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BCBSIL - Medicare Supplement Plans
Medicare Select Plans
Blue Cross and Blue Shield of Illinois Medicare Select Plan options offer you the same solid benefits as the standard Blue Cross Blue Shield of Illinois Medicare Standard Supplement Plans, but cost less. You save on premiums simply by agreeing to use any of the Medicare Select participating hospitals for non-emergency elective admissions as defined by the admitting hospital. If you do not use one of these hospitals for your non-emergency admissions, you pay the full Part A deductible. Medicare Select is not an HMO. With Medicare Select, you are fully covered for emergency care at any hospital, and you can choose your own doctors and specialists.
Medicare Select Plan options include Plan F, Plan G, Plan K, Plan L, and Plan N and are available in specific geographic areas only. You must live within a 30 mile radius of a Medicare Select participating hospital.
Medicare Select Plan Comparison
| Medicare Select Plans |
F | G | K** | L** | N |
| Basic Benefits | X | X | X | X | X |
| Skilled Nursing Coinsurance | X | X | 50% | 75% | X |
| Part A Deductible | X | X | 50% | 75% | X |
| Part B Deductible | X | - | - | - | - |
| Part B Excess (100%) | X | X | - | - | X |
| Foreign Travel Emergency | X | X | - | - | X |
| At Home Recovery | - | - | - | - | - |
| Annual Out-of-Pocket Cost | $0 | $0 | $4,640 | $2,320 | $0 |
**Plans K and L provide for different cost-sharing than plans A-F. Once you reach the annual limit, the plan pays 100% of the Medicare copayments, coinsurance and deductibles for the rest of the calendar year. The out-of-pocket annual limit does NOT include charges from your provider that exceed Medicare-approved amounts, called "excess charges." You will be responsible for paying excess charges.
Medicare Select Plan F
Our Rating: 
Plan F is the most popular Blue Cross Blue Shield of Illinois Medicare Supplement plan. No other standardized Medicare Supplement plan offered in Illinois offers more complete protection for your uncovered Part B medical expenses than Plan F. It covers:
- Your Part A deductible and coinsurance
- The cost of 365 extra days of hospital care during your lifetime after Medicare coverage ends
- Your Part B coinsurance and the cost of the first three pints of blood
- Medicare Part A hospital deductible and copayments
- Skilled nursing facility copayment
- Foreign travel emergency care
- $140 Part B Medicare deductible
- Part B doctor charges that are in excess of Medicare-approved amounts
Medicare Select Plan F Benefits
| Benefit | What Plan F Covers |
| Part A Deductible You may need this benefit if you have to stay in the hospital. The Part A deductible for 2012 is $1,156. This amount can change every year. You have to pay this deductible for each benefit period. |
Plan F covers 100% of the $1,156 deductible. |
| Part B Deductible You may want to consider this benefit if you have Medicare Part B. Each year you must pay the Part B deductible (which is $140 in 2012) before Medicare starts to pay its share. If you have this benefit, the Medigap plan would pay this amount each year. |
Plan F covers 100% of the $140 deductible. |
| Part B Coinsurance Without this benefit, you generally pay 20% of the Medicare-approved amount for Medicare Part B covered services and supplies (like doctor services and outpatient hospital care). This benefit will help you to reduce your out of pocket after Part B deductible. |
Plan F covers all of the 20% remainder costs |
| 365 Extra Days of Hospital Stay After you use all Medicare hospital benefits, you can receive up to 365 more days for hospital stays during your lifetime. |
Plan F covers all of the costs for an additional 365 additional hospital days |
| 3 Pints of Blood The first 3 pints of blood or equal amounts of packed red blood cells per calendar year, unless this blood is replaced. |
Plan F covers all of the costs of 3 pints of blood per calendar year |
| Part B Excess Charges Under federal law, doctors who don't accept "assignment " (take Medicare's approved amount as payment in full) may charge up to 15% more than the approved amount. You might want to think about this benefit if your doctors don't accept assignment. You may also want this benefit if you have to stay in the hospital and can't control whether the doctors you see accept assignment. |
Plan F covers 100% of the excess charges |
| Foreign Travel Emergency If you travel outside the United States, this benefit could save you money for emergency care. |
Plan F covers 80% (after a $250 deductible) to a lifetime maximum benefit of $50,000. |
| Skilled Nursing Coinsurance Medicare pays for the first 20 days of a skilled nursing facility. If you need to go to a Skilled Nursing Facility (SNF) after a hospital stay and stay in the SNF longer than 20 days, this benefit begins. |
Plan F covers up to $144.50 per day for days 21-100. |
| Home Health Care Home Health Care is skilled nursing care and certain other health care services you get in your home for the treatment of an illness or injury. |
Plan F covers the 20% remainder not paid by Medicare Part B. |
Medicare Select Plan F Rates
