Skip to content Skip to navigation

2018 Retiree Contribution Rates

Jump to:

Employee Contribution Rates

View Employee Contribution Rates


Grandfathered Retirees (Non-Medicare Eligible)

Download PDF File

2018 Monthly Contribution

Medical Plan Costs Per Month Total Cost University Contribution Your Contribution
Kaiser Permanente HMO
Retiree Only $744.40 $744.40 $0.00
Retiree & Spouse/Registered Domestic Partner $1,563,28 $1,281.88 $281.40
Retiree & Child(ren) $1,339.96 $1,098.76 $241.20
Retiree & Family $2,158.84 $1,770.24 $388.60
Spouse/Registered Domestic Partner Only $818.88 $537.48 $281.40
Spouse/Registered Domestic Partner & Child(ren) $1,414.44 $1,025.84 $388.60
Child(ren) Only $595.56 $354.36 $241.20
Stanford Health Care Alliance (SHCA)
Retiree Only $784.04 $744.04 $40.00
Retiree & Spouse/Registered Domestic Partner $1,646.52 $1,281.88 $364.64
Retiree & Child(ren) $1,411.32 $1,098.76 $312.56
Retiree & Family $2,273.80 $1,770.24 $503.56
Spouse/Registered Domestic Partner Only $862.48 $537.84 $324.64
Spouse/Registered Domestic Partner & Child(ren) $1,489.76 $1,026.20 $463.56
Child(ren) Only $627.28 $354.72 $272.56
EPO
Retiree Only $1,027.16 $744.40 $282.76
Retiree & Spouse/Registered Domestic Partner $2,156.92 $1,281.88 $875.04
Retiree & Child(ren) $1,848.80 $1,098.76 $750.04
Retiree & Family $2,978.64 $1,770.24 $1,208.40
Spouse/Registered Domestic Partner Only $1,129.76 $537.48 $592.28
Spouse/Registered Domestic Partner & Child(ren) $1,951.48 $1,025.84 $925.64
Child(ren) Only $821.64 $354.36 $467.28
Healthcare + Savings Plan 
Retiree Only $873.08 $744.40 $128.68
Retiree & Spouse/Registered Domestic Partner $1,788.72 $1,281.88 $506.84
Retiree & Child(ren) $1,533.20 $1,098.76 $434.44
Retiree & Family $2,470.08 $1,770.24 $699.84
Spouse/Registered Domestic Partner Only $915.64 $537.48 $378.16
Spouse/Registered Domestic Partner & Child(ren) $1,597.00 $1,025.84 $571.16
Child(ren) Only $660.12 $354.36 $305.76

Grandfathered Retirees (Medicare Eligible)

Download PDF File

2018 Monthly Contribution

Medicare Advantage Plans Total Cost University Contribution Your Contribution
Kaiser Permanente Senior Advantage
Retiree Only $325.22 $325.22 $0.00
Retiree & Spouse/Registered Domestic Partner $650.68 $533.56 $117.12
Retiree & Child(ren) $650.02 $533.02 $117.00
Retiree & Family $975.48 $799.90 $175.58
Spouse/Registered Domestic Partner Only $325.22 $208.34 $116.88
Spouse/Registered Domestic Partner & Child(ren) $650.02 $474.68 $175.34
Child(ren) Only $325.22 $207.80 $117.42
Health Net Seniority Plus
Retiree Only $487.06 $325.22 $161.84
Retiree & Spouse/Registered Domestic Partner $974.12 $533.56 $440.56
Retiree & Child(ren) $974.12 $533.02 $441.10
Retiree & Family $1,461.18 $799.90 $661.28
Spouse/Registered Domestic Partner Only $487.06 $208.34 $278.72
Spouse/Registered Domestic Partner & Child(ren) $974.12 $474.68 $499.44
Child(ren) Only $487.06 $207.80 $279.26
Medicare Supplement Plans Total Cost University Contribution Your Contribution
Blue Shield Retiree PPO
Retiree Only $522.00 $325.22 $196.78
Retiree & Spouse/Registered Domestic Partner $1,044.00 $533.56 $510.44
Retiree & Child(ren) $1,044.00 $533.02 $510.98
Retiree & Family $1,566.00 $799.90 $766.10
Spouse/Registered Domestic Partner Only $522.00 $208.34 $313.66
Spouse/Registered Domestic Partner & Child(ren) $1,044.00 $474.68 $569.32
Child(ren) Only $522.00 $207.80 $314.20
Health Net Medicare COB
Retiree Only $689.92 $325.22 $364.70
Retiree & Spouse/Registered Domestic Partner $1,379.84 $533.56 $846.28
Retiree & Child(ren) $1,379.84 $533.02 $846.82
Retiree & Family $2,069.76 $799.90 $1,269.86
Spouse/Registered Domestic Partner Only $689.92 $208.34 $481.58
Spouse/Registered Domestic Partner & Child(ren) $1,379.84 $474.68 $905.16
Child(ren) Only $689.92 $207.80 $482.12

