Medical, Dental and Vision Plan Rates

If your salary is:

Under $50,000

$50,000 to $74,999

$75,000 to $99,999

$100,000 to $174,999

$175,000+

UCHP

Yourself Only

$71

$111

$157

$190

$198

Yourself + Spouse/Partner

$149

$232

$329

$398

$415

Yourself + Child(ren)

$128

$199

$282

$341

$356

Yourself + Family

$213

$332

$470

$569

$593

HMO Illinois

Yourself Only

$64

$96

$128

$160

$173

Yourself + Spouse/Partner

$135

$202

$269

$337

$364

Yourself + Child(ren)

$115

$173

$239

$289

$312

Yourself + Family

$192

$289

$385

$481

$520

Maroon PPO

Yourself Only

$173

$231

$289

$349

$370

Yourself + Spouse/Partner

$364

$486

$607

$704

$777

Yourself + Child(ren)

$312

$416

$520

$603

$666

Yourself + Family

$482

$642

$809

$979

$1,029

Maroon Savings Choice

Yourself Only

$82

$106

$130

$151

$174

Yourself + Spouse/Partner

$172

$223

$272

$315

$365

Yourself + Child(ren)

$149

$193

$235

$273

$315

Yourself + Family

$242

$313

$382

$443

$512

If your salary is:

Under $47,500

$47,500 to $74,999

$75,000 to $99,999

$100,000  to $174,999

$175,000+

UCHP

Yourself Only

$107

$167

$236

$285

$297

Yourself + Spouse/Partner

$224

$348

$494

$597

$623

Yourself + Child(ren)

$192

$299

$423

$512

$534

Yourself + Family

$320

$498

$705

$854

$890

HMO Illinois

Yourself Only

$96

$144

$192

$240

$260

Yourself + Spouse/Partner

$203

$303

$404

$506

$546

Yourself + Child(ren)

$173

$260

$359

$434

$468

Yourself + Family

$288

$434

$578

$722

$780

Maroon PPO

Yourself Only

$260

$347

$434

$524

$555

Yourself + Spouse/Partner

$546

$729

$911

$1,056

$1,166

Yourself + Child(ren)

$468

$624

$780

$905

$999

Yourself + Family

$723

$963

$1,214

$1,469

$1,544

Maroon Savings Choice

Yourself Only

$123

$159

$195

$227

$261

Yourself + Spouse/Partner

$258

$335

$408

$473

$548

Yourself+ Child(ren)

$224

$290

$353

$410

$473

Yourself + Family

$363

$470

$573

$665

$768

MetLife Dental Core Plan

MetLife Dental Buy-Up Plan 

Yourself Only

$33.97

 $54.95

Yourself + Spouse/Partner

$56.25

 $98.44

Yourself + Child(ren)

$65.06

 $123.63

Yourself + Family

$89.83

 $194.89

VSP Base Plan

VSP Premier Plan

Yourself Only

$7.49

$14.48

Yourself + Spouse/Partner

$14.98

$28.94

Yourself + Child(ren)

$16.44

$31.76

Yourself + Family

$26.27

$50.74

Any salary

Blue Cross Blue Shield Maroon Plan (PPO)

Yourself Only

$1,156.14

Yourself + Spouse/Partner

$2,427.86

Yourself + Child(ren)

$2,081.01

Yourself + Family

$3,468.37

University of Chicago Health Plan (UCHP)

Yourself Only

$790.44

Yourself + Spouse/Partner

$1,659.95

Yourself + Child(ren)

$1,422.80

Yourself + Family

$2,371.34