Plan 65
Plan A
With Plan 65 Plan A your Medicare coinsurance is covered 100% after paying the Medicare Part A/B deductibles.
- Care from any Medicare provider, anywhere in the United States--without a referral
- Medical expenses, pays Part B coinsurance
- Hospitalization and hospice care, pays Part A coinsurance
Age Range |
Non-Tobacco
|
Tobacco
|
|---|---|---|
| Under 65** | $561.29 | $623.65 |
| 65-67 | $165.74 | $184.15 |
| 68-70 | $198.88 | $220.98 |
| 71-72 | $229.48 | $254.98 |
| 73-74 | $242.23 | $269.14 |
| Base Rate | $254.98 | $283.31 |
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.
Medicare Part A and Part B deductibles are set annually by CMS and may change. Go to Medicare.gov or check the plan’s Outline of Coverage for deductible amounts.
Note: These rates are effective through June 30, 2027. Rates shown apply to members enrolling in Plan 65 during a valid election period. Certain changes in your circumstances can qualify you to enroll in Plan 65 as well. Additional restrictions apply. Please consult with our sales team for more information.
*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.
**For enrollment on or after July 1, 2019, if you are under 65 and enrolled in Medicare due to disability or end-stage renal disease (ESRD).