Benefit Plan Premiums for Retirees and Former Employees

2018 Medical Plan Premiums
(Includes Vision Plan Coverage)
Monthly Premium Annual Premium 3% Discounted Annual Premium
Purdue Health Plan
Retiree Only $653.42 $7,841.04 $7,606.00
Retiree & Children $1,176.11 $14,113.32 $13,690.00
Retiree & Spouse $1,470.09 $17,641.08 $17,112.00
Family $1,992.88 $23,914.56 $23,197.00
Purdue Health Plan Plus HSA 1
(Without HSA)
Retiree Only $576.82 $6,921.84 $6,714.00
Retiree & Children $1,038.25 $12,459.00 $12,085.00
Retiree & Spouse $1,297.73 $15,572.76 $15,106.00
Family $1,759.26 $21,111.12 $20,478.00
Purdue Health Plan Plus HSA 2
(Without HSA)
Retiree Only $519.84 $6,238.08 $6,051.00
Retiree & Children $935.53 $11,226.36 $10,890.00
Retiree & Spouse $1,169.42 $14,033.04 $13,612.00
Family $1,511.13 $18,133.56 $17,590.00
Purdue Health Plan J-1 Visa
(Coverage offered to J-1 Visa holders only.)
Retiree Only $584.46 $7,013.52 $6,803.00
Retiree & Children $1,052.13 $12,625.56 $12,247.00
Retiree & Spouse $1,315.15 $15,781.80 $15,308.00
Family $1,782.82 $21,393.84 $20,752.00


2017 Medical Plan Premiums
(Includes Vision Plan Coverage)
Monthly Premium Annual Premium 3% Discounted Annual Premium
Purdue Health Plan
Retiree Only $610.67 $7,328.00 $7,108.00
Retiree & Children $1,099.17 $13,190.00 $12,794.00
Retiree & Spouse $1,373.92 $16,487.00 $15,992.00
Family $1,862.50 $22,350.00 $21,680.00
Purdue Health Plan Plus HSA 1
(Without HSA)
Retiree Only $539.08 $6,469.00 $6,275.00
Retiree & Children $970.33 $11,644.00 $11,295.00
Retiree & Spouse $1,212.83 $14,554.00 $14,117.00
Family $1,644.17  $19,730.00  $19,138.00
Purdue Health Plan Plus HSA 2
(Without HSA)
Retiree Only $485.83 $5,830.00 $ 5,655.00
Retiree & Children $874.33 $10,492.00 $10,177.00
Retiree & Spouse $1,092.92 $13,115.00 $12,722.00
Family $1,481.50 $17,778.00 $ 17,245.00
Purdue Health Plan J-1 Visa
(Coverage offered to J-1 Visa holders only.)
No plans available


Dental Plan
2017 and 2018 Dental Plan Premiums Monthly Premium Annual Premium
Preventive Only
Retiree Only $0 $0
Retiree & Children $0 $0
Retiree & Spouse $0 $0
Family $0 $0
Anthem Dental Plan Option 1
(Point-of-Service)
Retiree Only $18.54 $222.48
Retiree & Children $46.08 $552.96
Retiree & Spouse $37.71 $452.52
Family $70.25 $843.00
Anthem Dental Plan Option 2
(Standard)
Retiree Only $7.59 $91.08
Retiree Children $17.84 $214.08
Retiree & Spouse $15.53 $186.36
Family $27.97 $335.64
2018 Medical Plan Premiums Monthly Premium
PURcare $282.73/member

$188.61/member for members with VA or Tricare Rx coverage

Medicare Advantage PPO 208.49/member


2017 Medical Plan Premiums Monthly Premium
PURcare $263.85/member

$193.70/member for members with VA or Tricare Rx coverage

Medicare Advantage PPO 208.49/member


Coverage Level Premium Admin Fee Total Monthly Fee
Retiree $14.51 * Additional $2.25 per application for ACH Billing $16.76
* Additional $2.75 per application for Paper Check $17.26
Retiree + 1 $29.02 * Additional $2.25 per application for ACH Billing $31.27
* Additional $2.75 per application for Paper Check $31.77
Retiree + 2 $43.53 * Additional $2.25 per application for ACH Billing $45.78
* Additional $2.75 per application for Paper Check $46.28
* Please note when utilizing ACH billing you can receive a discounted admin fee.
* Any additional dependents will be $14.51 per dependent.
Medical Plan
2018 Medical Plan Premiums
(Includes Vision Plan Coverage)
Monthly Premium Annual Premium
Purdue Health Plan
Participant Only $69.25 $831.00
Participant & Children $124.75 $1,497.00
Participant & Spouse $262.25 $3,147.00
Family $355.50 $4,266.00
Purdue Health Plan Plus HSA 1
(Without HSA)
Participant Only $16.50 $198.00
Participant & Children $29.75 $357.00
Participant & Spouse $82.58 $991.00
Family $111.83 $1,342.00
Purdue Health Plan Plus HSA 2
(Without HSA)
Participant Only $0.00 $0.00
Participant & Children $3.42 $41.00
Participant & Spouse $18.92 $227.00
Family $22.42 $269.00
Purdue Health Plan J-1 Visa
(Coverage offered to J-1 Visa holders only.)
Participant Only $16.50 $198.00
Participant & Children $29.75 $357.00
Participant & Spouse $82.58 $991.00
Family $111.83 $1,342.00


