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Health and Dental Insurance Information 

MERIT RETIREES

MONTHLY HEALTH AND DENTAL INSURANCE PREMIUMS

EFFECTIVE JANUARY 1, 2013

 

RETIREES UNDER 65

 
SINGLE
FAMILY

Program 3 Plus

$ 709.31 $ 1,658.45

Iowa Select

$ 707.05 $ 1,653.18

Blue Access

$ 440.96 $ 1030.49

Blue Advantage

$ 424.43 $ 991.86

Gold Preferred PPO    

$ 559.36 $ 1,307.57

 

RETIREES OVER 65

Plans not requiring purchase coordinating Part D Medicare Coverage

 
SINGLE
FAMILY

Program 3 Plus

$ 782.86 $ 1,670.05

Iowa Select

$ 780.17 $ 1,664.39

Blue Access

$ 482.07 $ 1,038.39

Blue Advantage

$ 463.53 $ 999.45

Gold Preferred PPO    

$ 579.96 $ 1,315.23

 

Plans requiring purchase coordinating Part D Medicare Coverage*

 
SINGLE
FAMILY

Program 3 Plus

$ 369.90 $ 945.52

Iowa Select

$ 368.75 $ 942.66

Blue Access

$ 230.75 $ 597.64

Blue Advantage

$ 222.12 $ 576.06

Gold Preferred PPO    

$ 275.92 $ 710.60

Program N **   

$ 172.02 NA ***

 

*You must enroll in SilverScript for Part D prescription coverage

**Group Medicare Blue Rx (Silver)            89.00

**Group Medicare Blue Rx (Gold)             145.00


***Family premium is NOT applicable for Program N.   Spouse/partner and/or dependents can only be covered on Program N if they are also Medicare Eligible, and they would enroll in separate Single Program N and Medicare Blue Rx contracts.

Silver Script Part D Coverage                                        $75.00

 

DENTAL

 
SINGLE
FAMILY

State Dental

$ 29.13 $ 78.29

 

 

UPDATED 11/12