assurance santÉ

OFFRE INFINITY • TARIFS 2020/2021

ASSURANCE SANTÉ

TARIFS 2020/2021 :

Réductions p.11Calcul de la prime p.12Tarifs 2020-2021 (zones 1 à 6) p.16-27

ANIMATION COMMERCIALE

01 71 252 252 [email protected] 8/10 rue de la Ferme92100 BOULOGNE-BILLANCOURT

Zana KADI Responsable Gestion Commerciale07 52 86 97 [email protected]

Mathieu MASSIE Responsable Développement CourtageZone Ouest06 95 07 75 [email protected]

Hugo COULON Responsable Développement CourtageZone Est06 45 10 99 [email protected]

GESTION DES CONTRATS

01 75 90 99 00 [email protected] 12 rue du Bois Guillaume, 91055EVRY CEDEX

Guillaume MASSAGLI Responsable du centre de Gestion01 75 90 99 [email protected]

GESTION DES PRESTATIONS

03 26 26 64 74 [email protected] 14 rue Juliot CurieCS 3024851010 CHÂLONS-EN-CHAMPAGNE CEDEX

OFFRE INFINITY

Vos Interlocuteurs p.3Fiche commerciale p.4-5 Tableau des garanties p.6-9 Zonier p.10

SERVICES ASSOCIÉS :

Tiers payant p.15AssistanceRéseau SantéclairTéléconsultations

SOMMAIREVOS INTERLOCUTEURS

3

AVANTAGES OFFRE INFINITY :

Assurés p.13Courtiers p.14

SERVICE INFORMATIQUE

[email protected] [email protected]

NATURE DU CONTRAT :

Ce contrat a pour objet de garantir le remboursement des frais de soins de santé du souscripteur ainsi que de ses bénéficiaires en complément de leur régime obligatoire. Ce contrat est souscrit à titre individuel par le client.

OBJET DU CONTRAT :

n Gamme 100% santén Non éligible à l’ACS. n Non éligible à la Loi Châtel.n Eligible à la loi Madelin.

CIBLE :

Personne seule ou en couple avec ou sans enfants.

CHAMPS DE SOUSCRIPTION :

De 18 à 85 ans (Age en millésime) à la date d’effet du contrat.

GARANTIES : 8 formules : de 100% à 400%+ 7 formules ECO = -5% (suppression de la chambre particulière et médicaments non remboursé par le RO). La formule ECO est disponible de la formule 2 à 8.

RÉDUCTIONS TARIFAIRES :

n Réduction Couple ou Famille -10% n Réduction TNS -10% n Alsace/Moselle -31%(Ces réductions sont cumulables)

ÉCHÉANCE PRINCIPALE :

Gestion des contrats en date à date. L’échéance principale est la date d’effet du contrat pendant toute la durée de vie du contrat.

PRISE D’EFFET DES GARANTIES : Le contrat prend effet à la date de demande de souscription. Au plus tôt à J+1 et au plus tard à M+12.

ZONIER : 6 Zones. La tarification se fait en fonction de la zone de résidence de l’adhérent.

MODALITÉS DE RÈGLEMENT DES COTISATIONS :

Les cotisations sont réglées par le souscripteur en fractionnement mensuel ou annuel et uniquement par prélèvement.

PRÉLÈVEMENT : Prélèvement au choix de l’adhérent le 10 ou le 15 du mois.

FICHE COMMERCIALE

DÉLAIS D’ATTENTE : Pas de délais d’attente, ni de franchise, sur l’ensemble des prestations de la gamme.

PRESTATIONS : L’ensemble des forfaits sont par année d’échéance à échéance et par bénéficiaire. Prestations remboursées sous 48h. Consultation des remboursements en ligne via un espace dédié et sécurisé

BONUS ENFANTS : Gratuité du 3ème au 5ème enfant inclus. GESTION DES ENFANTS et documents utiles :Les enfants, âgés de moins de 18 ans, reconnus à la charge du souscripteur ou à celle de son conjoint ou âgés de 18 à 26 ans inclus, sous réserve : • qu’ils produisent un justificatif annuel de scolarité et n’exercent pas d’emploi rémunéré

à caractère permanent, • qu’ils soient en formation en alternance ou en contrat d’apprentissage, sous réserve

de justificatif, • qu’ils soient inscrits au Pôle Emploi en tant que primo demandeur d’emploi, • sans limite d’âge si l’enfant bénéficie des allocations pour personnes handicapées prévues

par la loi n° 200512 du 11 février 2005 sous réserve que cette allocation leur ait été attribuée avant leur 21ème anniversaire.

ASSISTANCE : Le bénéficiaire et ses ayants droits bénéficient des garanties MUTUAIDE. Assistance internationale 7j/7, 24h/24.

TIERS PAYANT : L’organisme de tiers payant est SG SANTE.

SANTECLAIR : Est inclus dans la garantie le service MESDOCTEURS.COM (télémédecine incluse) : 5 consultations gratuites/an/bénéficiaire

RÉSILIATION : Préavis de 2 mois avant l’échéance principale.

RÉTRACTATION : 14 jours à partir de la date de signature.

4 5

6 7

ÉCO=-5%

ÉCO=-5%

62

59

02

80

7791

78

95

60

76

27

08

51

10

55

54

57

67

68

88

21

52

70

25

39

71

01 74

73

38

69

05

0406

8313

2B

2A

8430

34

482607

43

4263

12

81

31

11

66

09

82

46

15

65

32

47

24

87

19

23

86

36

03

5818

8945

41

37

72

28

14

61

50

2922

35 53

49

7985

44

56

1617

33

40

64

9492

93

75

ZONE 1

ZONE 2

ZONE 3

ZONE 4

ZONE 5

ZONE 6

ZONIER

DÉPARTEMENTSZONES

1

2

3

4

5

6

75

13 • 94

06 • 50 • 62 • 91 • 92

08 • 10 • 15 • 16 • 17 • 20 • 30 • 31 • 33 • 34 • 39 • 49 • 51 • 53 • 54 • 55 • 59 • 60 • 64 • 66 • 67 • 68 • 69 • 76 • 77 • 78 • 79 • 81 • 84 • 85 • 87 • 93 • 95

01 • 02 • 03 • 04 • 05 • 07 • 09 • 11 • 12 • 14 • 18 • 19 • 21 • 22 • 23 • 24 • 26 • 27 • 28 • 29 • 32 • 35 • 36 • 37 • 38 • 40 • 41 • 42 • 43 • 44 • 45 • 46 • 47 • 48 • 52 • 56 • 58 • 61 • 65 • 70 • 71 • 72 • 73 • 74 • 80 • 82 • 83 • 86 • 89 • 90

25 • 57 • 63 • 88

RÉDUCTIONS :

n Réduction famille et Réduction TNS : -10%n Formule ECO : -5%(Suppression de la chambre particulière et des médicaments non pris par le RO)n Alsace/Moselle : -31%(Ces réductions sont cumulables)

RÉDUCTION LIÉE AU FOYER :

3ème enfant GRATUIT jusqu’au 5ème INCLUS

INCLUS :

n Réseau Santéclair : 0,30€ / assuré / moisn Assistance : 0,90€ / moisn Cotisation annuelle APSAP : 0,60€ / moisn Frais de fractionnement mensuel : 3€

FRAIS D’ADHÉSION :

Droits d’adhésion unique : 12 euros TTC à la 1ère échéanceAucun frais pour les contrats Loi Madelin.

NB ADULTES

1

1

1

2

2

2

NB ENFANTS

0

1

2 et +

0

1

2 et +

COEF DE RÉDUCTION

1,00

0,95

0,90

0,90

0,90

0,90

10 11

CALCUL DE LA PRIME :

Exemple :

MONSIEUR 80 €MADAME 65 € (Résidence : Nantes • zone 5)

On applique la réduction couple :

80 € + 65 € x 0,90 € = 130,50 € On applique le coefficient zonier :

ZONE 5 = - 10%- 10% = 117,45 €

On ajoute les frais accessoires :

+ 0,60 € (cotisation APSAP)

+ 0,60 € (réseau de soins)

+ 0,90 € (assistance)

+ 3 € (frais de quittancement)

= 5,10 €

COTISATION MENSUELLE = 122,55 €

DES TARIFS NÉGOCIÉS AU PLUS JUSTE

SANS NÉGLIGER LE RAPPORT GARANTIES/PRIX

ET LES NIVEAUX DE REMBOURSEMENT.

UN ACCÈS À L’ENSEMBLE DE NOS GARANTIES

ET SERVICES ASSOCIÉS SANS FRANCHISE

NI AUCUN DÉLAI D’ATTENTE.

L’ACCÈS À LA TÉLÉCONSULTATION EN LIGNE

24h/24 et 7j/7

• SUR L’ENSEMBLE DE NOS FORMULES AVEC UNE PRISE

EN CHARGE INTÉGRALE PAR INFINITY SANTÉ,

• DÉLIVRANCE D’ORDONNANCE EN LIGNE

ET ACCÈS AUX MÉDICAMMENTS.

RÉSEAU DE SOINS SANTECLAIR :

• UN ACCÈS DIRECT À DES PROFESSIONNELS

DE SANTÉ DISPONIBLES A PRIX NÉGOCIÉS

(JUSQU’A -40% SUR LES TARIFS HABITUELLEMENT CONSTATÉS).

