Retiree Premium and Contribution Rates

Below are the 2024 Retiree Premium and Contribution Rates for medical, dental, and vision. 

IMPORTANT: Medical premiums displayed are before the County's contribution. The County contribution for 2024 is $157.00. You must be enrolled in a County medical plan to receive the County contribution.

Pay close attention to the different plans as they vary depending on whether or not you and/or your dependent(s) are on Medicare.

Panels

Early Retiree Non-Medicare Rates: Applicable when both the retiree and dependent(s) are all under age 65
Plan Name Retiree Only Premium (Monthly) Retiree + 1 Premium (Monthly) Retiree + 2 or more Premium (Monthly)
Early Retiree Blue Shield Tandem PPO $766.00 $1,510.00 $1,967.00
Early Retiree Blue Shield Choice PPO $870.00 $1,721.00 $2,242.00
Early Retiree Blue Shield Care PPO $939.00 $1,864.00 $2,430.00
Early Retiree Blue Shield EPO $1,065.00 $2,119.00 $2,769.00
Blue Shield Medicare PPO Rates: When all family members enrolled are on Medicare
Plan and Coverage Tier Premium (Monthly)
Retiree Only $621.45
Retiree + 1 $1,238.45
Retiree + 2 or more (All Medicare) $1,858.45
Blue Shield Medicare PPO Combo Rates: When the Retiree is on Medicare
Plan and Coverage Tier Premium (Monthly)
1 Medicare, 1 non-Medicare $1,472.45
1 Medicare, 2 non-Medicare $1,993.45
2 Medicare, 1 non-Medicare $1,759.45
Blue Shield Medicare PPO Combo Rates: When the Retiree is NOT on Medicare
Plan and Coverage Tier Premium (Monthly)
1 Medicare, 1 Tandem PPO $1,365.45
1 Medicare, 2 Tandem PPO $1,822.45
2 Medicare, 1 Tandem PPO $1,695.45
1 Medicare, 1 Blue Shield Choice $1,472.45
1 Medicare, 2 Blue Shield Choice $1,993.45
2 Medicare, 1 Blue Shield Choice $1,759.45
1 Medicare, 1 Blue Shield Care $1,546.45
1 Medicare, 2 Blue Shield Care $2,112.45
2 Medicare, 1 Blue Shield Care $1,804.45
Blue Shield Medicare EPO Rates: When all family members enrolled are on Medicare
Plan and Coverage Tier Premium (Monthly)
Retiree Only $568.45
Retiree + 1  $1,136.45
Retiree + 2 or more (All Medicare) $1,702.45
Blue Shield Medicare EPO Combo Rates: When at least one person enrolled is NOT on Medicare
Plan and Coverage Tier Premium (Monthly)
1 Medicare, 1 non-Medicare $1,622.45
1 Medicare, 2 non-Medicare $2,272.45
2 Medicare, 1 non-Medicare $1,786.45
Retiree Dental and Vision Rates
Plan Retiree Only Premium (Monthly) Retiree + 1 Premium (Monthly) Retiree + 2 or more Premium (Monthly)
Aetna Dental $31.88 $52.72 $77.88
VSP Vision $9.54 $14.54 $23.52