Plan 65
Plan 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
- 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
Age Range |
Non-Tobacco
|
Tobacco
|
|---|---|---|
| 65-67 | $236.88 | $263.20 |
| 68-70 | $284.26 | $315.84 |
| 71-72 | $328.00 | $364.44 |
| 73-74 | $346.21 | $384.68 |
| Base Rate | $364.43 | $404.92 |
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: Due to a federal law, Plan 65 F is not available to enrollees who become Medicare eligible on or after January 1, 2020.
Note: Individuals eligible for Medicare by disability are not eligible for Plan 65 Plan F.
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.