2012 BCBSIL Metro Area Medicare Supplement Plan Rates
The following rates shown are for Illinois residents living in:
- Cook
- DuPage
- Kane
- Lake
- McHenry
- Will Counties
**Disabled individuals under 65 enrolled in Medicare Part A and Medicare Part B are eligible to enroll in any plan at any time without any pre-existing condition exclusions, but will be charged the 85+ age rate.
2012 Plan A Rates
Plan
|
Age Band |
Standard |
Med-Select |
| A |
65-66 |
$75.00 |
N/A |
|
67-69 |
$90.00 |
N/A |
|
70-74 |
$105.00 |
N/A |
|
75-79 |
$127.00 |
N/A |
|
80-84 |
$147.00 |
N/A |
|
85+ |
$160.00 |
N/A |
2012 Plan C Rates
Plan
|
Age Band |
Standard |
Med-Select |
| C |
65-66 |
$154.00 |
$127.00 |
|
67-69 |
$174.00 |
$149.00 |
|
70-74 |
$214.00 |
$172.00 |
|
75-79 |
$253.00 |
$193.00 |
|
80-84 |
$280.00 |
$202.00 |
|
85+ |
$305.00 |
$220.00 |
2012 Plan F Rates
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 |
2012 High Deductible Plan F Rates
Plan
|
Age Band |
Standard |
Med-Select |
| HD F |
65-66 |
$51.00 |
N/A |
|
67-69 |
$59.00 |
N/A |
|
70-74 |
$72.00 |
N/A |
|
75-79 |
$86.00 |
N/A |
|
80-84 |
$93.00 |
N/A |
|
85+ |
$103.00 |
N/A |
2012 Plan G Rates
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 |
2012 Plan K Rates
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 |
2012 Plan L Rates
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 |
2012 Plan N Rates
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 |
Med-Select Options
Plan F, Plan G, Plan K, Plan L, and Plan N Med-Select options offer you the same solid benefits as the "standard" plans, but cost less. You save on premiums simply by agreeing to use any of the Med-Select participating hospitals for non-emergency elective admissions.
If you do not use one of these hospitals for your non-emergency admissions, you pay the $1,100 Part A deductible.
Med-Select is not an HMO. With Med-Select, you are fully covered for emergency care at any hospital, and you can choose your own doctors and specialists.
Med-Select is available in specific geographic areas only. You must live within a 30 mile radius of a Med-Select participating hospital.
2012 BCBSIL Non-Metro Area Medicare Supplement Plan Rates
The following rates shown are for Illinois residents living OUTSIDE the following counties:
- Cook
- DuPage
- Kane
- Lake
- McHenry
- Will Counties
**Disabled individuals under 65 enrolled in Medicare Part A and Medicare Part B are eligible to enroll in any plan at any time without any pre-existing condition exclusions, but will be charged the 85+ age rate.
2012 Plan A Rates
Plan
|
Age Band |
Standard |
Med-Select |
| A |
65-66 |
$71.00 |
N/A |
|
67-69 |
$79.00 |
N/A |
|
70-74 |
$93.00 |
N/A |
|
75-79 |
$112.00 |
N/A |
|
80-84 |
$131.00 |
N/A |
|
85+ |
$143.00 |
N/A |
2012 Plan C Rates
Plan
|
Age Band |
Standard |
Med-Select |
| C |
65-66 |
$137.00 |
$118.00 |
|
67-69 |
$159.00 |
$135.00 |
|
70-74 |
$192.00 |
$154.00 |
|
75-79 |
$230.00 |
$176.00 |
|
80-84 |
$253.00 |
$185.00 |
|
85+ |
$276.00 |
$200.00 |
2012 Plan F Rates
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 |
2012 High Deductible Plan F Rates
Plan
|
Age Band |
Standard |
Med-Select |
| HD F |
65-66 |
$46.00 |
N/A |
|
67-69 |
$55.00 |
N/A |
|
70-74 |
$66.00 |
N/A |
|
75-79 |
$79.00 |
N/A |
|
80-84 |
$84.00 |
N/A |
|
85+ |
$92.00 |
N/A |
2012 Plan G Rates
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 |
2012 Plan K Rates
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 |
2012 Plan L Rates
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 |
2012 Plan N Rates
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 |
Med-Select Options
Plan F, Plan G, Plan K, Plan L, and Plan N Med-Select options offer you the same solid benefits as the "standard" plans, but cost less. You save on premiums simply by agreeing to use any of the Med-Select participating hospitals for non-emergency elective admissions.
If you do not use one of these hospitals for your non-emergency admissions, you pay the $1,100 Part A deductible.
Med-Select is not an HMO. With Med-Select, you are fully covered for emergency care at any hospital, and you can choose your own doctors and specialists.
Med-Select is available in specific geographic areas only. You must live within a 30 mile radius of a Med-Select participating hospital.
