Medical Plan Rates
You pay the full cost for you and your eligible family members. Monthly rates are shown in three tiers and are determined by who has elected coverage.
If you earned the required number of wellness points for a $500 or $750 reduction, your cost is shown in the Wellness Program Rates column. If you did not participate in or earn the required number of wellness points, your cost is shown in the Standard Rates column.
2021 Retiree-only, Spouse under age 65 only, Surviving Spouse only, or One Dependent Child only
| Plan | Wellbeing program Rates | Standard Rates |
|---|---|---|
|
Medica Elect/Essential: Twin Cities & Duluth Base Plan Medica Choice Regional: Greater Minnesota Base Plan |
$725.79
|
$767.46
|
|
Medica ACO Plan: Crookston area, Duluth area & parts of northeastern |
$686.20
|
$727.87
|
| Medica Choice National |
$901.46
|
$943.13
|
| Medica HSA |
$650.35
|
$692.02
|
2021 Retiree and Children, Spouse under age 65 and Children, Surviving Spouse and Children, or Two or more Dependent Children only
| Plan | Wellbeing program Rates | Standard Rates |
|---|---|---|
|
Medica Elect/Essential: Twin Cities and Duluth Base Plan Medica Choice Regional: Greater Minnesota Base Plan |
$1,288.21
|
$1,329.88
|
| Medica ACO Plan: Crookston area, Duluth area & parts of northeastern Minnesota, Rochester area, Twin Cities metro area |
$1,216.84
|
$1,258.51
|
| Medica Choice National |
$1,591.22
|
$1,632.89
|
| Medica HSA |
$1,141.24
|
$1,182.91
|
2021 Retiree and Spouse with or without Children
| Plan | Wellbeing program Rates | Standard Rates |
|---|---|---|
|
Medica Elect/Essential: Twin Cities and Duluth Base Plan Medica Choice Regional: Greater Minnesota Base Plan |
$1,927.82
|
$1,990.32
|
| Medica ACO Plan: Crookston area, Duluth area & parts of northeastern Minnesota, Rochester area, Twin Cities metro area |
$1,824.93
|
$1,887.43
|
| Medica Choice National |
$2,382.24
|
$2,444.74
|
| Medica HSA |
$1,768.11
|
$1,830.61
|
2020 Retiree-only, Spouse under age 65 only, Surviving Spouse only, or One Dependent Child only
| Plan | Wellbeing program Rates | Standard Rates |
|---|---|---|
|
Medica Elect/Essential: Twin Cities & Duluth Base Plan Medica Choice Regional: Greater Minnesota Base Plan |
$664.60
|
$706.27
|
|
Medica ACO Plan: Crookston area, Duluth area & parts of northeastern |
$633.85
|
$675.52
|
| Medica Choice National |
$781.66
|
$823.33
|
| Medica HSA |
$596.12
|
$637.79
|
2020 Retiree and Children, Spouse under age 65 and Children, Surviving Spouse and Children, or Two or more Dependent Children only
| Plan | Wellbeing program Rates | Standard Rates |
|---|---|---|
|
Medica Elect/Essential: Twin Cities and Duluth Base Plan Medica Choice Regional: Greater Minnesota Base Plan |
$1,182.32
|
$1,223.99
|
| Medica ACO Plan: Crookston area, Duluth area & parts of northeastern Minnesota, Rochester area, Twin Cities metro area |
$1,127.05
|
$1,168.72
|
| Medica Choice National |
$1,382.65
|
$1,424.32
|
| Medica HSA |
$1,048.14
|
$1,089.81
|
2020 Retiree and Spouse with or without Children
| Plan | Wellbeing program Rates | Standard Rates |
|---|---|---|
|
Medica Elect/Essential: Twin Cities and Duluth Base Plan Medica Choice Regional: Greater Minnesota Base Plan |
$1,768.88
|
$1,831.38
|
| Medica ACO Plan: Crookston area, Duluth area & parts of northeastern Minnesota, Rochester area, Twin Cities metro area |
$1,690.01
|
$1,752.51
|
| Medica Choice National |
$2,071.26
|
$2,133.76
|
| Medica HSA |
$1,629.14
|
$1,691.64
|