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| HMO Plans |
|
2000 Total Biweekly
Premium |
2001 Biweekly premium rates |
2000 Total Monthly
Premium |
2001 Monthly premium rates |
| Location - Plan
- Option - |
|
Total
Premium |
Gov't
Pays |
Empl.
Pays |
Change in employee payment |
Total
Premium |
Gov't
Pays |
Empl.
Pays |
Change in employee payment |
| Enrollment Code |
|
| NY |
Aetna U.S. Healthcare |
|
|
|
|
|
|
High Self |
JC1 |
|
98.24 |
106.31 |
79.73 |
26.58 |
2.02 |
|
212.85 |
230.34 |
172.76 |
57.58 |
4.37 |
|
|
High Family |
JC2 |
|
246.92 |
266.07 |
195.82 |
70.25 |
-0.70 |
|
534.99 |
576.49 |
424.28 |
152.21 |
-1.51 |
|
| NY |
Aetna U.S. Healthcare |
|
|
|
|
|
|
High Self |
TG1 |
|
New Area |
103.72 |
77.79 |
25.93 |
N/A |
|
New Area |
224.73 |
168.55 |
56.18 |
N/A |
|
|
High Family |
TG2 |
|
New Area |
260.15 |
195.11 |
65.04 |
N/A |
|
New Area |
563.66 |
422.75 |
140.91 |
N/A |
|
| NY Blue Choice |
|
|
|
|
|
|
|
High Self |
MK1 |
|
89.59 |
109.35 |
82.01 |
27.34 |
4.94 |
|
194.11 |
236.93 |
177.70 |
59.23 |
10.70 |
|
|
High Family |
MK2 |
|
224.05 |
273.68 |
195.82 |
77.86 |
21.85 |
|
485.44 |
592.97 |
424.28 |
168.69 |
47.33 |
|
| NY Blue Cross and Blue Shield |
|
|
|
|
|
|
Standard Self |
104 |
|
108.87 |
120.85 |
86.59 |
34.26 |
4.22 |
|
235.89 |
261.84 |
187.61 |
74.23 |
9.14 |
|
|
Standard Family |
105 |
|
242.75 |
276.73 |
195.82 |
80.91 |
14.13 |
|
525.96 |
599.58 |
424.28 |
175.30 |
30.61 |
|
| NY C.D.P.H.P. |
|
|
|
|
|
|
|
High Self |
PW1 |
|
101.07 |
104.53 |
78.40 |
26.13 |
0.86 |
|
218.99 |
226.48 |
169.86 |
56.62 |
1.87 |
|
|
High Family |
PW2 |
|
251.69 |
266.60 |
195.82 |
70.78 |
-4.94 |
|
545.33 |
577.63 |
424.28 |
153.35 |
-10.71 |
|
| NY C.D.P.H.P. |
|
|
|
|
|
|
|
High Self |
QB1 |
|
108.49 |
116.38 |
86.59 |
29.79 |
0.13 |
|
235.06 |
252.16 |
187.61 |
64.55 |
0.29 |
|
|
High Family |
QB2 |
|
273.92 |
298.99 |
195.82 |
103.17 |
5.22 |
|
593.49 |
647.81 |
424.28 |
223.53 |
11.31 |
|
| NY C.D.P.H.P. |
|
|
|
|
|
|
|
High Self |
SG1 |
|
83.03 |
104.02 |
78.02 |
26.00 |
5.24 |
|
179.90 |
225.38 |
169.04 |
56.34 |
11.37 |
|
|
High Family |
SG2 |
|
213.06 |
266.42 |
195.82 |
70.60 |
17.34 |
|
461.63 |
577.24 |
424.28 |
152.96 |
37.55 |
|
| NY CIGNA HealthCare of NY |
|
|
|
|
|
|
High Self |
HU1 |
|
97.34 |
126.48 |
86.59 |
39.89 |
15.56 |
|
