Rates valid July 1, 2013 - June 30, 2014
(prior period rates available here)
| PT Semi-Monthly Rate | UD Pays | Employee Pays | |
|---|---|---|---|
| Highmark Blue Cross Blue Shield Delaware (HBCBSD) First State Basic Plan | |||
| Employee | 273.69 | 157.64 | 116.05 |
| Employee & Spouse | 566.28 | 326.18 | 240.10 |
| Employee & Child(ren) | 416.05 | 239.65 | 176.40 |
| Family | 707.87 | 407.74 | 300.13 |
| Aetna CDH Gold | |||
| Employee | 283.27 | 161.47 | 121.80 |
| Employee & Spouse | 587.35 | 334.79 | 252.56 |
| Employee & Child(ren) | 432.80 | 246.70 | 186.10 |
| Family | 746.17 | 425.32 | 320.85 |
| Highmark Blue Cross Blue Shield Delaware (HBCBSD) CDH Gold | |||
| Employee | 283.27 | 161.47 | 121.80 |
| Employee & Spouse | 587.35 | 334.79 | 252.56 |
| Employee & Child(ren) | 432.80 | 246.70 | 186.10 |
| Family | 746.17 | 425.32 | 320.85 |
| Aetna HMO | |||
| Employee | 285.74 | 160.30 | 125.44 |
| Employee & Spouse | 602.44 | 337.97 | 264.47 |
| Employee & Child(ren) | 437.11 | 245.22 | 191.89 |
| Family | 751.72 | 421.72 | 330.00 |
| Highmark Blue Cross Blue Shield Delaware (HBCBSD) BlueCARE® HMO | |||
| Employee | 285.97 | 160.43 | 125.54 |
| Employee & Spouse | 604.35 | 339.04 | 265.31 |
| Employee & Child(ren) | 437.55 | 245.47 | 192.08 |
| Family | 754.02 | 423.01 | 331.01 |
| Highmark Blue Cross Blue Shield Delaware (HBCBSD) Comprehensive PPO Plan | |||
| Employee | 312.47 | 162.64 | 149.83 |
| Employee & Spouse | 648.40 | 337.49 | 310.91 |
| Employee & Child(ren) | 481.56 | 250.66 | 230.90 |
| Family | 810.59 | 421.91 | 388.68 |
| Dental Plan Administered by MetLife | |||
| Employee | 20.05 | 12.03 | 8.02 |
| Employee & Spouse | 40.36 | 24.22 | 16.14 |
| Employee & Child(ren) | 45.16 | 27.10 | 18.06 |
| Family | 65.64 | 39.38 | 26.26 |
| Vision Plan Administered by National Vision Administrators (NVA) | |||
| Employee | 2.21 | 1.33 | 0.88 |
| Employee & Spouse | 4.75 | 1.33 | 3.42 |
| Employee & Child(ren) | 3.58 | 1.33 | 2.25 |
| Family | 6.53 | 1.33 | 5.20 |
