2017 Monthly Medical Coverage Premiums for Retirees and Former Employees

For Retirees and/or Eligible Dependents Under Age 65 (Non-Medicare Eligible)

Medical Coverage Purdue Health Plan Purdue Health Plan
No HSA 1
Purdue Health Plan
No HSA 2
Retiree Only $610.67 $539.08 $485.83
Retiree & Children $1,099.17 $970.33 $874.33
Retiree &
Spouse
$1,373.92 $1,212.83 $1,092.92
Retiree & Family $1,862.50 $1,644.17 $1,481.50

• 3% discount for annual payment

For Long Term Disability Participant and Covered Family Members**

Medical Coverage Purdue Health Plan Purdue Health Plan
No HSA 1
Purdue Health Plan
No HSA 2
Participant Only $64.75 $15.42 $ 0
Participant & Children $116.58 $27.83 $3.17
Participant &
Spouse
$245.08 $77.17 $17.67
Participant & Family $332.25 $104.50 $20.92


For COBRA Participant and Covered Family Members**

Medical Coverage Purdue Health Plan Purdue Health Plan
No HSA 1
Purdue Health Plan
No HSA 2
Purdue Health Plan J-1 Visa
(Coverage offered to J-1 Visa holders only.)
Participant Only $622.92 $549.83 $495.58 $557.00
Participant & Children $1,121.17 $989.75 $891.83 $1,003
Participant &
Spouse
$1,140.42 $1,237.08 $1,114.75 $1,254
Participant & Family $1,899.75 $1,677.08 $1,511.17 $1,700


Center For Healthy Living
Participant Only $11.42
Participant & Children $20.50
Participant & Spouse $25.67
Participant & Family $34.75


Vision Coverage  
Participant Only $6.67
Participant & Children $12.83
Participant & Spouse $12.08
Participant & Family $19.42


Applies to all charts above:

** Dependent Eligibility rules apply
NOTE: Tobacco-User Additional Premium of $500/person/year for retiree/participant
and/or spouse not included above.

 

Purdue University Retirees Association

Purdue University, 610 Purdue Mall, West Lafayette, IN 47907, (765) 494-4600

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