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COST OF COVERAGE
You share the cost of coverage for these plans and coverage levels. In general, you pay for health
coverage before federal, state, and social security taxes are withheld, so you pay less in taxes.
M E D I C A L
Blue Shield Access+ HMO
SaveNet
Your Weekly Cost
Employee only
$15.48
Employee + Spouse
$71.20
Employee + Child(ren)
$52.62
Employee + Family
$89.77
Blue Shield Access+ HMO
Full Network
Your Weekly Cost
Employee only
$21.92
Employee + Spouse
$93.81
Employee + Child(ren)
$69.34
Employee + Family
$118.28
Blue Shield PPO
Your Weekly Cost
Employee only
$56.26
Employee + Spouse
$172.79
Employee + Child(ren)
$127.72
Employee + Family
$217.87
Blue Shield HDHP
Your Weekly Cost
Employee only
$25.16
Employee + Spouse
$101.26
Employee + Child(ren)
$74.84
Employee + Family
$127.67
V I S I O N
EyeMed Vision
Your Weekly Cost
Employee only
$1.68
Employee + Spouse
$3.20
Employee + Child(ren)
$3.37
Employee + Family
$4.95
D E N T A L
Dental Net HMO
(CA Only)
Your Weekly Cost
Employee only
$1.71
Employee + Spouse
$5.11
Employee + Child(ren)
$4.91
Employee + Family
$9.20
Dental Net PPO
Your Weekly Cost
Employee only
$4.39
Employee + Spouse
$12.85
Employee + Child(ren)
$17.93
Employee + Family
$26.39
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