Medical Plan Rates
Full-time .76-1.0 FTE, Biweekly Active Employees
This is the amount that you will pay from each paycheck.
Amounts in parentheses ( ) are credited to your paycheck.
| BlueChoice PPO |
$0.00 |
$98.66 |
$141.70 |
$188.24 |
| BlueLincs HMO |
($14.50) |
$59.37 |
$92.07 |
$127.24 |
| BlueEdge HCA |
($7.25) |
$84.89 |
$124.31 |
$166.87 |
| Community Care HMO (Tulsa Area) |
($7.83) |
$83.78 |
$122.90 |
$165.14 |
| BlueChoice PPO |
$9.18 |
$105.66 |
$159.20 |
$218.24 |
| BlueLincs HMO |
($11.51) |
$66.37 |
$109.57 |
$157.24 |
| BlueEdge HCA |
$1.93 |
$91.89 |
$141.81 |
$196.87 |
| Community Care HMO (Tulsa Area) |
$1.35 |
$90.78 |
$140.40 |
$195.14 |
| BlueChoice PPO |
$14.08 |
$122.16 |
$182.20 |
$248.24 |
| BlueLincs HMO |
($6.60) |
$82.87 |
$132.57 |
$187.24 |
| BlueEdge HCA |
$6.84 |
$108.39 |
$164.81 |
$226.87 |
| Community Care HMO (Tulsa Area) |
$6.25 |
$107.28 |
$163.40 |
$225.14 |
| BlueChoice PPO |
$19.08 |
$127.66 |
$205.20 |
$278.24 |
| BlueLincs HMO |
($1.60) |
$88.37 |
$155.57 |
$217.24 |
| BlueEdge HCA |
$11.84 |
$113.89 |
$187.81 |
$256.87 |
| Community Care HMO (Tulsa Area) |
$11.25 |
$112.78 |
$186.40 |
$255.14 |
| BlueChoice PPO |
$28.58 |
$132.66 |
$229.70 |
$308.24 |
| BlueLincs HMO |
$7.90 |
$93.37 |
$180.07 |
$247.24 |
| BlueEdge HCA |
$21.34 |
$118.89 |
$212.31 |
$286.87 |
| Community Care HMO (Tulsa Area) |
$20.75 |
$117.78 |
$210.90 |
$285.14 |
| BlueChoice PPO |
$38.58 |
$136.66 |
$254.20 |
$333.24 |
| BlueLincs HMO |
$17.90 |
$97.37 |
$204.57 |
$272.24 |
| BlueEdge HCA |
$31.34 |
$122.89 |
$236.81 |
$311.87 |
| Community Care HMO (Tulsa Area) |
$30.75 |
$121.78 |
$235.40 |
$310.14 |