• DENTAIRE : DES TARIFS PRÉFÉRENTIELS AUPRÈS DE 2 500

CHIRURGIENS DENTISTES AVEC PRATIQUES SYSTÉMATIQUE DU TIERS

PAYANT.

• IMPLANTOLOGIE : TARIFS NÉGOCIÉS

• OPTIQUE : DES PRIX TRÈS ATTRACTIFS SUR DES VERRES

DE GRANDES MARQUES (ESSILOR, NIKKON, OPTISWISS, ZEISS, …),

JUSQU’À -20% DE REMISE SUR LES MONTURES DU PANIER LIBRE.

• AUDIOPROTHÈSE : TARIFS NÉGOCIÉS

APPS MOBILE SG SANTÉ EN QUELQUES SECONDES,

• UN ACCÈS AU SUIVI DES DÉCOMPTES DE REMBOURSEMENT,

• LA POSSIBILITÉ D’ENVOYER SES FACTURES DE REMBOURSEMENT

VIA L’APPLICATION,

• DE RECEVOIR SES REMBOURSMENTS EN MOINS DE 72H.

LES AVANTAGES D’INFINITY POUR LES ASSURÉS :

RAPPEL :

0,60 € / mois / contrat

0,30 € / mois / bénéficiaire

0,90 € / mois / contrat

+3 € / mois / contrat(

11

12 13

LA SOUSCRIPTION DE VOS AFFAIRES NOUVELLES SANTÉ

AVEC UNE DATE D’EFFET À J+1 ET UN DIFFÉRÉ POSSIBLE

JUSQU’A 12 MOIS GLISSANTS

14 15

MODÈLE DE CARTE DE TIERS PAYANT

L’ENREGISTREMENT DE VOS AFFAIRES NOUVELLES SANTÉ

DU 1er AU DERNIER JOUR DU MOIS EN COURS AVEC UNE GESTION

DES CONTRATS EN « DATE À DATE »

UNE VISIBILITÉ ET UN ENGAGEMENT DE NOS TARIFS

DE L’ANNÉE EN COURS ET DE L’ANNÉE N+1

DES MODALITÉS DE RÉMUNÉRATION ATTRACTIVES

• AUCUNE DISTINCTION RE REMUNÉRATION

(CHAMPS ANI/HORS ANI)

• POSSIBILITÉ DE PRENDRE DES FRAIS DE DOSSIER

(MAXI 50€)

UN ACCOMPAGNEMENT PERSONNALISÉ

DE VOTRE DÉVELOPPEMENT

(FORMATION, CHALLENGE,

MISE EN RELATION, ...)

LES AVANTAGES D’INFINITY POUR « VOUS » COURTIERS :

- de 19 20 ans21 ans22 ans23 ans24 ans25 ans26 ans27 ans28 ans29 ans30 ans31 ans32 ans33 ans34 ans35 ans36 ans37 ans38 ans39 ans40 ans41 ans42 ans43 ans44 ans45 ans46 ans47 ans48 ans49 ans50 ans51 ans52 ans53 ans54 ans55 ans56 ans57 ans58 ans59 ans60 ans61 ans62 ans63 ans64 ans65 ans66 ans67 ans68 ans69 ans70 ans71 ans72 ans73 ans74 ans75 ans76 ans77 ans78 ans79 ans80 ans81 ans82 ans83 ans84 ans85 ans86 ans87 ans88 ans89 ans90 ans91 ans92 ans93 ans94 ans95 ans96 ans97 ans98 ans99 ans100 ans

24,3324,9125,4726,0226,5827,1727,7628,3729,0129,6330,2330,9131,5432,2632,9233,6234,3435,0235,7836,5237,2738,0838,8239,6640,4941,3342,1943,1043,9844,9045,8646,8747,9048,9249,9851,0652,2253,3554,5055,6356,7757,9059,4661,2062,9664,7566,6068,4470,3072,1774,0575,9377,7979,6881,5283,3485,1486,8988,5890,2291,8293,4095,5597,95100,39102,89105,46108,10110,79113,60116,41119,33122,33125,39128,51131,71135,00138,39141,85145,38149,02146,87

29,4930,1530,7931,4232,0732,7633,4334,1334,8435,5736,2837,0437,8038,5839,3640,1640,9941,8042,6643,5244,3945,3046,2047,1548,1149,0750,0651,1152,1453,2354,3455,4856,6457,8559,0760,3461,6862,9864,2965,6166,9368,2470,0572,0574,1476,2078,3380,4882,6384,8086,9989,1991,0393,1995,3297,4299,48101,51103,45105,33107,17108,98111,51114,29117,15120,09123,09126,53130,04133,68137,39141,23145,58150,08154,69159,46164,38169,95175,72181,67187,85186,80

33,7734,5135,2035,9036,6137,3738,1338,8939,6740,4641,2842,1042,9543,7844,6845,5446,4647,3748,2949,2750,2351,2352,2253,2854,3255,4056,5057,6558,8060,0161,2462,5063,7865,1166,4867,8969,3670,8172,2473,7175,1876,6178,6380,8683,1785,4787,8490,2092,6195,0297,4699,89101,67104,06106,38108,72110,99113,22115,38117,46119,46121,48124,30127,40130,58133,84137,21141,33145,57149,93154,44159,07164,63170,40176,35182,52188,91196,48204,33212,50221,01221,01

41,0941,9939,2039,9740,7341,5542,3943,2044,0644,9045,8046,7047,6148,5149,4950,4151,4152,4253,4054,4655,5256,5957,6858,8159,9461,1162,3163,5764,8266,1467,4868,8470,2271,6973,1674,7176,3077,8779,4381,0382,6284,1886,3888,8091,3393,8396,4198,98101,61104,24106,89109,55111,25113,83116,37118,90121,37123,77126,12128,35130,54132,72135,80139,19142,66146,24149,93154,67159,57164,61169,81175,18181,87188,81196,03203,48211,23220,62230,43240,65251,31252,31

52,3253,4646,8747,7748,6749,6350,6151,5652,5653,5454,6055,6556,7457,7558,9360,0161,1662,3663,4864,7566,0067,2368,5269,8471,1772,5573,9575,4276,8978,4380,0381,6083,2384,9486,6888,5090,3792,1994,0295,9097,7899,62102,19105,04108,01110,95113,97116,97120,06123,16126,28129,42131,21134,23137,18140,16143,05145,88148,59151,21153,78156,33159,96163,94168,04172,27176,60182,42188,44194,62201,05207,65216,10224,89234,02243,49253,33265,47278,16291,42305,25307,38

67,3368,8357,5458,6259,7160,8562,0663,2164,4065,5866,8868,1269,4670,6772,1073,3974,7876,2477,6079,1280,6382,1183,6885,2686,8788,5390,2391,9993,8095,6897,5799,47101,43103,52105,62107,84110,07112,27114,48116,76119,04121,25124,37127,81131,42134,99138,63142,25146,00149,74153,52157,34159,30162,92166,49170,09173,59176,98180,27183,42186,50189,59193,99198,82203,80208,91214,19221,47229,01236,77244,83253,13263,95275,18286,91299,08311,72327,50344,02361,31379,35382,87

81,1082,8966,7868,0469,2970,6071,9773,2974,6375,9877,4978,8980,4481,8183,4784,9386,5188,2189,7591,5293,2194,9196,7198,54100,36102,28104,21106,24108,31110,47112,65114,82117,06119,45121,87124,40126,96129,48132,01134,63137,26139,77143,35147,29151,45155,55159,71163,87168,17172,45176,79181,18183,22187,37191,44195,57199,58203,44207,22210,83214,36217,88222,94228,50234,22240,10246,17254,75263,67272,81282,35292,16305,11318,61332,70347,33362,53381,69401,75422,77444,72449,68

86,7688,6869,3670,6571,9373,2874,6876,0377,4178,8080,3481,8083,3884,7686,5087,9889,6091,3592,9194,7396,5098,22100,09101,96103,83105,80107,79109,86112,00114,21116,45118,67120,98123,43125,91128,53131,16133,75136,33139,04141,73144,32148,00152,05156,32160,53164,82169,09173,51177,92182,40186,91188,84193,09197,26201,50205,61209,58213,46217,14220,77224,39229,61235,33241,22247,26253,54262,56271,95281,56291,63301,96315,79330,17345,22360,83377,09397,71419,31441,96465,62471,50

Formule 1 Formule 2 Formule 3 Formule 4 Formule 5 Formule 6 Formule 7 Formule 8

TARIFS 2020 ZONE 1


23,2323,7724,3124,8325,3725,9426,5027,0827,6928,2828,8529,5130,1030,7931,4232,0932,7833,4334,1634,8635,5736,3537,0637,8638,6539,4540,2741,1441,9842,8643,7844,7445,7246,6947,7048,7449,8550,9352,0253,1054,1955,2756,7658,4260,1061,8163,5765,3367,1068,8970,6872,4874,2576,0677,8279,5581,2782,9484,5586,1287,6489,1591,2193,4995,8298,22100,67103,19105,76108,43111,12113,90116,77119,69122,67125,72128,86132,10135,41138,77142,24140,20

