2003 FEHB Non-Postal Premium Rates for Michigan
| HMO Plans | 2002 Total Biweekly Premium | 2003 Biweekly premium rates | 2002 Total Monthly Premium | 2003 Monthly premium rates | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Plan - Option - Enrollment Code | Total Premium | Gov't Pays | Empl. Pays | Change in employee payment | Total Premium | Gov't Pays | Empl. Pays | Change in employee payment | |||
| Bluecare Network of MI | |||||||||||
| High Self | G71 | 213.55 | 242.08 | 109.30 | 132.78 | 17.09 | 462.69 | 524.51 | 236.82 | 287.69 | 37.03 |
| High Family | G72 | 540.03 | 612.14 | 249.62 | 362.52 | 45.90 | 1170.07 | 1326.30 | 540.84 | 785.46 | 99.45 |
| Bluecare Network of MI | |||||||||||
| High Self | K51 | 120.70 | 132.31 | 99.23 | 33.08 | 2.91 | 261.52 | 286.67 | 215.00 | 71.67 | 6.29 |
| High Family | K52 | 337.46 | 369.83 | 249.62 | 120.21 | 6.16 | 731.16 | 801.30 | 540.84 | 260.46 | 13.36 |
| Bluecare Network of MI | |||||||||||
| High Self | KF1 | 151.67 | 174.35 | 109.30 | 65.05 | 11.24 | 328.62 | 377.76 | 236.82 | 140.94 | 24.35 |
| High Family | KF2 | 417.59 | 480.01 | 249.62 | 230.39 | 36.21 | 904.78 | 1040.02 | 540.84 | 499.18 | 78.46 |
| Bluecare Network of MI | |||||||||||
| High Self | KN1 | 129.42 | 141.49 | 106.12 | 35.37 | 3.02 | 280.41 | 306.56 | 229.92 | 76.64 | 6.54 |
| High Family | KN2 | 361.76 | 395.47 | 249.62 | 145.85 | 7.50 | 783.81 | 856.85 | 540.84 | 316.01 | 16.26 |
| Bluecare Network of MI | |||||||||||
| High Self | KR1 | 130.68 | 146.01 | 109.30 | 36.71 | 3.89 | 283.14 | 316.36 | 236.82 | 79.54 | 8.43 |
| High Family | KR2 | 377.35 | 421.72 | 249.62 | 172.10 | 18.16 | 817.59 | 913.73 | 540.84 | 372.89 | 39.36 |
| Bluecare Network of MI | |||||||||||
| High Self | LN1 | 159.59 | 177.69 | 109.30 | 68.39 | 6.66 | 345.78 | 385.00 | 236.82 | 148.18 | 14.43 |
| High Family | LN2 | 384.26 | 427.86 | 249.62 | 178.24 | 17.39 | 832.56 | 927.03 | 540.84 | 386.19 | 37.69 |
| Bluecare Network of MI | |||||||||||
| High Self | LX1 | 89.09 | 102.68 | 77.01 | 25.67 | 3.40 | 193.03 | 222.47 | 166.85 | 55.62 | 7.36 |
| High Family | LX2 | 266.49 | 307.06 | 230.30 | 76.76 | 10.14 | 577.40 | 665.30 | 498.98 | 166.32 | 21.97 |
| Grand Valley Health Plan | |||||||||||
| High Self | RL1 | 116.96 | 134.62 | 100.97 | 33.65 | 4.41 | 253.41 | 291.68 | 218.76 | 72.92 | 9.57 |
| High Family | RL2 | 328.80 | 377.98 | 249.62 | 128.36 | 22.97 | 712.40 | 818.96 | 540.84 | 278.12 | 49.78 |
| Health Alliance Plan | |||||||||||
| High Self | 521 | 123.73 | 123.51 | 92.63 | 30.88 | -0.05 | 268.08 | 267.61 | 200.71 | 66.90 | -0.12 |
| High Family | 522 | 327.83 | 327.25 | 245.44 | 81.81 | -22.61 | 710.30 | 709.04 | 531.78 | 177.26 | -48.98 |
| HealthPlus MI | |||||||||||
| High Self | X51 | 124.26 | 150.07 | 109.30 | 40.77 | 9.71 | 269.23 | 325.15 | 236.82 | 88.33 | 21.02 |
| High Family | X52 | 304.64 | 367.91 | 249.62 | 118.29 | 37.06 | 660.05 | 797.14 | 540.84 | 256.30 | 80.31 |
| M-Care | |||||||||||
| High Self | EG1 | 101.48 | 119.16 | 89.37 | 29.79 | 4.42 | 219.87 | 258.18 | 193.64 | 64.54 | 9.57 |
| High Family | EG2 | 268.91 | 315.79 | 236.84 | 78.95 | 11.72 | 582.64 | 684.21 | 513.16 | 171.05 | 25.39 |
| OmniCare | |||||||||||
| High Self | KA1 | 102.65 | 120.15 | 90.11 | 30.04 | 4.38 | 222.41 | 260.33 | 195.25 | 65.08 | 9.48 |
| High Family | KA2 | 257.66 | 295.57 | 221.68 | 73.89 | 9.48 | 558.26 | 640.40 | 480.30 | 160.10 | 20.54 |
| The Wellness Plan | |||||||||||
| High Self | K31 | 91.04 | 98.66 | 74.00 | 24.66 | 1.90 | 197.25 | 213.76 | 160.32 | 53.44 | 4.13 |
| High Family | K32 | 247.63 | 266.65 | 199.99 | 66.66 | 4.75 | 536.53 | 577.74 | 433.31 | 144.43 | 10.30 |
| Total Health Care | |||||||||||
| High Self | N21 | 105.64 | 118.50 | 88.88 | 29.62 | 3.21 | 228.89 | 256.75 | 192.56 | 64.19 | 6.97 |
| High Family | N22 | 265.83 | 301.40 | 226.05 | 75.35 | 8.89 | 575.97 | 653.03 | 489.77 | 163.26 | 19.27 |