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.

 

NY YAO
Monthly Premium

Code

 

Plan

Individual

001

The Empire Plan

For employees of the State of New York
who are M/C; Legislature; represented by APSU, CSEA,
DC-37, NYSCOPBA, PBA, PEF, PIA, UUP or UCS

921.38

For employees of the State of New York
who are represented by C-82

930.43

For retirees of the State of New York

921.38

066

Blue Choice

770.89

063

Capital District Physicians’ Health Plan (CDPHP) (Capital)

817.35

300

Capital District Physicians’ Health Plan (CDPHP) (Central)

789.47

310

Capital District Physicians’ Health Plan (CDPHP) (Hudson Valley)

911.84

050

EmblemHealth – HIP (Downstate)

1,102.58

220

EmblemHealth – HIP (Capital)

1,291.58

350

EmblemHealth – HIP (Hudson Valley)

1,205.41

067

Highmark Blue Cross Blue Shield of Western New York

762.98

069

Highmark Blue Cross Blue Shield of Northeastern New York

847.15

072

HMOBlue (Central New York Region)

840.72

160

HMOBlue (Utica Region)

852.57

059

Independent Health

712.92

058

MVP Health Care (Rochester)

786.24

060

MVP Health Care (East)

806.86

330

MVP Health Care (Central)

905.45

340

MVP Health Care (Mid-Hudson)

892.56

360

MVP Health Care (North)

904.98