Non-Grandfathered Retirees (Non-Medicare Eligible)

Download PDF File

2018 Monthly Premiums

Non-Medicare Eligible 2018 Monthly Premium
Kaiser Permanente HMO
Retiree Only $744.40
Retiree & Spouse/Registered Domestic Partner $1,563.28
Retiree & Child(ren) $1,339.96
Retiree & Family $2,158.84
Spouse/Registered Domestic Partner Only $818.88
Spouse/Registered Domestic Partner & Child(ren) $1,414.44
Child(ren) Only $595.56
Stanford Health Care Alliance
Retiree Only $784.04
Retiree & Spouse/Registered Domestic Partner $1,646.52
Retiree & Child(ren) $1,411.32
Retiree & Family $2,273.80
Spouse/Registered Domestic Partner Only $862.48
Spouse/Registered Domestic Partner & Child(ren) $1,489.76
Child(ren) Only $627.28
EPO
Retiree Only $1,027.16
Retiree & Spouse/Registered Domestic Partner $2,156.92
Retiree & Child(ren) $1,848.80
Retiree & Family $2,978.64
Spouse/Registered Domestic Partner Only $1,129.76
Spouse/Registered Domestic Partner & Child(ren) $1,951.48
Child(ren) Only $821.64
Healthcare + Savings Plan
Retiree Only $873.08
Retiree & Spouse/Registered Domestic Partner $1,788.72
Retiree & Child(ren) $1,533.20
Retiree & Family $2,470.08
Spouse/Registered Domestic Partner Only $915.64
Spouse/Registered Domestic Partner & Child(ren) $1,597.00
Child(ren) Only $660.12

Non-Grandfathered Retirees (Medicare Eligible)

Download PDF File

2018 Monthly Premiums

Medicare Eligible 2018 Monthly Premium

Medicare Advantage Plans

Kaiser Permanente Senior Advantage
Retiree Only $325.22
Retiree & Spouse/Registered Domestic Partner $650.68
Retiree & Child(ren) $650.02
Retiree & Family $975.48
Spouse/Registered Domestic Partner Only $325.22
Spouse/Registered Domestic Partner & Child(ren) $650.02
Child(ren) Only $325.22
Health Net Seniority Plus
Retiree Only $487.06
Retiree & Spouse/Registered Domestic Partner $974.12
Retiree & Child(ren) $974.12
Retiree & Family $1,461.18
Spouse/Registered Domestic Partner Only $487.06
Spouse/Registered Domestic Partner & Child(ren) $974.12
Child(ren) Only $487.06

Medicare Supplement Plans

Blue Shield Retiree PPO
Retiree Only $522.00
Retiree & Spouse/Registered Domestic Partner $1,044.00
Retiree & Child(ren) $1,044.00
Retiree & Family $1,566.00
Spouse/Registered Domestic Partner Only $522.00
Spouse/Registered Domestic Partner & Child(ren) $1,044.00
Child(ren) Only $522.00
Health Net Medicare COB
Retiree Only $689.92
Retiree & Spouse/Registered Domestic Partner $1,379.84
Retiree & Child(ren) $1,379.84
Retiree & Family $2,069.76
Spouse/Registered Domestic Partner Only $689.92
Spouse/Registered Domestic Partner & Child(ren) $1,379.84
Child(ren) Only $689.92

