| Age | Plan A | Plan F | Plan F with high deductible |
Plan N |
|---|---|---|---|---|
*The 65-69 year old rate applies to persons on Medicare by reason of disability. Rates effective January 1, 2012 through December 31, 2012 |
||||
| 65 - 69* | $108 | $174 | $40 | $122 |
| 70 - 74 | 124 | 198 | 45 | 139 |
| 75 -79 | 141 | 227 | 52 | 159 |
| 80+ | 142 | 228 | 52 | 160 |
| Preventive: Examinations, X-rays, cleanings, sealants |
Only $30 per month |
| Basic: Fillings, restorative |
|
| Major: Crowns, dentures, cast restorations with benefit limits |
If you are interested in learning more about our SeniorSelect Medicare plans or would like to request a free SeniorSelect packet, please contact the ODS Individual Products department at 503-243-3973 or toll-free at 877-277-7073. You also can e-mail us with your questions.
The SeniorSelect packet includes our brochure and SeniorSelect application.