Active Employees, Retirees and Survivors without Medicare Employee and Employee and Employee and Non-Medicare Non-Medicare Non-Medicare Retiree/ Retiree/ Retiree/ Survivor Pays Survivor Pays Survivor Pays Monthly % Monthly $ Monthly $ Health Plan Individual Family Coverage Coverage Fallon Health Direct Care 25% $138.66 $332.80 Fallon Health Select Care (Closed to new 25% $184.27 $442.22 members) Harvard Pilgrim Independence Plan (Closed 30% $247.27 $603.33 to new members) Harvard Pilgrim Primary Choice Plan 25% $155.18 $378.63 Health New England 25% $137.04 $339.75 NHP Prime (Neighborhood Health Plan) 25% $138.51 $367.06 Tufts Health Plan Navigator (Closed to new 30% $218.65 $533.52 members) Tufts Health Plan Spirit 25% $138.32 $332.98 UniCare State Indemnity Plan/Basic with 40% $415.52 $972.22 CIC (Comprehensive) UniCare State Indemnity Plan/Basic without 40% $396.72 $928.61 CIC (Non-Comprehensive) UniCare State Indemnity Plan/Community 30% $156.18 $374.84 Choice UniCare State Indemnity Plan/PLUS 30% $207.96 $496.84 Retirees and Survivors with Medicare Retiree/Survivor Pays Monthly Per Person Health Plan % $ Fallon Senior Plan* 40% $ 134.47 Harvard Pilgrim Medicare Enhance 40% $ 169.22 Health New England MedPlus 40% $ 157.94 Tufts Health Plan Medicare Complement 40% $ 152.90 Tufts Health Plan Medicare Preferred* 40% $ 120.42 UniCare State Indemnity Plan/Medicare Extension 40% $ 152.26 (OME) with CIC (Comprehensive) UniCare State Indemnity Plan/Medicare Extension 40% $ 147.96 (OME) without CIC (Non-Comprehensive) *Benefits and rates of Fallon Senior Plan and Tufts Health Plan Medicare Preferred are subject to federal approval and may change on January 1, 2018.
Active Employees, Retirees and Survivors without Medicare Employee and Non-Medicare Retiree/ Survivor Pays Monthly % Employee and Non-Medicare Retiree/ Survivor Pays Monthly $ Employee and Non-Medicare Retiree/ Survivor Pays Monthly $ Health Plan Individual Coverage Family Coverage Fallon Health Direct Care 25% $138.66 $332.80 Fallon Health Select Care (Closed to new members) 25% $184.27 $442.22 Harvard Pilgrim Independence Plan (Closed to new members) 30% $247.27 $603.33 Harvard Pilgrim Primary Choice Plan 25% $155.18 $378.63 Health New England 25% $137.04 $339.75 NHP Prime (Neighborhood Health Plan) 25% $138.51 $367.06 Tufts Health Plan Navigator (Closed to new members) 30% $218.65 $533.52 Tufts Health Plan Spirit 25% $138.32 $332.98 UniCare State Indemnity Plan/Basic with CIC (Comprehensive) 40% $415.52 $972.22 UniCare State Indemnity Plan/Basic without CIC (Non-Comprehensive) 40% $396.72 $928.61 UniCare State Indemnity Plan/Community Choice 30% $156.18 $374.84 UniCare State Indemnity Plan/PLUS 30% $207.96 $496.84 Retirees and Survivors with Medicare Retiree/Survivor Pays Monthly Per Person Health Plan % $ Fallon Senior Plan* 40% $ 134.47 Harvard Pilgrim Medicare Enhance 40% $ 169.22 Health New England MedPlus 40% $ 157.94 Tufts Health Plan Medicare Complement 40% $ 152.90 Tufts Health Plan Medicare Preferred* 40% $ 120.42 UniCare State Indemnity Plan/Medicare Extension (OME) with CIC (Comprehensive) 40% $ 152.26 UniCare State Indemnity Plan/Medicare Extension (OME) without CIC (Non-Comprehensive) 40% $ 147.96 *Benefits and rates of Fallon Senior Plan and Tufts Health Plan Medicare Preferred are subject to federal approval and may change on January 1, 2018.
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