Medical Plan Costs - $45,000 or Less
Plan |
Self |
Self + Child(ren) |
Self + Adult |
Self + Adult + Child(ren) |
Blue Cross PLUS |
$46.59 |
$83.86 |
$131.78 |
$169.04 |
Blue Cross PPO |
75.91 |
136.64 |
193.35 |
254.07 |
CIGNA Choice Fund |
14.86 |
26.74 |
65.14 |
77.03 |
Core |
0.00 |
0.00 |
0.00 |
0.00 |
Health Net |
16.86 |
30.34 |
69.34 |
82.83 |
Kaiser Permanente--California |
6.50 |
11.71 |
13.66 |
18.86 |
Kaiser Permanente--Mid-Atlantic |
45.09 |
81.16 |
128.63 |
164.70 |
Kaiser Permanente--Umbrella |
275.41 |
495.74 |
612.30 |
832.62 |
Western Health Advantage |
6.50 |
11.71 |
13.66 |
18.86 |
Rates shown indicate only proposed rates for union-represented employees and are subject to ongoing collective bargaining as appropriate.
Medical Plan Costs - $45,001 to $89,000
Plan |
Self |
Self + Child(ren) |
Self + Adult |
Self + Adult + Child(ren) |
Blue Cross PLUS |
$72.34 |
$130.21 |
$190.35 |
$248.21 |
Blue Cross PPO |
101.66 |
182.99 |
251.92 |
333.24 |
CIGNA Choice Fund |
40.61 |
73.09 |
123.71 |
156.20 |
Core |
0.00 |
0.00 |
0.00 |
0.00 |
Health Net |
42.61 |
76.69 |
127.91 |
162.00 |
Kaiser Permanente--California |
33.06 |
59.51 |
74.43 |
100.88 |
Kaiser Permanente--Mid-Atlantic |
70.84 |
127.51 |
187.20 |
243.87 |
Kaiser Permanente--Umbrella |
301.16 |
542.09 |
670.87 |
911.79 |
Western Health Advantage |
33.06 |
59.51 |
74.43 |
100.88 |
Note: The UC/employer Rates shown indicate only proposed rates for union-represented employees and are subject to ongoing collective bargaining as appropriate.
Medical Plan Costs - $89,001 to 133,000
Plan |
Self |
Self + Child(ren) |
Self + Adult |
Self + Adult + Child(ren) |
Blue Cross PLUS |
$98.59 |
$177.46 |
$242.55 |
$321.41 |
Blue Cross PPO |
127.91 |
230.24 |
304.12 |
406.44 |
CIGNA Choice Fund |
66.86 |
120.34 |
175.91 |
229.40 |
Core |
0.00 |
0.00 |
0.00 |
0.00 |
Health Net |
68.86 |
123.94 |
180.11 |
235.20 |
Kaiser Permanente--California |
60.16 |
108.29 |
128.06 |
176.19 |
Kaiser Permanente--Mid-Atlantic |
97.09 |
174.76 |
239.40 |
317.07 |
Kaiser Permanente--Umbrella |
327.41 |
589.34 |
723.07 |
984.99 |
Western Health Advantage |
60.16 |
108.29 |
128.06 |
176.19 |
Rates shown indicate only proposed rates for union-represented employees and are subject to ongoing collective bargaining as appropriate.
Medical Plan Costs - $133,001 or More
Plan |
Self |
Self + Child(ren) |
Self + Adult |
Self + Adult + Child(ren) |
Blue Cross PLUS |
$125.34 |
$225.61 |
$295.76 |
$396.02 |
Blue Cross PPO |
154.66 |
278.39 |
357.33 |
481.05 |
CIGNA Choice Fund |
93.61 |
168.49 |
229.12 |
304.01 |
Core |
0.00 |
0.00 |
0.00 |
0.00 |
Health Net |
95.61 |
172.09 |
233.32 |
309.81 |
Kaiser Permanente--California |
88.35 |
159.02 |
183.84 |
254.51 |
Kaiser Permanente--Mid-Atlantic |
123.84 |
222.91 |
292.61 |
391.68 |
Kaiser Permanente--Umbrella |
354.16 |
637.49 |
776.28 |
1,059.60 |
Western Health Advantage |
88.35 |
159.02 |
183.84 |
254.51 |
Rates shown indicate only proposed rates for union-represented employees and are subject to ongoing collective bargaining as appropriate.
