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2018 Plan 65 F

With Plan 65 Plan F you are covered 100% for all Medicare-approved covered services.

  • 100% coverage for Medicare covered services including deductibles, copays, and coinsurance
  • Coverage for skilled nursing facilities (up to Medicare benefit limits)
  • Foreign travel emergency services
  • Part B Excess charge coverage
  • Care from any Medicare provider, anywhere in the United States
  • You may have no out-of-pocket expenses for hospital care

Don’t miss out on a chance to save money! Save $2 per month by having your monthly premium payment deducted automatically.

Age RangeNon Tobacco
User Rates
Tobacco
User Rates
65-67$153.36$170.40
68-70$184.03$204.48
71-72$212.34$235.93
73+/Base Rate$235.94$262.15

Note: Rates shown go into effect on July 1st, 2018 and are effective through June 30th, 2019. 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 F.

Plan 65 F

Rates available from

$153.36 - 262.15

Part A Deductible

Covered

Part B Deductible

Covered


2018 Medicare Part A deductible = $1,340 per benefit period

2018 Medicare Part B deductible = $183 per calendar year

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Plan 65 enrollment can be complex, and the ability to make changes is limited, so please let us help you. Just call us or come by a Your Blue Store for help in person.

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.


Call your local Medicare sales team

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.


Come by

East Providence
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.)


Mail

Download the 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.


When you can enroll

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:

  • You have been enrolled in a BCBSRI Medicare Advantage plan effective October 1, 2013 or later with no lapses in coverage. You may enroll in Plan 65 during your annual enrollment period through the Value of Blue benefit.
  • You are moving to Rhode Island from another state with prior Medicare Supplement coverage.
  • Your current coverage is being canceled by your insurance company through no fault of your own.
  • You suspended your Plan 65 benefits and obtained coverage under Medicaid less than 24 months ago, and now you are no longer eligible for Medicaid.

If you do not meet the guidelines above:

  • You can enroll in Plan 65 A between October 15 and December 7 for coverage starting effective January 1st.
  • The value of Blue: You have a one-time opportunity to transfer to an open Plan 65 option of your choice if you are coming from a BlueCHiP for Medicare plan effective October 1, 2013 or later with no lapses in coverage.
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