28,1528,7829,3930,0030,6131,2731,9132,5833,2533,9634,6335,3636,0836,8237,5738,3339,1339,9040,7241,5442,3843,2444,1045,0045,9246,8447,7948,7949,7750,8151,8752,9654,0755,2256,3957,6058,8760,1261,3762,6363,8965,1466,8668,7870,7772,7474,7776,8278,8880,9583,0485,1386,8988,9590,9892,9994,9696,9098,75100,55102,29104,03106,45109,10111,82114,63117,49120,78124,13127,60131,15134,81138,96143,26147,66152,21156,91162,23167,73173,42179,32178,31

32,2332,9433,6034,2634,9435,6736,3937,1237,8738,6239,4040,1941,0041,7942,6543,4744,3545,2246,1047,0347,9448,9149,8550,8651,8652,8853,9455,0356,1257,2858,4659,6660,8862,1563,4664,8166,2167,5968,9670,3671,7673,1375,0677,1979,3981,5983,8586,1088,4090,7093,0395,3597,0599,33101,55103,78105,95108,07110,13112,12114,03115,96118,65121,61124,64127,76130,97134,91138,95143,11147,42151,84157,15162,65168,34174,23180,33187,55195,04202,84210,96210,96

39,2240,0837,4238,1538,8839,6640,4641,2342,0542,8643,7244,5845,4446,3047,2448,1249,0750,0450,9751,9953,0054,0255,0556,1457,2258,3459,4860,6861,8763,1364,4165,7167,0368,4369,8471,3172,8374,3375,8277,3478,8680,3582,4684,7687,1889,5792,0394,4896,9999,50102,03104,57106,20108,66111,08113,50115,85118,15120,38122,51124,61126,69129,63132,86136,18139,59143,11147,64152,32157,12162,09167,22173,61180,23187,12194,23201,63210,60219,96229,71239,89240,84

49,9451,0344,7445,6046,4647,3748,3149,2150,1751,1152,1253,1254,1655,1356,2657,2858,3859,5360,6061,8163,0064,1865,4066,6667,9369,2570,5971,9973,3974,8776,3977,8979,4581,0882,7484,4886,2688,0089,7591,5493,3495,0997,55100,26103,10105,91108,79111,65114,60117,57120,54123,54125,25128,13130,95133,79136,55139,25141,84144,34146,79149,23152,69156,49160,41164,44168,58174,13179,88185,77191,91198,21206,28214,66223,38232,42241,82253,40265,52278,17291,38293,41

64,2765,7054,9255,9656,9958,0959,2460,3361,4862,5963,8465,0266,3167,4668,8370,0571,3872,7874,0775,5276,9678,3879,8881,3982,9284,5086,1387,8189,5391,3393,1494,9496,8298,81100,82102,94105,07107,17109,28111,45113,63115,73118,72122,00125,45128,85132,33135,79139,37142,93146,54150,19152,06155,52158,92162,36165,70168,93172,07175,08178,02180,97185,17189,78194,54199,42204,46211,40218,60226,01233,70241,63251,95262,68273,87285,49297,55312,62328,39344,88362,10365,47

77,4179,1363,7564,9566,1467,3968,7069,9671,2472,5373,9675,3176,7878,0979,6781,0782,5884,2085,6787,3688,9790,5992,3294,0695,8097,6399,48101,41103,39105,45107,53109,60111,74114,02116,33118,74121,19123,60126,01128,51131,02133,42136,83140,59144,56148,48152,45156,42160,52164,62168,75172,94174,89178,85182,74186,68190,51194,19197,80201,25204,61207,98212,81218,11223,57229,18234,98243,17251,69260,40269,52278,88291,24304,12317,58331,54346,05364,34383,49403,55424,51429,24

82,8184,6466,2167,4468,6669,9471,2972,5773,8975,2176,6978,0879,5980,9182,5683,9885,5387,2088,6990,4392,1193,7695,5497,3299,11100,99102,89104,86106,91109,01111,16113,27115,48117,82120,18122,69125,20127,68130,14132,72135,29137,76141,27145,13149,21153,23157,33161,40165,63169,84174,11178,41180,26184,31188,30192,34196,26200,06203,76207,27210,74214,19219,17224,63230,26236,02242,02250,63259,58268,77278,38288,24301,44315,16329,53344,43359,95379,64400,25421,87444,45450,07


TARIFS 2020 ZONE 2

16 17


22,1222,6423,1523,6524,1624,7025,2425,7926,3726,9427,4828,1028,6729,3329,9330,5631,2231,8432,5333,2033,8834,6235,2936,0536,8137,5738,3539,1839,9840,8241,6942,6143,5444,4745,4346,4247,4748,5049,5450,5851,6152,6454,0555,6457,2458,8760,5462,2263,9165,6167,3269,0370,7172,4474,1175,7777,4078,9980,5282,0283,4784,9186,8789,0491,2693,5495,8798,27100,72103,27105,83108,48111,21113,99116,83119,74122,73125,81128,96132,16135,47133,52

26,8127,4127,9928,5729,1629,7830,3931,0231,6732,3432,9833,6834,3735,0735,7836,5137,2738,0038,7839,5740,3641,1842,0042,8643,7344,6145,5146,4647,4048,3949,4050,4451,4952,5953,7054,8656,0757,2658,4559,6560,8562,0463,6865,5067,4069,2871,2173,1675,1277,0979,0981,0882,7684,7186,6588,5790,4392,2894,0595,7697,4299,08101,38103,90106,50109,17111,90115,03118,22121,53124,90128,39132,34136,43140,62144,96149,44154,50159,74165,16170,78169,81

30,7031,3832,0032,6333,2833,9734,6635,3536,0736,7837,5338,2739,0439,8040,6241,4042,2443,0743,9044,7945,6646,5847,4748,4349,3950,3651,3752,4153,4554,5555,6756,8257,9859,1960,4461,7263,0664,3765,6767,0168,3569,6571,4873,5175,6177,7079,8682,0084,1986,3888,6090,8192,4394,6096,7198,84100,90102,93104,89106,78108,60110,44113,00115,82118,71121,67124,73128,48132,33136,30140,40144,61149,66154,91160,32165,93171,74178,62185,75193,18200,92200,92

37,3638,1735,6336,3437,0337,7838,5339,2740,0540,8241,6442,4543,2844,1044,9945,8346,7447,6548,5549,5150,4751,4552,4353,4654,4955,5656,6557,7958,9260,1261,3562,5863,8465,1866,5167,9269,3770,7972,2173,6675,1176,5378,5380,7383,0385,3087,6589,9892,3794,7697,1799,59101,14103,48105,79108,09110,34112,52114,65116,68118,67120,66123,45126,53129,69132,94136,30140,61145,06149,64154,38159,26165,34171,65178,21184,98192,03200,57209,48218,77228,47229,37

47,5648,6042,6143,4344,2445,1246,0146,8747,7848,6749,6350,5951,5852,5053,5854,5555,6056,6957,7158,8760,0061,1262,2963,4964,7065,9667,2368,5669,9071,3072,7574,1875,6677,2278,8080,4682,1583,8185,4787,1888,8990,5692,9095,4998,19100,87103,61106,34109,15111,97114,80117,65119,28122,03124,71127,42130,05132,62135,09137,46139,80142,12145,42149,04152,77156,61160,55165,84171,31176,93182,77188,78196,46204,44212,74221,35230,30241,33252,88264,93277,50279,44

61,2162,5752,3153,2954,2855,3256,4257,4658,5559,6160,8061,9263,1564,2565,5566,7267,9869,3170,5471,9373,3074,6476,0777,5178,9780,4882,0383,6385,2786,9888,7090,4292,2194,1096,0298,04100,06102,07104,07106,15108,22110,22113,07116,19119,48122,72126,02129,32132,73136,13139,56143,04144,82148,11151,35154,62157,81160,89163,88166,74169,54172,35176,35180,74185,28189,92194,72201,34208,19215,25222,58230,12239,95250,17260,83271,89283,38297,73312,75328,46344,86348,07

73,7375,3660,7161,8662,9964,1865,4266,6367,8569,0770,4471,7273,1374,3775,8877,2078,6480,2081,5983,2084,7486,2887,9289,5991,2492,9894,7496,5998,47100,43102,41104,38106,42108,59110,79113,09115,42117,71120,01122,39124,78127,07130,32133,90137,68141,41145,19148,97152,88156,78160,72164,71166,56170,34174,04177,79181,44184,95188,38191,66194,87198,08202,67207,73212,92218,27223,79231,59239,70248,00256,68265,60277,38289,64302,45315,75329,57346,99365,23384,34404,29408,80

78,8780,6163,0664,2265,3966,6167,8969,1270,3771,6373,0474,3675,8077,0678,6379,9881,4583,0584,4786,1287,7389,2990,9992,6994,3996,1897,9999,87101,82103,82105,86107,88109,99112,21114,46116,85119,24121,60123,94126,40128,84131,20134,54138,22142,11145,94149,83153,72157,74161,75165,82169,92171,67175,53179,33183,18186,92190,53194,05197,40200,70203,99208,73213,93219,29224,78230,49238,69247,22255,97265,12274,51287,08300,15313,84328,03342,81361,56381,19401,78423,29428,64