The following are the BCBSIL 2012 rates for Illinois residents living in Cook, DuPage, Kane, Lake, McHenry, or Will Counties:
| Plan |
Age Band | Standard | Med-Select |
| F | 65-66 | $155.00 | $134.00 |
| 67-69 | $182.00 | $164.00 | |
| 70-74 | $227.00 | $190.00 | |
| 75-79 | $269.00 | $214.00 | |
| 80-84 | $290.00 | $221.00 | 85+ | $316.00 | $240.00 |
The following rates shown are for Illinois residents living outside Cook, DuPage, Kane, Lake, McHenry, or Will Counties only:
| Plan |
Age Band | Standard | Med-Select |
| F | 65-66 | $139.00 | $126.00 |
| 67-69 | $166.00 | $148.00 | |
| 70-74 | $202.00 | $172.00 | |
| 75-79 | $241.00 | $191.00 | |
| 80-84 | $261.00 | $199.00 | 85+ | $285.00 | $217.00 |
Medicare Select Plan G
Our Rating: 
Plan G covers:
- Your $1,156 Part A deductible and coinsurance
- The cost of 365 extra days of hospital care during your lifetime after Medicare coverage ends
- Your Part B coinsurance and the cost of the first three pints of blood
- 80% of Part B physician charges that are in excess of the Medicare-approved amount (By law no physician may charge more than 115% of Medicare-approved amounts).
- Skilled nursing facility copayment
- Emergency care for foreign travel
Plan G does NOT cover:
- Your $140 Medicare Part B deductible
Medicare Select Plan G Benefits
| Benefit | What Plan G Covers |
| Part A Deductible You may need this benefit if you have to stay in the hospital. The Part A deductible for 2012 is $1,156. This amount can change every year. You have to pay this deductible for each benefit period. |
Plan G covers 100% of the $1,156 deductible. |
| Part B Deductible You may want to consider this benefit if you have Medicare Part B. Each year you must pay the Part B deductible (which is $140 in 2012) before Medicare starts to pay its share. If you have this benefit, the Medigap plan would pay this amount each year. |
Plan G does NOT cover the $140 Part B deductible, you must pay out of pocket. |
| Part B Coinsurance Without this benefit, you generally pay 20% of the Medicare-approved amount for Medicare Part B covered services and supplies (like doctor services and outpatient hospital care). This benefit will help you to reduce your out of pocket after Part B deductible. |
Plan G covers 100% of the 20% remainder costs |
| 365 Extra Days of Hospital Stay After you use all Medicare hospital benefits, you can receive up to 365 more days for hospital stays during your lifetime. |
Plan G covers all of the costs for an additional 365 additional hospital days |
| 3 Pints of Blood The first 3 pints of blood or equal amounts of packed red blood cells per calendar year, unless this blood is replaced. |
Plan G covers all of the costs of 3 pints of blood per calendar year |
| Part B Excess Charges Under federal law, doctors who don't accept "assignment " (take Medicare's approved amount as payment in full) may charge up to 15% more than the approved amount. You might want to think about this benefit if your doctors don't accept assignment. You may also want this benefit if you have to stay in the hospital and can't control whether the doctors you see accept assignment. |
Plan G covers 100% of the excess charges |
| Foreign Travel Emergency If you travel outside the United States, this benefit could save you money for emergency care. |
Plan G covers 80% (after a $250 deductible) to a lifetime maximum benefit of $50,000. |
| Skilled Nursing Coinsurance Medicare pays for the first 20 days of a skilled nursing facility. If you need to go to a Skilled Nursing Facility (SNF) after a hospital stay and stay in the SNF longer than 20 days, this benefit begins. |
Plan G covers up to $144.50 per day for days 21-100. |
| Home Health Care Home Health Care is skilled nursing care and certain other health care services you get in your home for the treatment of an illness or injury. |
Not covered. |
Medicare Select Plan G Rates
The following are the BCBSIL 2012 rates for Illinois residents living in Cook, DuPage, Kane, Lake, McHenry, or Will Counties:
| Plan |
Age Band | Standard | Med-Select |
| G | 65-66 | $139.00 | $122.00 |
| 67-69 | $163.00 | $148.00 | |
| 70-74 | $204.00 | $170.00 | |
| 75-79 | $243.00 | $192.00 | |
| 80-84 | $261.00 | $197.00 | 85+ | $284.00 | $216.00 |
The following rates shown are for Illinois residents living outside Cook, DuPage, Kane, Lake, McHenry, or Will Counties only:
| Plan |
Age Band | Standard | Med-Select |
| G | 65-66 | $126.00 | $114.00 |
| 67-69 | $150.00 | $133.00 | |
| 70-74 | $182.00 | $156.00 | |
| 75-79 | $218.00 | $172.00 | |
| 80-84 | $235.00 | $180.00 | 85+ | $256.00 | $195.00 |
Medicare Select Plan K
Our Rating:
Medicare Select Plan K covers:
- Fifty percent of your Part A deductible and coinsurance
- The cost of 365 extra days of hospital care during your lifetime after Medicare coverage ends
- Preventive benefits for Medicare-covered services usually leave you with 25% to pay -- plan K pays that 25%
- Ten percent of your 20% Part B coinsurance and the 50% of the cost of the first three pints of blood
- Fifty percent of the skilled nursing facility copayment
- Once you've reached your $4,640 annual out-of-pocket limit, the plan pays 100% of the Medicare copayments, coinsurance and deductibles for the rest of the calendar year.
