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Federal Employees Health Benefits Program 2004 Premiums   
  FEHB Home  |    Non-Postal Premiums
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2004 FEHB Non-Postal Premium Rates for Florida


HMO Plans 2003 Total Biweekly Premium 2004 Biweekly premium rates 2003 Total Monthly Premium 2004 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
Av-Med Health Plan
High Self ML1 125.51 146.82 110.12 36.70 5.32 271.94 318.11 238.58 79.53 11.55
High Family ML2 345.12 403.68 277.09 126.59 31.09 747.76 874.64 600.36 274.28 67.36
Capital Health Plan
High Self EA1 142.02 148.52 111.39 37.13 1.63 307.71 321.79 241.34 80.45 3.52
High Family EA2 377.53 393.61 277.09 116.52 -11.39 817.98 852.82 600.36 252.46 -24.68
Humana CoverageFirst (Consumer Driven Plan)
High Self MJ1 New Plan0.00 100.88 75.66 25.22 N/A New Plan 218.57 163.93 54.64 N/A
High Family MJ2 New Plan 232.01 174.01 58.00 N/A New Plan 502.69 377.02 125.67 N/A
Humana CoverageFirst (Consumer Driven Plan)
High Self MQ1 New Plan 105.68 79.26 26.42 N/A New Plan 228.97 171.73 57.24 N/A
High Family MQ2 New Plan 243.06 182.30 60.76 N/A New Plan 526.63 394.97 131.66 N/A
Humana CoverageFirst (Consumer Driven Plan)
High Self QP1 New Plan 96.08 72.06 24.02 N/A New Plan 208.17 156.13 52.04 N/A
High Family QP2 New Plan 220.97 165.73 55.24 N/A New Plan 478.77 359.08 119.69 N/A
Humana Medical Plan
High Self EE1 118.86 150.59 112.94 37.65 7.94 257.53 326.28 244.71 81.57 17.19
High Family EE2 297.15 346.38 259.79 86.59 12.30 643.83 750.49 562.87 187.62 26.66
JMH Health Plan
High Self J81 96.91 132.66 99.50 33.16 8.93 209.97 287.43 215.57 71.86 19.37
High Family J82 238.39 328.29 246.22 82.07 22.47 516.51 711.30 533.48 177.82 48.69
Total Health Choice
High Self 4A1 116.80 116.79 87.59 29.20 0.00 253.07 253.05 189.79 63.26 -0.01
High Family 4A2 291.01 291.00 218.25 72.75 0.00 630.52 630.50 472.88 157.62 -0.01
Vista Healthplan
High Self 3N1 137.77 162.29 121.40 40.89 6.45 298.50 351.63 263.03 88.60 13.98
High Family 3N2 384.39 446.18 277.09 169.09 34.32 832.85 966.72 600.36 366.36 74.35
Vista Healthplan
High Self RK1 129.42 158.65 118.99 39.66 7.31 280.41 343.74 257.81 85.93 15.83
High Family RK2 345.56 423.61 277.09 146.52 50.58 748.71 917.82 600.36 317.46 109.59
Vista Healthplan
High Self UL1 New Code 126.45 94.84 31.61 N/A New Code 273.98 205.49 68.49 N/A
High Family UL2 New Code 337.63 253.22 84.41 N/A New Code 731.53 548.65 182.88 N/A
Vista Healthplan
High Self Y91 New Code 119.15 89.36 29.79 N/A New Code 258.16 193.62 64.54 N/A
High Family Y92 New Code 318.16 238.62 79.54 N/A New Code 689.35 517.01 172.34 N/A
Vista Healthplan of South Florida
High Self 5E 91.06 112.51 84.38 28.13 5.37 197.30 243.77 182.83 60.94 11.62
High Family 5E 250.43 309.41 232.06 77.35 14.74 542.60 670.39 502.79 167.60 31.95
 
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Page updated 09/24/03