TARIFS 2020 ZONE 3


21,0221,5121,9922,4722,9523,4723,9724,5025,0525,5926,1126,7027,2427,8628,4329,0329,6630,2530,9031,5432,1932,8833,5334,2534,9735,6936,4437,2237,9938,7839,6140,4841,3642,2543,1644,1045,1046,0847,0748,0549,0350,0051,3552,8654,3755,9257,5259,1160,7162,3363,9565,5867,1868,8170,4171,9873,5375,0476,5077,9279,3080,6682,5284,5986,7088,8691,0893,3695,6898,10100,54103,05105,65108,30110,99113,75116,59119,52122,51125,56128,70126,85

25,4726,0426,5927,1427,7028,2928,8729,4730,0930,7231,3431,9932,6533,3133,9934,6835,4036,1036,8437,5938,3439,1339,9040,7241,5542,3843,2444,1445,0345,9746,9347,9248,9249,9651,0252,1153,2754,4055,5256,6757,8158,9460,5062,2364,0365,8167,6569,5071,3673,2475,1377,0278,6280,4882,3284,1485,9187,6789,3590,9792,5594,1296,3198,71101,17103,71106,30109,27112,31115,45118,66121,97125,73129,61133,59137,71141,97146,78151,76156,90162,24161,32

29,1629,8130,4031,0031,6132,2732,9333,5834,2634,9435,6536,3637,0937,8138,5939,3340,1340,9141,7142,5543,3844,2545,1046,0146,9247,8448,8049,7950,7851,8252,8953,9855,0856,2457,4258,6359,9061,1562,3963,6664,9366,1767,9169,8471,8373,8275,8677,9079,9882,0684,1786,2787,8189,8791,8793,9095,8697,7899,64101,44103,17104,92107,35110,03112,77115,59118,50122,06125,72129,48133,38137,38142,18147,16152,31157,63163,15169,68176,46183,52190,87190,87

35,4936,2633,8534,5235,1835,8936,6137,3138,0538,7839,5640,3341,1241,8942,7443,5444,4045,2746,1247,0347,9548,8749,8150,7951,7752,7853,8154,9055,9857,1258,2859,4560,6561,9263,1964,5265,9067,2568,6069,9871,3572,7074,6076,6978,8881,0483,2785,4887,7590,0292,3294,6196,0898,31100,50102,69104,82106,90108,92110,85112,74114,62117,28120,21123,21126,30129,48133,58137,81142,16146,66151,29157,07163,07169,30175,73182,43190,54199,01207,83217,04217,90

45,1846,1740,4841,2642,0342,8643,7144,5345,3946,2447,1548,0649,0049,8850,9051,8252,8253,8654,8355,9257,0058,0659,1760,3161,4662,6663,8665,1366,4067,7469,1270,4771,8873,3674,8676,4378,0579,6281,2082,8284,4586,0388,2690,7193,2895,8298,43101,02103,69106,37109,06111,77113,32115,92118,47121,05123,54125,99128,33130,59132,81135,01138,15141,59145,13148,78152,52157,55162,74168,08173,63179,34186,63194,22202,11210,28218,79229,27240,23251,68263,63265,47

58,1559,4449,6950,6351,5752,5653,6054,5955,6256,6357,7658,8359,9961,0362,2763,3864,5965,8467,0268,3369,6370,9172,2773,6475,0276,4577,9379,4581,0182,6384,2785,9087,6089,4091,2293,1395,0696,9698,87100,84102,81104,71107,41110,38113,50116,58119,72122,85126,09129,32132,58135,89137,57140,71143,78146,89149,92152,84155,69158,41161,07163,73167,53171,71176,01180,42184,99191,27197,78204,48211,45218,61227,95237,66247,79258,30269,21282,84297,11312,04327,62330,66

70,0471,5957,6858,7659,8460,9762,1563,2964,4665,6266,9268,1469,4770,6572,0973,3474,7176,1977,5179,0480,5081,9683,5285,1186,6888,3390,0091,7693,5495,4097,2999,16101,10103,16105,25107,43109,65111,82114,01116,27118,54120,71123,80127,20130,80134,34137,93141,52145,24148,94152,68156,47158,24161,82165,34168,90172,36175,70178,96182,08185,13188,17192,54197,34202,28207,36212,60220,01227,72235,60243,85252,32263,51275,16287,33299,96313,09329,64346,97365,12384,08388,36

70,0471,5957,6858,7659,8460,9762,1563,2964,4665,6266,9268,1469,4770,6572,0973,3474,7176,1977,5179,0480,5081,9683,5285,1186,6888,3390,0091,7693,5495,4097,2999,16101,10103,16105,25107,43109,65111,82114,01116,27118,54120,71123,80127,20130,80134,34137,93141,52145,24148,94152,68156,47158,24161,82165,34168,90172,36175,70178,96182,08185,13188,17192,54197,34202,28207,36212,60220,01227,72235,60243,85252,32263,51275,16287,33299,96313,09329,64346,97365,12384,08388,36


TARIFS 2020 ZONE 4

18 19


19,9120,3820,8421,2921,7422,2322,7123,2123,7324,2424,7325,2925,8026,3926,9327,5028,1028,6629,2829,8830,4931,1531,7732,4533,1333,8134,5235,2635,9936,7437,5338,3539,1940,0240,8941,7842,7243,6544,5945,5246,4547,3748,6550,0751,5152,9854,4956,0057,5259,0560,5862,1263,6465,1966,7068,1969,6671,1072,4773,8275,1276,4278,1880,1482,1484,1886,2888,4590,6592,9495,2597,63100,09102,60105,14107,76110,46113,23116,06118,95121,92120,17

24,1324,6725,1925,7126,2426,8027,3527,9228,5029,1029,6930,3130,9331,5632,2032,8633,5434,2034,9135,6136,3237,0737,8038,5839,3640,1540,9641,8242,6643,5544,4645,4046,3447,3348,3349,3750,4651,5352,6053,6854,7655,8357,3158,9560,6662,3564,0965,8467,6169,3871,1872,9774,4876,2477,9979,7181,3983,0584,6486,1887,6889,1791,2493,5195,8598,25100,71103,52106,40109,37112,41115,55119,11122,79126,56130,47134,49139,05143,77148,64153,70152,83

27,6328,2428,8029,3729,9530,5731,1931,8232,4633,1033,7734,4535,1435,8236,5637,2638,0138,7639,5140,3141,0941,9242,7243,5944,4545,3246,2347,1748,1149,1050,1051,1352,1853,2854,4055,5556,7557,9359,1160,3161,5162,6864,3466,1668,0569,9371,8773,8075,7777,7479,7481,7383,1985,1487,0488,9690,8192,6494,4096,1097,7499,39101,70104,24106,84109,51112,26115,63119,10122,67126,36130,15134,70139,42144,29149,34154,57160,75167,18173,86180,83180,83

33,6234,3532,0732,7033,3334,0034,6835,3436,0536,7437,4738,2138,9539,6940,4941,2542,0642,8943,6944,5645,4346,3047,1948,1249,0450,0050,9852,0153,0354,1155,2156,3257,4658,6659,8661,1362,4363,7164,9966,2967,6068,8770,6872,6574,7276,7778,8880,9883,1385,2987,4689,6391,0293,1495,2197,2899,30101,27103,19105,01106,81108,59111,11113,88116,72119,65122,67126,55130,56134,68138,94143,33148,81154,48160,39166,48172,82180,51188,53196,89205,62206,43

42,8143,7438,3539,0839,8240,6041,4142,1843,0043,8044,6745,5346,4247,2548,2249,1050,0451,0251,9452,9854,0055,0156,0657,1458,2359,3660,5061,7162,9164,1765,4866,7668,1069,4970,9272,4173,9475,4376,9378,4780,0081,5083,6185,9488,3790,7893,2595,7098,23100,77103,32105,89107,36109,82112,24114,68117,04119,35121,58123,72125,82127,91130,87134,14137,49140,95144,49149,25154,18159,23164,50169,90176,81184,00191,47199,22207,27217,20227,59238,43249,75251,49

55,0956,3147,0847,9648,8549,7950,7851,7252,6953,6554,7255,7356,8357,8258,9960,0461,1962,3863,4964,7365,9767,1868,4669,7671,0772,4373,8375,2676,7478,2879,8381,3882,9984,6986,4288,2390,0691,8693,6795,5397,4099,20101,76104,57107,53110,45113,42116,39119,46122,52125,60128,73130,33133,30136,22139,16142,03144,80147,49150,07152,59155,12158,72162,67166,75170,93175,25181,20187,37193,72200,32207,11215,96225,15234,74244,70255,04267,96281,47295,61310,38313,26

66,3567,8254,6455,6756,6957,7658,8859,9661,0662,1663,4064,5565,8166,9468,2969,4870,7872,1873,4374,8876,2677,6579,1380,6382,1283,6985,2786,9388,6290,3892,1793,9495,7897,7399,71101,78103,88105,94108,01110,15112,30114,36117,29120,51123,91127,27130,67134,08137,59141,10144,65148,24149,91153,30156,64160,01163,29166,45169,54172,50175,38178,27182,41186,95191,63196,44201,41208,43215,73223,20231,01239,04249,64260,68272,21284,18296,61312,29328,71345,90363,87367,92

