Retiree Insurance Premiums
HEALTH:
|
Under 65 |
Monthly Premiums |
| |
|
BCBS |
County
Contribution |
Retiree
Payment |
|
Blue Choice PPO 716 |
|
|
|
|
|
Single |
$575.30 |
-$250.00 |
$325.30 |
|
|
Family |
$1452.24 |
-$400.00 |
$1052.24 |
|
Blue Options PPO |
|
|
|
|
|
Single |
$564.54 |
-$250.00 |
$314.54 |
|
|
Family |
$1379.63 |
-$400.00 |
$979.63 |
|
Health Savings Account (Blue Options Network) |
|
|
|
Single |
$494.18 |
-$250.00 |
$244.18 |
|
|
Family |
$1125.49 |
-$400.00 |
$725.49 |
| |
|
|
|
|
|
Medicare PPO (-No Age Requirement) |
|
|
|
|
Over 65 |
$389.08 |
-$150.00 |
$239.08 |
|
|
Under 65 |
$389.08 |
-$250.00 |
$139.08 |
| |
|
|
|
|
|
65 and Over |
Monthly Premiums |
| |
|
BCBS |
County
Contribution |
Retiree
Payment |
|
Blue Choice PPO 716 |
|
|
|
|
|
Single |
$575.30 |
-$150.00 |
$425.30 |
|
|
Family |
$1452.24 |
-$150.00 |
$1302.24 |
|
Blue Options PPO |
|
|
|
|
|
Single |
$564.54 |
-$150.00 |
$414.54 |
|
|
Family |
$1379.63 |
-$150.00 |
$1229.63 |
|
Medicare Supplement (Must be over the age of 65) |
|
|
Issue Age |
Medciare Supplement |
Rx (Part D) |
County
Contribution |
Retiree
Payment |
|
65 |
$158.80 |
$181.07 |
-$150.00 |
$189.87 |
|
66-67 |
$168.70 |
$181.07 |
-$150.00 |
$199.77 |
|
68-69 |
$184.70 |
$181.07 |
-$150.00 |
$215.77 |
|
70-71 |
$209.40 |
$181.07 |
-$150.00 |
$240.47 |
|
72-74 |
$221.20 |
$181.07 |
-$150.00 |
$252.27 |
|
75-79 |
$236.30 |
$181.07 |
-$150.00 |
$267.37 |
|
80 + |
$253.40 |
$181.07 |
-$150.00 |
$284.47 |
DENTAL:
Low Plan: $12.11 per month / Individual coverage
$38.62 per month / Family coverage
High Plan: $17.28 per month / Individual coverage
$55.13 per month / Family coverage
LIFE:
$4.20 per month / $20,000 life insurance coverage
$2.10 per month / $10,000 life
insurance coverage
*
Health Plan enrollments after 10/1/08 receive no County contribution.
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