All
| NYS Empire Plan (001) | Family Coverage | Individual Coverage |
|---|---|---|
|
NYSCOPBA, APSU/PBANYS M/C- $54,205 & below UUP- $52,413 & below |
$298.75 | $65.99 |
|
NYSCOPBA, APSU/PBANYS M/C- $54,205 & above UUP- $52,413 & above |
$355.24 | $87.99 |
Monroe County Based
| Blue Choice (066) | Family Coverage | Individual Coverage |
|---|---|---|
|
CSEA, PEF, APSU/PBANYS – SG 09 & below M/C - $54,205 & below UUP – $52,413 & below |
$227.14 | $52.97 |
|
CSEA, PEF, APSU/PBANYS – SG 10 & above M/C - $54,205 & above UUP - $52,413 & above |
$270.59 | $70.62 |
| MVP of Rochester (058) | Family Coverage | Individual Coverage |
|---|---|---|
|
CSEA, PEF, APSU/PBANYS – SG 09 & below M/C - $54,205 & below UUP – $52,413 & below |
$235.44 | $59.85 |
|
CSEA, PEF, APSU/PBANYS – SG 10 & above M/C - $54,205 & above UUP – $52,413 & above |
$281.41 | $79.81 |
Erie County Based
| Highmark Blue Cross Blue Shield (067) | Family Coverage | Individual Coverage |
|---|---|---|
|
CSEA, PEF, APSU/PBANYS – SG 09 & below M/C - $54,205 & below UUP – $52,413 & below |
$257.38 | $60.19 |
|
CSEA, PEF, APSU/PBANYS – SG 10 & above M/C - $54,205 & above UUP – $52,413 & above |
$306.65 | $80.25 |
| Independent Health (059) | Family Coverage | Individual Coverage |
|---|---|---|
|
CSEA, PEF, APSU/PBANYS – SG 09 & below M/C - $54,205 & below UUP – $52,413 & below |
$257.21 | $60.47 |
|
CSEA, PEF, APSU/PBANYS – SG 10 & above M/C - $54,205 & above UUP – $52,413 & above |
$306.51 | $80.63 |
Note: To enroll in an HMO, you must live or work in the HMO’s service area.