70,9872,5556,7557,8058,8559,9561,1062,2163,3464,4765,7366,9368,2269,3570,7771,9873,3174,7476,0277,5178,9580,3681,8983,4284,9586,5688,1989,8891,6493,4495,2897,0998,99100,98103,01105,16107,32109,44111,55113,76115,96118,08121,09124,40127,90131,34134,85138,35141,97145,57149,23152,92154,50157,98161,40164,86168,23171,48174,65177,66180,63183,59187,86192,54197,36202,31207,44214,82222,50230,37238,61247,06258,37270,14282,45295,23308,53325,40343,07361,60380,96385,77


TARIFS 2020 ZONE 5


18,8019,2519,6820,1020,5421,0021,4521,9222,4122,9023,3623,8924,3724,9325,4425,9826,5327,0627,6528,2228,8029,4230,0030,6531,2931,9432,6033,3033,9934,7035,4436,2237,0137,8038,6239,4640,3541,2342,1142,9943,8644,7445,9447,2948,6550,0451,4652,8954,3255,7757,2258,6760,1161,5763,0064,4065,7967,1568,4569,7270,9572,1773,8475,6977,5779,5181,4983,5385,6187,7889,9592,2194,5396,9099,30101,78104,32106,94109,61112,34115,15113,49

22,7923,3023,7924,2824,7825,3125,8326,3726,9227,4928,0428,6229,2129,8130,4131,0331,6832,3032,9733,6334,3035,0135,7036,4337,1737,9138,6939,4940,2941,1341,9942,8743,7744,7045,6546,6347,6648,6749,6850,7051,7252,7354,1355,6857,2958,8860,5362,1963,8565,5367,2268,9270,3472,0173,6575,2876,8778,4479,9481,3982,8184,2286,1788,3290,5292,7995,1197,77100,49103,30106,17109,13112,49115,97119,53123,22127,02131,33135,78140,39145,16144,34

26,0926,6727,2027,7428,2928,8729,4630,0530,6631,2631,9032,5333,1933,8334,5335,1935,9036,6137,3238,0738,8139,5940,3541,1741,9842,8143,6644,5545,4346,3747,3248,2949,2950,3251,3752,4653,6054,7255,8256,9658,1059,2060,7662,4964,2766,0567,8869,7071,5673,4275,3177,1978,5680,4182,2084,0185,7787,4989,1590,7692,3193,8796,0598,45100,90103,42106,02109,21112,48115,85119,34122,92127,21131,67136,27141,04145,98151,82157,89164,20170,78170,78

31,7532,4530,2930,8931,4732,1132,7533,3834,0434,7035,3936,0936,7937,4838,2438,9539,7240,5041,2742,0842,9043,7344,5745,4446,3247,2348,1549,1250,0851,1152,1453,1954,2655,4056,5457,7358,9660,1761,3862,6163,8465,0566,7568,6270,5772,5174,5076,4878,5280,5582,6084,6585,9787,9689,9391,8893,7995,6497,4599,18100,87102,56104,94107,55110,24113,00115,85119,52123,31127,19131,22135,37140,54145,90151,48157,23163,22170,48178,06185,95194,20194,97

40,4341,3136,2236,9137,6138,3539,1139,8440,6141,3742,1943,0043,8544,6345,5446,3747,2648,1949,0550,0451,0051,9552,9453,9654,9956,0657,1458,2859,4160,6161,8463,0564,3165,6366,9868,3969,8371,2472,6574,1175,5676,9878,9781,1683,4685,7488,0790,3992,7795,1797,58100,01101,39103,72106,00108,30110,54112,72114,82116,84118,83120,80123,60126,68129,85133,12136,47140,96145,61150,39155,36160,46166,99173,77180,83188,15195,76205,13214,94225,19235,88237,52

52,0353,1844,4645,3046,1447,0247,9648,8449,7750,6751,6852,6453,6854,6155,7256,7157,7958,9159,9661,1462,3063,4564,6665,8867,1368,4169,7371,0872,4873,9375,4076,8678,3879,9981,6283,3385,0586,7688,4690,2291,9993,6996,1198,76101,56104,31107,12109,92112,82115,71118,63121,58123,09125,90128,65131,43134,14136,76139,30141,73144,11146,50149,90153,63157,48161,43165,51171,14176,96182,96189,19195,60203,96212,64221,70231,11240,87253,07265,84279,19293,13295,86

62,6764,0551,6152,5853,5454,5555,6156,6357,6758,7159,8860,9662,1663,2264,5065,6266,8568,1769,3570,7272,0373,3474,7376,1577,5579,0480,5382,1083,7085,3687,0588,7290,4592,3094,1796,1398,11100,05102,01104,03106,06108,01110,77113,81117,03120,20123,41126,63129,95133,26136,61140,00141,58144,79147,93151,12154,22157,21160,12162,91165,64168,36172,27176,57180,99185,53190,22196,85203,75210,80218,18225,76235,77246,20257,09268,39280,13294,94310,44326,69343,65347,48

67,0468,5253,6054,5955,5856,6257,7158,7559,8260,8962,0863,2164,4365,5066,8467,9869,2370,5971,8073,2074,5775,9077,3478,7980,2381,7583,2984,8986,5588,2589,9891,7093,4995,3797,2999,32101,35103,36105,35107,44109,52111,52114,36117,49120,79124,05127,36130,66134,08137,49140,94144,43145,92149,20152,43155,70158,88161,95164,95167,79170,60173,39177,42181,84186,40191,07195,92202,89210,14217,57225,35233,33244,02255,13266,76278,83291,39307,32324,01341,51359,80364,34


TARIFS 2020 ZONE 6

20 21


25,3125,9026,4927,0627,6428,2628,8729,5030,1630,8131,4432,1532,7933,5534,2434,9635,7136,4237,2237,9838,7639,6040,3841,2442,1142,9943,8744,8245,7446,7047,7048,7449,8150,8751,9753,1054,3155,4856,6857,8659,0360,2261,8463,6465,4867,3469,2671,1873,1175,0677,0178,9780,9082,8784,7986,6888,5490,3792,1193,8395,4997,1499,38101,86104,40107,00109,68112,42115,23118,14121,07124,10127,23130,42133,66136,98140,40143,92147,52151,20154,97152,76

30,6831,3632,0232,6833,3534,0634,7635,5036,2336,9937,7338,5339,3140,1240,9341,7642,6443,4744,3745,2746,1847,1148,0449,0350,0351,0352,0753,1554,2255,3656,5057,7058,9160,1761,4462,7664,1465,5066,8668,2469,6170,9772,8574,9377,1079,2681,4683,6985,9388,1990,4792,7594,6796,9199,13101,32103,45105,57107,59109,55111,45113,35115,97118,87121,83124,90128,01131,59135,24139,03142,89146,87151,40156,08160,88165,84170,96176,75182,75188,94195,37194,27

35,1135,9036,6137,3338,0838,8639,6540,4441,2542,0842,9443,7844,6745,5446,4647,3648,3249,2750,2351,2352,2353,2854,3155,4156,4957,6158,7659,9661,1562,4163,6965,0066,3467,7269,1470,6172,1473,6475,1376,6678,1879,6881,7784,1086,5088,8991,3593,8196,3198,82101,36103,89105,73108,22110,64113,07115,43117,74119,99122,15124,25126,34129,27132,50135,80139,20142,69146,99151,39155,92160,62165,44171,22177,21183,41189,82196,46204,34212,50221,00229,86229,86

42,7443,6740,7741,5742,3643,2144,0844,9345,8146,7047,6348,5749,5150,4551,4752,4353,4654,5155,5356,6457,7458,8659,9861,1662,3463,5664,8066,1167,4168,7870,1971,5973,0374,5676,0977,7079,3680,9982,6184,2685,9287,5489,8392,3594,9897,58100,28102,94105,67108,41111,17113,93115,70118,38121,03123,66126,23128,72131,16133,48135,76138,03141,23144,76148,37152,08155,92160,87165,95171,18176,60182,19189,15196,36203,87211,62219,68229,45239,65250,28261,37262,40

54,4155,6148,7449,6850,6151,6152,6353,6354,6655,6856,7857,8859,0160,0661,2962,4163,6164,8566,0267,3468,6469,9271,2672,6374,0175,4676,9078,4379,9781,5783,2384,8686,5688,3490,1592,0493,9895,8897,7899,74101,70103,60106,28109,23112,34115,39118,53121,66124,86128,09131,33134,59136,46139,60142,66145,77148,77151,71154,54157,25159,93162,59166,36170,50174,76179,16183,67189,72195,98202,41209,09215,96224,75233,88243,38253,23263,46276,08289,29303,08317,46319,68

70,0271,5859,8460,9762,1063,2864,5465,7466,9868,2069,5670,8572,2473,5074,9876,3377,7779,2980,7082,2883,8585,4087,0388,6890,3592,0693,8595,6797,5599,50101,47103,44105,50107,65109,84112,15114,47116,76119,06121,43123,80126,09129,34132,92136,68140,38144,17147,95151,85155,73159,66163,63165,66169,44173,14176,89180,53184,05187,48190,76193,96197,17201,75206,77211,95217,27222,77230,33238,17246,24254,63263,26274,50286,19298,38311,04324,19340,60357,78375,76394,52398,19

