Effective July 1, 2017

Full Cost Monthly Rates Including the 0.35%% Administrative Fee

 

! For the rate you will pay as a municipal employee or retiree/survivor, see separate rate chart from your municipality 

Download the Full Cost Monthly Municipal Rate Chart docx format of Monthly_GIC_Full_Cost_RatesFY18.docx

 

Employee and Non-Medicare Retiree/Survivor Health Plans

HEALTH PLAN

 

PLAN TYPE

INDIVIDUAL

FAMILY

Fallon Health Direct Care

HMO

$554.65

$1,331.20

Fallon Health Select Care (CLOSED TO NEW MEMBERS)

HMO

737.06

1,768.89

Harvard Pilgrim Independence Plan (CLOSED TO NEW MEMBERS)

POS

824.23

2,011.10

Harvard Pilgrim Primary Choice Plan

HMO

620.70

1,514.53

Health New England

HMO

548.15

1,358.98

NHP Prime (Neighborhood Health Plan)

HMO

554.04

1,468.22

Tufts Health Plan Navigator (CLOSED TO NEW MEMBERS)

POS

728.84

1,778.41

Tufts Health Plan Spirit

HMO-type

553.27

1,331.92

UniCare State Indemnity Plan/Basic with CIC

(Comprehensive)

Indemnity

1,038.80

2,430.54

UniCare State Indemnity Plan/Basic without CIC

(Non-Comprehensive)

Indemnity

991.80

2,321.52

UniCare State Indemnity Plan/Community Choice

PPO-type

520.59

1,249.46

UniCare State Indemnity Plan/PLUS

PPO-type

693.20

1,656.13

 

Medicare Plans

Health Plan

Plan Type

Per Person

Fallon Senior Plan*

Medicare (HMO)

$336.17

Harvard Pilgrim Medicare Enhance

Medicare (Indemnity)

423.05

Health New England MedPlus

Medicare (HMO)

394.84

Tufts Health Plan Medicare Complement

Medicare (HMO)

382.26

Tufts Health Plan Medicare Preferred*

Medicare (HMO)

301.05

UniCare State Indemnity Plan/Medicare Extension (OME) with CIC (Comprehensive)

Medicare (Indemnity)

380.64

UniCare State Indemnity Plan/Medicare Extension (OME) without CIC (Non-Comprehensive)

Medicare (Indemnity)

369.91

 

*Benefits and rates of Fallon Senior Plan and Tufts Health Plan Medicare Preferred are subject to federal approval and changed on January 1, 2018.

  


This information provided by the Group Insurance Commission.