Plan 65 Select F gives you the same comprehensive coverage as Plan F, while providing you with cost savings within the select RI hospital network.
Plan 65 Select Hospital Network Listing*
|Age Range||Non Tobacco|
Note: Rates shown go into effect on July 1, 2017 and are effective through June 30, 2018. Rate restrictions may apply. Your monthly premium may be different if you are transferring from another Plan 65 option. Please consult with Medicare Concierge for more information.
Note: Individuals eligible for Medicare by disability are not eligible for Plan 65 Select F.
Plan 65 Select F
Rates available from
$117.63 - 201.08
Part A Deductible
Part B Deductible
2018 Medicare Part A deductible = $1,340 per benefit period
2018 Medicare Part B deductible = $183 per calendar year
*With Plan 65 Select F, you save money when you go to a network hospital. For maximum coverage, you should receive inpatient hospital services from the hospitals listed above. For other covered services, you may visit any Original Medicare-participating provider. If you visit a non-network hospital, Original Medicare will pay for your covered services, but Plan 65 will not provide supplemental coverage. You will still be covered for emergency or urgent care at a non-network hospital, or when services you need are not available through network hospitals. The network is subject to change at any time.
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Are you an existing member with questions on Plan 65? Call Medicare Concierge Team at 1-800-639-2227 (TTY: 711), Monday - Friday, 8:00 a.m. to 8:00 p.m.
We also can assist you with Medicare drug plans and dental plans if you need that coverage as well.
1-800-505-BLUE (2583); TTY: 711
Hours: Monday - Friday 8:00 a.m. to 8:00 p.m.
(Open seven days a week, 8:00 a.m. to 8:00 p.m., from October 1 - February 14.)
You can use our automated answering system outside of these hours.
71 Highland Avenue
Lincoln - Lincoln Mall Shopping Center
622 George Washington Highway
Warwick - Cowesett Corners
300 Quaker Lane
Your Blue Store hours
Monday through Friday, 9:00 a.m. to 5:00 p.m.
(Extended hours: October 15 - January 31, Monday until 6:00 p.m. and Saturday, 9:00 a.m. to 1:00 p.m.)
Download the 2017 Plan 65 Application, type directly into the form, and save. Print, sign, and mail to:
Individual Sales Department-00169
Blue Cross & Blue Shield of Rhode Island
500 Exchange Street
Providence, RI 02903-9743
Remember, if you have questions we’re happy to help.
You can enroll in Plan 65 if you are at or over the age of 65 and within six months of being eligible for Medicare Part B enrollment or retiring from an active commercial insurance plan. You also are able to enroll in Plan 65 with the following qualifying events:
If you do not meet the guidelines above: