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OPM Home > Insurance > FEHB > 2003 Premiums > Non-postal > New York

2003 FEHB Non-Postal Premium Rates for New York


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
Aetna Health Inc.
High Self JC1 112.09 132.37 99.28 33.09 5.07 242.86 286.80 215.10 71.70 10.99
High Family JC2 281.88 331.29 248.47 82.82 12.35 610.74 717.80 538.35 179.45 26.77
Blue Choice
High Self MK1 131.91 135.23 101.42 33.81 -0.24 285.81 293.00 219.75 73.25 -0.53
High Family MK2 330.53 338.72 249.62 89.10 -18.02 716.15 733.89 540.84 193.05 -39.04
Capital District Physicians Health Plan
High Self PW1 118.91 137.60 103.20 34.40 4.67 257.64 298.13 223.60 74.53 10.12
High Family PW2 304.40 351.92 249.62 102.30 21.31 659.53 762.49 540.84 221.65 46.18
Capital District Physicians Health Plan
High Self QB1 123.68 132.29 99.22 33.07 2.15 267.97 286.63 214.97 71.66 4.67
High Family QB2 317.55 339.93 249.62 90.31 -3.83 688.03 736.52 540.84 195.68 -8.29
Capital District Physicians Health Plan
High Self SG1 117.81 128.69 96.52 32.17 2.72 255.26 278.83 209.12 69.71 5.90
High Family SG2 301.77 329.49 247.12 82.37 4.01 653.84 713.90 535.43 178.47 8.69
GHI Health Plan
High Self 801 144.14 168.65 109.30 59.35 13.07 312.30 365.41 236.82 128.59 28.32
High Family 802 360.34 421.60 249.62 171.98 35.05 780.74 913.47 540.84 372.63 75.95
GHI HMO Select
High Self 6V1 128.19 154.16 109.30 44.86 12.81 277.75 334.01 236.82 97.19 27.75
High Family 6V2 322.32 394.39 249.62 144.77 45.86 698.36 854.51 540.84 313.67 99.37
GHI HMO Select
High Self X41 114.23 140.06 105.05 35.01 6.45 247.50 303.46 227.60 75.86 13.99
High Family X42 294.49 333.67 249.62 84.05 10.43 638.06 722.95 540.84 182.11 22.60
HIP of Greater New York
High Self 511 108.93 134.40 100.80 33.60 6.37 236.02 291.20 218.40 72.80 13.80
High Family 512 326.79 376.99 249.62 127.37 23.99 708.05 816.81 540.84 275.97 51.98
Standard Self 514 N/A 107.50 80.63 26.87 26.87 N/A 232.92 174.69 58.23 58.23
Standard Family 515 N/A 301.02 225.77 75.25 75.25 N/A 652.21 489.16 163.05 163.05
HMO Blue
High Self AH1 123.75 157.63 109.30 48.33 17.39 268.13 341.53 236.82 104.71 37.68
High Family AH2 316.95 401.64 249.62 152.02 58.48 686.73 870.22 540.84 329.38 126.71
HMO-CNY
High Self EB1 131.70 158.67 109.30 49.37 15.53 285.35 343.79 236.82 106.97 33.65
High Family EB2 349.27 420.45 249.62 170.83 44.97 756.75 910.98 540.84 370.14 97.45
Independent Health Assoc
High Self QA1 93.96 101.31 75.98 25.33 1.84 203.58 219.51 164.63 54.88 3.99
High Family QA2 261.94 281.01 210.76 70.25 4.77 567.54 608.86 456.65 152.21 10.33
MVP Health Care
High Self GA1 114.71 118.79 89.09 29.70 1.02 248.54 257.38 193.04 64.34 2.21
High Family GA2 296.28 306.83 230.12 76.71 2.64 641.94 664.80 498.60 166.20 5.72
MVP Health Care
High Self M91 118.39 128.06 96.05 32.01 2.41 256.51 277.46 208.10 69.36 5.23
High Family M92 305.73 330.74 248.06 82.68 0.36 662.42 716.60 537.45 179.15 0.79
MVP Health Care
High Self MX1 129.66 136.67 102.50 34.17 1.76 280.93 296.12 222.09 74.03 3.80
High Family MX2 334.88 352.99 249.62 103.37 -8.10 725.57 764.81 540.84 223.97 -17.54
Preferred Care
High Self GV1 118.82 108.86 81.65 27.21 -2.49 257.44 235.86 176.90 58.96 -5.40
High Family GV2 317.34 290.63 217.97 72.66 -21.27 687.57 629.70 472.28 157.42 -46.09
Univera Healthcare
High Self KQ1 N/A 131.94 98.96 32.98 32.98 N/A 285.87 214.40 71.47 71.47
High Family KQ2 N/A 349.80 249.62 100.18 100.18 N/A 757.90 540.84 217.06 217.06
Univera Healthcare
High Self Q81 102.71 111.03 83.27 27.76 2.08 222.54 240.57 180.43 60.14 4.51
High Family Q82 291.28 314.82 236.12 78.70 5.88 631.11 682.11 511.58 170.53 12.75
Vytra Health Plans
High Self J61 148.36 139.59 104.69 34.90 -15.60 321.45 302.45 226.84 75.61 -33.81
High Family J62 388.73 365.86 249.62 116.24 -49.08 842.25 792.70 540.84 251.86 -106.33


Web page updated at 3:40:16 PM on 9/10/2002
 
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