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 For employees of the State of New York
who are M/C; Legislature; represented by CSEA, DC-37, NYSCOPBA, PBA, PIA, UUP or UCS
810.21
For employees of the State of New York
who are represented by APSU, C-82 or PEF
834.05
For retirees of the State of New York and  employees and retirees of Participating Employers (PE) 810.21
066 Blue Choice 738.72
067 BlueCross BlueShield of Western New York 686.13
063 Capital District Physicians’ Health Plan (CDPHP) (Capital) 775.24
300 Capital District Physicians’ Health Plan (CDPHP) (Central) 859.53
310 Capital District Physicians’ Health Plan (CDPHP) (Hudson Valley) 957.41
050 HIP Health Plan of New York (Downstate) 1,014.65
220 HIP Health Plan of New York (Capital) 1,152.81
350 HIP Health Plan of New York (Hudson Valley) 1,152.81
072 HMOBlue (Central New York Region) 819.50
160 HMOBlue (Utica Region) 702.80
059 Independent Health 679.47
058 MVP Health Care (Rochester) 749.66
060 MVP Health Care (East) 771.00
330 MVP Health Care (Central) 876.01
340 MVP Health Care (Mid-Hudson) 869.34
360 MVP Health Care (North) 1,062.59