Monthly Rates Effective July 1, 2014

Type of Coverage 

Full Cost Premium

Non-Medicare Plans100%

Basic Life $5,000 Coverage Only

$6.30

Health Plan Costs

(Including Basic Life $5,000 Insurance)

Individual

Family

Coverage

Coverage

Fallon Health Direct Care

$487.58

$1,161.38

Fallon Health Select Care

619.24

1,477.34

Harvard Pilgrim Independence Plan

689.69

1,673.83

Harvard Pilgrim Primary Choice Plan

553.00

1,340.32

Health New England

486.27

1,196.25

NHP Care (Neighborhood Health Plan)

469.86

1,234.73

Tufts Health Plan Navigator

623.7

1,497.93

Tufts Health Plan Spirit

504.68

1,207.51

UniCare State Indemnity Plan/Basic with CIC

938.81

2,182.82

UniCare State Indemnity Plan/Basic without CIC

896.57

2,084.84

UniCare State Indemnity Plan/Community Choice

461.16

1,097.92

UniCare State Indemnity Plan/PLUS

660.58

1,567.74

 

CIC: Catastrophic Illness Coverage                 

The CIC, when elected by an enrollee, is paid entirely by the enrollee.

Monthly Premium for

Catastrophic Illness Coverage(CIC)

Individual Coverage

Family Coverage

$42.24

$97.98

 

GIC RETIREE DENTAL PLAN
Monthly GIC Plan Rates Effective July 1,  2014
$1,250 Maximum Annual Benefit per Member
Coverage TypeRetiree Pays Monthly
SINGLE$28.23
FAMILY68.00

 


This information provided by the Group Insurance Commission.