RENSSELAER COUNTY HEALTH INSURANCE COSTS: January 1, 2021
NON-MEDICARE ELIGIBLE RETIREES
Rensselaer County 2021 Plan Options and Monthly Premiums
|
Coverage |
NYSHIP Empire Plan |
CDPHP HMO |
MVP HMO CO Plan 20 |
Empire BCBS EPO |
Single |
$1,074.87 |
$835.51 |
$865.38 |
$1,165.63 |
Two Person |
$2,452.24 |
$1,671.02 |
$1,990.37 |
$2,272.98 |
Family |
$2,452.24 |
$2,172.33 |
$2,120.19 |
$3,380.54 |
Plan Benefit Highlights
|
Coverage |
NYSHIP Empire Plan |
CDPHP HMO |
MVP HMO CO Plan 20 |
Empire BCBS EPO |
In Network
|
|
Doctor Co-Pay |
$25 |
$25 |
$25 |
$25 |
Specialist Co-Pay |
$25 |
$25 |
$40 |
$25 |
Drug Co-Pay |
$5G/$30B/$60NF |
$10G/$25B/$40NF |
$10G/$30B/$50NF |
$10G/$25B/$50NF |
Inpatient Co-Pay |
0 |
0 |
$500 |
$100 |
Out of Network
|
|
Deductible |
$1,250.00 |
NA |
NA |
NA |
Coinsurance |
20% |
NA |
NA |
NA |
Inpatient Co-Pay |
10% |
0 |
$500 |
0 |