2008 Medicare Retiree Monthly Rates (effective January 1 - December 31, 2008)

Medical rates (with Medicare)

  1. To qualify for the Medicare rate, you must be enrolled in both Parts A and B of Medicare.
  2. Medicare-enrolled enrollees in Group Health Cooperative's Medicare Advantage plan, Kaiser Permanente Senior Advantage, and Secure Horizons plans must agree to and sign the Medicare Advantage Plan Election form to qualify for the lower Medicare rate. For more information on these requirements, please contact your health plan's customer service department.

    Medicare rates shown below have been reduced by the state-funded contribution of up to $164.08 per retiree per month.

Medical Plans Retiree Retiree & Spouse or QDP Retiree &
Child(ren)		 Full Family
Number eligible for Medicare
1 2 1 2 1 2 3
Aetna Public Employees Plan $232.62 $705.50 $453.80 $587.28 $453.80 $1,060.16 $808.46 $674.98
Group Health Classic 161.28 604.73 311.12 493.87 311.12 937.32 643.71 460.96
Group Health Value 143.32 532.07 275.20 434.88 275.20 823.63 566.76 407.08
Kaiser Permanente Classic 173.29 643.72 335.14 526.11 335.14 996.54 687.96 496.99
Kaiser Permanente Value 139.84 567.55 268.24 460.62 268.24 888.33 589.02 396.64
Secure Horizons Classic* 199.98 388.52 388.52 577.06
Secure Horizons Value* 147.22 283.00 283.00 418.76
Uniform Medical Plan 173.63 570.95 335.82 471.62 335.82 868.94 633.81 498.01
*The retiree and his or her enrolled dependents must be enrolled in Medicare Parts A and B to enroll in Secure Horizons.

Rates for Medicare supplement plans (administered by Premera Blue Cross)

Medical Plans Retiree Retiree &
Spouse or QDP		 Retiree &
Child(ren)		 Full Family
Number eligible for Medicare (*and disabled)
1 2 / 1* 2 1 1 2 / 1* 3
Plan E Retired $ 77.56 $474.88 $189.96 $143.68 $375.55 $772.87 $487.95 $441.67
Plan E Disabled 123.84 521.16 189.96 236.24 421.83 819.15 487.95 534.23
Plan J Retired without Rx 101.33 498.65 254.14 191.22 399.32 796.64 552.13 489.21
Plan J Disabled without Rx 164.25 561.57 254.14 317.06 462.24 859.56 552.13 615.05
Plan J Retired with Rx** 144.93 542.25 434.71 278.42 442.92 840.24 732.70 576.41
Plan J Disabled with Rx** 301.22 698.54 434.71 591.00 599.21 996.53 732.70 888.99

If a Medicare supplement plan is selected, non-Medicare eligible dependents are enrolled in the Uniform Medical Plan. The rates shown reflect the total rate due, including both the Medicare supplement and UMP premiums.

** Plan J with Rx is no longer offered to new enrollees.

Dental rates

Dental Plans Subscriber Subscriber & Spouse or QDP Subscriber &
Child(ren)		 Full Family
DeltaCare, administered by Washington Dental Service $35.19 $70.38 $70.38 $105.57
Uniform Dental Plan 40.01 80.02 80.02 120.03
Willamette Dental of Washington, Inc. 40.97 81.94 81.94 122.91