210.90 |
274.04 |
187.61 |
86.43 |
33.71 |
|
|
High Family |
HU2 |
|
257.96 |
335.16 |
195.82 |
139.34 |
57.35 |
|
558.91 |
726.18 |
424.28 |
301.90 |
124.26 |
|
| NY GHI Health Plan |
|
|
|
|
|
|
|
High Self |
801 |
|
104.86 |
117.19 |
86.59 |
30.60 |
4.39 |
|
227.20 |
253.91 |
187.61 |
66.30 |
9.50 |
|
|
High Family |
802 |
|
262.15 |
292.96 |
195.82 |
97.14 |
10.96 |
|
567.99 |
634.75 |
424.28 |
210.47 |
23.75 |
|
| NY GHI HMO Select |
|
|
|
|
|
|
|
High Self |
6V1 |
|
86.83 |
151.17 |
86.59 |
64.58 |
42.87 |
|
188.13 |
327.54 |
187.61 |
139.93 |
92.90 |
|
|
High Family |
6V2 |
|
268.13 |
332.22 |
195.82 |
136.40 |
44.24 |
|
580.95 |
719.81 |
424.28 |
295.53 |
95.85 |
|
| NY GHI HMO Select |
|
|
|
|
|
|
|
High Self |
X41 |
|
90.79 |
104.00 |
78.00 |
26.00 |
3.30 |
|
196.71 |
225.33 |
169.00 |
56.33 |
7.15 |
|
|
High Family |
X42 |
|
236.83 |
257.21 |
192.91 |
64.30 |
3.44 |
|
513.13 |
557.29 |
417.97 |
139.32 |
7.46 |
|
| NY Health First New York |
|
|
|
|
|
|
High Self |
7N1 |
|
New Plan |
106.18 |
79.64 |
26.54 |
N/A |
|
New Plan |
230.06 |
172.55 |
57.51 |
N/A |
|
|
High Family |
7N2 |
|
New Plan |
266.53 |
195.82 |
70.71 |
N/A |
|
New Plan |
577.48 |
424.28 |
153.20 |
N/A |
|
| NY HealthCarePlan |
|
|
|
|
|
|
|
High Self |
Q81 |
|
74.82 |
81.63 |
61.22 |
20.41 |
1.71 |
|
162.11 |
176.87 |
132.65 |
44.22 |
3.69 |
|
|
High Family |
Q82 |
|
211.96 |
231.30 |
173.48 |
57.82 |
4.83 |
|
459.25 |
501.15 |
375.86 |
125.29 |
10.48 |
|
| NY HIP of Greater New York |
|
|
|
|
|
|
High Self |
511 |
|
85.66 |
93.27 |
69.95 |
23.32 |
1.91 |
|
185.60 |
202.09 |
151.57 |
50.52 |
4.12 |
|
|
High Family |
512 |
|
256.99 |
279.81 |
195.82 |
83.99 |
2.97 |
|
556.81 |
606.26 |
424.28 |
181.98 |
6.44 |
|
| NY HMO Blue |
|
|
|
|
|
|
|
High Self |
AH1 |
|
89.93 |
120.98 |
86.59 |
34.39 |
11.91 |
|
194.85 |
262.12 |
187.61 |
74.51 |
25.80 |
|
|
High Family |
AH2 |
|
228.84 |
307.29 |
195.82 |
111.47 |
54.26 |
|
495.82 |
665.80 |
424.28 |
241.52 |
117.57 |
|
| NY HMO-CNY |
|
|
|
|
|
|
|
High Self |
EB1 |
|
90.50 |
110.83 |
83.12 |
27.71 |
5.09 |
|
196.08 |
240.13 |
180.10 |
60.03 |
11.01 |
|
|
High Family |
EB2 |
|
240.00 |
293.83 |
195.82 |
98.01 |
33.98 |
|
520.00 |
636.63 |
424.28 |
212.35 |
73.62 |
|
| NY Independent Health Assoc |
|
|
|
|
|
|
High Self |
QA1 |
|
69.23 |
76.24 |
57.18 |
19.06 |
