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Health Insurance Available via Perry Chamber
Excellus Health - Rochester Blue Cross Blue Shield
- Rates Increase in January - Open Enrollment Month
- Effective January 1, 2007 to December 31, 2007
- Payments are billed quarterly
- Monthly payments are available with a $15 administration fee ($5 per month)
| PREMIER HEALTH SELECT 001 |
Per Month |
Per Quarter |
Admin Fee |
Total Per Quarter |
| Single |
$353.39 |
$1060.17 |
$13.00 |
1073.171 |
| Two Person |
$724.32 |
$2172.96 |
$13.00 |
$2185.96 |
| Family |
$1096.91 |
$3290.73 |
$13.00 |
$3303.73 |
| Family (No Spouse with 2+ children) |
$706.67 |
$2120.01 |
$13.00 |
$2133.01 |
| ***2 Person = Husband & Wife or Single Parent with 1 Child*** |
| 3-Tier Drug Plan |
CoPay |
$5/$20/$35 |
|
|
| Office Visit |
CoPay |
$15.00 |
|
|
| PREMIER HEALTH SELECT 002 |
Per Month |
Per Quarter |
Admin Fee |
Total Per Quarter |
| Single |
$406.41 |
$1219.23 |
$13.00 |
$1232.23 |
| Two Person |
$832.96 |
$2498.88 |
$13.00 |
$2511.88 |
| Family |
$1261.46 |
$3784.38 |
$13.00 |
$3797.38 |
| Family (No Spouse with 2+ children) |
$812.67 |
$2438.01 |
$13.00 |
$2451.01 |
| ***2 Person = Husband & Wife or Single Parent with 1 Child*** |
| 3-Tier Drug Plan |
CoPay |
$5/$20/$35 |
|
|
| Office Visit |
CoPay |
$15.00 |
|
|
| PREMIER 25 001 |
Per Month |
Per Quarter |
Admin Fee |
Total Per Quarter |
| Single |
$252.21 |
$756.63 |
$13.00 |
$769.63 |
| Two Person |
$565.13 |
$1695.39 |
$13.00 |
$1708.39 |
| Family |
$685.20 |
$2055.60 |
$13.00 |
$2068.60 |
| Family (No Spouse with 2+ children) |
$604.21 |
$1812.63 |
$13.00 |
$1825.63 |
| ***2 Person = Husband & Wife or Single Parent with 1 Child*** |
| 3-Tier Drug Plan |
CoPay |
$10/$25/$40 |
|
|
| Office Visit |
CoPay |
$25/$40 |
|
|
| PREMIER 25 002 |
Per Month |
Per Quarter |
Admin Fee |
Total Per Quarter |
| Single |
$290.03 |
$870.09 |
$13.00 |
$883.09 |
| Two Person |
$649.90 |
$1949.70 |
$13.00 |
$1962.70 |
| Family |
$787.97 |
$2363.91 |
$13.00 |
$2376.91 |
| Family (No Spouse with 2+ children) |
$694.84 |
$2084.52 |
$13.00 |
$2097.52 |
| ***2 Person = Husband & Wife or Single Parent with 1 Child*** |
| 3-Tier Drug Plan |
CoPay |
$10/$25/$40 |
|
|
| Office Visit |
CoPay |
$25/$40 |
|
|
Blue Cross/Blue Shield of WNY (Buffalo)
- Rates Increase in July
- Effective July 1, 2007 - June 30, 2008
- Payments are billed quarterly
| COMMUNITY BLUE 202, 202+ |
Per Month |
Per Quarter |
Admin Fee |
Total Per Quarter |
| Single |
$367.31 |
$1086.93 |
$13.00 |
$1099.93 |
| Family |
$1010.56 |
$3016.68 |
$13.00 |
$3029.68 |
| 3 Tier Drug CoPay |
$10/$20/$40 |
|
|
|
| Office Visit CoPay |
$10.00 |
|
|
|
| COMMUNITY BLUE 102+ |
Per Month |
Per Quarter |
Admin Fee |
Total Per Quarter |
| Single |
$286.41 |
$844.23 |
$13.00 |
$857.23 |
| Family |
$785.58 |
$2341.74 |
$13.00 |
$2354.74 |
| 3 Tier Drug CoPay |
$10/$20/$40 |
|
|
|
| Office Visit CoPay |
$10.00 |
|
|
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| INDEPENDENT HEALTH |
Per Month |
Per Quarter |
Admin Fee |
Total Per Quarter |
| Single |
$323.29 |
$954.87 |
$13.00 |
$967.87 |
| Family |
$869.56 |
$2593.68 |
$13.00 |
$2606.68 |
| 3 Tier Drug CoPay |
$10/$20/$35 |
|
|
|
| Office Visit CoPay |
$10.00 |
|
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