Compare coverage rates
All dollar amounts are monthly fees for each family member. Rates may change without notice. Print page
Extended Health (required)
| Age | 0 - 4 | 5 - 20 | 21 - 34 | 35 - 44 | 45 - 54 | 55 - 64 | 65 - 69 | 70 - 74 | 75+ |
|---|---|---|---|---|---|---|---|---|---|
| Plan level A | $6.55 | $7.79 | $10.67 | $11.41 | $13.69 | $10.46 | $21.49 | $11.61 | $11.61 |
| Plan level B | $7.90 | $11.96 | $27.63 | $28.47 | $33.55 | $33.35 | $50.71 | $37.30 | $37.30 |
| Plan level C | $11.83 | $16.69 | $43.03 | $43.82 | $53.99 | $55.15 | $76.27 | $61.82 | $61.82 |
| Plan level D | $14.32 | $31.12 | $60.81 | $66.78 | $75.13 | $74.01 | $94.77 | $78.59 | $78.59 |
Dental (optional)
| Age | 0 - 4 | 5 - 20 | 21 - 34 | 35 - 44 | 45 - 54 | 55 - 64 | 65 - 69 | 70 - 74 | 75+ |
|---|---|---|---|---|---|---|---|---|---|
| Plan level A | $5.20 | $21.60 | $32.47 | $32.46 | $33.42 | $36.28 | $36.28 | $36.28 | $36.28 |
| Plan level B | $6.05 | $26.81 | $47.58 | $48.55 | $50.84 | $57.20 | $57.20 | $57.20 | $57.20 |
| Plan level C | $9.20 | $40.80 | $75.47 | $77.36 | $84.33 | $94.11 | $94.11 | $94.11 | $94.11 |
| Plan level D | $11.72 | $76.16 | $92.95 | $103.63 | $113.65 | $123.22 | $130.96 | $130.96 | $130.96 |
Prescription drug (required)
| Age | 0 - 4 | 5 - 20 | 21 - 34 | 35 - 44 | 45 - 54 | 55 - 64 | 65 - 69 | 70 - 74 | 75+ |
|---|---|---|---|---|---|---|---|---|---|
| Plan level A | $4.89 | $6.24 | $18.93 | $22.05 | $28.39 | $38.48 | $29.38 | $29.38 | $29.38 |
| Plan level B | $7.37 | $8.95 | $26.70 | $30.91 | $39.08 | $51.31 | $37.40 | $37.40 | $37.40 |
| Plan level C | $11.81 | $14.96 | $39.82 | $46.54 | $63.42 | $81.96 | $59.88 | $59.88 | $59.88 |
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