Rates Effective January 2024
CIGNA POS Medical 2024 Rates - Tier 1
CIGNA POS Rates - Tier 1
Coverage Type | Monthly Rate | Quarterly Rate |
Covered by Employment | N/A | $300.00 |
One Dep | $1,124.39 | $3,373.17 |
Two or More Deps | $1,820.45 | $5,461.35 |
Self-pay Ee Only | $1,238.46 | $3,715.38 |
Self-pay Ee+1Dep | $2,465.82 | $7,397.46 |
Self-pay Ee+2 or More Deps | $3,225.60 | $9,676.80 |
Self-pay 2 Ee’s Covered by Employment + 1 Dep | $680.05 | $2,040.15 |
Self-pay for 2 Ee’s Covered by Employment + 2 or More Deps | $1,020.07 | $3,060.21 |
Self-pay Ee Medicare | $619.48 | $1,858.44 |
Self-pay Ee & Dep Medicare | $1,220.81 | $3,662.43 |
Self-pay Ee Medicare, Dep Not | N/A | N/A |
Self-pay Dep Medicare, Ee Not | N/A | N/A |
CIGNA POS Medical 2024 Rates - Tier 2
CIGNA POS Rates - Tier 2
Coverage Type | Monthly Rate | Quarterly Rate |
Covered by Employment | N/A | $300.00 |
One Dep | $1,052.73 | $3,158.19 |
Two or More Deps | $1,704.43 | $5,113.29 |
Self-pay Ee Only | $1,163.42 | $3,490.26 |
Self-pay Ee+1Dep | $2,312.00 | $6,936.00 |
Self-pay Ee+2 or More Deps | $3,023.00 | $9,069.00 |
Self-pay 2 Ee’s Covered by Employment + 1 Dep | $632.27 | $1,896.81 |
Self-pay for 2 Ee’s Covered by Employment + 2 or More Deps | $948.41 | $2,845.23 |
Self-pay Ee Medicare | $619.48 | $1,858.44 |
Self-pay Ee & Dep Medicare | $1,220.81 | $3,662.43 |
Self-pay Ee Medicare, Dep Not | N/A | N/A |
Self-pay Dep Medicare, Ee Not | N/A | N/A |
HMO Medical 2024 Rates
HIP – Rates Pertain to Tier 1 Coverage
Coverage Type | Monthly Rate | Quarterly Rate |
Covered by Employment | N/A | $300.00 |
One Dep | $1,040.54 | $3,121.62 |
Two or More Deps | $2,400.03 | $7,200.09 |
Self-pay Ee Only | $1,258.86 | $3,776.58 |
Self-pay Ee+1Dep | $2,299.41 | $6,898.23 |
Self-pay Ee+2 or More Deps | $3,658.89 | $10,976.67 |
Self-pay Ee Medicare | $673.80 | $2,021.40 |
Self-pay Ee & Dep Medicare | $1,347.78 | $4,043.34 |
HIP – Rates Pertain to Tier 2 Coverage
Coverage Type | Monthly Rate | Quarterly Rate |
Covered by Employment | N/A | $300.00 |
One Dep | $973.22 | $2,919.66 |
Two or More Deps | $2,244.57 | $6,733.71 |
Self-pay Ee Only | $1,177.37 | $3,532.11 |
Self-pay Ee+1Dep | $2,150.59 | $6,451.77 |
Self-pay Ee+2 or More Deps | $3,421.94 | $10,265.82 |
Self-pay Ee Medicare | $673.80 | $2,021.40 |
Self-pay Ee & Dep Medicare | $1,347.78 | $4,043.34 |
Kaiser SCA – Rates Pertain to All Two Tiers of Coverage
Coverage Type | Monthly Rate | Quarterly Rate |
Covered by Employment | N/A | $300.00 |
One Dep | $714.99 | $2,144.97 |
Two or More Deps | $1,307.71 | $3,923.13 |
Self-pay Ee Only | $714.81 | $2,144.43 |
Self-pay Ee+1Dep | $1,429.80 | $4,289.40 |
Self-pay Ee+2 or More Deps | $2,022.52 | $6,067.56 |
Self-pay Ee Medicare | $229.54 | $688.62 |
Self-pay Ee & Dep Medicare | $459.26 | $1,377.78 |
Kaiser NCA - Rates Pertain to All Two Tiers of Coverage
Coverage Type | Monthly Rate | Quarterly Rate |
Covered by Employment | N/A | $300.00 |
One Dep | $1,076.96 | $3,230.88 |
Two or More Deps | $1,970.13 | $5,910.39 |
Self-pay Ee Only | $1,076.80 | $3,230.40 |
Self-pay Ee+1Dep | $2,153.76 | $6,461.28 |
Self-pay Ee+2 or More Deps | $3,046.93 | $9,140.79 |
Self-pay Ee Medicare | $347.32 | $1,041.96 |
Self-pay Ee & Dep Medicare | $694.81 | $2,084.43 |
Kaiser DC – Mid-Atlantic - Rates Pertain to All two Tiers of Coverage
Coverage Type | Monthly Rate | Quarterly Rate |
Covered by Employment | N/A | $300.00 |
One Dep | $976.52 | $2,929.56 |
Two or More Deps | $1,854.34 | $5,563.02 |
Self-pay Ee Only | $976.35 | $2,929.05 |
Self-pay Ee+1Dep | $1,952.87 | $5,858.61 |
Self-pay Ee+2 or More Deps | $2,830.69 | $8,492.07 |
PPO Dental 2024 Rates
PPO Dental Rates
Coverage Type | Monthly Rate | Quarterly Rate |
Single | $60.65 | $181.95 |
Participant + 1 Dependent | $120.76 | $362.28 |
Participant + 2 or more Dependents | $179.60 | $538.80 |
DHMO Dental 2024 Rates
DHMO Dental Rates
Coverage Type | Monthly Rate | Quarterly Rate |
Single | $31.46 | $94.38 |
Participant + 1 Dependent | $50.89 | $152.67 |
Participant + 2 or more Dependents | $89.09 | $267.27 |