Non-Grandfathered Retirees Worksheet

Download PDF File Download Excel File

Calculate Your 2018 Monthly Costs

Step 1 From the Contribution Chart, enter the monthly cost for the medical plan and coverage level you want for 2018. $ _____________
Step 2 Enter the annual contribution credit allowed for the coverage level you want in 2018. $ _____________
  Retiree Only: $142.64  
  Retiree & Spouse/Registered Domestic Partner: $229.32  
  Retiree & Child(ren): $229.32  
  Retiree & Family: $316.00  
  Spouse Only: $86.68  
  Spouse & Child(ren): $229.32  
  Child(ren): $86.68  
Step 3 Enter your years of benefits-eligible employment (provided by Stanford Benefits).    _____________
Step 4 Multiply the credit by the years of service to get your annual contribution credit. This is the annual credit you receive for retiree medical coverage in 2018. $ _____________
Step 5 Divide this number by 12 to get your monthly credit amount. $ _____________
Step 6 Subtract your monthly credit amount in Step 5 from the monthly premium shown in Step 1. This is your monthly cost for medical coverage in 2018. $ _____________
Step 7 If you want dental coverage in 2018, enter your cost from the Retiree Dental Plan Contribution Chart. $ _____________
Step 8 If you want vision coverage in 2018, enter your cost from the Retiree Vision Plan Contribution Chart. $ _____________
Step 9 Add Step 6, Step 7 and Step 8. This is your total monthly cost for retiree health care coverage in 2018. $ _____________

Example (Non-Medicare Eligible Kaiser Permanente – Retiree Only)

Step 1 From the Contribution Chart, enter the monthly cost for the medical plan and coverage level you want for 2018. $744.40
Step 2 Enter the annual contribution credit allowed for the coverage level you want in 2018. $142.64
  Retiree Only:  $142.64  
  Retiree & Spouse/Registered Domestic Partner: $229.32  
  Retiree & Child(ren): $229.32  
  Retiree & Family: $316.00  
  Spouse Only: $86.68  
  Spouse & Child(ren): $229.32  
  Child(ren): $86.68  
Step 3 Enter your years of benefits-eligible employment (provided by Stanford Benefits when you retired). 10
Step 4 Multiply the credit by the years of service to get your annual contribution credit. This is the annual credit you receive for retiree medical coverage in 2018. $1,426.40
Step 5 Divide this number by 12 to get your monthly credit amount. $118.87
Step 6 Subtract your monthly credit amount in Step 5 from the monthly premium shown in Step 1. This is your monthly cost for medical coverage in 2018. $625.53
Step 7 If you want dental coverage in 2018, enter your cost from the Retiree Dental Contribution chart. $31.48
Step 8 If you want vision coverage in 2018, enter your cost from the Retiree Vision Contribution chart. $0.00
Step 9 Add Step 6, Step 7 and Step 8. This is your total monthly cost for retiree health care coverage in 2018. $657.01

Retiree Dental Plan

Download PDF File

2018 Monthly Contribution

NOTE: If you want to enroll in a Retiree dental plan, you must first be enrolled in a Retiree medical plan.

Dental Costs Per Month Total Cost University Contribution Your Contribution
Delta Dental PPO
Retiree Only $37.48 $6.00 $31.48
Retiree & Spouse/Registered Domestic Partner $78.72 $6.00 $72.72
Retiree & Child(ren) $67.48 $6.00 $61.48
Retiree & Family $108.72 $6.00 $102.72

Retiree Vision Plan

Download PDF File

2018 Monthly Contribution

NOTE: If you want to enroll in a Retiree vision plan, you must first be enrolled in a Retiree medical plan.

Vision Costs Per Month Total Cost University Contribution Your Contribution
VSP Vision Care
Retiree Only $11.12 $0.00 $11.12
Retiree & Spouse/Registered Domestic Partner $17.78 $0.00 $17.78
Retiree & Child(ren) $18.15 $0.00 $18.15
Retiree & Family $29.26 $0.00 $29.26