Rates

2017 Anthem Blue Cross Rates

Basic
Employee Only $699.00
Employee and One Dependent $1,467.00
Employee and Two or more Dependent(s) $1,876.00
Supplement to Medicare
Employee Only $464.00
Employee and One Dependent $924.00
Employee and Two or more Dependent(s) $1,477.00

Maximum Out-of-Pocket Expense $4,500 per person/ $9,000 for a family.

Prescription Drugs

Retail
Generic $10.00 copay
Brand Formulary $25.00 copay
Brand Non-Formulary $45.00 copay
Mail Order
Generic $20.00 copay
Brand Formulary $40.00 copay
Brand Non-Formulary $75.00

Benefit Changes effective 2015: Body Scans will be subject to a maximum $1,000 coverage limit every 36 months.

2016 Anthem Blue Cross Rates

Basic
Employee Only $699.00
Employee and One Dependent $1,399.00
Employee and Two or more Dependent(s) $1,789.00
Supplement to Medicare
Employee Only $442.00
Employee and One Dependent $881.00
Employee and Two or more Dependent(s) $1,408.00

Maximum Out-of-Pocket Expense $4,500 per person/ $9,000 for a family.

Prescription Drugs

Retail
Generic $10.00 copay
Brand Formulary $25.00 copay
Brand Non-Formulary $45.00 copay
Mail Order
Generic $20.00 copay
Brand Formulary $40.00 copay
Brand Non-Formulary $75.00

Benefit Changes effective 2015: Body Scans will be subject to a maximum $1,000 coverage limit every 36 months.

2015 Anthem Blue Cross Rates

Basic
Single $675.00
Two Party $1,292.00
Family $1,642.00
Supplement to Medicare
Single $402.00
Two Party $802.00
Family $1,281.00

2014 Anthem Blue Cross Rates

Basic
Single $643.00
Two Party $1,186.00
Family $1,507.00
Supplement to Medicare
Single $397.00
Two Party $791.00
Family $1,264.00

2013 Anthem Blue Cross Rates

Basic
Single $581.00
Two Party $1,088.00
Family $1,382.00
Supplement to Medicare
Single $418.00
Two Party $833.00
Family $1,331.00

2012 Anthem Blue Cross Rates

Basic
Single $556.00
Two Party $1,041.00
Family $1,323.00
Supplement to Medicare
Single $418.00
Two Party $833.00
Family $1,331.00

2011 Anthem Blue Cross Rates

Basic
Single $527.00
Two Party $987.00
Family $1,254.00
Supplement to Medicare
Single $418.00
Two Party $833.00
Family $1,331.00

2010 Anthem Blue Cross Rates

Basic
Single $484.00
Two Party $906.00
Family $1,151.00
Supplement to Medicare
Single $363.00
Two Party $723.00
Family $1,157.00

Anthem Blue Cross Rates older than five years are available upon written request from the IBT Manager.