Medicare Select Plan K Benefits
| Benefit | What Medicare Select Plan K Covers |
| Part A Deductible You may need this benefit if you have to stay in the hospital. The Part A deductible for 2012 is $1,156. This amount can change every year. You have to pay this deductible for each benefit period. |
Plan K covers 100% of the $1,156 deductible |
| Part B Deductible You may want to consider this benefit if you have Medicare Part B. Each year you must pay the Part B deductible (which is $140 in 2012) before Medicare starts to pay its share. If you have this benefit, the Medigap plan would pay this amount each year. |
Plan K does not cover the Medicare Part B $140 deductible |
| Part B Coinsurance Without this benefit, you generally pay 20% of the Medicare-approved amount for Medicare Part B covered services and supplies (like doctor services and outpatient hospital care). This benefit will help you to reduce your out of pocket after Part B deductible. |
Plan K covers 10% of the remaining costs after you pay the $140 Part B deductible |
| 365 Extra Days of Hospital Stay After you use all Medicare hospital benefits, you can receive up to 365 more days for hospital stays during your lifetime. |
Plan K covers all of the costs for an additional 365 additional hospital days |
| 3 Pints of Blood The first 3 pints of blood or equal amounts of packed red blood cells per calendar year, unless this blood is replaced. |
Plan K covers 50% of the costs of 3 pints of blood per calendar year |
| Part B Excess Charges Under federal law, doctors who don't accept "assignment" (take Medicare's approved amount as payment in full) may charge up to 15% more than the approved amount. You might want to think about this benefit if your doctors don't accept assignment. You may also want this benefit if you have to stay in the hospital and can't control whether the doctors you see accept assignment. |
Plan K does not covers Part B Excess Charges |
| Hospice Care Hospice is a special way of caring for people who are terminally ill and for their families. This care includes physical care and counseling. The goal of hospice is to care for you and your family, not to cure your illness. |
Plan K covers 50% of your copay |
| Foreign Travel Emergency If you travel outside the United States, this benefit could save you money for emergency care. |
Plan K does not cover foreign travel emergencies |
| Skilled Nursing Coinsurance Medicare pays for the first 20 days of a skilled nursing facility. If you need to go to a Skilled Nursing Facility (SNF) after a hospital stay and stay in the SNF longer than 20 days, this benefit begins. |
Plan K covers up to 50% of $144.50 per day for days 21-100. |
| Home Health Care Home Health Care is skilled nursing care and certain other health care services you get in your home for the treatment of an illness or injury. |
Plan K covers 10% of the remainder after the $140 Medicare Part B deductible. |
| Out of Pocket Limit The maximum costs you are responsible for in a calendar year. |
Plan K will cover 100% of all costs if you reach the $4,640 out of pocket limit |
Medicare Select Plan K Rates
The following are the BCBSIL 2012 rates for Illinois residents living in Cook, DuPage, Kane, Lake, McHenry, or Will Counties:
| Plan |
Age Band | Standard | Med-Select |
| K | 65-66 | $78.00 | $72.00 |
| 67-69 | $92.00 | $90.00 | |
| 70-74 | $115.00 | $105.00 | |
| 75-79 | $138.00 | $118.00 | |
| 80-84 | $147.00 | $123.00 | 85+ | $160.00 | $135.00 |
The following rates shown are for Illinois residents living outside Cook, DuPage, Kane, Lake, McHenry, or Will Counties only:
| Plan |
Age Band | Standard | Med-Select |
| K | 65-66 | $72.00 | $69.00 |
| 67-69 | $84.00 | $79.00 | |
| 70-74 | $104.00 | $93.00 | |
| 75-79 | $123.00 | $106.00 | |
| 80-84 | $134.00 | $109.00 | 85+ | $145.00 | $119.00 |
Medicare Select Plan L
Our Rating:
Plan L covers:
- 75% percent of your Part A deductible and coinsurance
- The cost of 365 extra days of hospital care during your lifetime after Medicare coverage ends
- Preventive benefits for Medicare-covered services usually leave you with 25% to pay -- plan L pays that 25%
- Fifteen percent of your 20% Part B coinsurance and the 75% of the cost of the first three pints of blood
- 75% percent of the skilled nursing facility copayment
- Once you've reached your $2,320 annual out-of-pocket limit, the plan pays 100% of the Medicare copayments, coinsurance and deductibles for the rest of the calendar year.
