-GA B (1/13) 0 $362 $362 1 $164 $164 2 $107 $107 3 $99 $99 4 $91 $91 5 $85 $85 6 $79 $79 7 $76 $76 8 $74 $74 9 $74 $74 10 $75 $75 11 $79 $79 12 $83 $83 13 $84 $89 14 $90 $95 15 $96 $101 16 $101 $108 17 $106 $116 18 $109 $119 19 $110 $122 20 $106 $120 21 $102 $118 22 $95 $113 23 $95 $116 24 $96 $120 25 $98 $125 26 $101 $130 27 $105 $136 28 $109 $141 29 $113 $146 30 $117 $149 31 $119 $152 32 $121 $155 33 $122 $157 34 $122 $158 35 $123 $160 36 $124 $163 37 $126 $167 38 $129 $171 39 $133 $176 40 $137 $181 41 $142 $186 42 $148 $191 43 $154 $196 44 $160 $201 45 $167 $206 46 $173 $212 47 $180 $217 48 $186 $223 49 $193 $228 50 $200 $233 51 $208 $237 52 $218 $241 53 $228 $245 54 $241 $249 55 $255 $255 56 $270 $261 57 $285 $268 58 $301 $277 59 $316 $286 60 $331 $295 61 $359 $306 62 $390 $316 63 $424 $326 64 $460 $336 0 $253 $253 1 $114 $114 2 $74 $74 3 $69 $69 4 $64 $64 5 $59 $59 6 $55 $55 7 $53 $53 8 $51 $51 9 $51 $51 10 $53 $53 11 $55 $55 12 $58 $58 13 $59 $62 14 $63 $66 15 $67 $71 16 $71 $76 17 $74 $81 18 $76 $83 19 $77 $85 20 $74 $84 21 $71 $82 22 $66 $79 23 $66 $81 24 $67 $84 25 $68 $87 26 $71 $91 27 $73 $95 28 $76 $98 29 $79 $102 30 $81 $104 31 $83 $106 32 $84 $108 33 $85 $109 34 $85 $111 35 $86 $112 36 $87 $114 37 $88 $116 38 $90 $119 39 $92 $123 40 $96 $126 41 $99 $130 42 $103 $134 43 $108 $137 44 $112 $140 45 $116 $144 46 $121 $148 47 $125 $151 48 $130 $155 49 $135 $159 50 $140 $163 51 $145 $166 52 $152 $168 53 $159 $171 54 $168 $174 55 $178 $178 56 $189 $182 57 $199 $187 58 $210 $193 59 $220 $199 60 $231 $206 61 $251 $213 62 $272 $221 63 $296 $228 64 $321 $234 Rates are subject to increase upon underwriting review where permitted by law. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. 014069453-AARPBKRGA D LFM-48 48 Visit: www.premierhealthcoverage.com

High Deductible $3000 Plan (HSA Compatible) High Deductible $5000 Plan (HSA Compatible) 49.44.312.1-GA B (1/13) 0 $454 $454 1 $205 $205 2 $134 $134 3 $124 $124 4 $114 $114 5 $106 $106 6 $99 $99 7 $95 $95 8 $92 $92 9 $92 $92 10 $94 $94 11 $98 $98 12 $104 $104 13 $106 $111 14 $113 $119 15 $120 $127 16 $127 $136 17 $133 $145 18 $136 $149 19 $138 $153 20 $133 $150 21 $128 $148 22 $119 $142 23 $119 $146 24 $120 $151 25 $123 $157 26 $127 $163 27 $132 $170 28 $137 $177 29 $142 $182 30 $146 $187 31 $149 $191 32 $151 $194 33 $153 $196 34 $153 $198 35 $154 $201 36 $155 $204 37 $158 $209 38 $161 $214 39 $166 $220 40 $172 $227 41 $178 $233 42 $186 $240 43 $193 $246 44 $201 $252 45 $209 $258 46 $217 $265 47 $225 $272 48 $233 $279 49 $242 $286 50 $251 $292 51 $261 $297 52 $273 $302 53 $286 $307 54 $302 $312 55 $320 $319 56 $339 $327 57 $358 $336 58 $377 $347 59 $396 $358 60 $415 $370 61 $450 $383 62 $488 $396 63 $530 $408 64 $576 $420 0 $358 $358 1 $162 $162 2 $105 $105 3 $98 $98 4 $90 $90 5 $84 $84 6 $78 $78 7 $75 $75 8 $73 $73 9 $73 $73 10 $74 $74 11 $78 $78 12 $82 $82 13 $83 $88 14 $89 $94 15 $95 $100 16 $100 $107 17 $105 $114 18 $107 $117 19 $109 $120 20 $105 $119 21 $101 $117 22 $94 $112 23 $94 $115 24 $95 $119 25 $97 $124 26 $100 $129 27 $104 $134 28 $108 $139 29 $112 $144 30 $115 $148 31 $118 $151 32 $119 $153 33 $120 $155 34 $121 $157 35 $122 $159 36 $123 $161 37 $124 $165 38 $127 $169 39 $131 $174 40 $136 $179 41 $141 $184 42 $146 $189 43 $152 $194 44 $158 $199 45 $165 $204 46 $171 $209 47 $178 $214 48 $184 $220 49 $191 $225 50 $198 $230 51 $206 $235 52 $215 $239 53 $226 $242 54 $238 $246 55 $252 $252 56 $267 $258 57 $282 $265 58 $297 $273 59 $312 $282 60 $327 $292 61 $355 $302 62 $385 $312 63 $418 $322 64 $454 $332 Rates are subject to increase upon underwriting review where permitted by law. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. Visit: www.premierhealthcoverage.com 49

