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FOR EMPLOYEES AND NON-MEDICARE-ELIGIBLE RETIREES
11
Anne Arundel County
RETIREE
Rate Schedule
Effective – 1/1/17 to 12/31/17
At retiree cost share of 20% for medical; 100% for dental; 100% for vision.
Retirees and spouses must enroll in Medicare at age 65 (or when you first become eligible) to avoid Medicare’s late-enrollment
penalties and to receive the maximum coverage available.
Plan & Coverage Level
Monthly Total
Cost
Monthly County
Cost
Monthly Retiree
Cost
Blue Choice Triple Option Open Access
Individual
$720.22
$576.18
$144.04
Retiree and Child
$1,272.14
$1,017.71
$254.43
Retiree and Spouse
$1,525.77
$1,220.62
$305.15
Family
$1,981.40
$1,585.12
$396.28
Blue Choice HMO Open Access
Individual
$549.82
$439.86
$109.96
Retiree and Child
$985.87
$788.70
$197.17
Retiree and Spouse
$1,173.78
$939.02
$234.76
Family
$1,518.00
$1,214.40
$303.60
CareFirst EPO
Individual
$601.80
$481.44
$120.36
Retiree and Child
$1,086.13
$868.90
$217.23
Retiree and Spouse
$1,289.05
$1,031.24
$257.81
Family
$1,664.13
$1,331.30
$332.83
MEDICARE ADVANTAGE
(For retiree or spouse eligible for medicare due to age or disability)
Aetna Medicare Advantage PPO ESA
Total Cost
County Cost
Retiree Cost
Individual
$557.26
$445.81
$111.45
Retiree and Spouse
$1,114.53
$891.62
$222.91
CIGNA Dental DHMO
(DHMO-network
dentist required)
CIGNA
Dental PPO
Vision
(VSP)
Individual
$18.43
$34.47
$2.39
Retiree and Child
$36.84
$61.15
$4.77
Retiree and Spouse
$46.81
$79.30
$6.10
Family
$53.23
$88.14
$6.93