Non-Active Rates
2023 TRICARE Supplement Rates
January 1 - December 31, 2023
These rates apply to Active Members and Retirees enrolled in TRICARE.
You | You + Child(ren) | You + Spouse | You + Family | |
---|---|---|---|---|
TRICARE Supplement | $60.50 | $119.50 | $119.50 | $160.50 |
2023 COBRA, State Extended Coverage & Contract Group Employer Rates
January 1 - December 31, 2023
These rates apply to:
- Participants enrolled in COBRA coverage;
- Former Teachers, State or Public School Employees enrolled in State Extended Coverage (SEC);
- Former Members of the General Assembly who are currently eligible to retire from a State Retirement System which the General Assembly appropriates funds, but have chosen not to retire;
- SHBP Employing Entities who have entered into a contract with DCH to provide SHBP coverage to its employees, including Federally Qualified Health Centers (FQHC), Critical Access Hospitals (CAH) and other entities prescribed by State law.
You | You + Child(ren) | You + Spouse | You + Family | |
---|---|---|---|---|
Anthem Gold | $983.04 | $1,671.16 | $2,064.38 | $2,752.50 |
Anthem Silver | $918.86 | $1,562.06 | $1,929.60 | $2,572.80 |
Anthem Bronze | $871.52 | $1,481.58 | $1,830.19 | $2,440.25 |
Anthem HMO | $943.31 | $1,603.62 | $1,980.94 | $2,641.26 |
UHC HMO | $978.35 | $1,663.20 | $2,054.55 | $2,739.39 |
UHC HDHP | $856.90 | $1,456.73 | $1,799.49 | $2,399.33 |
Kaiser HMO | $760.23 | $1,292.38 | $1,596.47 | $2,128.63 |
2022 Cobra Rates, State Extended Coverage & Contract Group Employer Rates