Rates listed here apply to the following counties in your state: Dodge AARP Essential Premier Health Insurance Plan is the name of the plan provided for AARP members by Aetna Life Insurance Company (Aetna). In some states, individuals may qualify as a business group of one and may be eligible for guaranteed issue, small group health plans. Rates are subject to change based on rate increases implemented to the whole book of business in accordance with state laws and regulations. Your rates may also be higher based on your or any covered family member s medical history, Aetna s underwriting guidelines and any optional benefits selected. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. Premier $1500 Deductible Plan 0 $748 $748 1 $338 $338 2 $220 $220 3 $204 $204 4 $188 $188 5 $175 $175 6 $164 $164 7 $156 $156 8 $152 $152 9 $152 $152 10 $155 $155 11 $162 $162 12 $172 $172 13 $174 $183 14 $186 $196 15 $198 $209 16 $209 $224 17 $218 $239 18 $224 $245 19 $227 $252 20 $219 $248 21 $210 $244 22 $196 $234 23 $196 $240 24 $198 $248 25 $202 $258 26 $209 $269 27 $217 $280 28 $226 $291 29 $234 $300 30 $241 $308 31 $246 $314 32 $249 $319 33 $251 $323 34 $253 $327 35 $254 $331 36 $256 $337 37 $260 $344 38 $266 $353 39 $273 $363 40 $283 $374 41 $294 $384 42 $306 $395 43 $318 $405 44 $331 $415 45 $344 $426 46 $357 $436 47 $371 $448 48 $384 $459 49 $398 $470 50 $413 $481 51 $430 $490 52 $449 $498 53 $471 $506 54 $497 $515 55 $527 $525 56 $558 $538 57 $589 $553 58 $620 $571 59 $652 $590 60 $683 $609 61 $741 $631 62 $805 $652 63 $874 $673 64 $949 $692 014069453-AARPBKRGA D LFM-50 50 Visit: www.premierhealthcoverage.com

