Retiree Insurance Dental Plan Premiums

Non-Medicare Eligible Plans Through UVA

Plan Name Basic Dental Enhanced Dental
Single $32.50 $43.00
Retiree + Child(ren) $57.50 $84.75
Retiree + Spouse $60.00 $89.25
Family $91.25 $140.50

Medicare-Supplement Plans Through Anthem Blue Cross/Blue Shield

Supplemental Plan Employee Rate
Advantage 65 $277.00
Advantage 65 + Dental/Vision $310.00
Advantage 65 - Medical Only $156.00
Advantage 65 - Medical Only + Dental/Vision $189.00
Option II (Medicare Supplemental) $356.00
Option II + Dental/Vision $389.00