Single Coverage
(No dependents): |
|
|
|
|
|
If you have Medicare |
145.00 |
n/a |
76.00 |
45.00 |
| If you DO NOT
have Medicare |
263.00 |
188.00 |
76.00 |
n/a |
|
Two-Party (2
family members): |
|
|
|
|
|
If BOTH
have Medicare with Plan "M" |
n/a |
n/a |
n/a |
90.00 |
If BOTH have Medicare
without
Plan "M" |
290.00 |
n/a |
152.00 |
n/a |
If ONE has Medicare with
Plan "M" |
308.00 |
233.00 |
121.00 |
308.00 |
If ONE has Medicare
without
Plan "M" |
408.00 |
n/a |
152.00 |
n/a |
|
If both DO NOT have Medicare |
526.00 |
376.00 |
152.00 |
n/a |
|
Family coverage (3+ family members); |
|
|
|
|
If TWO have Medicare with
Plan "M" |
222.00 |
184.00 |
128.00 |
222.00 |
If TWO have Medicare without
Plan "M" |
422.00 |
n/a |
190.00 |
n/a |
If ONE has Medicare with
Plan "M" |
440.00 |
327.00 |
121.00 |
440.00 |
If ONE has Medicare without
Plan "M" |
540.00 |
n/a |
190.00 |
n/a |
|
If NO ONE has Medicare |
658.00 |
470.00 |
190.00 |
n/a |
|
Retirees earning over
$30,000 per year: |
|
|
|
|
|
Excluding Nevada residents |
940.00 |
940.00 |
940.00 |
n/a |
| Nevada
residents only |
955.00 |
955.00 |
955.00 |
n/a |