70,0271,5859,8460,9762,1063,2864,5465,7466,9868,2069,5670,8572,2473,5074,9876,3377,7779,2980,7082,2883,8585,4087,0388,6890,3592,0693,8595,6797,5599,50101,47103,44105,50107,65109,84112,15114,47116,76119,06121,43123,80126,09129,34132,92136,68140,38144,17147,95151,85155,73159,66163,63165,66169,44173,14176,89180,53184,05187,48190,76193,96197,17201,75206,77211,95217,27222,77230,33238,17246,24254,63263,26274,50286,19298,38311,04324,19340,60357,78375,76394,52398,19

90,2392,2372,1473,4774,8176,2077,6779,0780,5181,9583,5585,0786,7288,1589,9691,4993,1995,0196,6298,52100,36102,14104,09106,03107,98110,03112,10114,26116,49118,78121,11123,41125,82128,36130,94133,68136,41139,10141,79144,59147,40150,09153,91158,13162,57166,95171,41175,86180,45185,04189,70194,38196,39200,81205,15209,56213,83217,97221,99225,82229,61233,36238,79244,73250,86257,16263,68273,07282,82292,83303,29314,03328,43343,38359,03375,26392,18413,62436,08459,64484,25490,36


TARIFS 2021 ZONE 1


24,1624,7325,2925,8326,3826,9727,5628,1628,7929,4130,0130,6831,3032,0332,6833,3734,0934,7635,5336,2537,0037,8038,5539,3740,2041,0341,8842,7843,6644,5845,5346,5347,5548,5649,6150,6951,8452,9654,1055,2356,3557,4859,0360,7562,5064,2866,1267,9569,7971,6573,5175,3877,2279,1080,9382,7484,5186,2687,9389,5791,1592,7294,8697,2399,65102,14104,70107,31109,99112,77115,57118,46121,44124,49127,58130,76134,01137,38140,82144,33147,93145,81

29,2829,9430,5731,2031,8432,5233,1833,8834,5935,3136,0136,7737,5238,3039,0739,8740,7041,5042,3543,2144,0844,9745,8646,8047,7548,7249,7050,7451,7652,8453,9455,0856,2357,4358,6559,9161,2362,5263,8265,1466,4567,7469,5471,5373,6075,6577,7679,8982,0384,1886,3688,5390,3792,5194,6296,7298,75100,77102,70104,57106,39108,19110,70113,46116,29119,22122,19125,61129,09132,71136,39140,20144,52148,99153,57158,30163,19168,72174,44180,35186,49185,44

33,5234,2634,9435,6336,3537,1037,8438,6139,3840,1640,9841,7942,6443,4744,3545,2146,1247,0347,9448,9149,8650,8651,8452,8953,9254,9956,0957,2358,3759,5760,8062,0563,3264,6466,0067,4068,8670,2971,7273,1874,6376,0678,0680,2882,5684,8587,2089,5591,9494,3396,7599,17100,93103,31105,61107,93110,18112,39114,53116,60118,60120,60123,39126,47129,63132,87136,20140,31144,50148,83153,32157,92163,44169,16175,07181,20187,53195,05202,84210,95219,41219,41

40,7941,6938,9239,6840,4441,2542,0842,8943,7344,5845,4746,3647,2648,1649,1350,0551,0352,0353,0154,0755,1156,1857,2558,3859,5060,6761,8663,1164,3465,6567,0068,3469,7171,1772,6374,1775,7577,3178,8580,4382,0283,5685,7588,1590,6693,1595,7298,26100,87103,48106,11108,75110,44113,00115,53118,04120,49122,87125,20127,41129,59131,75134,81138,18141,63145,17148,83153,56158,41163,40168,58173,90180,55187,44194,60202,00209,69219,02228,76238,90249,49250,47

51,9453,0846,5347,4248,3149,2650,2451,1952,1853,1554,2055,2456,3357,3358,5059,5760,7261,9063,0264,2865,5266,7568,0269,3370,6572,0373,4174,8776,3377,8779,4581,0182,6284,3286,0587,8689,7191,5293,3495,2197,0798,89101,45104,27107,23110,14113,14116,13119,18122,26125,36128,47130,26133,25136,18139,14142,01144,81147,51150,11152,66155,20158,80162,75166,82171,01175,32181,10187,07193,21199,58206,15214,53223,25232,31241,72251,48263,53276,14289,31303,03305,15

66,8468,3357,1258,1959,2860,4161,6162,7563,9465,1066,4067,6368,9670,1671,5772,8674,2475,6977,0378,5480,0481,5283,0884,6486,2487,8889,5891,3293,1194,9896,8698,74100,70102,76104,85107,05109,26111,45113,65115,91118,17120,36123,46126,88130,47134,00137,62141,22144,94148,65152,40156,20158,13161,74165,27168,85172,32175,69178,96182,09185,14188,21192,58197,37202,32207,40212,64219,86227,34235,05243,05251,29262,02273,18284,82296,91309,45325,12341,52358,68376,59380,09

80,5182,2966,2967,5468,7870,0971,4472,7574,1075,4376,9378,3279,8581,2282,8684,3185,8887,5789,0990,8592,5394,2296,0097,8299,63101,53103,46105,47107,53109,67111,83113,99116,21118,58120,98123,49126,05128,54131,05133,65136,26138,76142,30146,22150,34154,41158,55162,68166,95171,20175,51179,86181,89186,01190,06194,15198,13201,96205,71209,30212,80216,29221,32226,84232,51238,35244,37252,90261,75270,82280,29290,03302,90316,29330,28344,80359,89378,91398,83419,69441,49446,42

86,1388,0368,8670,1471,4172,7474,1475,4876,8578,2279,7681,2182,7884,1585,8787,3388,9590,6992,2394,0495,8097,5099,36101,21103,07105,03107,00109,06111,19113,38115,60117,80120,10122,53124,99127,60130,21132,78135,35138,02140,70143,27146,92150,94155,18159,36163,62167,86172,25176,63181,08185,55187,46191,69195,82200,03204,11208,06211,90215,56219,17222,75227,94233,61239,46245,47251,70260,65269,97279,52289,51299,76313,50327,77342,71358,20374,36394,82416,26438,75462,24468,07


TARIFS 2021 ZONE 2

22 23


23,0123,5524,0824,6025,1225,6926,2426,8227,4228,0128,5829,2229,8130,5031,1331,7832,4633,1133,8334,5235,2436,0036,7137,4938,2939,0839,8840,7441,5842,4543,3644,3145,2946,2547,2448,2849,3750,4451,5352,6053,6754,7456,2257,8659,5261,2262,9764,7166,4768,2370,0171,7973,5575,3477,0878,8080,4982,1583,7485,3086,8188,3190,3492,6094,9197,2899,71102,20104,75107,40110,06112,82115,66118,56121,50124,53127,63130,84134,11137,45140,89138,87

27,8928,5129,1129,7130,3230,9731,6032,2732,9433,6334,3035,0235,7436,4737,2137,9738,7639,5240,3441,1541,9842,8343,6844,5745,4846,4047,3448,3249,3050,3351,3752,4653,5554,7055,8557,0558,3159,5560,7862,0463,2864,5266,2368,1270,0972,0574,0676,0878,1280,1782,2584,3286,0688,1090,1292,1194,0595,9797,8199,59101,32103,04105,43108,06110,76113,54116,37119,62122,94126,39129,90133,52137,63141,89146,25150,76155,42160,68166,13171,76177,61176,61

31,9232,6333,2833,9434,6235,3336,0436,7737,5038,2539,0339,8040,6141,4042,2443,0543,9344,7945,6646,5847,4848,4349,3750,3751,3652,3853,4254,5155,5956,7457,9059,0960,3061,5662,8564,1965,5866,9468,3069,7071,0872,4474,3476,4678,6380,8183,0585,2887,5689,8392,1594,4496,1298,39100,58102,79104,93107,04109,08111,05112,95114,86117,52120,45123,45126,55129,72133,62137,62141,75146,02150,40155,66161,10166,73172,57178,60185,76193,18200,91208,96208,96

38,8539,7037,0637,7938,5139,2840,0740,8541,6542,4543,3044,1545,0145,8646,7947,6648,6049,5650,4851,4952,4953,5154,5355,6056,6757,7858,9160,1061,2862,5363,8065,0866,3967,7869,1770,6472,1473,6375,1076,6078,1179,5881,6783,9686,3588,7191,1693,5896,0698,56101,06103,57105,18107,62110,03112,42114,75117,02119,24121,35123,42125,48128,39131,60134,88138,26141,75146,24150,86155,62160,55165,62171,96178,51185,33192,38199,71208,59217,86227,53237,61238,55

49,4750,5544,3145,1646,0146,9247,8548,7549,6950,6251,6252,6153,6454,6055,7256,7457,8258,9660,0261,2262,4063,5764,7866,0367,2868,6069,9171,3072,7074,1675,6677,1578,6980,3181,9583,6785,4487,1688,8990,6792,4594,1896,6299,30102,12104,90107,75110,60113,51116,44119,39122,35124,05126,91129,69132,51135,24137,92140,49142,96145,39147,81151,24155,00158,87162,87166,97172,48178,16184,01190,08196,33204,32212,62221,25230,21239,51250,98262,99275,53288,60290,62

