Healthcare Plan Premiums

The takeaway

Your premium costs for medical, dental, and vision coverage depend on the plan you select and whether you enroll yourself only, or yourself and family members.

The employee-only premium cost for our HDHP + HSA medical plans is $0 (these plans are not available to employees in Hawaii).

2021 Monthly Costs for Medical, Dental, and Vision Coverage 2021 Monthly Costs for Medical, Dental, and Vision Coverage—Employees in Hawaii

Plan	EE Only	EE + Spouse	EE + Child(ren)	EE + Family
Blue Shield of California HDHP + HSA	$0.00	$105.00	$80.00	$180.00
Blue Shield of California EPO	$90.00	$295.00	$230.00	$460.00
Blue Shield of California PPO	$100.00	$320.00	$250.00	$480.00
Kaiser HDHP + HSA (CA, CO, GA, MAS, OR, WA)	$0.00	$105.00	$80.00	$180.00
Kaiser HMO (CA, CO, GA, HI, MAS, OR, WA)	$75.00	$225.00	$190.00	$340.00
MetLife Dental	$0.00	$16.00	$22.10	$38.10
VSP Vision	$0.00	$1.80	$1.90	$4.60

Plan	EE Only	EE + Spouse	EE + Child(ren)	EE + Family
HMSA PPO (includes prescription, dental, and vision coverage)	$83.40	$247.80	$412.30	$412.30
Kaiser HMO (includes prescription coverage)	$75.00	$225.00	$190.00	$340.00
Dental (Kaiser members)	$0.00	$16.00	$22.10	$38.10
Vision (Kaiser members)	$0.00	$1.80	$1.90	$4.60