Rates valid July 1, 2013 - June 30, 2014
(prior period rates available here)
| Total Semi-Monthly Rate | UD Pays | Employee Pays | Employee Change FY14 vs. FY13 |
|
|---|---|---|---|---|
| Highmark Blue Cross Blue Shield Delaware (HBCBSD) First State Basic Plan | ||||
| Employee | 273.69 | 262.74 | 10.95 | 0.66 |
| Employee & Spouse | 566.28 | 543.63 | 22.65 | 1.36 |
| Employee & Child(ren) | 416.05 | 399.41 | 16.64 | 1.00 |
| Family | 707.87 | 679.56 | 28.31 | 1.70 |
| Aetna CDH Gold | ||||
| Employee | 283.27 | 269.11 | 14.16 | 0.85 |
| Employee & Spouse | 587.35 | 557.99 | 29.36 | 1.76 |
| Employee & Child(ren) | 432.80 | 411.16 | 21.64 | 1.30 |
| Family | 746.17 | 708.86 | 37.31 | 2.24 |
| Highmark Blue Cross Blue Shield Delaware (HBCBSD) CDH Gold | ||||
| Employee | 283.27 | 269.11 | 14.16 | 0.85 |
| Employee & Spouse | 587.35 | 557.99 | 29.36 | 1.76 |
| Employee & Child(ren) | 432.80 | 411.16 | 21.64 | 1.30 |
| Family | 746.17 | 708.86 | 37.31 | 2.24 |
| Aetna HMO | ||||
| Employee | 285.74 | 267.17 | 18.57 | 1.11 |
| Employee & Spouse | 602.44 | 563.28 | 39.16 | 2.35 |
| Employee & Child(ren) | 437.11 | 408.70 | 28.41 | 1.70 |
| Family | 751.72 | 702.86 | 48.86 | 2.93 |
| Highmark Blue Cross Blue Shield Delaware (HBCBSD) BlueCARE® HMO | ||||
| Employee | 285.97 | 267.39 | 18.58 | 1.11 |
| Employee & Spouse | 604.35 | 565.07 | 39.28 | 2.36 |
| Employee & Child(ren) | 437.55 | 409.11 | 28.44 | 1.71 |
| Family | 754.02 | 705.01 | 49.01 | 2.94 |
| Highmark Blue Cross Blue Shield Delaware (HBCBSD) Comprehensive PPO Plan | ||||
| Employee | 312.47 | 271.07 | 41.40 | 2.48 |
| Employee & Spouse | 648.40 | 562.49 | 85.91 | 5.15 |
| Employee & Child(ren) | 481.56 | 417.76 | 63.80 | 3.82 |
| Family | 810.59 | 703.19 | 107.40 | 6.44 |
| Dental Plan Administered by MetLife | ||||
| Employee | 20.05 | 20.05 | 0.00 | 0.00 |
| Employee & Spouse | 40.36 | 40.36 | 0.00 | 0.00 |
| Employee & Child(ren) | 45.16 | 45.16 | 0.00 | 0.00 |
| Family | 65.64 | 65.64 | 0.00 | 0.00 |
| Vision Plan Administered by National Vision Administrators (NVA) | ||||
| Employee | 2.21 | 2.21 | 0.00 | 0.00 |
| Employee & Spouse | 4.75 | 2.21 | 2.54 | 0.00 |
| Employee & Child(ren) | 3.58 | 2.21 | 1.37 | 0.00 |
| Family | 6.53 | 2.21 | 4.32 | 0.00 |
