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State Medicare Advantage Rates

Retirees in the State Employees Group Insurance Program will continue to pay 1% of their annuity for Medicare Advantage coverage. This percentage will change to 2% effective July 1, 2014.

State retirees with less than 20 years of service will also continue to pay 5% of the health plan cost for every year less than 20; however, the premiums for the new Medicare Advantage plans will be lower than the current health plans.  The premiums below represent the cost of coverage that the 5% will be based upon effective February 1, 2014.  Members who have less than 20 years of service should see a decrease in the cost of their coverage.

Dependent Rates for State Retirees, Annuitants and Survivors
  Coventry Advantra HMO
or Humana HMO 
UnitedHealthcare PPO
   One Dependent
  Two or More Dependents
  One Dependent
 Two or More Dependents
Dependent Rate
 $89.91  $126.00  $110.00  $155.00
 Retiree Health Plan Monthly Contribution for Retirees with Less than 20 Years of Service
 Years of Service
  Member's Responsibility -
Percentage of Cost
 Coventry Advantra HMO
Humana HMOs
 UnitedHealthcare PPO
 0 100%
 $111.64 $205.33
 $179.67
 1  95%  $106.06  $195.07  $170.69
 2  90%  $100.48  $184.80  $161.71
 3  85%  $94.90  $174.53  $152.72
 4  80%  $89.31  $164.27  $143.74
 5  75%  $83.73  $154.00  $134.75
 6  70%  $78.15  $143.73  $125.77
 7  65%  $72.57  $133.47  $116.79
 8  60%  $66.99  $123.20  $107.80
 9  55%  $61.40  $112.93  $98.82
 10  50%  $55.82  $102.67  $89.84
 11  45%  $50.24  $92.40  $80.85
 12  40%  $44.66  $82.13  $71.87
 13  35%  $39.07  $71.87  $62.89
 14  30%  $33.49  $61.60  $53.90
 15  25%  $27.91  $51.33  $44.92
 16  20%  $22.33  $41.07  $35.93
 17  15%  $16.75  $30.80  $26.95
 18  10%  $11.16  $20.53  $17.97
 19  5%  $5.58  $10.27  $8.98
 20  0%  $0.00  $0.00  $0.00