Plan 65

Select G

Plan Select G has all of the plan benefits of Plan G and is a great option if you use our Select network of hospitals for inpatient hospital stays. You'll also have extensive coverage after meeting the Part B deductible for Medicare-approved services.

  • Care from any Medicare provider, anywhere in the United States--without a referral
  • Easily paired with Blue Cross dental and prescription drug coverage
  • Part B Excess Charge coverage
  • Foreign travel emergency services
  • Lower monthly premiums in exchange for using a select network of Rhode Island hospitals:*
    • Butler Hospital
    • Kent Hospital
    • Landmark Medical Center
    • The Miriam Hospital
    • Newport Hospital
    • Our Lady of Fatima Hospital
    • Rehabilitation Hospital of Rhode Island
    • Rhode Island Hospital
    • Roger Williams Medical Center
    • South County Hospital
    • The Westerly Hospital
    • Women & Infants Hospital
Age Range
Non-Tobacco
User Rates**
Tobacco
User Rates
65-67 $150.10 $166.78
68-70 $180.12 $200.24
71-72 $207.84 $230.93
73+/Base Rate $230.93 $256.59
Don’t miss out on a chance to save $2 per month by having your monthly premium payment deducted automatically by Electronic Funds Transfer (EFT). The EFT form is included in the Plan Documents section below.

Monthly premium

From $150.10


2025 Medicare Part A deductible = $1,676 per benefit period

2025 Medicare Part B deductible = $257 per calendar year

Note: Individuals eligible for Medicare by disability are not eligible for Plan 65 Plan Select G.

Note: These rates are effective through June 30, 2026, and apply to members enrolling for the first time—within six months of becoming eligible for Medicare Part B. Additional restrictions may apply. Members enrolling under different circumstances will be enrolled at the base rate. Please consult with Medicare Concierge for more information.

*Plan 65 Select G is not subject to the Part A deductible or Part A copayment when you use a hospital within the Plan 65 Select Hospital Network. If you use a non-participating Plan 65 Select Hospital for Medicare Part A benefits, you will be responsible to pay the applicable Medicare eligible expenses. Part A deductible, and or Part A copayment. The network is subject to change at any time.

**These rates are available by attesting to no tobacco use on your application or completing the Tobacco Use Attestation Form after becoming a Plan 65 member.

2025
Select G
Plan 65