Premier $2500 Deductible Plan Premier $5000 Deductible Plan 49.44.312.1-GA B (1/13) 0 $611 $611 1 $276 $276 2 $180 $180 3 $167 $167 4 $154 $154 5 $143 $143 6 $134 $134 7 $128 $128 8 $124 $124 9 $124 $124 10 $127 $127 11 $133 $133 12 $141 $141 13 $142 $150 14 $152 $160 15 $162 $171 16 $171 $183 17 $179 $195 18 $183 $200 19 $185 $206 20 $179 $203 21 $172 $199 22 $160 $191 23 $160 $196 24 $162 $203 25 $165 $211 26 $171 $220 27 $177 $229 28 $185 $238 29 $191 $246 30 $197 $252 31 $201 $257 32 $204 $261 33 $206 $264 34 $206 $267 35 $207 $271 36 $209 $275 37 $212 $281 38 $217 $288 39 $224 $297 40 $231 $306 41 $240 $314 42 $250 $323 43 $260 $331 44 $270 $340 45 $281 $348 46 $292 $357 47 $303 $366 48 $314 $375 49 $326 $385 50 $338 $393 51 $351 $401 52 $367 $407 53 $385 $414 54 $406 $421 55 $431 $429 56 $456 $440 57 $482 $453 58 $507 $467 59 $533 $482 60 $559 $498 61 $606 $516 62 $658 $533 63 $714 $550 64 $776 $566 0 $395 $395 1 $178 $178 2 $116 $116 3 $108 $108 4 $99 $99 5 $92 $92 6 $86 $86 7 $82 $82 8 $80 $80 9 $80 $80 10 $82 $82 11 $86 $86 12 $91 $91 13 $92 $97 14 $98 $103 15 $105 $111 16 $111 $118 17 $115 $126 18 $118 $129 19 $120 $133 20 $116 $131 21 $111 $129 22 $104 $123 23 $104 $127 24 $105 $131 25 $107 $136 26 $110 $142 27 $115 $148 28 $119 $154 29 $124 $159 30 $127 $163 31 $130 $166 32 $132 $169 33 $133 $171 34 $133 $173 35 $134 $175 36 $135 $178 37 $137 $182 38 $140 $186 39 $144 $192 40 $149 $197 41 $155 $203 42 $161 $209 43 $168 $214 44 $175 $219 45 $182 $225 46 $189 $231 47 $196 $236 48 $203 $243 49 $210 $248 50 $218 $254 51 $227 $259 52 $237 $263 53 $249 $267 54 $263 $272 55 $278 $277 56 $295 $284 57 $311 $292 58 $328 $302 59 $344 $311 60 $361 $322 61 $391 $333 62 $425 $345 63 $462 $355 64 $501 $366 Rates are subject to increase upon underwriting review where permitted by law. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. Visit: www.premierhealthcoverage.com 51

Preventive and Hospital Care $1250 Deductible Plan Preventive and Hospital Care $3000 Deductible Plan (HSA Compatible) 49.44.312.1-GA B (1/13) 0 $407 $407 1 $184 $184 2 $120 $120 3 $111 $111 4 $102 $102 5 $95 $95 6 $89 $89 7 $85 $85 8 $83 $83 9 $82 $82 10 $84 $84 11 $88 $88 12 $94 $94 13 $95 $99 14 $101 $106 15 $108 $114 16 $114 $122 17 $119 $130 18 $122 $133 19 $123 $137 20 $119 $135 21 $114 $133 22 $107 $127 23 $107 $131 24 $108 $135 25 $110 $140 26 $114 $146 27 $118 $152 28 $123 $158 29 $127 $163 30 $131 $168 31 $134 $171 32 $136 $174 33 $137 $176 34 $137 $178 35 $138 $180 36 $139 $183 37 $141 $187 38 $144 $192 39 $149 $197 40 $154 $203 41 $160 $209 42 $166 $215 43 $173 $220 44 $180 $226 45 $187 $231 46 $194 $237 47 $202 $243 48 $209 $250 49 $217 $256 50 $225 $261 51 $234 $266 52 $244 $271 53 $256 $275 54 $270 $280 55 $287 $286 56 $303 $293 57 $320 $301 58 $337 $310 59 $354 $321 60 $372 $331 61 $403 $343 62 $438 $355 63 $475 $366 64 $516 $377 0 $284 $284 1 $128 $128 2 $84 $84 3 $78 $78 4 $71 $71 5 $66 $66 6 $62 $62 7 $59 $59 8 $58 $58 9 $58 $58 10 $59 $59 11 $62 $62 12 $65 $65 13 $66 $69 14 $71 $74 15 $75 $79 16 $79 $85 17 $83 $91 18 $85 $93 19 $86 $95 20 $83 $94 21 $80 $92 22 $74 $89 23 $74 $91 24 $75 $94 25 $77 $98 26 $79 $102 27 $82 $106 28 $86 $110 29 $89 $114 30 $91 $117 31 $93 $119 32 $95 $121 33 $95 $123 34 $96 $124 35 $96 $126 36 $97 $128 37 $99 $131 38 $101 $134 39 $104 $138 40 $107 $142 41 $112 $146 42 $116 $150 43 $121 $154 44 $125 $158 45 $130 $162 46 $136 $166 47 $141 $170 48 $146 $174 49 $151 $179 50 $157 $182 51 $163 $186 52 $170 $189 53 $179 $192 54 $189 $195 55 $200 $199 56 $212 $204 57 $224 $210 58 $235 $217 59 $247 $224 60 $259 $231 61 $281 $239 62 $305 $248 63 $332 $255 64 $360 $263 Rates are subject to increase upon underwriting review where permitted by law. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. 014069453-AARPBKRGA D LFM-52 52 Visit: www.premierhealthcoverage.com

