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Medicare doesn't cover everything. One hospital stay for an unexpected illness or accident could leave you liable for thousands of dollars in medical bills. Plan65 or Blue Plan65 Select Medicare Supplement insurance helps fill in those gaps so your health care needs don't drain your pocketbook. With Plan65, you can choose a health plan that fits your needs and budget.
Blue Plan65 Select is an option available on Plan F and Plan N. This option helps you save on premiums when you agree to use one of the hospitals in our Blue Plan65 Select Network for non-emergency elective admissions. You get the same solid benefits as our "standard" plans, but your premiums will cost less.
|Benefits Medicare does not pay in 2016||Expenses covered by our plans|
|Plan A||Plan F||
|Part A (Hospital Services)**|
|$1,288 Medicare hospital deductible||
|$322 per day copayment for covered expenses for days 61-90 in hospital (totaling $9,660)|
|$644 per day copayment for covered expenses while you use your Lifetime Reserve (totaling $38,640)***|
|100% of Medicare allowable expenses for additional 365 days after Medicare hospital benefits stop completely|
|Calendar year blood deductible (charges for first three pints of blood)|
|$161 per day for days 21-100 in a skilled nursing facility (totaling $12,880)||
|Hospice care (Medicare Part A)|
|Part B (Physician's Care and Medical Services)|
|$166 Part B deductible||
|Coinsurance for medical expenses (25% of Medicare approved amount for preventive services and 20% for most others)||Generally 20% except up to $20 copayment for office visit and up to $50 ER|
|100% of Medicare Part B excess charges (above Medicare approved amounts)||
|Coinsurance for durable medical equipment (20% of Medicare approved amount)|
|Additional Expenses Not Covered by Medicare|
|Benefits for medically necessary emergency care received in a foreign country||
* Plan F also has an option called a high-deductible Plan F. This high-deductible plan pays the same or offers the same benefits as Plan F after one has paid a calendar year $2,180 deductible. Benefits from high-deductible Plan F will not begin until out-of-pocket expenses are $2,180. Out-of-pocket expenses for this deductible are expenses that would ordinarily be paid by the policy. These expenses include the Medicare deductibles for Part A and Part B, but do not include the plan's separate foreign travel emergency deductible.
** Hospital benefits must be provided by facilities participating with Medicare. Payments are limited to the reasonable charge as determined by Medicare.
*** After 90 days of hospitalization, Medicare benefits are paid from a one-time lifetime reserve of 60 additional days (days 91-150) which are not renewable each benefit period. See your Outline of Coverage for details and limitations of these benefits.
† After $166 Part B deductible is met for Plans A, F, High Deductible Plan F, and Plan N.
†† Foreign Travel Emergency covered at 80% after first $250 each is paid each calendar year; up to $50,000 lifetime maximum.