Plan 65
Select F
Plan 65 Select F is a unique plan that offers the same coverage as Plan F at a reduced rate, with nationwide access to doctors, outpatient care, and emergency services. Inpatient services at hospitals in RI are not subject to the Medicare Part A deductible.
- 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
- Foreign travel emergency services
- Part B Excess Charge coverage
- 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
|
Tobacco
|
|---|---|---|
| 65-67 | $190.12 | $211.24 |
| 68-70 | $228.13 | $253.48 |
| 71-72 | $263.23 | $292.48 |
| 73-74 | $277.86 | $308.73 |
| Base Rate | $292.48 | $324.98 |
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 Select 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 Select 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.
*Plan 65 Select F 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.