As a reminder, all medical rates are reducing on July 1, 2019 due to an issue that BCBSM identified with the 2019 renewal rates. Participants in the HCTC AMP program, the IRS will process the rate changes and then send you a new acceptance letter confirming the new rates soon. Please DO NOT send payment before June 24, 2019 for July. Beginning July 1, please also ensure that you are paying the corrected rates. If you happen to pay at the old rates by mistake, your coverage will not be impacted and overpayment will be refunded by the IRS if the difference is over $1. If you pay BCBSM directly, the new amounts will be reflected in your invoice. This change does not impact any dental or vision rates. For members that have auto payments set up directly with BCBSM, they will automatically adjust the payment amount for you. However, if you have “auto draft” or bill pay set up directly with your bank, where the bank sends the funds to BCBSM automatically, you will need to change the amount directly with your bank.

Please see below or the DSRA_2019 Guide to Benefits Booklet – Pre-65 at www.dsrabenefittrust.net for the new rates.

 

HCTC AMP Eligible Retirees Under Age 65

GOLD

Medical / Dental / Vision *

(-) 72.5% HCTC Subsidy

27.5% Member Cost

Single

$1,379.53

$1,000.16

$379.37

Two-Person

$3,282.31

$2,379.67

$902.64

Family

$4,173.38

$3,025.70

$1,147.68

SILVER

Medical / Dental / Vision

(-) 72.5% HCTC Subsidy

27.5% Member Cost

Single

$1,166.73

$845.88

$320.85

Two-Person

$2,771.61

$2,009.42

$762.19

Family

$3,535.00

$2,562.87

$972.13

BRONZE

Medical / Dental / Vision

(-) 72.5% HCTC Subsidy

27.5% Member Cost

Single

$911.24

$660.65

$250.59

Two-Person

$2,158.41

$1,564.85

$593.56

Family

$2,768.51

$2,007.17

$761.34

COPPER

Medical / Dental / Vision

(-) 72.5% HCTC Subsidy

27.5% Member Cost

Single

$794.64

$576.11

$218.53

Two-Person

$1,878.59

$1,361.98

$516.61

Family

$2,418.72

$1,753.57

$665.15

 

 

NON-HCTC AMP ELIGIBLE RETIREES UNDER AGE 65

GOLD

Medical / Dental / Vision *

     

 

Single

$1,379.53

     

 

Two-Person

$3,282.31

     

 

Family

$4,173.38

     

 

SILVER

Medical / Dental / Vision

Medical / Dental

Medical / Vision

 Medical Only

 

Single

$1,166.73

$1,161.62

$1,100.41

$1,095.30

 

Two-Person

$2,771.61

$2,761.38

$2,638.97

$2,628.74

 

Family

$3,535.00

$3,518.03

$3,302.89

$3,285.92

 

BRONZE

Medical / Dental / Vision

Medical / Dental

Medical / Vision

Medical Only

 

Single

$911.24

$906.13

$844.92

$839.81

 

Two-Person

$2,158.41

$2,148.18

$2,025.77

$2,015.54

 

Family

$2,768.51

$2,751.54

$2,536.39

$2,519.43

 

COPPER

Medical / Dental / Vision

Medical / Dental

Medical / Vision

Medical Only

 

Single

$794.64

$789.53

$728.32

$723.21

 

Two-Person

$1,878.59

$1,868.36

$1,745.95

$1,735.72

 

Family

$2,418.72

$2,401.75

$2,186.61

$2,169.64

 

* All GOLD Plans include Medical, Dental and Vision Coverage

 


MEDICARE DISABLED RETIREES OR ELIGIBLE DEPENDENTS UNDER AGE 65

SILVER

Medical / Dental / Vision

 Medical / Dental

Medical / Vision

 Medical Only

Single

$1,708.44

$1,704.31

$1,646.45

$1,642.32

Two-Person

$3,416.88

$3,408.62

$3,292.90

$3,284.64

 

QUESTIONS

If you have questions about the benefit plans or the rate change, please contact BCBSM – our pre-65 plan administrator – at 1-877-354-2583.

 

On behalf of the DSRA Benefit Trust Committee, we thank you for your participation in the DSRA Benefit Trust benefit plans and your ongoing support. We appreciate the opportunity to continue to serve you!

-----

DSRA-Benefit Trust Board of Directors

 

Go to top