Monthly Premium Rates for Participating Agencies (PAs) and Participating Employers (PEs)
PA Rates
PLAN PRIME
- Individual Coverage: $1,611.46
- Family Coverage: $3,663.79
Plan Prime rates apply to active employees and retirees who are not Medicare-primary.
MEDIPRIME
- Individual Coverage (one Medicare-primary individual): $596.38
- Family Coverage (one Medicare-primary individual): $2,261.97
- Family Coverage (two or more Medicare-primary individuals): $1,633.33
PE Rates
Individual Coverage: $1,194.83
Family Coverage: $3,067.83
Employer Contribution and Medicare Reimbursement
Employers are required by the New York State Civil Service Law to reimburse Medicare-primary enrollees and their enrolled Medicare-primary dependents for their cost of the Medicare Part B premium.
Employers are required to contribute a minimum of 50% of the cost for individual coverage and 35% of the cost for dependent coverage (i.e., the difference between the Family premium and the Individual premium). Family coverage under NYSHIP is for two or more covered members.