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BCBSIL - Medicare Supplement Plans



2015 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 99+ age rate.

2015 Plan A Rates

Plan
Age Standard Med-Select
A 65 $76.00 N/A
66 $80.00 N/A
67 $86.00 N/A
68 $93.00 N/A
69 $97.00 N/A
70 $100.00 N/A
71 $104.00 N/A
72 $108.00 N/A
73 $114.00 N/A
74 $119.00 N/A
75 $123.00 N/A
76 $127.00 N/A
77 $130.00 N/A
78 $135.00 N/A
79 $139.00 N/A
80 $144.00 N/A
99+ $176.00 N/A

2015 Plan C Rates

Plan
Age Standard Med-Select
C 65 $156.00 $134.00
66 $162.00 $139.00
67 $170.00 $149.00
68 $178.00 $159.00
69 $187.00 $164.00
70 $197.00 $170.00
71 $209.00 $177.00
72 $220.00 $183.00
73 $231.00 $190.00
74 $241.00 $196.00
75 $248.00 $200.00
76 $254.00 $202.00
77 $260.00 $205.00
78 $268.00 $210.00
79 $273.00 $212.00
80 $279.00 $213.00
99+ $337.00 $252.00

2015 Plan F Rates

Plan
Age Standard Med-Select
F 65 $157.00 $141.00
66 $164.00 $149.00
67 $175.00 $161.00
68 $186.00 $174.00
69 $197.00 $181.00
70 $209.00 $188.00
71 $221.00 $195.00
72 $233.00 $202.00
73 $245.00 $211.00
74 $256.00 $218.00
75 $263.00 $222.00
76 $269.00 $225.00
77 $276.00 $228.00
78 $283.00 $232.00
79 $287.00 $233.00
80 $291.00 $234.00
99+ $348.00 $276.00

2015 High Deductible Plan F Rates

Plan
Age Standard Med-Select
HD F 65 $51.00 N/A
66 $54.00 N/A
67 $57.00 N/A
68 $60.00 N/A
69 $63.00 N/A
70 $66.00 N/A
71 $71.00 N/A
72 $74.00 N/A
73 $78.00 N/A
74 $82.00 N/A
75 $84.00 N/A
76 $87.00 N/A
77 $89.00 N/A
78 $91.00 N/A
79 $93.00 N/A
80 $94.00 N/A
99+ $113.00 N/A

2015 Plan G Rates

Plan
Age Standard Med-Select
G 65 $141.00 $129.00
66 $147.00 $135.00
67 $157.00 $147.00
68 $167.00 $158.00
69 $177.00 $163.00
70 $187.00 $169.00
71 $198.00 $174.00
72 $210.00 $181.00
73 $221.00 $188.00
74 $230.00 $194.00
75 $237.00 $198.00
76 $243.00 $201.00
77 $249.00 $204.00
78 $255.00 $205.00
79 $259.00 $207.00
80 $263.00 $208.00
99+ $313.00 $247.00

2015 Plan K Rates

Plan
Age Standard Med-Select
K 65 $79.00 $75.00
66 $83.00 $80.00
67 $89.00 $88.00
68 $95.00 $96.00
69 $100.00 $100.00
70 $106.00 $103.00
71 $112.00 $107.00
72 $118.00 $112.00
73 $124.00 $116.00
74 $130.00 $120.00
75 $134.00 $123.00
76 $137.00 $124.00
77 $141.00 $126.00
78 $144.00 $128.00
79 $146.00 $129.00
80 $148.00 $130.00
99+ $176.00 $155.00

2015 Plan L Rates

Plan
Age Standard Med-Select
L 65 $114.00 $108.00
66 $119.00 $114.00
67 $126.00 $123.00
68 $134.00 $133.00
69 $142.00 $138.00
70 $150.00 $144.00
71 $158.00 $149.00
72 $167.00 $154.00
73 $175.00 $160.00
74 $183.00 $165.00
75 $189.00 $168.00
76 $193.00 $147.00
77 $198.00 $173.00
78 $204.00 $174.00
79 $207.00 $176.00
80 $211.00 $177.00
99+ $253.00 $211.00

2015 Plan N Rates

Plan
Age Standard Med-Select
N 65 $110.00 $100.00
66 $115.00 $105.00
67 $122.00 $114.00
68 $130.00 $123.00
69 $138.00 $127.00
70 $146.00 $131.00
71 $154.00 $136.00
72 $163.00 $140.00
73 $171.00 $147.00
74 $179.00 $152.00
75 $184.00 $155.00
76 $188.00 $158.00
77 $193.00 $160.00
78 $198.00 $161.00
79 $202.00 $162.00
80 $205.00 $162.00
99+ $244.00 $194.00

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 $1,156 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.


