Young Adult Option Coverage for Employees and Retirees of Participating Employers

Monthly Young Adult Option Rates

For young adult children of Active and Retired Employees of Participating Employers

Code Plan Monthly Young Adult Rates
001 The Empire Plan 781.81
066 Blue Choice 665.69
067 BlueCross BlueShield of Western New York 692.27
063 Capital District Physicians’ Health Plan (CDPHP) (Capital) 735.77
300 Capital District Physicians’ Health Plan (CDPHP) (Central) 857.13
310 Capital District Physicians’ Health Plan (CDPHP) (Hudson Valley) 936.83
280 Empire BlueCross BlueShield HMO (Upstate) 894.93
290 Empire BlueCross BlueShield HMO (Downstate) 1,212.68
320 Empire BlueCross BlueShield HMO (Mid-Hudson) 1,255.68
050 HIP Health Plan of New York (Downstate) 952.76
220 HIP Health Plan of New York (Capital) 1,050.81
350 HIP Health Plan of New York (Hudson Valley) 1,050.80
072 HMOBlue (Central New York Region) 738.02
160 HMOBlue (Utica Region) 900.59
059 Independent Health 676.33
058 MVP Health Care (Rochester) 712.83
060 MVP Health Care (East) 727.36
330 MVP Health Care (Central) 829.64
340 MVP Health Care (Mid-Hudson) 817.04
360 MVP Health Care (North) 1,001.76