Choices Retiree Book 2014-15

Page 9

Medical Rates for 2014-2015 Non-Medicare Retirees (generally under age 65) Allegiance Managed Care

Blue Cross Managed Care

PacificSource Managed Care

Retiree Only

$613

$600

$671

Retiree + One

$1,019

$997

$1,114

Retiree + Two or More

$1,221

$1,195

$1,336

Retiree + Spouse*(mp)

$625

$612

$684

Retiree + Spouse*(mp)+Children

$824

$806

$901

Survivor

$613

$600

$671

Survivor + Children

$755

$739

$826

*(mp) = medicare prime

Medicare enrolled *Retirees (generally 65 and older) Allegiance Managed Care

Blue Cross PacificSource Managed Care Managed Care

New West MAP

Retiree Only*

$264

$259

$289

$196

Retiree* + One

$625

$612

$684

na

Retiree* + Two or More

$824

$806

$901

na

Retiree* + Spouse*(mp)

$422

$413

$461

$392

Retiree* + Spouse*(mp)+Children

$579

$567

$633

na

Survivor*

$264

$259

$289

$196

Survivor* + Children

$374

$366

$410

na

*(mp) = medicare prime -6-


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