AlaskaCare Premiums

2015 Premiums Effective 1/12015 through 12/31/2015

Medical
Option Monthly cost
Premium Plan for Employee and Family $2,155
Standard Plan for Employee and Family $1,515
Economy Plan for Employee and Family $1,335
Dental
Option Monthly cost for Employee and Family Individual Annual Maximum Individual Orthodontia Life Maximum
Standard Plan $115 $1500 $1000
Preventive Plan $36 $500 N/A
Vision
Option Monthly cost for Employee and Family
No Coverage $0
Managed Care Plan $28
HFSA
Minimum Monthly Amount $20
Maximum Monthly Amount $208
COBRA
Plan Rate
Premium Medical Plan $3,964.74
Standard Medical Plan $1,944.12
Economy Medical Plan $1,010.82
Standard Dental Plan $128.52
Preventive Dental Plan $32.64
Managed Vision Plan $25.50