Plan 65
Plan G
Consider Plan G if you think you'll use medical services more frequently––for example, more than 10 office visits over the next year. It's like having full 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
Age Range |
Non-Tobacco
|
Tobacco
|
|---|---|---|
| 65-67 | $204.00 | $226.67 |
| 68-70 | $244.80 | $272.00 |
| 71-72 | $282.47 | $313.85 |
| 73-74 | $298.15 | $331.28 |
| Base Rate | $313.85 | $348.72 |
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: Individuals eligible for Medicare by disability are not eligible for Plan 65 Plan G.
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.