Retiree Premium and Contribution Rates

Below are the 2025 Retiree Premium and Contribution Rates for medical, dental, and vision. 

IMPORTANT: Medical premiums displayed are before the County's contribution. The County contribution for 2025 is $158.00. The County contribution for 2026 is $162.00. 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.

Retiree Plan Rates

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 $799.00 $1,576.00 $2,053.00
Early Retiree Blue Shield Choice PPO $908.00 $1,796.00 $2,340.00
Early Retiree Blue Shield Care PPO $980.00 $1,945.00 $2,536.00
Early Retiree Blue Shield EPO $1,111.00 $2,211.00 $2,890.00
Blue Shield Medicare PPO Rates: When all family members enrolled are on Medicare
Plan and Coverage Tier Premium (Monthly)
Retiree Only $652.32
Retiree + 1 $1,296.32
Retiree + 2 or more (All Medicare) $1,943.32
Blue Shield Medicare PPO Combo Rates: When the Retiree is on Medicare
Plan and Coverage Tier Premium (Monthly)
1 Medicare, 1 non-Medicare $1,540.32
1 Medicare, 2 non-Medicare $2,084.32
2 Medicare, 1 non-Medicare $1,840.32
Blue Shield Medicare PPO Combo Rates: When the Retiree is NOT on Medicare
Plan and Coverage Tier Premium (Monthly)
1 Medicare, 1 Tandem PPO $1,428.32
1 Medicare, 2 Tandem PPO $1,905.32
2 Medicare, 1 Tandem PPO $1,773.32
1 Medicare, 1 Blue Shield Choice $1,540.32
1 Medicare, 2 Blue Shield Choice $2,084.32
2 Medicare, 1 Blue Shield Choice $1,840.32
1 Medicare, 1 Blue Shield Care $1,617.32
1 Medicare, 2 Blue Shield Care $2,208.32
2 Medicare, 1 Blue Shield Care $1,887.32
Blue Shield Medicare EPO Rates: When all family members enrolled are on Medicare
Plan and Coverage Tier Premium (Monthly)
Retiree Only $597.32
Retiree + 1  $1,190.32
Retiree + 2 or more (All Medicare) $1,780.32
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 $1,697.32
1 Medicare, 2 non-Medicare $2,375.32
2 Medicare, 1 non-Medicare $1,868.32
Retiree Dental and Vision Rates
Plan Retiree Only Premium (Monthly) Retiree + 1 Premium (Monthly) Retiree + 2 or more Premium (Monthly)
Aetna Dental $33.00 $54.57 $80.61
VSP Vision $9.54 $14.54 $23.52
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 $911.00 $1,797.00 $2,340.00
Early Retiree Blue Shield Choice PPO $1,035.00 $2,047.00 $2,668.00
Early Retiree Blue Shield Care PPO $1,117.00 $2,217.00 $2,891.00
Early Retiree Blue Shield EPO $1,267.00 $2,521.00 $3,295.00
Blue Shield Medicare PPO Rates: When all family members enrolled are on Medicare
Plan and Coverage Tier Premium (Monthly)
Retiree Only $742.32
Retiree + 1 $1,477.32
Retiree + 2 or more (All Medicare) $2,214.32
Blue Shield Medicare PPO Combo Rates: When the Retiree is on Medicare
Plan and Coverage Tier Premium (Monthly)
1 Medicare, 1 non-Medicare $1,754.32
1 Medicare, 2 non-Medicare $2,375.32
2 Medicare, 1 non-Medicare $2,098.32
Blue Shield Medicare PPO Combo Rates: When the Retiree is NOT on Medicare
Plan and Coverage Tier Premium (Monthly)
1 Medicare, 1 Tandem PPO $1,628.32
1 Medicare, 2 Tandem PPO $2,171.32
2 Medicare, 1 Tandem PPO $2,020.32
1 Medicare, 1 Blue Shield Choice $1,754.32
1 Medicare, 2 Blue Shield Choice $2,375.32
2 Medicare, 1 Blue Shield Choice $2,098.32
1 Medicare, 1 Blue Shield Care $1,842.32
1 Medicare, 2 Blue Shield Care $2,516.32
2 Medicare, 1 Blue Shield Care $2,151.32
Blue Shield Medicare EPO Rates: When all family members enrolled are on Medicare
Plan and Coverage Tier Premium (Monthly)
Retiree Only $680.32
Retiree + 1  $1,356.32
Retiree + 2 or more (All Medicare) $2,028.32
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 $1,934.32
1 Medicare, 2 non-Medicare $2,708.32
2 Medicare, 1 non-Medicare $2,130.32
Retiree Dental and Vision Rates
Plan Retiree Only Premium (Monthly) Retiree + 1 Premium (Monthly) Retiree + 2 or more Premium (Monthly)
Aetna Dental $33.79 $55.88 $82.54
VSP Vision $9.54 $14.54 $23.52