1.75 |
|
150.00 |
165.19 |
123.89 |
41.30 |
3.80 |
|
|
High Family |
QA2 |
|
194.41 |
214.03 |
160.52 |
53.51 |
4.91 |
|
421.22 |
463.73 |
347.80 |
115.93 |
10.63 |
|
| NY MVP Health Plan |
|
|
|
|
|
|
|
High Self |
GA1 |
|
97.88 |
101.87 |
76.40 |
25.47 |
1.00 |
|
212.07 |
220.72 |
165.54 |
55.18 |
2.16 |
|
|
High Family |
GA2 |
|
246.10 |
262.65 |
195.82 |
66.83 |
-3.30 |
|
533.22 |
569.08 |
424.28 |
144.80 |
-7.15 |
|
| NY MVP Health Plan |
|
|
|
|
|
|
|
High Self |
M91 |
|
97.56 |
101.42 |
76.07 |
25.35 |
0.96 |
|
211.38 |
219.74 |
164.81 |
54.93 |
2.09 |
|
|
High Family |
M92 |
|
245.51 |
261.52 |
195.82 |
65.70 |
-3.84 |
|
531.94 |
566.63 |
424.28 |
142.35 |
-8.32 |
|
| NY MVP Health Plan |
|
|
|
|
|
|
|
High Self |
MX1 |
|
108.53 |
113.84 |
85.38 |
28.46 |
-1.24 |
|
235.15 |
246.65 |
184.99 |
61.66 |
-2.69 |
|
|
High Family |
MX2 |
|
271.32 |
293.55 |
195.82 |
97.73 |
2.38 |
|
587.86 |
636.03 |
424.28 |
211.75 |
5.16 |
|
| NY PHP/Mohawk Valley Region |
|
|
|
|
|
|
High Self |
SH1 |
|
101.30 |
106.88 |
80.16 |
26.72 |
1.40 |
|
219.48 |
231.57 |
173.68 |
57.89 |
3.02 |
|
|
High Family |
SH2 |
|
268.58 |
283.45 |
195.82 |
87.63 |
-4.98 |
|
581.92 |
614.14 |
424.28 |
189.86 |
-10.79 |
|
| NY Physicians Health Srvs of NY |
|
|
|
|
|
|
High Self |
PD1 |
|
100.15 |
121.46 |
86.59 |
34.87 |
9.83 |
|
216.99 |
263.16 |
187.61 |
75.55 |
21.30 |
|
|
High Family |
PD2 |
|
258.90 |
313.98 |
195.82 |
118.16 |
35.23 |
|
560.95 |
680.29 |
424.28 |
256.01 |
76.33 |
|
| NY Preferred Care |
|
|
|
|
|
|
|
High Self |
GV1 |
|
80.43 |
101.72 |
76.29 |
25.43 |
5.32 |
|
174.27 |
220.39 |
165.29 |
55.10 |
11.53 |
|
|
High Family |
GV2 |
|
204.08 |
258.03 |
193.52 |
64.51 |
13.49 |
|
442.17 |
559.07 |
419.30 |
139.77 |
29.23 |
|
| NY Prepaid Health Plan |
|
|
|
|
|
|
|
High Self |
QE1 |
|
107.13 |
108.51 |
81.38 |
27.13 |
-1.17 |
|
232.12 |
235.11 |
176.33 |
58.78 |
-2.54 |
|
|
High Family |
QE2 |
|
283.89 |
287.79 |
195.82 |
91.97 |
-15.95 |
|
615.10 |
623.55 |
424.28 |
199.27 |
-34.56 |
|
| NY Vytra Health Plans |
|
|
|
|
|
|
|
High Self |
J61 |
|
112.18 |
125.93 |
86.59 |
39.34 |
5.99 |
|
243.06 |
272.85 |
187.61 |
85.24 |
12.98 |
|
|
High Family |
J62 |
|
293.48 |
330.00 |
195.82 |
134.18 |
16.67 |
|
635.87 |
715.00 |
424.28 |
290.72 |
36.12 |
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