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
|
Tobacco
|
|---|---|---|
| 65-67 | $171.83 | $190.92 |
| 68-70 | $206.19 | $229.10 |
| 71-72 | $237.92 | $264.35 |
| 73-74 | $251.13 | $279.03 |
| Base Rate | $264.35 | $293.72 |
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 Select 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.
*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.