Young Adult Option Coverage for Employees and Retirees of New York State Agencies

Monthly Young Adult Rates

For young adult children of Active and Retired Employees of the State of New York.

Code Plan Monthly Young Adult Rates
001 The Empire Plan 722.61
066 Blue Choice 624.49
067 BlueCross BlueShield of Western New York 654.01
063 Capital District Physicians’ Health Plan (CDPHP) 682.07
300 Capital District Physicians’ Health Plan (CDPHP) 759.19
310 Capital District Physicians' Health Plan (CDPHP) 887.04
280 Empire BlueCross BlueShield HMO (Upstate) 940.47
290 Empire BlueCross BlueShield HMO (Downstate) 1171.86
320 Empire BlueCross BlueShield HMO (Mid-Hudson) 1148.42
050 HIP Health Plan of New York (Downstate) 832.18
220 HIP Health Plan of New York (Capital) 873.79
350 HIP Health Plan of New York (Hudson Valley) 873.79
072 HMOBlue Excellus BlueCross BlueShield (Central New York Region) 780.57
160 HMOBlue Excellus BlueCross BlueShield (Utica Region) 820.50
059 Independent Health 657.76
058 MVP Health Care (Rochester) 662.88
060 MVP Health Care (East) 686.63
330 MVP Health Care (Central) 762.72
340 MVP Health Care (Mid-Hudson) 772.61
360 MVP Health Care (North) 930.34