HMO and POS Plans

New York
Plan Option Code 1999 Total Biweekly Premium Postal "A" -- 2000 Biweekly premium rates Postal "B" -- 2000 Biweekly premium rates
Total Pmt. USPS Pays Empl. Pays Change in Emp. Pmt. Total Pmt. USPS Pays Empl. Pays Change in Emp. Pmt.
Aetna U.S. Healthcare
  High Self JC1 92.34 98.24 87.19 11.05 0.66 98.24 87.19 11.05 0.66
  High Family JC2 233.83 246.92 207.74 39.18 -11.36 246.92 201.02 45.90 -4.64
Blue Choice
  High Self MK1 78.62 89.59 79.51 10.08 1.24 89.59 79.51 10.08 1.24
  High Family MK2 196.39 224.05 198.84 25.21 3.12 224.05 198.84 25.21 3.12
Blue Cross and Blue Shield
  Standard Self 104 99.88 108.87 93.06 15.81 0.91 108.87 93.26 15.61 0.71
  Standard Family 105 222.71 242.75 207.74 35.01 -4.41 242.75 201.02 41.73 2.31
BlueChoice HMO
  High Self 5L1 82.00 90.04 79.91 10.13 0.91 90.04 79.91 10.13 0.91
  High Family 5L2 214.30 236.10 207.74 28.36 -2.65 236.10 201.02 35.08 4.07
BlueChoice HMO
  High Self S71 92.80 116.88 93.06 23.82 13.38 116.88 93.26 23.62 13.18
  High Family S72 242.51 313.44 207.74 105.70 46.48 313.44 201.02 112.42 53.20
C.D.P.H.P.
  High Self SG1 75.28 83.03 73.69 9.34 0.87 83.03 73.69 9.34 0.87
  High Family SG2 192.78 213.06 189.09 23.97 2.28 213.06 189.09 23.97 2.28
CIGNA HealthCare of NY
  High Self HU1 91.33 97.34 86.39 10.95 0.68 97.34 86.39 10.95 0.68
  High Family HU2 243.87 257.96 207.74 50.22 -10.36 257.96 201.02 56.94 -3.64
GHI Health Plan
  High Self 801 92.80 104.86 93.06 11.80 1.36 104.86 93.06 11.80 1.36
  High Family 802 231.99 262.15 207.74 54.41 5.71 262.15 201.02 61.13 12.43
GHI HMO Select
  High Self 6V1 98.28 86.83 77.06 9.77 -3.53 86.83 77.06 9.77 -3.53
  High Family 6V2 202.86 268.13 207.74 60.39 37.57 268.13 201.02 67.11 44.29
GHI HMO Select
  High Self X41 78.58 90.79 80.58 10.21 1.37 90.79 80.58 10.21 1.37
  High Family X42 197.33 236.83 207.74 29.09 6.89 236.83 201.02 35.81 13.61
Harvard Pilgrim Health Care
  High Self 681 104.62 129.05 93.06 35.99 16.35 129.05 93.26 35.79 16.15
  High Family 682 277.26 342.00 207.74 134.26 40.29 342.00 201.02 140.98 47.01
HealthCarePlan
  High Self Q81 65.12 74.82 66.40 8.42 1.09 74.82 66.40 8.42 1.09
  High Family Q82 184.63 211.96 188.11 23.85 3.08 211.96 188.11 23.85 3.08
HIP of Greater New York
  High Self 511 84.07 85.66 76.02 9.64 0.18 85.66 76.02 9.64 0.18
  High Family 512 205.75 256.99 207.74 49.25 26.10 256.99 201.02 55.97 32.82
HMO Blue
  High Self AH1 85.26 89.93 79.81 10.12 0.53 89.93 79.81 10.12 0.53
  High Family AH2 216.94 228.84 203.10 25.74 -7.91 228.84 201.02 27.82 -5.83
HMO-CNY
  High Self EB1 87.93 90.50 80.32 10.18 0.29 90.50 80.32 10.18 0.29
  High Family EB2 232.91 240.00 207.74 32.26 -17.36 240.00 201.02 38.98 -10.64
Independent Health Assoc
  High Self C11 99.69 107.99 93.06 14.93 0.22 107.99 93.26 14.73 0.02
  High Family C12 265.13 286.82 207.74 79.08 -2.76 286.82 201.02 85.80 3.96
Independent Health Assoc
  High Self QA1 56.96 69.23 61.44 7.79 1.38 69.23 61.44 7.79 1.38
  High Family QA2 160.10 194.41 172.54 21.87 3.86 194.41 172.54 21.87 3.86
Kaiser Permanente
  High Self PW1 82.96 101.07 89.70 11.37 2.04 101.07 89.70 11.37 2.04
  High Family PW2 211.28 251.69 207.74 43.95 15.96 251.69 201.02 50.67 22.68
Kaiser Permanente
  High Self QB1 87.73 108.49 93.06 15.43 5.56 108.49 93.26 15.23 5.36
  High Family QB2 228.12 273.92 207.74 66.18 21.35 273.92 201.02 72.90 28.07
Kaiser Permanente
  High Self QH1 84.20 135.16 93.06 42.10 32.63 135.16 93.26 41.90 32.43
  High Family QH2 205.54 329.23 207.74 121.49 98.37 329.23 201.02 128.21 105.09
MDNY Healthcare, Inc.
