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Federal Employees Health Benefits Program

2004 Premiums

FEHB Home | Non-Postal Premiums

You are here: OPM Home > Insurance > FEHB > 2004 Premiums > Non-postal > Michigan

2004 FEHB Non-Postal Premium Rates for Michigan

HMO Plans		2003 Total Biweekly Premium	2004 Biweekly premium rates				2003 Total Monthly Premium	2004 Monthly premium rates
Plan - Option - Enrollment Code		2003 Total Biweekly Premium	Total Premium	Gov't Pays	Empl. Pays	Change in employee payment	2003 Total Monthly Premium	Total Premium	Gov't Pays	Empl. Pays	Change in employee payment
Bluecare Network of MI
High Self	K51	132.31	158.49	118.87	39.62	6.54	286.67	343.40	257.55	85.85	14.18
High Family	K52	369.83	443.59	277.09	166.50	46.29	801.30	961.11	600.36	360.75	100.29
Bluecare Network of MI
High Self	KF1	174.35	199.32	121.40	77.92	12.87	377.76	431.86	263.03	168.83	27.89
High Family	KF2	480.01	557.72	277.09	280.63	50.24	1040.02	1208.39	600.36	608.03	108.85
Bluecare Network of MI
High Self	KN1	141.49	168.51	121.40	47.11	11.74	306.56	365.11	263.03	102.08	25.44
High Family	KN2	395.47	471.09	277.09	194.00	48.15	856.85	1020.70	600.36	420.34	104.33
Bluecare Network of MI
High Self	KR1	146.01	192.86	121.40	71.46	34.75	316.36	417.86	263.03	154.83	75.29
High Family	KR2	421.72	557.12	277.09	280.03	107.93	913.73	1207.09	600.36	606.73	233.84
Bluecare Network of MI
High Self	LN1	177.69	209.53	121.40	88.13	19.74	385.00	453.98	263.03	190.95	42.77
High Family	LN2	427.86	504.56	277.09	227.47	49.23	927.03	1093.21	600.36	492.85	106.66
Bluecare Network of MI
High Self	LX1	102.68	119.55	89.66	29.89	4.22	222.47	259.03	194.27	64.76	9.14
High Family	LX2	307.06	357.60	268.20	89.40	12.64	665.30	774.80	581.10	193.70	27.38
Grand Valley Health Plan
High Self	RL1	134.62	149.80	112.35	37.45	3.80	291.68	324.57	243.43	81.14	8.22
High Family	RL2	377.98	420.54	277.09	143.45	15.09	818.96	911.17	600.36	310.81	32.69
Health Alliance Plan
High Self	521	123.51	134.48	100.86	33.62	2.74	267.61	291.37	218.53	72.84	5.94
High Family	522	327.25	356.34	267.26	89.08	7.27	709.04	772.07	579.05	193.02	15.76
HealthPlus MI
High Self	X51	150.07	176.89	121.40	55.49	14.72	325.15	383.26	263.03	120.23	31.90
High Family	X52	367.91	403.96	277.09	126.87	8.58	797.14	875.25	600.36	274.89	18.59
M-Care
High Self	EG1	119.16	126.66	95.00	31.66	1.87	258.18	274.43	205.82	68.61	4.07
High Family	EG2	315.79	335.61	251.71	83.90	4.95	684.21	727.16	545.37	181.79	10.74
OmniCare
High Self	KA1	120.15	126.53	94.90	31.63	1.59	260.33	274.15	205.61	68.54	3.46
High Family	KA2	295.57	311.26	233.45	77.81	3.92	640.40	674.40	505.80	168.60	8.50
Total Health Care
High Self	N21	118.50	115.69	86.77	28.92	-0.70	256.75	250.66	188.00	62.66	-1.53
High Family	N22	301.40	284.21	213.16	71.05	-4.30	653.03	615.79	461.84	153.95	-9.31

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