63,6665,0754,4055,4256,4557,5358,6759,7660,8962,0063,2464,4165,6766,8268,1769,3970,7072,0973,3674,8076,2377,6479,1280,6182,1383,7085,3186,9788,6890,4692,2594,0495,9197,8799,86101,95104,06106,15108,24110,39112,55114,63117,59120,84124,26127,62131,06134,50138,04141,58145,14148,76150,60154,04157,40160,81164,12167,32170,44173,42176,33179,25183,41187,97192,68197,52202,52209,39216,52223,86231,48239,33249,55260,17271,26282,77294,72309,63325,25341,60358,66361,99

76,6778,3763,1464,3365,5066,7568,0469,2970,5771,8473,2674,5976,0577,3578,9280,3081,7983,4084,8586,5388,1289,7391,4393,1694,8996,7098,53100,45102,41104,45106,51108,56110,68112,93115,22117,61120,04122,42124,81127,28129,77132,15135,53139,25143,18147,06151,00154,93159,00163,05167,15171,30173,22177,15181,01184,90188,70192,34195,91199,33202,66205,99210,78216,04221,44227,00232,74240,86249,28257,93266,94276,22288,48301,23314,55328,38342,76360,87379,84399,71420,47425,16

82,0383,8465,5866,8068,0169,2870,6171,8873,2074,5075,9677,3478,8480,1481,7883,1784,7186,3787,8489,5691,2492,8694,6396,3998,16100,03101,91103,87105,90107,98110,10112,19114,38116,69119,04121,53124,01126,45128,90131,45134,00136,45139,92143,75147,79151,77155,83159,87164,05168,22172,45176,71178,54182,56186,50190,51194,39198,15201,81205,29208,73212,14217,08222,48228,06233,78239,71248,24257,11266,21275,72285,49298,57312,16326,39341,15356,53376,02396,43417,85440,22445,79


TARIFS 2021 ZONE 3


21,8522,3722,8823,3723,8724,4124,9325,4826,0526,6127,1527,7628,3228,9829,5730,1930,8431,4532,1432,8033,4834,2034,8835,6236,3737,1237,8938,7139,5040,3341,1942,1043,0243,9444,8845,8646,9147,9248,9549,9750,9852,0153,4154,9756,5558,1659,8261,4863,1464,8266,5168,2069,8771,5773,2374,8676,4778,0579,5581,0482,4783,8985,8387,9790,1692,4194,7397,0999,51102,03104,56107,18109,88112,63115,43118,30121,25124,30127,41130,58133,84131,93

26,4927,0827,6528,2328,8129,4230,0230,6631,2931,9532,5833,2733,9534,6535,3536,0736,8237,5438,3239,0939,8840,6941,4942,3443,2044,0844,9745,9046,8347,8148,8049,8350,8851,9653,0654,2055,4056,5757,7458,9460,1261,2962,9264,7166,5968,4570,3572,2874,2276,1678,1380,1081,7683,7085,6187,5189,3591,1792,9294,6196,2597,89100,16102,66105,22107,86110,55113,64116,80120,07123,40126,85130,75134,80138,94143,22147,65152,65157,83163,17168,73167,78

30,3231,0031,6132,2432,8833,5634,2434,9335,6336,3437,0837,8138,5839,3340,1340,9041,7342,5543,3844,2545,1146,0146,9147,8548,7949,7650,7551,7852,8153,9055,0156,1457,2958,4859,7160,9862,3063,6064,8966,2167,5268,8170,6272,6374,7076,7778,9081,0283,1885,3487,5489,7291,3193,4795,5597,6599,69101,69103,63105,50107,31109,11111,64114,43117,28120,22123,23126,94130,74134,66138,72142,88147,87153,05158,40163,94169,67176,47183,52190,86198,51198,51

36,9137,7235,2135,9036,5937,3238,0738,8039,5740,3341,1441,9542,7643,5744,4545,2846,1747,0847,9648,9249,8650,8351,8052,8253,8454,8955,9757,1058,2259,4060,6161,8363,0764,3965,7267,1068,5369,9471,3472,7774,2175,6077,5879,7682,0384,2886,6088,9091,2693,6396,0198,4099,92102,24104,53106,80109,02111,17113,28115,28117,25119,21121,97125,02128,14131,34134,66138,93143,32147,84152,52157,34163,36169,59176,07182,76189,72198,16206,97216,15225,73226,62

46,9948,0242,1042,9043,7144,5745,4546,3147,2148,0949,0449,9850,9651,8752,9353,9054,9356,0157,0258,1659,2860,3961,5462,7263,9265,1766,4167,7469,0670,4571,8873,2974,7576,2977,8579,4981,1782,8084,4586,1487,8389,4791,7994,3497,0299,65102,37105,07107,83110,62113,42116,24117,85120,56123,21125,89128,48131,02133,46135,81138,12140,42143,68147,25150,93154,73158,62163,85169,25174,81180,57186,51194,10201,99210,19218,70227,53238,43249,84261,75274,17276,09

60,4761,8251,6852,6553,6354,6555,7456,7757,8558,9060,0861,1962,3963,4864,7665,9267,1768,4869,7071,0672,4273,7575,1676,5878,0379,5181,0582,6284,2585,9387,6389,3391,1192,9794,8796,8698,86100,84102,83104,87106,92108,90111,71114,79118,04121,24124,51127,77131,14134,50137,89141,32143,07146,33149,53152,77155,91158,96161,92164,75167,51170,29174,24178,57183,05187,64192,39198,92205,69212,66219,90227,36237,07247,16257,70268,63279,98294,15308,99324,52340,73343,89

72,8474,4559,9861,1162,2363,4164,6465,8267,0468,2469,6070,8672,2573,4874,9776,2877,7079,2380,6182,2083,7285,2586,8688,5190,1491,8693,6195,4397,2999,22101,18103,13105,14107,28109,46111,73114,04116,30118,57120,92123,28125,54128,75132,29136,03139,71143,45147,18151,05154,90158,79162,73164,56168,30171,96175,66179,26182,73186,12189,37192,53195,69200,24205,24210,37215,65221,10228,81236,82245,03253,60262,41274,05286,17298,82311,96325,62342,82360,85379,72399,45403,90

77,9379,6562,3063,4664,6165,8167,0868,2969,5470,7772,1673,4774,8976,1377,6979,0280,4882,0583,4585,0886,6888,2289,8991,5793,2595,0396,8198,68100,60102,58104,59106,58108,66110,86113,08115,45117,81120,13122,46124,88127,30129,62132,93136,56140,40144,18148,03151,88155,85159,81163,83167,88169,61173,43177,17180,98184,67188,25191,72195,03198,30201,54206,23211,36216,65222,09227,73235,83244,26252,90261,94271,21283,64296,55310,07324,09338,70357,22376,61396,96418,21423,50


TARIFS 2021 ZONE 4

24 25


20,7021,1921,6722,1422,6123,1223,6224,1424,6825,2125,7226,3026,8327,4528,0128,6129,2229,8030,4531,0731,7132,4033,0433,7434,4635,1735,8936,6737,4238,2139,0239,8840,7641,6242,5243,4544,4445,4046,3747,3448,3049,2750,5952,0753,5755,1056,6758,2459,8261,4163,0164,6166,1967,8069,3770,9272,4473,9475,3776,7778,1379,4781,3183,3485,4287,5589,7491,9894,2896,6699,06101,54104,09106,70109,35112,08114,87117,75120,70123,71126,80124,98

25,1025,6626,2026,7427,2927,8728,4429,0429,6530,2730,8731,5232,1632,8333,4934,1734,8835,5736,3037,0437,7838,5439,3140,1140,9341,7642,6043,4944,3745,2946,2347,2148,2049,2350,2751,3552,4853,5954,7055,8356,9658,0759,6161,3163,0864,8566,6568,4870,3172,1674,0275,8977,4679,2981,1182,9084,6486,3888,0389,6391,1992,7494,8997,2599,68102,19104,74107,66110,65113,75116,91120,17123,87127,70131,63135,69139,88144,62149,52154,59159,85158,95

28,7329,3729,9530,5431,1531,8032,4433,0933,7534,4335,1335,8236,5537,2638,0138,7539,5340,3141,0941,9242,7343,5944,4445,3346,2247,1448,0849,0550,0351,0652,1153,1854,2755,4156,5757,7759,0260,2561,4762,7363,9765,1966,9168,8170,7772,7374,7476,7578,8080,8582,9385,0086,5188,5590,5392,5194,4496,3498,1799,94101,66103,37105,77108,41111,11113,89116,75120,26123,86127,57131,41135,36140,09144,99150,06155,31160,74167,19173,86180,82188,06188,06

34,9735,7333,3634,0134,6635,3536,0736,7637,4838,2138,9739,7440,5141,2842,1142,9043,7444,6045,4446,3447,2448,1649,0850,0451,0052,0053,0254,0955,1556,2757,4258,5859,7561,0062,2663,5764,9366,2667,5968,9470,3071,6373,5075,5677,7179,8482,0484,2386,4688,7090,9593,2294,6696,8699,03101,18103,28105,32107,32109,21111,08112,93115,55118,44121,39124,43127,57131,62135,78140,06144,49149,06154,76160,66166,80173,14179,74187,73196,08204,77213,85214,69

