Monthly Young Adult Rates

A: For young adult children of Retirees, Vestees and Dependent Survivors of the State of New York (regardless of representation when employed).

B: For young adult children of employees of the State of New York Executive Branch who are Management/Confidential, employees of the Legislature, employees of the Unified Court System (UCS), APSU employees represented by PBANYS and employees represented by CSEA, Council 82, NYSCOPBA, PEF and for employees represented by UUP including employees in lifeguard titles.

C: For young adult children of employees of the State of New York Executive Branch who are represented by District Council 37 (DC-37), Police Benevolent Association (PBA) (Supervisors or Troopers) and Police Investigators Association (PIA).

Code Plan Monthly NY Young Adult Rates
001 The Empire Plan A: 617.51
B: 617.51
C: 626.81
210 Aetna
904.73
066 Blue Choice 517.64
067 BlueCross BlueShield of Western New York 593.28
063 Capital District Physicians’ Health Plan (CDPHP) 567.45
300 Capital District Physicians’ Health Plan (CDPHP) 656.28
310 Capital District Physicians’ Health Plan (CDPHP) 670.46
280 Empire BlueCross BlueShield HMO (Upstate) 761.64
290 Empire BlueCross BlueShield HMO (Downstate) 924.42
320 Empire BlueCross BlueShield HMO (Mid-Hudson) 905.47
220 GHI HMO 774.25
350 GHI HMO 830.63
050 HIP Health Plan of New York 664.23
072 HMOBlue Excellus BlueCross BlueShield (Central New York Region) 850.23
160 HMOBlue Excellus BlueCross BlueShield (Utica Region) 850.01
059 Independent Health 622.95
058 MVP Health Care (Rochester) 511.29
060 MVP Health Care (East) 549.66
330 MVP Health Care (Central) 613.95
340 MVP Health Care (Mid-Hudson) 590.32
360 MVP Health Care (North) 729.32