Retiree Benefit Plan Rates
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The medical plan costs listed below do not include the $40 Get Healthy Now monthly incentive. If you plan to participate in Get Healthy Now, deduct $40 from the monthly cost below to get your final cost. Learn more about the Get Healthy Now program.
Medical Plan Rates
The rates shown below are the monthly medical rates for pre-65 retirees enrolled in an Anthem medical plan at the time of retirement.
| PPO w/HRA | ULH | CDHP w/HSA | |
|---|---|---|---|
| Retiree Only | $543.00 | $478.00 | $384.00 |
| Retiree + Spouse/QA | $1,304.00 | $1,148.00 | $922.00 |
| Retiree + Child(ren) | $978.00 | $861.00 | $684.00 |
| Retiree + Family | $1,684.00 | $1,482.00 | $1,160.00 |
Dental Plan Rates
Open Enrollment for dental and vision benefits will occur through MetLife during Oct. 1 through Oct. 31.
| Basic Dental Plan | Enhanced Dental Plan | |
|---|---|---|
| Retiree Only | $21.96 | $35.74 |
| Retiree + Spouse/QA | $43.88 | $71.48 |
| Retiree + Children | $51.82 | $84.34 |
| Retiree + Family | $80.12 | $130.44 |
Vision Plan Rates
Open Enrollment for dental and vision benefits will occur through MetLife during Oct. 1 through Oct. 31.
Vision Plan Rates
| Monthly Rate | |
|---|---|
| Retiree Only | $4.32 |
| Retiree + Spouse/QA | $7.86 |
| Retiree + Children | $8.32 |
| Retiree + Family | $11.96 |