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WCSD HEALTH PLANS 2025 RATES CLASSIFIED EMPLOYEES
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KAISER 2024 2024 ER Max $ 5.81 $ 1,162.00 0.50%
Enter your FTE here
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HMO PLAN $20 Copay 2024 Medical Rate Med Rate- ER CAP Dental Vision EE out of pocket Enter # of hours you work here450.00
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Kaiser EE $ 1,081.45 $ 1,075.64 $ 102.76 $ 21.17 $ - %FTE
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Kaiser EE +1 $ 2,162.93 $ 2,157.12 $ 102.76 $ 21.17 $ 2,281.05
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Kaiser EE + Fam $ 3,060.54 $ 3,054.73 $ 102.76 $ 21.17 $ 3,178.66
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Deductible HMO 2024 Medical Rate Med Rate- ER CAP Dental Vision EE out of pocket
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Kaiser EE $ 657.55 $ 651.74 $ 102.76 $ 21.17 $ - **
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Kaiser EE +1 $ 1,315.12 $ 1,309.31 $ 102.76 $ 21.17 $ -
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Kaiser EE + Fam $ 1,860.89 $ 1,855.08 $ 102.76 $ 21.17 $ 1,979.01
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DHMO XP7665-4500 DED 2024 Medical Rate Med Rate- ER CAP Dental Vision EE out of pocket
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Kaiser EE $ 442.37 $ 436.56 $ 102.76 $ 21.17 $ - **
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Kaiser EE +1 $ 884.76 $ 878.95 $ 102.76 $ 21.17 $ -
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Kaiser EE + Fam $ 1,251.92 $ 1,246.11 $ 102.76 $ 21.17 $ -
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UNITED HEALTHCARE 2024 2024 ER Max
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HMO PLAN $15 Copay 2024 Medical Rate Med Rate- ER CAP Dental Vision EE out of pocket
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United Health EE $ 1,020.04 $ 1,014.23 $ 102.76 $ 21.17 $ -
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United Health EE + 1 $ 2,109.00 $ 2,103.19 $ 102.76 $ 21.17 $ 2,227.12
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United Health EE + Fam $ 3,002.31 $ 2,996.50 $ 102.76 $ 21.17 $ 3,120.43
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HMO PLAN $20 Copay 2024 Medical Rate Med Rate- ER CAP Dental Vision EE out of pocket
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United Health EE $ 980.01 $ 974.20 $ 102.76 $ 21.17 $ -
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United Health EE + 1 $ 2,024.27 $ 2,018.46 $ 102.76 $ 21.17 $ 2,142.39
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United Health EE + Fam $ 2,879.59 $ 2,873.78 $ 102.76 $ 21.17 $ 2,997.71
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PPO PLAN 80/60 2024 Medical Rate Med Rate- ER CAP Dental Vision EE out of pocket
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United Health EE $ 1,776.16 $ 1,770.35 $ 102.76 $ 21.17 $ 1,894.28
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United Health EE + 1 $ 3,550.48 $ 3,544.67 $ 102.76 $ 21.17 $ 3,668.60
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United Health EE + Fam $ 4,615.78 $ 4,609.97 $ 102.76 $ 21.17 $ 4,733.90
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HSA HIGH DEDUCTABLE PLAN 2024 Medical Rate Med Rate- ER CAP Dental Vision EE out of pocket
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United Health EE $ 1,193.80 $ 1,187.99 $ 102.76 $ 21.17 $ -
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United Health EE + 1 $ 2,387.60 $ 2,381.79 $ 102.76 $ 21.17 $ 2,505.72
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United Health EE + Fam $ 3,101.92 $ 3,096.11 $ 102.76 $ 21.17 $ 3,220.04
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SUTTER 2024 2024 ER Max
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Sutter HMO 10 copay ML26 2024 Medical Rate Med Rate- ER CAP Dental Vision EE out of pocket
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EE $ 1,089.10 $ 1,083.29 $ 102.76 $ 21.17 $ -
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EE +1 $ 2,178.00 $ 2,172.19 $ 102.76 $ 21.17 $ 2,296.12
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EE + Fam $ 3,027.40 $ 3,021.59 $ 102.76 $ 21.17 $ 3,145.52
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Sutter HMO $20 Copay ML29 2024 Medical Rate Med Rate- ER CAP Dental Vision EE out of pocket
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EE $ 1,072.20 $ 1,066.39 $ 102.76 $ 21.17 $ -
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EE +1 $ 2,144.20 $ 2,138.39 $ 102.76 $ 21.17 $ 2,262.32
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EE + Fam $ 2,980.40 $ 2,974.59 $ 102.76 $ 21.17 $ 3,098.52
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Sutter HMO $20 Copay - Ded $2500 ML24 2024 Medical Rate Med Rate- ER CAP Dental Vision EE out of pocket
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EE $ 874.80 $ 868.99 $ 102.76 $ 21.17 $ -
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EE +1 $ 1,749.40 $ 1,743.59 $ 102.76 $ 21.17 $ 1,867.52
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EE + Fam $ 2,431.60 $ 2,425.79 $ 102.76 $ 21.17 $ 2,549.72
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**If a negative amount shows up, it means employee desn't pay anything.
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