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Enter the following information and we'll help you calculate your BlueElite Medicare Supplement Plans plan premium. All fields are required.

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Hospital (Part A) Effective Date is blank.
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Gender:

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Tobacco users may be subject to a 10% increase in rates. Tobacco rates don't apply if you're in a Medigap Open Enrollment or Guaranteed Issue Period. To find out if you're eligible for a Medigap Open Enrollment or Guaranteed Issue Period, call your local agent or contact us at 1-888-770-8840 (TTY users dial 711).

Have you used any form of tobacco in the past 12 months?

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