Here's how much it will cost per month for Plan 65+ extended health benefits and out-of-country coverage (including all taxes):

Health Plan 65+ Premium Guide - Effective November 1, 2011

Please Note: The monthly premiums are the same for both Complete and Optimum levels of coverage however Optimum is only offered to those who meet the medical underwriting coverage. (Dental coverage is optional. See the additional premium rates below.)