Benetech

RENSSELAER COUNTY HEALTH INSURANCE COSTS:  JANUARY 1, 2021

EMPLOYEES HIRED PRIOR TO 9/28/2006

Full Monthly Premium Rates

CoverageNYSHIP Empire PlanCDPHP HMOMVP HMO
Empire Blue Cross EPO
Single$1,078.01$838.65$868.52$1,168.77
Two Person$2,460.20$1,678.98$1,998.33$2,280.94
Family$2,460.20$2,180.29$2,128.15$3,388.50
*** Full-Time Employee Bi-Weekly Share of Premium Cost at 20% ***

CoverageNYSHIP Empire PlanCDPHP HMOMVP HMO
Empire Blue Cross EPO
Single$99.51$77.41$80.17$107.89
Two Person$227.10$154.98$184.46$210.55
Family$227.10$201.26$196.44$312.78

If you have family Dental Coverage the bi-weekly cost will be $24.86 for 2021.  There is no payroll deduction for individual dental coverage.

Employee Annual Share of Premium Cost at 20%

CoverageNYSHIP Empire PlanCDPHP HMOMVP HMO
Empire Blue Cross EPO
Single$2,587.22$2012.76$2,084.45$2,805.05
Two Person$5,904.48$4029.55$4,795.99$5,474.26
Family$5,904.48$5,232.70$5,107.56$8,132.40
Plan Benefit Highlights

CoverageNYSHIP Empire PlanCDPHP HMOMVP HMOEmpire Blue Cross EPO
In Network




Doctor Co-Pay
$25.00$25.00$25.00$25.00
Specialist Co-Pay$25.00$25.00$40.00$25.00
 Drug Co-Pay
 $5G/$30B/$60NF $10G/$25B/$40NF $10G/$30B/$50NF $10G/$25B/$50NF
 Inpatient Co-Pay
 $0 $0$500 $100
 Out of Network
 Deductible$1,250.00 NA
NANA
 Coinsurance20% NANANA
 Inpatient Co-Pay
10% $0 $500$0

*The payroll deduction for family dental will be $24.86 for 2021.  There is no payroll deduction for individual dental coverage.*


NOTE:  The employee share listed above is for full-time employees.  If you are not a full-time employee, the health insurance coverage will cost you more, depending upon the number of hours worked per week.

Plan information, including summaries of benefits and coverage (SBC) and links to health plan websites, can be found here.

**ANY PAYROLL DEDUCTIONS THAT ARE REQUIRED FOR ANY COVERAGE YOU ELECT WILL COME OUT OF YOUR PAYCHECK THE PAY-PERIOD BEFORE THE COVERAGE IS EFFECTIVE.