Rates valid July 1, 2013 - June 30, 2014
(prior period rates available here)
| DSS Semi-Monthly Rate | UD Pays | Employee Pays | |
|---|---|---|---|
| Highmark Blue Cross Blue Shield Delaware (HBCBSD) First State Basic Plan | |||
| Employee | 273.69 | 261.19 | 12.50 |
| Employee & Spouse | 566.28 | 553.78 | 12.50 |
| Employee & Child(ren) | 416.05 | 403.55 | 12.50 |
| Family | 707.87 | 695.37 | 12.50 |
| Aetna CDH Gold | |||
| Employee | 283.27 | 270.77 | 12.50 |
| Employee & Spouse | 587.35 | 574.85 | 12.50 |
| Employee & Child(ren) | 432.80 | 420.30 | 12.50 |
| Family | 746.17 | 733.67 | 12.50 |
| Highmark Blue Cross Blue Shield Delaware (HBCBSD) CDH Gold | |||
| Employee | 283.27 | 270.77 | 12.50 |
| Employee & Spouse | 587.35 | 574.85 | 12.50 |
| Employee & Child(ren) | 432.80 | 420.30 | 12.50 |
| Family | 746.17 | 733.67 | 12.50 |
| Aetna HMO | |||
| Employee | 285.74 | 273.24 | 12.50 |
| Employee & Spouse | 602.44 | 589.94 | 12.50 |
| Employee & Child(ren) | 437.11 | 424.61 | 12.50 |
| Family | 751.72 | 739.22 | 12.50 |
| Highmark Blue Cross Blue Shield Delaware (HBCBSD) BlueCARE® HMO | |||
| Employee | 285.97 | 273.47 | 12.50 |
| Employee & Spouse | 604.35 | 591.85 | 12.50 |
| Employee & Child(ren) | 437.55 | 425.05 | 12.50 |
| Family | 754.02 | 741.52 | 12.50 |
| Highmark Blue Cross Blue Shield Delaware (HBCBSD) Comprehensive PPO Plan | |||
| Employee | 312.47 | 299.97 | 12.50 |
| Employee & Spouse | 648.40 | 635.90 | 12.50 |
| Employee & Child(ren) | 481.56 | 469.06 | 12.50 |
| Family | 810.59 | 798.09 | 12.50 |
| Dental Plan Administered by MetLife | |||
| Employee | 20.05 | 20.05 | 0.00 |
| Employee & Spouse | 40.36 | 40.36 | 0.00 |
| Employee & Child(ren) | 45.16 | 45.16 | 0.00 |
| Family | 65.64 | 65.64 | 0.00 |
| Vision Plan Administered by National Vision Administrators (NVA) | |||
| Employee | 2.21 | 2.21 | 0.00 |
| Employee & Spouse | 4.75 | 2.21 | 2.54 |
| Employee & Child(ren) | 3.58 | 2.21 | 1.37 |
| Family | 6.53 | 2.21 | 4.32 |
