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Health, Vision and
Dental Plan
Rate Chart
Faculty and Staff
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 |
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)
Monthly Rates for Plan Year 2009
Coverage
|
Aetna HMO |
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 |
Employee Only
|
$56.64 |
Employee & Child(ren)
|
$110.98 |
Employee & Spouse
|
$114.30 |
Employee & Family
|
$157.88 |
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