BlueChoice 65

BlueChoice 65, our series of Medicare supplement plans, is designed to pay for many of the expenses Medicare doesn't pay. This plan gives you the power to choose most doctors and hospitals. 

Basic Benefits:

Hospital logo

Hospitalization

Part A coinsurance plus coverage for 365 additional days after Medicare benefits end.
Suitcase with medical cross

Medical Expenses

Part B coinsurance (generally 20% of Medicare-approved expenses) or copayments for hospital outpatient services. Plan N requires insureds to pay a portion of Part B coinsurance or copayments.
Drop of blood

Blood

First three pints of blood each year.
Nurse

Hospice

Part A coinsurance.

Options of BlueChoice 65:

  • Part A deductible coverage
  • Part B deductible coverage
  • Skilled nursing coinsurance
  • Part B coinsurance
  • Part B excess charges

Benefits and Premium Information:

 

2018 Benefit Chart

(Effective June 1, 2010)

Plan Name

A

B

F

G

N

Here are the basics
Basic, including 100% Part B coinsurance green checkmark green checkmark Basic, including 100% Part B coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER
Skilled nursing facility coinsurance     green checkmark green checkmark green checkmark
Part A deductible   green checkmark green checkmark green checkmark green checkmark
Part B deductible     green checkmark    
Part B excess (100%)     green checkmark green checkmark  
Foreign Travel Emergency (80%)     green checkmark green checkmark green checkmark

Plan Name

A

Here are the basics
Basic, including 100% Part B coinsurance green checkmark
Skilled nursing facility coinsurance  
Part A deductible  
Part B deductible  
Part B excess (100%)  
Foreign Travel Emergency  

Plan Name

B

Here are the basics
Basic, including 100% Part B coinsurance green checkmark
Skilled nursing facility coinsurance  
Part A deductible green checkmark
Part B deductible  
Part B excess (100%)  
Foreign Travel Emergency  

Plan Name

F

Here are the basics
Basic, including 100% Part B coinsurance green checkmark
Skilled nursing facility coinsurance green checkmark
Part A deductible green checkmark
Part B deductible green checkmark
Part B excess (100%) green checkmark
Foreign Travel Emergency green checkmark

Plan Name

G

Here are the basics
Basic, including 100% Part B coinsurance green checkmark
Skilled nursing facility coinsurance green checkmark
Part A deductible green checkmark
Part B deductible  
Part B excess (100%) green checkmark
Foreign Travel Emergency green checkmark

Plan Name

N

Here are the basics
Basic, including 100% Part B coinsurance Basic, including 100% Part B coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER
Skilled nursing facility coinsurance green checkmark
Part A deductible green checkmark
Part B deductible  
Part B excess (100%)  
Foreign Travel Emergency green checkmark

2018 Monthly Premium Rates

Effective May 1, 2018

All parishes EXCEPT Orleans, Jefferson, Plaquemines, St. Bernard, St. Charles, St. Tammany and Washington

Plan Name

A

B

F

G

N

Age:

Under 65
$286.30 $382.40 $437.70 $361.40 $249.90
65 120.50 $156.90 $177.50 $159.80 $122.00
66-68 130.50 $170.60 $192.90 $173.60 $132.70
69-71 141.40 $186.00 $210.40 $189.40 $144.70
72-74 149.60 $197.40 $223.50 $201.20 $153.60
75-77 159.00 $211.20 $240.30 $216.30 $165.30
78-80 165.80 $221.00 $251.60 $226.40 $173.10
81+ 172.70 $230.50 $262.10 $235.90 $180.40

Plan Name

A

Age:

Under 65
$286.30
65 120.50
66-68 130.50
69-71 141.40
72-74 149.60
75-77 159.00
78-80 165.80
81+ 172.70

Plan Name

B

Age:

Under 65
$382.40
65 $156.90
66-68 $170.60
69-71 $186.00
72-74 $197.40
75-77 $211.20
78-80 $221.00
81+ $230.50

Plan Name

F

Age:

Under 65
$437.70
65 $177.50
66-68 $192.90
69-71 $210.40
72-74 $223.50
75-77 $240.30
78-80 $251.60
81+ $262.10

Plan Name

G

Age:

Under 65
$361.40
65 $159.80
66-68 $173.60
69-71 $189.40
72-74 $201.20
75-77 $216.30
78-80 $226.40
81+ $235.90

Plan Name

N

Age:

Under 65
$249.90
65 $122.00
66-68 $132.70
69-71 $144.70
72-74 $153.60
75-77 $165.30
78-80 $173.10
81+ $180.40
Orleans, Jefferson, Plaquemines, St. Bernard, St. Charles, St. Tammany and Washington parishes ONLY

Plan Name

A

B

F

G

N

Age:

Under 65
$330.80 $441.80 $505.80 $417.60 $288.90
65 139.40 $181.50 $205.10 $184.60 $141.00
66-68 150.70 $197.10 $223.10 $200.80 $153.40
69-71 163.30 $214.60 $243.20 $218.90 $167.20
72-74 172.80 $227.70 $258.00 $232.20 $177.50
75-77 183.40 $244.30 $277.40 $249.70 $190.80
78-80 191.60 $255.00 $290.30 $261.30 $199.70
81+ 199.20 $266.20 $303.20 $272.90 $208.60

Plan Name

A

Age:

Under 65
$330.80
65 139.40
66-68 150.70
69-71 163.30
72-74 172.80
75-77 183.40
78-80 191.60
81+ 199.20

Plan Name

B

Age:

Under 65
$405.30
65 $181.50
66-68 $197.10
69-71 $214.60
72-74 $227.70
75-77 $244.30
78-80 $255.00
81+ $266.20

Plan Name

F

Age:

Under 65
$505.80
65 $205.10
66-68 $223.10
69-71 $243.20
72-74 $258.00
75-77 $277.40
78-80 $290.30
81+ $303.20

Plan Name

G

Age:

Under 65
$417.60
65 $184.60
66-68 $200.80
69-71 $218.90
72-74 $232.20
75-77 $249.70
78-80 $261.30
81+ $272.90

Plan Name

N

Age:

Under 65
$288.90
65 $141.00
66-68 $153.40
69-71 $167.20
72-74 $177.50
75-77 $190.80
78-80 $199.70
81+ $208.60
BlueChoice 65 and BlueChoice 65 Select are not connected with or endorsed by the U.S. government or the federal Medicare program. Please see your agent for benefit exclusions, limitations and reductions.