2017 Medical Plan Premiums
(Includes Vision Plan Coverage)
Monthly Premium Annual Premium
Purdue Health Plan
Participant Only $64.75 $777.00
Participant & Children $116.58 $1,399.00
Participant & Spouse $245.08 $2,941.00
Family $332.25 $3,987.00
Purdue Health Plan Plus HSA 1
(Without HSA)
Participant Only $15.42 $185.00
Participant & Children $27.83 $334.00
Participant & Spouse $77.17 $926.00
Family $104.50 $1,254.00
Purdue Health Plan Plus HSA 2
(Without HSA)
Participant Only $0.00 $0.00
Participant & Children $3.17 $38.00
Participant & Spouse $17.67 $212.00
Family $20.92 $251.00
Purdue Health Plan J-1 Visa
(Coverage offered to J-1 Visa holders only.)
Participant Only $15.42 $185.00
Participant & Children $27.83 $334.00
Participant & Spouse $77.17 $926.00
Family $104.50 $1,254.00

Dental Plan

2017 and 2018 Dental Plan Premiums Monthly Premium Annual Premium
Preventive Only
Retiree Only $0 $0
Retiree & Children $0 $0
Retiree & Spouse $0 $0
Family $0 $0
Anthem Dental Plan Option 1
(Point-of-Service)
Retiree Only $18.54 $222.48
Retiree & Children $46.08 $552.96
Retiree & Spouse $37.71 $452.52
Family $70.25 $843.00
Anthem Dental Plan Option 2
(Standard)
Retiree Only $7.59 $91.08
Retiree Children $17.84 $214.08
Retiree & Spouse $15.53 $186.36
Family $27.97 $335.64
2018 Medical Plan Premiums
(Includes Vision Plan Coverage)
Monthly Premium Annual Premium
Purdue Health Plan
Participant Only $666.49 $7,997.88
Participant & Children $1,199.63 $14,395.56
Participant & Spouse $1,499.49 $17,993.88
Family $2,032.74 $24,392.88
Purdue Health Plan Plus HSA 1
(Without HSA)
Participant Only $588.36 $7,060.32
Participant & Children $1,059.02 $12,708.24
Participant & Spouse $1,323.68 $15,884.16
Family $1,794.45 $21,533.40
Purdue Health Plan Plus HSA 2
(Without HSA)
Participant Only $530.24 $6,362.88
Participant & Children $954.24 $11,450.88
Participant & Spouse $1,192.81 $14,313.72
Family $1,541.35 $18,496.20
Purdue Health Plan J-1 Visa
(Coverage offered to J-1 Visa holders only.)
Participant Only $596.15 $7,153.80
Participant & Children $1,073.17 $12,878.04
Participant & Spouse $1,341.45 $16,097.40
Family $1,818.48 $21,821.76


2017 Medical Plan Premiums
(Includes Vision Plan Coverage)
Monthly Premium Annual Premium
Purdue Health Plan
Participant Only $622.92 $7,475.00
Participant & Children $1,121.17 $13,454.00
Participant & Spouse $1,401.42 $16,817.00
Family $1,899.75 $22,797.00
Purdue Health Plan Plus HSA 1
(Without HSA)
Participant Only $549.83 $6,598.00
Participant & Children $989.75 $11,877.00
Participant & Spouse $1,237.08 $14,845.00
Family $1,677.08 $20,125.00
Purdue Health Plan Plus HSA 2
(Without HSA)
Participant Only $495.58 $5,947.00
Participant & Children $891.83 $10,702.00
Participant & Spouse $1,114.75 $13,377.00
Family $1,511.17 $18,134.00
Purdue Health Plan J-1 Visa
(Coverage offered to J-1 Visa holders only.)
Participant Only $557.00 $6,684.00
Participant & Children $1,003.00 $12,036.00
Participant & Spouse $1,254.00 $15,048.00
Family $1,700.00 $20,400.00
Center for Healthy Living
2018 Center for Healthy Living Plan Premiums Monthly Premium Annual Premium
Participant Only $12.17 $146.04
Participant & Children $21.90 $262.80
Participant & Spouse $27.38 $328.56
Family $37.12 $445.44


2017 Center for Healthy Living Plan Premiums Monthly Premium Annual Premium
Participant Only $11.40 $137.00
Participant & Children $20.52 $246.00
Participant & Spouse $25.65 $ 308.00
Family $34.78 $ 417.00
Vision Plan
2018 Vision Only Plan Premiums Monthly Premium Annual Premium
Participant Only $6.84 $82.08
Participant & Children $13.23 $158.76
Participant & Spouse $12.40 $148.80
Family $20.02 $240.24


2017 Vision Only Plan Premiums Monthly Premium Annual Premium
Participant Only $6.65 $80.00
Participant & Children $12.84 $154.00
Participant & Spouse $12.05 $145.00
Family $19.44 $233.00

** NOTES: Dependent Eligibility rules apply to all plans. Tobacco-User Additional Premium of $500/person/year for retiree/participant and/or spouse not included in medical plans listed above.

Purdue University Retirees Association

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