2015 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 99+ age rate.

2015 Plan A Rates

Plan
Age Standard Med-Select
A 65 $72.00 N/A
66 $75.00 N/A
67 $78.00 N/A
68 $81.00 N/A
69 $85.00 N/A
70 $88.00 N/A
71 $92.00 N/A
72 $96.00 N/A
73 $101.00 N/A
74 $106.00 N/A
75 $109.00 N/A
76 $112.00 N/A
77 $115.00 N/A
78 $120.00 N/A
79 $123.00 N/A
80 $127.00 N/A
99+ $157.00 N/A

2015 Plan C Rates

Plan
Age Standard Med-Select
C 65 $139.00 $125.00
66 $144.00 $129.00
67 $158.00 $148.00
68 $163.00 $144.00
69 $171.00 $149.00
70 $179.00 $154.00
71 $187.00 $159.00
72 $196.00 $164.00
73 $207.00 $171.00
74 $217.00 $178.00
75 $224.00 $182.00
76 $230.00 $185.00
77 $236.00 $188.00
78 $243.00 $192.00
79 $248.00 $193.00
80 $253.00 $195.00
99+ $304.00 $229.00

2015 Plan F Rates

Plan
Age Standard Med-Select
F 65 $141.00 $133.00
66 $147.00 $138.00
67 $158.00 $148.00
68 $170.00 $158.00
69 $179.00 $164.00
70 $188.00 $170.00
71 $197.00 $177.00
72 $208.00 $183.00
73 $218.00 $190.00
74 $228.00 $195.00
75 $235.00 $199.00
76 $241.00 $201.00
77 $247.00 $203.00
78 $254.00 $205.00
79 $258.00 $207.00
80 $262.00 $209.00
99+ $314.00 $248.00

2015 High Deductible Plan F Rates

Plan
Age Standard Med-Select
HD F 65 $47.00 N/A
66 $49.00 N/A
67 $52.00 N/A
68 $56.00 N/A
69 $59.00 N/A
70 $61.00 N/A
71 $64.00 N/A
72 $68.00 N/A
73 $71.00 N/A
74 $75.00 N/A
75 $77.00 N/A
76 $79.00 N/A
77 $81.00 N/A
78 $83.00 N/A
79 $84.00 N/A
80 $85.00 N/A
99+ $102.00 N/A

2015 Plan G Rates

Plan
Age Standard Med-Select
G 65 $128.00 $121.00
66 $134.00 $126.00
67 $143.00 $133.00
68 $154.00 $141.00
69 $161.00 $148.00
70 $169.00 $154.00
71 $177.00 $160.00
72 $186.00 $166.00
73 $196.00 $172.00
74 $206.00 $177.00
75 $213.00 $180.00
76 $218.00 $181.00
77 $224.00 $183.00
78 $230.00 $187.00
79 $233.00 $188.00
80 $236.00 $190.00
99+ $282.00 $223.00

2015 Plan K Rates

Plan
Age Standard Med-Select
K 65 $73.00 $72.00
66 $76.00 $75.00
67 $82.00 $80.00
68 $87.00 $85.00
69 $92.00 $88.00
70 $96.00 $92.00
71 $102.00 $95.00
72 $107.00 $99.00
73 $112.00 $103.00
74 $117.00 $107.00
75 $120.00 $109.00
76 $123.00 $110.00
77 $126.00 $113.00
78 $129.00 $114.00
79 $132.00 $114.00
80 $134.00 $115.00
99+ $160.00 $136.00

2015 Plan L Rates

Plan
Age Standard Med-Select
L 65 $104.00 $101.00
66 $109.00 $105.00
67 $116.00 $113.00
68 $124.00 $120.00
69 $130.00 $124.00
70 $137.00 $129.00
71 $144.00 $134.00
72 $151.00 $139.00
73 $158.00 $145.00
74 $165.00 $149.00
75 $170.00 $151.00
76 $174.00 $153.00
77 $178.00 $154.00
78 $183.00 $157.00
79 $186.00 $158.00
189 $188.00 $159.00
99+ $228.00 $187.00

2015 Plan N Rates

Plan
Age Standard Med-Select
N 65 $100.00 $95.00
66 $105.00 $98.00
67 $112.00 $104.00
68 $120.00 $109.00
69 $126.00 $114.00
70 $132.00 $119.00
71 $138.00 $124.00
72 $145.00 $129.00
73 $152.00 $133.00
74 $159.00 $137.00
75 $164.00 $139.00
76 $169.00 $141.00
77 $173.00 $142.00
78 $177.00 $145.00
79 $180.00 $146.00
80 $183.00 $147.00
99+ $220.00 $174.00

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 $1,216 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.