Medical Care Plan Rates | Retirees | Benefits | UHRS

Retirees Medical Care Plan Rates

Monthly Retiree Premiums
One participant	$267.66
One participant and child(ren)	$533.89
Retiree and spouse	$652.67
Retiree and family	$741.20

Monthly Retiree Premiums
One participant	$458.28
One participant and child(ren)	$907.76
Retiree and spouse	$1111.82
Retiree and family	$1262.42

Monthly Retiree Premiums	Medical	Dental
IU PPO-Plus
One participant	$458.28	$20.85
One participant and child(ren)	$907.76	$37.54
Retiree and spouse	$1111.82	$48.98
Retiree and family	$1262.42	$71.44
IU PPO $900 Deductible
One participant	$267.66	$20.85
One participant and child(ren)	$533.89	$37.54
Retiree and spouse	$652.87	$48.98
Retiree and family	$741.20	$71.44
Blue Preferred Primary Plus
One participant	$321.99	$21.85
One participant and child(ren)	$637.81	$37.54
Retiree and spouse	$781.19	$48.98
Retiree and family	$887.00	$71.44
M-Plan HMO
One participant	$324.73	$20.85
One participant and child(ren)	$611.33	$37.54
Retiree and spouse	$748.26	$48.98
Retiree and family	$849.32	$71.44

Monthly Retiree Premiums
One participant (Retiree or surviving spouse)	$503.07
Retiree and spouse	$1062.40

Monthly Retiree Premiums	Without Wellness	With Wellness
One participant (Retiree or surviving spouse)	$214.43	$222.43
Retiree and spouse	$428.86	$444.86