Overview
The charts below list the amount you will pay on bi-weekly basis for your medical, dental, and vision coverage. It’s important to review your options and costs, and choose the coverage that’s right for you.
2023 Medical Contributions (Bi-Weekly)
| Enrollment Tier | PPO Aetna | CDHP Aetna | CA HMO Aetna | MA HMO Tufts Health Plan |
|---|---|---|---|---|
| Employee Only | $50.68 | $15.12 | $48.59 | $48.59 |
| Employee + Spouse/DP* | $121.63 | $62.42 | $118.75 | $118.75 |
| Employee + Child(ren) | $104.51 | $47.87 | $99.56 | $99.56 |
| Family | $173.45 | $118.60 | $167.63 | $167.63 |
2023 Dental and Vision Plan Contributions (Bi-Weekly)
| Enrollment Tier | PPO Dental Cigna | Vision Plan VSP |
|---|---|---|
| Employee Only | $2.88 | $1.21 |
| Employee + Spouse/DP* | $8.75 | $2.63 |
| Employee + Child(ren) | $10.87 | $2.81 |
| Family | $18.94 | $4.39 |
*Domestic partner premiums are subject to pre- and post-tax costs and includes imputed income.