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Human Resources > Benefits > Plans > Benefits > Health > Premiums

Contributions

Premier PPO Plan Select PPO Plan Value PPO Plan
HMO Illinois UniCare HMO NRSA Post Doctoral Fellows
Leave of Absence COBRA
Retirees

Premier PPO

The Premier PPO plan enables you to choose care from any licensed physician though benefits are higher if care is provided by a Blue Cross network provider. This plan has an annual deductible of $250 for an individual and $750 for a family. Once the deductible is met, you pay 10% of eligible charges for hospital and physician care and the plan pays 90%. The plan pays 100% of the cost of prescription drugs after you pay specified co-payments.

Full Time

You

You + spouse

You + child(ren)

You + spouse + child(ren)

Under $42,000

$121

$265

$225

$398

$42,000.01-$75,000

$143

$313

$266

$471

$75,000.01-$128,000

$172

$376

$320

$566

$128,000.01-$182-000

$209

$457

$389

$688

$182,000.01 and above

$264

$578

$492

$869

Part Time

You

You + spouse

You + child(ren)

You + spouse + child(ren)

Under $42,000

$291

$637

$542

$958

$42,000.01-$75,000

$302

$661

$562.50

$994.50

$75,000.01-$128,000

$316.50

$692.50

$589.50

$1,042

$128,000.01-$182-000

$335

$733

$624

$1,103

$182,000.01 and above

$362.50

$793.50

$675.50

$1,193.50

NOTE:
- Full Time status is defined as employees scheduled to work at least 35 hours per week or an 100% appointment.
- Part Time status is defined as employees scheduled to work at least 17.5 hours per week or at least a 50% appointment but less than 100%.
- For Academic Full-Time Faculty [e.g., Medical School Faculty] Contributions are based on an individual's total professional salary.
- Union employees should consult the current contract for premium rates.

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Select PPO

The Select PPO plan enables you to choose care from any licensed physician though benefits are higher if care is provided by a Blue Cross network provider. This plan has an annual deductible of $500 for an individual and $1,500 for a family. Once the deductible is met, you pay 20% of eligible charges for hospital and physician care and the plan pays 80%. The plan pays 100% of the cost of prescription drugs after you pay specified co-payments.

Full Time

You

You + spouse

You + child(ren)

You + spouse + child(ren)

Under $42,000

$25

$55

$46

$82

$42,000.01-$75,000

$45

$98

$84

$148

$75,000.01-$128,000

$72

$157

$134

$236

$128,000.01-$182-000

$105

$229

$195

$345

$182,000.01 and above

$156

$341

$290

$512

Part Time

You

You + spouse

You + child(ren)

You + spouse + child(ren)

Under $42,000

$180

$393.50

$334.50

$591

$42,000.01-$75,000

$190

$415

$353.50

$624

$75,000.01-$128,000

$203.50

$444.50

$378.50

$668

$128,000.01-$182-000

$220

$480.50

$409

$722.50

$182,000.01 and above

$245.50

$536.50

$456.50

$806

NOTE:
- Full Time status is defined as employees scheduled to work at least 35 hours per week or an 100% appointment.
- Part Time status is defined as employees scheduled to work at least 17.5 hours per week or at least a 50% appointment but less than 100%.
- For Academic Full-Time Faculty [e.g., Medical School Faculty] Contributions are based on an individual's total professional salary.
- Union employees should consult the current contract for premium rates.

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Value PPO

The Value PPO plan is an innovative plan that offers the lowest monthly premium, but higher out of pocket expenses. This plan enables you to choose care from any licensed physician though benefits are higher if care is provided by a Blue Cross network provider. There is an annual deductible of $1,400 for an individual and $2,800 for a family. Once the deductible is met, you pay 20% of eligible charges for hospital, physician and prescription drugs and the plan pays 80%. As it qualifies as a high deductible health plan, it also offers a health savings account (HSA) and tax savings ways to help you pay for health related expenses. Wellness services are covered at 100%.

Full Time

You

You + spouse

You + child(ren)

You + spouse + child(ren)

Under $42,000

$10

$22

$20

$33

$42,000.01-$75,000

$20

$44

$37

$66

$75,000.01-$128,000

$45

$99

$84

$148

$128,000.01-$182-000

$71

$155

$132

$234

$182,000.01 and above

$108

$237

$201

$355

Part Time

You

You + spouse

You + child(ren)

You + spouse + child(ren)

Under $42,000

$152.50

$334

$284.50

$502

$42,000.01-$75,000

$157.50

$345

$293

$518.50

$75,000.01-$128,000

$170

$372.50

$316.50

$559.50

$128,000.01-$182-000

$183

$400.50

$340.50

$602.50

$182,000.01 and above

$201.50

$441.50

$375

$663

NOTE:
- Full Time status is defined as employees scheduled to work at least 35 hours per week or an 100% appointment.
- Part Time status is defined as employees scheduled to work at least 17.5 hours per week or at least a 50% appointment but less than 100%.
- For Academic Full-Time Faculty [e.g., Medical School Faculty] Contributions are based on an individual's total professional salary.
- Union employees should consult the current contract for premium rates.