Medicare Select Plan L Benefits
| Benefit | What Plan L Covers |
| Part A Deductible You may need this benefit if you have to stay in the hospital. The Part A deductible for 2012 is $1,156. This amount can change every year. You have to pay this deductible for each benefit period. |
Plan L covers 100% of the $1,156 deductible |
| Part B Deductible You may want to consider this benefit if you have Medicare Part B. Each year you must pay the Part B deductible (which is $140 in 2012) before Medicare starts to pay its share. If you have this benefit, the Medigap plan would pay this amount each year. |
Plan L does not cover the Medicare Part B $140 deductible |
| Part B Coinsurance Without this benefit, you generally pay 20% of the Medicare-approved amount for Medicare Part B covered services and supplies (like doctor services and outpatient hospital care). This benefit will help you to reduce your out of pocket after Part B deductible. |
Plan L covers 15% of the remaining costs after you pay the $140 Part B deductible |
| 365 Extra Days of Hospital Stay After you use all Medicare hospital benefits, you can receive up to 365 more days for hospital stays during your lifetime. |
Plan L covers all of the costs for an additional 365 additional hospital days |
| 3 Pints of Blood The first 3 pints of blood or equal amounts of packed red blood cells per calendar year, unless this blood is replaced. |
Plan L covers 75% of the costs of 3 pints of blood per calendar year |
| Part B Excess Charges Under federal law, doctors who don't accept "assignment" (take Medicare's approved amount as payment in full) may charge up to 15% more than the approved amount. You might want to think about this benefit if your doctors don't accept assignment. You may also want this benefit if you have to stay in the hospital and can't control whether the doctors you see accept assignment. |
Plan L does not covers Part B Excess Charges |
| Hospice Care Hospice is a special way of caring for people who are terminally ill and for their families. This care includes physical care and counseling. The goal of hospice is to care for you and your family, not to cure your illness. |
Plan L covers 75% of your copay |
| Foreign Travel Emergency If you travel outside the United States, this benefit could save you money for emergency care. |
Plan L does not cover foreign travel emergencies |
| Skilled Nursing Coinsurance Medicare pays for the first 20 days of a skilled nursing facility. If you need to go to a Skilled Nursing Facility (SNF) after a hospital stay and stay in the SNF longer than 20 days, this benefit begins. |
Plan L covers up to 75% of $144.50 per day for days 21-100. |
| Home Health Care Home Health Care is skilled nursing care and certain other health care services you get in your home for the treatment of an illness or injury. |
Plan L covers 15% of the remainder after the $140 Medicare Part B deductible. |
| Out of Pocket Limit The maximum costs you are responsible for in a calendar year. |
Plan L will cover 100% of all costs if you reach the $2,320 out of pocket limit |
Medicare Select Plan L Rates
The following are the BCBSIL 2012 rates for Illinois residents living in Cook, DuPage, Kane, Lake, McHenry, or Will Counties:
| Plan |
Age Band | Standard | Med-Select |
| L | 65-66 | $112.00 | $103.00 |
| 67-69 | $131.00 | $125.00 | |
| 70-74 | $163.00 | $144.00 | |
| 75-79 | $194.00 | $163.00 | |
| 80-84 | $209.00 | $168.00 | 85+ | $229.00 | $184.00 |
The following rates shown are for Illinois residents living outside Cook, DuPage, Kane, Lake, McHenry, or Will Counties only:
| Plan |
Age Band | Standard | Med-Select |
| L | 65-66 | $102.00 | $96.00 |
| 67-69 | $121.00 | $112.00 | |
| 70-74 | $147.00 | $131.00 | |
| 75-79 | $174.00 | $144.00 | |
| 80-84 | $189.00 | $150.00 | 85+ | $206.00 | $163.00 |
Medicare Select Plan N
Our Rating:
Plan N is identical to Plan G except there is a $20 copay for office visits and a $50 copay for emergency room visits. Like Plan G, Plan N does not cover the $140 Medicare Part B deductible.
