2010 Blue Cross Blue Shield of Illinois - Medicare Supplement Plan Rates
The following rates shown are for Illinois residents living in Cook, DuPage, Kane, Lake, McHenry, or Will Counties only:
2010 Plan A Rates
Plan
|
Age Band |
Standard |
Med-Select |
| A |
65-66 |
$69.00 |
N/A |
|
67-69 |
$83.00 |
N/A |
|
70-74 |
$97.00 |
N/A |
|
75-79 |
$117.00 |
N/A |
|
80-84 |
$135.00 |
N/A |
|
85+ |
$139.00 |
N/A |
2010 Plan C Rates
Plan
|
Age Band |
Standard |
Med-Select |
| C |
65-66 |
$142.00 |
$117.00 |
|
67-69 |
$161.00 |
$137.00 |
|
70-74 |
$197.00 |
$159.00 |
|
75-79 |
$233.00 |
$178.00 |
|
80-84 |
$258.00 |
$186.00 |
|
85+ |
$266.00 |
$191.00 |
2010 Plan D Rates
Plan
|
Age Band |
Standard |
Med-Select |
| D |
65-66 |
$121.00 |
$102.00 |
|
67-69 |
$140.00 |
$118.00 |
|
70-74 |
$171.00 |
$137.00 |
|
75-79 |
$210.00 |
$166.00 |
|
80-84 |
$247.00 |
$191.00 |
|
85+ |
$255.00 |
$196.00 |
2010 Plan F Rates
Plan
|
Age Band |
Standard |
Med-Select |
| F |
65-66 |
$143.00 |
$124.00 |
|
67-69 |
$167.00 |
$151.00 |
|
70-74 |
$209.00 |
$175.00 |
|
75-79 |
$248.00 |
$197.00 |
|
80-84 |
$267.00 |
$203.00 |
|
85+ |
$275.00 |
$209.00 |
2010 High Deductible Plan F Rates
Plan
|
Age Band |
Standard |
Med-Select |
| HD F |
65-66 |
$47.00 |
N/A |
|
67-69 |
$54.00 |
N/A |
|
70-74 |
$67.00 |
N/A |
|
75-79 |
$79.00 |
N/A |
|
80-84 |
$86.00 |
N/A |
|
85+ |
$89.00 |
N/A |
2010 Plan K Rates
Plan
|
Age Band |
Standard |
Med-Select |
| K |
65-66 |
$72.00 |
$67.00 |
|
67-69 |
$85.00 |
$83.00 |
|
70-74 |
$106.00 |
$97.00 |
|
75-79 |
$127.00 |
$108.00 |
|
80-84 |
$135.00 |
$113.00 |
|
85+ |
$139.00 |
$117.00 |
2010 Plan L Rates
Plan
|
Age Band |
Standard |
Med-Select |
| L |
65-66 |
$104.00 |
$95.00 |
|
67-69 |
$121.00 |
$1115.00 |
|
70-74 |
$150.00 |
$133.00 |
|
75-79 |
$179.00 |
$150.00 |
|
80-84 |
$193.00 |
$155.00 |
|
85+ |
$199.00 |
$160.00 |
Med-Select Options
Plan D, Plan F, Plan K and Plan L 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 $1,068 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.
2010 Non-Metro Area Medicare Supplement Plan Rates
The following rates shown are for Illinois residents living outside Cook, DuPage, Kane, Lake, McHenry, or Will Counties only:
2010 Plan A Rates
Plan
|
Age Band |
Standard |
Med-Select |
| A |
65-66 |
$64.00 |
N/A |
|
67-69 |
$71.00 |
N/A |
|
70-74 |
$83.00 |
N/A |
|
75-79 |
$101.00 |
N/A |
|
80-84 |
$117.00 |
N/A |
|
85+ |
$121.00 |
N/A |
2010 Plan C Rates
Plan
|
Age Band |
Standard |
Med-Select |
| C |
65-66 |
$123.00 |
$105.00 |
|
67-69 |
$142.00 |
$121.00 |
|
70-74 |
$172.00 |
$138.00 |
|
75-79 |
$206.00 |
$158.00 |
|
80-84 |
$226.00 |
$165.00 |
|
85+ |
$233.00 |
$169.00 |
2010 Plan D Rates
Plan
|
Age Band |
Standard |
Med-Select |
| D |
65-66 |
$105.00 |
$89.00 |
|
67-69 |
$121.00 |
$103.00 |
|
70-74 |
$151.00 |
$125.00 |
|
75-79 |
$184.00 |
$142.00 |
|
80-84 |
$215.00 |
$170.00 |
|
85+ |
$221.00 |
$175.00 |
2010 Plan F Rates
Plan
|
Age Band |
Standard |
Med-Select |
| F |
65-66 |
$125.00 |
$113.00 |
|
67-69 |
$149.00 |
$132.00 |
|
70-74 |
$181.00 |
$154.00 |
|
75-79 |
216.00 |
$171.00 |
|
80-84 |
$234.00 |
$178.00 |
|
85+ |
$241.00 |
$183.00 |
2010 High Deductible Plan F Rates
Plan
|
Age Band |
Standard |
Med-Select |
| HD F |
65-66 |
$42.00 |
N/A |
|
67-69 |
$49.00 |
N/A |
|
70-74 |
$59.00 |
N/A |
|
75-79 |
$71.00 |
N/A |
|
80-84 |
$75.00 |
N/A |
|
85+ |
$78.00 |
N/A |
2010 Plan K Rates
Plan
|
Age Band |
Standard |
Med-Select |
| K |
65-66 |
$65.00 |
$62.00 |
|
67-69 |
$75.00 |
$71.00 |
|
70-74 |
$93.00 |
$83.00 |
|
75-79 |
$110.00 |
$95.00 |
|
80-84 |
$120.00 |
$98.00 |
|
85+ |
$123.00 |
$100.00 |
2010 Plan L Rates
Plan
|
Age Band |
Standard |
Med-Select |
| L |
65-66 |
$91.00 |
$86.00 |
|
67-69 |
$108.00 |
$101.00 |
|
70-74 |
$131.00 |
$117.00 |
|
75-79 |
$156.00 |
$129.00 |
|
80-84 |
$169.00 |
$134.00 |
|
85+ |
$174.00 |
$138.00 |
Med-Select Options
Plan D, Plan F, Plan K and Plan L 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 $1,068 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.