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HMOs

HMO Illinois provides care from a network of physicians (including NorthShore University HealthSystem) and pays 100% after specified co-payments and deductibles are paid. Members must select a primary care physician who will coordinate your care with other network providers. The inpatient hospital deductible is $500 and the outpatient surgery deductible is $250.

UniCare provides care from a network of physicians (including NMFF) and pays 100% after specified co-payments and deductibles are paid. Members must select a primary care physician who will coordinate your care with other network providers. The inpatient hospital deductible is $300 and the outpatient surgery deductible is $250.

HMO Illinois

You

You + spouse

You + child(ren)

You + spouse + child(ren)

Full Time 

$94

$220

$192

$275

 Part Time

$228.50

$533.50

$465

$665.50

Unicare

You

You + spouse

You + child(ren)

You + spouse + child(ren)

Full Time

$104

$242

$215

$307

Part Time

$238.50

$555.50

$488

$697.50

NOTE:
- Full Time status is defined as employees scheduled to work at least 35 hours per week or an 100% appointment.
- Part Time status is defined as employees scheduled to work at least 17.5 hours per week or at least a 50% appointment but less than 100%.
- Union employees should consult the current contract for premium rates.

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Leave of Absence

You

You+Spouse

You+Child(ren)

You+Spouse+Child(ren)

Premier PPO

$461

$1,009

$859

$1,518

Select PPO

$335

$732

$623

$1,100

Value PPO

$295

$646

$549

$971

HMO Illinois

$363

$847

$738

$1,056

Unicare

$373

$869

$761

$1,088


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COBRA

You

You+Spouse

You+Child(ren)

You+Spouse+Child(ren)

Premier PPO

$470.22

$1,029.18

$876.18

$1,548.36

Select PPO

$341.70

$746.64

$635.46

$1,122.00

Value PPO

$300.90

$658.92

$559.98

$990.42

HMO Illinois

$370.26

$863.94

$752.76

$1,077.12

Unicare

$380.46

$886.38

$776.22

$1,109.76


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Retirees

Premier PPO

HMO Illinois

Unicare

You under 65

$461

$366

$373

You + Spouse under 65

$1,009

$854

$869

You + Child(ren) under 65

$859

$744

$761

You + Spouse + Child(ren) under 65

$1,518

$1,066

$1,088

You over 65

$331

$346

 

You + Spouse over 65

$662

$702

You + Child(ren) over 65

$729

$744

You + Spouse + Child(ren) over 65

$1,060

$1,072

You over 65 + Spouse under 65

$792

$722

You under 65 + Spouse over 65

$792

$722

You over 65 + Spouse under 65 + Child(ren)

$1,388

$1,072

You under 65 + Spouse over 65 + Child(ren)

$1,388

$1,072

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NRSA Post Doctoral Fellows

Since NSRA recipients are not considered by the Internal Revenue Service (IRS) to be employees, employee related benefits are not generally available. However, the University has made its health, dental and vision insurance plans accessible to NRSA recipients. Single coverage has the monthly insurance premium paid by a combination of funds from the NRSA grant and from University funds. No premium amount is charged to the recipient. Family coverage has the monthly premium paid by a combination of funds from the NRSA grant, from University funds and from the NRSA recipient by payroll deduction. The deduction is on an after tax basis. The amount is the increment between the single and family related contributions normally made by University faculty and staff.

Premier PPO

You

You + spouse

You + child(ren)

You + spouse + child(ren)

Under $42,000

$0

$144

$104

$277

$42,000.01-$75,000

$0

$170

$123

$328

$75,000.01-$128,000

$0

$204

$148

$394

$128,000.01-$182-000

$0

$248

$180

$479

$182,000.01 and above

$0

$314

$228

$605

Select PPO

You

You + spouse

You + child(ren)

You + spouse + child(ren)

Under $42,000

$0

$30

$21

$57

$42,000.01-$75,000

$0

$53

$39

$103

$75,000.01-$128,000

$0

$85

$62

$164

$128,000.01-$182-000

$0

$124

$90

$240

$182,000.01 and above

$0

$185

$134

$356

Value PPO

You

You + spouse

You + child(ren)

You + spouse + child(ren)

Under $42,000

$0

$12

$10

$23

$42,000.01-$75,000

$0

$24

$17

$46

$75,000.01-$128,000

$0

$54

$39

$103

$128,000.01-$182-000

$0

$84

$61

$163

$182,000.01 and above

$0

$129

$93

$247

HMO Illinois

You

You + spouse

You + child(ren)

You + spouse + child(ren)

 

$0

$126

$98

$181

Unicare HMO

You

You + spouse

You + child(ren)

You + spouse + child(ren)

 

$0

$138

$111

$203


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