Plan N covers:
- Your $1,156 Part A deductible and coinsurance
- The cost of 365 extra days of hospital care during your lifetime after Medicare coverage ends
- Your Part B coinsurance and the cost of the first three pints of blood
- 80% of Part B physician charges that are in excess of the Medicare-approved amount (By law no physician may charge more than 115% of Medicare-approved amounts).
- Skilled nursing facility copayment
- Emergency care for foreign travel
Plan N does NOT cover:
- Your $140 Medicare Part B deductible
Medicare Select Plan N Benefits
| Benefit | What Plan N Covers |
| Part A Deductible You may need this benefit if you have to stay in the hospital. The Part A deductible for 2012 is $1,156. This amount can change every year. You have to pay this deductible for each benefit period. |
Plan N covers 100% of the $1,156 deductible. |
| Part B Deductible You may want to consider this benefit if you have Medicare Part B. Each year you must pay the Part B deductible (which is $140 in 2012) before Medicare starts to pay its share. If you have this benefit, the Medigap plan would pay this amount each year. |
Plan N does NOT cover the $140 Part B deductible, you must pay out of pocket. |
| Part B Coinsurance Without this benefit, you generally pay 20% of the Medicare-approved amount for Medicare Part B covered services and supplies (like doctor services and outpatient hospital care). This benefit will help you to reduce your out of pocket after Part B deductible. |
Plan N covers 100% of the 20% remainder costs after a $20 office visit copay and $50 emergency room copay |
| 365 Extra Days of Hospital Stay After you use all Medicare hospital benefits, you can receive up to 365 more days for hospital stays during your lifetime. |
Plan N covers all of the costs for an additional 365 additional hospital days |
| 3 Pints of Blood The first 3 pints of blood or equal amounts of packed red blood cells per calendar year, unless this blood is replaced. |
Plan N covers all of the costs of 3 pints of blood per calendar year |
| Part B Excess Charges Under federal law, doctors who don't accept "assignment" (take Medicare's approved amount as payment in full) may charge up to 15% more than the approved amount. You might want to think about this benefit if your doctors don't accept assignment. You may also want this benefit if you have to stay in the hospital and can't control whether the doctors you see accept assignment. |
Plan N covers 100% of the excess charges |
| Foreign Travel Emergency If you travel outside the United States, this benefit could save you money for emergency care. |
Plan N covers 80% (after a $250 deductible) to a lifetime maximum benefit of $50,000. |
| Skilled Nursing Coinsurance Medicare pays for the first 20 days of a skilled nursing facility. If you need to go to a Skilled Nursing Facility (SNF) after a hospital stay and stay in the SNF longer than 20 days, this benefit begins. |
Plan N covers up to $144.50 per day for days 21-100. |
| Home Health Care Home Health Care is skilled nursing care and certain other health care services you get in your home for the treatment of an illness or injury. |
Plan N covers the 20% remainder not paid by Medicare Part B. |
Medicare Select Plan N Rates
The following are the BCBSIL 2012 rates for Illinois residents living in Cook, DuPage, Kane, Lake, McHenry, or Will Counties:
| Plan |
Age Band | Standard | Med-Select |
| N | 65-66 | $108.00 | $95.00 |
| 67-69 | $127.00 | $115.00 | |
| 70-74 | $159.00 | $132.00 | |
| 75-79 | $189.00 | $150.00 | |
| 80-84 | $203.00 | $154.00 | 85+ | $221.00 | $169.00 |
The following rates shown are for Illinois residents living outside Cook, DuPage, Kane, Lake, McHenry, or Will Counties only:
| Plan |
Age Band | Standard | Med-Select |
| N | 65-66 | $98.00 | $90.00 |
| 67-69 | $117.00 | $103.00 | |
| 70-74 | $141.00 | $121.00 | |
| 75-79 | $169.00 | $134.00 | |
| 80-84 | $183.00 | $139.00 | 85+ | $200.00 | $152.00 |