High Deductible $3000 Plan (HSA Compatible) High Deductible $5000 Plan (HSA Compatible) 49.44.312.1-GA B (1/13) 0 $509 $509 1 $230 $230 2 $150 $150 3 $139 $139 4 $128 $128 5 $119 $119 6 $111 $111 7 $106 $106 8 $103 $103 9 $103 $103 10 $106 $106 11 $111 $111 12 $117 $117 13 $119 $125 14 $127 $133 15 $135 $143 16 $143 $152 17 $149 $163 18 $153 $167 19 $154 $171 20 $149 $169 21 $143 $166 22 $134 $159 23 $134 $164 24 $135 $169 25 $138 $176 26 $142 $183 27 $148 $191 28 $154 $198 29 $159 $205 30 $164 $210 31 $168 $214 32 $170 $217 33 $171 $220 34 $172 $223 35 $173 $226 36 $174 $229 37 $177 $234 38 $181 $240 39 $186 $247 40 $193 $255 41 $200 $262 42 $208 $269 43 $217 $276 44 $225 $283 45 $234 $290 46 $243 $297 47 $252 $305 48 $262 $313 49 $271 $320 50 $281 $327 51 $293 $334 52 $306 $339 53 $321 $345 54 $339 $350 55 $359 $358 56 $380 $367 57 $401 $377 58 $423 $389 59 $444 $402 60 $465 $415 61 $505 $430 62 $548 $444 63 $595 $458 64 $646 $472 0 $402 $402 1 $181 $181 2 $118 $118 3 $110 $110 4 $101 $101 5 $94 $94 6 $88 $88 7 $84 $84 8 $82 $82 9 $82 $82 10 $83 $83 11 $87 $87 12 $92 $92 13 $94 $98 14 $100 $105 15 $107 $112 16 $113 $120 17 $117 $128 18 $120 $132 19 $122 $135 20 $118 $133 21 $113 $131 22 $105 $126 23 $105 $129 24 $106 $133 25 $109 $139 26 $112 $145 27 $117 $151 28 $121 $156 29 $126 $161 30 $129 $166 31 $132 $169 32 $134 $172 33 $135 $174 34 $136 $176 35 $136 $178 36 $138 $181 37 $140 $185 38 $143 $190 39 $147 $195 40 $152 $201 41 $158 $207 42 $164 $212 43 $171 $218 44 $178 $223 45 $185 $229 46 $192 $235 47 $199 $241 48 $206 $247 49 $214 $253 50 $222 $258 51 $231 $263 52 $241 $268 53 $253 $272 54 $267 $277 55 $283 $282 56 $300 $289 57 $317 $297 58 $333 $307 59 $350 $317 60 $367 $327 61 $398 $339 62 $432 $351 63 $470 $362 64 $510 $372 Rates are subject to increase upon underwriting review where permitted by law. Premium rates for a Couple, Parent/Child, and Family contracts will be determined by adding together each individual s rate based on their age, gender and underwriting adjustment. Male and female rates are available where allowed by law. Visit: www.premierhealthcoverage.com 53

To the extent permitted by law, AARP Essential Premier Health Insurance plans are medically underwritten by Aetna and you may be declined coverage in accordance with your health condition. If declined coverage, you may be federally eligible under the Health Insurance Portability and Accountability Act (HIPAA) for a special guaranteed issue plan under your state s laws and regulations. AARP endorses the Aetna Life Insurance Company, insured by Aetna. Aetna pays royalty fees to AARP for the use of its intellectual property. These fees are used for the general purposes of AARP. AARP and its affiliates are not insurers. AARP does not recommend health related products, services, insurance or programs. You are strongly encouraged to evaluate your needs. AARP and its affiliates are not insurers. If you need this material translated into another language, please call 1-866-660-4081. (TTY: 1-800-232-7773). Si usted necesita este documento en otro idioma, por favor llame al 1-866-660-4081. Upon request, we will provide you with rates at a different rate level. This material is for information only. Health insurance plans contain exclusions and limitations. Plans may be subject to medical underwriting or other restrictions. Rates and benefits vary by location. Rates are subject to change based on rate increases implemented to the whole book of business in accordance with state laws and regulations based on your medical history, Aetna s underwriting guidelines and any optional benefits selected. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Information is believed to be accurate as of the production date; however, it is subject to change. 49.44.312.1-GA B (1/13) 014069453-AARPBKRGA D LFM-54 54 Visit: www.premierhealthcoverage.com

Important disclosure information 49.44.311.1 B (1/13) 49.39.301.1 A (1/13) Visit: www.premierhealthcoverage.com 55