44,5245,5039,8840,6441,4142,2243,0643,8844,7245,5646,4647,3548,2849,1450,1551,0652,0453,0654,0255,1056,1657,2158,3059,4260,5561,7462,9264,1765,4366,7468,1069,4370,8272,2873,7675,3176,9078,4580,0081,6183,2184,7786,9689,3791,9194,4196,9899,54102,16104,80107,45110,12111,65114,22116,72119,26121,72124,13126,44128,66130,85133,03136,11139,50142,99146,58150,27155,23160,35165,61171,07176,70183,88191,36199,13207,19215,56225,89236,69247,98259,74261,56

57,2958,5748,9649,8850,8151,7852,8153,7954,8055,8056,9157,9659,1160,1461,3562,4563,6364,8866,0367,3268,6169,8771,2172,5573,9275,3376,7878,2779,8181,4183,0284,6386,3288,0889,8791,7693,6695,5397,4299,35101,29103,17105,83108,75111,83114,86117,96121,05124,24127,42130,63133,88135,54138,63141,66144,73147,71150,59153,39156,07158,69161,32165,07169,17173,42177,77182,26188,45194,86201,47208,33215,40224,59234,15244,13254,49265,25278,67292,73307,44322,79325,79

69,0170,5356,8257,8958,9560,0861,2462,3663,5164,6565,9467,1368,4469,6271,0272,2773,6175,0676,3777,8779,3180,7682,2983,8585,4087,0388,6890,4092,1794,0095,8697,7099,61101,64103,70105,85108,04110,18112,33114,55116,80118,94121,97125,33128,87132,35135,90139,44143,10146,75150,44154,17155,90159,44162,90166,41169,83173,11176,32179,40182,40185,39189,71194,44199,30204,30209,46216,77224,36232,13240,25248,60259,63271,11283,10295,54308,48324,78341,86359,74378,42382,64

73,8375,4659,0260,1261,2162,3563,5564,6965,8867,0568,3669,6170,9572,1273,6074,8676,2477,7379,0680,6182,1283,5785,1686,7588,3490,0391,7293,4895,3197,1899,09100,97102,94105,02107,13109,37111,61113,81116,01118,30120,60122,80125,93129,38133,02136,59140,24143,88147,64151,40155,21159,04160,68164,30167,85171,46174,95178,34181,63184,76187,86190,93195,37200,24205,25210,40215,74223,42231,40239,59248,15256,94268,71280,94293,75307,03320,88338,42356,79376,07396,20401,21


TARIFS 2021 ZONE 5


19,5520,0220,4720,9121,3521,8422,3122,8023,3123,8124,2924,8425,3425,9326,4627,0227,5928,1428,7629,3529,9530,6031,2031,8732,5433,2233,9034,6335,3436,0936,8637,6638,4939,3140,1641,0341,9742,8743,8044,7145,6246,5347,7849,1850,5952,0453,5255,0056,5058,0059,5161,0262,5164,0465,5266,9868,4269,8371,1872,5173,7975,0676,7978,7180,6782,6884,7586,8789,0491,2993,5595,8998,31100,78103,28105,85108,49111,21113,99116,84119,75118,04

23,7024,2324,7425,2525,7726,3226,8627,4328,0028,5929,1529,7730,3831,0031,6332,2732,9533,5934,2934,9835,6836,4037,1337,8938,6639,4440,2441,0741,9042,7843,6644,5945,5246,4947,4848,5049,5650,6151,6652,7353,7954,8456,2957,9059,5861,2462,9564,6766,4068,1569,9171,6773,1574,8976,6078,2979,9481,5883,1484,6586,1287,5989,6291,8594,1496,5198,92101,68104,50107,43110,41113,49116,99120,61124,32128,15132,11136,58141,21146,00150,97150,12

27,1327,7428,2928,8529,4230,0330,6431,2531,8832,5133,1833,8334,5235,1935,9036,6037,3438,0738,8139,5940,3641,1741,9742,8243,6544,5245,4146,3347,2548,2349,2250,2351,2652,3353,4354,5655,7556,9058,0659,2460,4261,5763,1964,9966,8468,6970,5972,4974,4276,3678,3280,2881,7083,6385,5087,3789,1990,9892,7294,3996,0197,6399,89102,38104,94107,56110,26113,58116,98120,48124,11127,84132,31136,94141,72146,68151,81157,90164,20170,77177,62177,62

33,0233,7531,5032,1232,7433,3934,0634,7235,4036,0936,8137,5338,2638,9839,7740,5141,3142,1242,9143,7744,6245,4846,3547,2648,1749,1150,0751,0952,0953,1554,2355,3256,4357,6158,8060,0461,3262,5863,8365,1166,3967,6569,4271,3673,3975,4177,4979,5581,6583,7785,9088,0489,4191,4893,5395,5697,5499,47101,35103,14104,91106,66109,13111,86114,65117,52120,48124,31128,23132,28136,47140,78146,16151,74157,53163,52169,75177,30185,18193,40201,97202,76

42,0542,9737,6638,3939,1139,8840,6741,4442,2443,0343,8744,7245,6046,4147,3648,2349,1550,1151,0252,0453,0454,0355,0656,1257,1958,3159,4260,6161,7963,0364,3165,5866,8968,2669,6671,1272,6274,0975,5677,0778,5880,0682,1384,4186,8189,1691,5994,0196,4898,98101,48104,00105,45107,87110,24112,64114,96117,23119,42121,51123,58125,64128,55131,75135,04138,44141,93146,60151,44156,41161,57166,88173,67180,73188,06195,68203,58213,34223,54234,20245,31247,02

54,1155,3146,2447,1147,9948,9049,8750,8051,7652,7053,7554,7455,8256,8057,9458,9860,1061,2762,3663,5864,8065,9967,2568,5269,8171,1472,5273,9275,3876,8978,4179,9381,5283,1984,8886,6688,4590,2292,0093,8395,6697,4399,95102,71105,62108,48111,41114,32117,34120,34123,37126,44128,01130,93133,79136,69139,50142,22144,87147,40149,88152,36155,90159,78163,78167,89172,14177,98184,04190,28196,76203,43212,11221,14230,57240,35250,51263,19276,47290,36304,86307,69

65,1766,6253,6754,6855,6856,7457,8458,8959,9861,0662,2763,4064,6465,7567,0868,2569,5270,8972,1273,5574,9176,2777,7279,1980,6582,1983,7585,3887,0588,7890,5392,2794,0795,9997,9499,97102,04104,06106,09108,19110,31112,33115,20118,37121,71125,00128,35131,69135,15138,59142,08145,60147,24150,58153,85157,17160,39163,49166,53169,43172,26175,09179,17183,63188,23192,95197,83204,73211,89219,24226,90234,79245,20256,05267,37279,12291,34306,74322,86339,75357,40361,39

69,7371,2755,7556,7857,8158,8860,0261,1062,2263,3264,5765,7467,0168,1269,5170,7072,0173,4174,6676,1377,5578,9380,4381,9383,4485,0286,6288,2990,0191,7893,5895,3697,2299,19101,18103,30105,41107,49109,57111,73113,90115,98118,93122,19125,63129,00132,45135,89139,44142,98146,59150,21151,76155,17158,52161,93165,23168,43171,54174,50177,42180,32184,52189,11193,85198,71203,76211,01218,54226,28234,36242,66253,78265,34277,43289,97303,05319,62336,97355,18374,19378,92


TARIFS 2021 ZONE 6

26 27

WAZARI ASSURANCESConcepteur et distributeur du produit8/10 rue de la Ferme • 92100 Boulogne Billancourt Tél : 01 71 25 22 52S.A.S. de Courtage d’Assurances au capital de 20.000,00 EUR RCS NANTERRE B 831 827 290 • SIRET 831 827 290 000 14

WAZARI ASSURANCESGestionnaire Clients et Cotisations12 rue du Bois Guillaume • 91055 Evry-Courcouronnes CedexTél : 01 75 90 99 00S.A.S. de Courtage d’Assurances au capital de 20.000,00 EUR RCS NANTERRE B 831 827 290 • SIRET 831 827 290 000 14

MILTISAssureur du produit25, cours Albert Thomas • 69003 LYON Tél : 04 72 36 16 60www.mutuelle-miltis.frMutuelle soumise aux dispositions du livre II du Code de la mutualité (SIREN n° 417 934 817)

MUTUAIDE ASSISTANCEAssistance8-14, avenue des Frères Lumière • 94368 BRY SUR MARNE CEDEXTél : 01.55.98.88.42S.A. au capital de 12.558.240 € entièrement versé • Entreprise régie par le Code des Assurances RCS 383 974 086 Créteil • TVA FR 31 3 974 086 000 19.

APSAP (Association pour la Protection Santé Accident Prévoyance)112, Avenue de Paris • CS 60002 94306 VincennesAssociation régie par la loi du 1er juillet 1901

SG SANTÉGestionnaire des prestationsSociété de courtage en assurances14, rue Joliot Curie • CS 30248 • 51010 Châlons En Champagne CedexTél : 03 26 26 64 74Code APE 6622Z

assurance santÉ

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