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Health, Vision and Dental Plan Rate Chart
Faculty and Staff
(Monthly Rates for 2008)
Last Updated:
06/19/09
UnitedHealthcare Options Preferred Provider Organization (PPO)
Aetna PPO
Aetna Choice POS II Point of Service Plan (POS)
UnitedHealthcare Select Plus Point of Service Plan (POS)
Aetna HMO
High Deductible Plan
J-1 Visa Health Care Plan
Vision Care Plan
Dental Care Plans
UnitedHealthCare
Options
Preferred Provider Organization (PPO)
Coverage |
Monthly Rates for Plan Year 2009 |
Employee Only |
$63.00 |
Employee & Child(ren) |
177.00 |
Employee & Spouse |
232.00 |
Employee & Family |
355.00 |
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Aetna
Preferred Provider Organization (PPO)
Coverage |
Monthly Rates for Plan Year 2009
|
Employee Only |
$63.00 |
Employee & Child(ren) |
177.00 |
Employee & Spouse |
232.00 |
Employee & Family |
355.00 |
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Aetna Choice POS II
Point of Service Plan (POS)
Coverage |
Monthly Rates for Plan Year 2009
|
Employee Only |
$58.00 |
Employee & Child(ren) |
165.00 |
Employee & Spouse |
216.00 |
Employee & Family |
331.00 |
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UnitedHealthcare
Select Plus Point of Service Plan (POS)
Coverage |
Monthly Rates for Plan Year 2009 |
Employee Only |
$58.00 |
Employee & Child(ren) |
165.00 |
Employee & Spouse |
216.00 |
Employee & Family |
331.00 |
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Aetna
HMO (Health Maintenance Organization)
Coverage |
Aetna HMO
Plan Year 2009 |
Employee Only |
$ 51.00 |
Employee & Child(ren) |
152.00 |
Employee & Spouse |
200.00 |
Employee & Family |
308.00 |
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High Deductible Plan
(Aetna)
Coverage |
Monthly Rates for
Plan Year 2009 |
Employee Only |
$0 |
Employee & Child(ren) |
coverage not available |
Employee & Spouse |
coverage not available |
Employee & Family |
coverage not available |
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J-1 Visa Health Care Plan
(Aetna)
Coverage |
Monthly Rates for
Plan Year 2009 |
Employee Only |
$0 |
Employee & Child(ren) |
114.00 |
Employee & Spouse |
169.00 |
Employee & Family |
292.00 |
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Vision Care Plan (Vision Service Plan)
Coverage |
Monthly Rates for
Plan Year 2009 |
Employee Only |
$12.36 |
Employee & Child(ren) |
20.26 |
Employee & Spouse |
19.88 |
Employee & Family |
32.66 |
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Dental Care Plans
Coverage |
Monthly Rates for
Plan Year 2009 |
MetLife Basic Option PPO Dental Plan |
Employee Only |
$16.85 |
Employee & Child(ren) |
39.21 |
Employee & Spouse |
35.98 |
Employee & Family |
59.13 |
Aetna DMO |
Employee Only |
$25.01 |
Employee & Child(ren) |
48.78 |
Employee & Spouse |
50.44 |
Employee & Family |
69.71 |
MetLife High Option PPO Dental Plan |
Employee Only |
$56.64 |
Employee & Child(ren) |
110.98 |
Employee & Spouse |
114.30 |
Employee & Family |
157.88 |
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