  High Self 5Y1 100.96 102.03 90.55 11.48 -4.50 102.03 90.55 11.48 -4.50
  High Family 5Y2 254.09 281.34 207.74 73.60 2.80 281.34 201.02 80.32 9.52
MDNY Healthcare, Inc.
  High Self 8U1 New Area 68.72 60.99 7.73 N/A 68.72 60.99 7.73 N/A
  High Family 8U2 New Area 173.11 153.64 19.47 N/A 173.11 153.64 19.47 N/A
MVP Health Plan
  High Self GA1 80.53 97.88 86.87 11.01 1.95 97.88 86.87 11.01 1.95
  High Family GA2 205.12 246.10 207.74 38.36 15.28 246.10 201.02 45.08 22.00
MVP Health Plan
  High Self M91 72.91 97.56 86.58 10.98 2.78 97.56 86.58 10.98 2.78
  High Family M92 185.75 245.51 207.74 37.77 16.87 245.51 201.02 44.49 23.59
MVP Health Plan
  High Self MX1 87.52 108.53 93.06 15.47 5.62 108.53 93.26 15.27 5.42
  High Family MX2 222.87 271.32 207.74 63.58 24.00 271.32 201.02 70.30 30.72
Partners Health Plans
  High Self 7Y1 88.47 106.87 93.06 13.81 3.86 106.87 93.26 13.61 3.66
  High Family 7Y2 229.37 277.08 207.74 69.34 23.26 277.08 201.02 76.06 29.98
PHP/Mohawk Valley Region
  High Self SH1 87.52 101.30 89.90 11.40 1.55 101.30 89.90 11.40 1.55
  High Family SH2 232.27 268.58 207.74 60.84 11.86 268.58 201.02 67.56 18.58
Physicians Health Srvs of NY
  High Self PD1 131.80 100.15 88.88 11.27 -35.55 100.15 88.88 11.27 -35.55
  High Family PD2 344.39 258.90 207.74 51.16 -109.94 258.90 201.02 57.88 -103.22
Preferred Care
  High Self GV1 75.52 80.43 71.38 9.05 0.55 80.43 71.38 9.05 0.55
  High Family GV2 191.62 204.08 181.12 22.96 1.40 204.08 181.12 22.96 1.40
Prepaid Health Plan
  High Self QE1 92.45 107.13 93.06 14.07 3.67 107.13 93.26 13.87 3.47
  High Family QE2 245.18 283.89 207.74 76.15 14.26 283.89 201.02 82.87 20.98
Prudential HealthCare HMO
  High Self 9P1 81.67 87.52 77.67 9.85 0.66 87.52 77.67 9.85 0.66
  High Family 9P2 195.84 210.23 186.58 23.65 1.62 210.23 186.58 23.65 1.62
Vytra Health Plans
  High Self J61 99.14 112.18 93.06 19.12 4.96 112.18 93.26 18.92 4.76
  High Family J62 259.21 293.48 207.74 85.74 9.82 293.48 201.02 92.46 16.54

Web page created 20 Sept 1999