View 2017 costs »

Your medical plan monthly cost depends on the plan and the coverage you choose, as well as your Medical Contribution Base (MCB). Your MCB is based on your full-time salary rate as of Jan. 1, 2015, excluding any pay increases you may have received later during 2015. Medical plan rates are tiered (based on your MCB) so that the cost you pay for medical insurance is somewhat proportional to your pay rate. Your MCB will not change during 2016, even if your salary changes.

Choose the appropriate salary tier below to see the monthly amount that will be deducted from your paycheck in 2016:

Medical plan costs — $51,000 and under

Plan Self Self +
Child(ren)
Self +
Adult
Family
Blue Shield Health Savings Plan Employee Cost $15.78 $28.40 $34.56 $47.17
UC Contribution $609.00 $1,096.19 $1,277.46 $1,764.68
Health Net Blue & Gold Employee Cost $33.84 $60.91 $126.05 $153.11
UC Contribution $636.75 $1,146.15 $1,282.19 $1,791.59
Kaiser Permanente Employee Cost $15.78 $28.40 $34.56 $47.17
UC Contribution $571.08 $1,027.94 $1,197.85 $1,654.72
UC Care Employee Cost $114.92 $206.86 $296.33 $388.26
UC Contribution $636.75 $1,146.15 $1,282.19 $1,791.59
Western Health Advantage Employee Cost $15.78 $28.40 $34.56 $47.17
UC Contribution $562.03 $1,011.66 $1,178.85 $1,628.48
Core Employee Cost $0.00 $0.00 $0.00 $0.00
UC Contribution $235.87 $424.57 $495.33 $684.02
Rates for union-represented employees are subject to ongoing collective bargaining as appropriate.

Medical plan costs — $51,001–$102,000

Plan Self Self +
Child(ren)
Self +
Adult
Family
Blue Shield Health Savings Plan Employee Cost $51.83 $93.29 $116.86 $158.31
UC Contribution $572.95 $1,031.30 $1,195.16 $1,653.54
Health Net Blue & Gold Employee Cost $69.89 $125.80 $208.35 $264.25
UC Contribution $600.70 $1,081.26 $1,199.89 $1,680.45
Kaiser Permanente Employee Cost $51.83 $93.29 $116.86 $158.31
UC Contribution $535.03 $963.05 $1,115.55 $1,543.58
UC Care Employee Cost $150.97 $271.75 $378.63 $499.40
UC Contribution $600.70 $1,081.26 $1,199.89 $1,680.45
Western Health Advantage Employee Cost $51.83 $93.29 $116.86 $158.31
UC Contribution $525.98 $946.77 $1,096.55 $1,517.34
Core Employee Cost $0.00 $0.00 $0.00 $0.00
UC Contribution $235.87 $424.57 $495.33 $684.02
Rates for union-represented employees are subject to ongoing collective bargaining as appropriate.

Medical plan costs — $102,001–$153,000

Plan Self Self +
Child(ren)
Self +
Adult
Family
Blue Shield Health Savings Plan Employee Cost $88.83 $159.89 $190.62 $261.67
UC Contribution $535.95 $964.70 $1,121.40 $1,550.18
Health Net Blue & Gold Employee Cost $106.89 $192.40 $282.11 $367.61
UC Contribution $563.70 $1,014.66 $1,126.13 $1,577.09
Kaiser Permanente Employee Cost $88.83 $159.89 $190.62 $261.67
UC Contribution $498.03 $896.45 $1,041.79 $1,440.22
UC Care Employee Cost $187.97 $338.35 $452.39 $602.76
UC Contribution $563.70 $1,014.66 $1,126.13 $1,577.09
Western Health Advantage Employee Cost $88.83 $159.89 $190.62 $261.67
UC Contribution $488.98 $880.17 $1,022.79 $1,413.98
Core Employee Cost $0.00 $0.00 $0.00 $0.00
UC Contribution $235.87 $424.57 $495.33 $684.02
Rates for union-represented employees are subject to ongoing collective bargaining as appropriate.

Medical plan costs — $153,001 and above

Plan Self Self +
Child(ren)
Self +
Adult
Family
Blue Shield Health Savings Plan Employee Cost $127.14 $228.85 $267.04 $368.74
UC Contribution $497.64 $895.74 $1,044.98 $1,443.11
Health Net Blue & Gold Employee Cost $145.20 $261.36 $358.53 $474.68
UC Contribution $525.39 $945.70 $1,049.71 $1,470.02
Kaiser Permanente Employee Cost $127.14 $228.85 $267.04 $368.74
UC Contribution $459.72 $827.49 $965.37 $1,333.15
UC Care Employee Cost $226.28 $407.31 $528.81 $709.83
UC Contribution $525.39 $945.70 $1,049.71 $1,470.02
Western Health Advantage Employee Cost $127.14 $228.85 $267.04 $368.74
UC Contribution $450.67 $811.21 $946.37 $1,306.91
Core Employee Cost $0.00 $0.00 $0.00 $0.00
UC Contribution $235.87 $424.57 $495.33 $684.02
Rates for union-represented employees are subject to ongoing collective bargaining as appropriate.