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2023 COBRA Plan Rates

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Below are the 2022 monthly COBRA costs for Stanford’s medical plans.

For payment questions, please contact VITA Administration Company at vitacompanies.com or 844-231-5331.

Medical Plan

Subscriber Cost

Dependent Cost

Kaiser Permanente HMO

You Only

$654.02

$654.02

You & Spouse/Registered Domestic Partner

$1,373.46

 

You & Child(ren)

$1,177.26

$1,177.26

You & Family

$1,896.66

 

Kaiser Permanente HMO Hawaii

You Only

$618.36

$618.36

You & Spouse/Registered Domestic Partner

$1,236.73

 

You & Child(ren)

$1,113.06

$1,113.06

You & Family

$1,855.10

 

Stanford Health Care Alliance

You Only

$1,592.13

$1,592.13

You & Spouse/Registered Domestic Partner

$3,343.42

 

You & Child(ren)

$2,865.80

$2,865.80

You & Family

$4,617.09

 

Trio, by Blue Shield

You Only

$967.89

$967.89

You & Spouse/Registered Domestic Partner

$2,032.54

 

You & Child(ren)

$1,742.19

$1,742.19

You & Family

$2,806.85

 

Healthcare + Savings Plan

You Only

$1,497.20

$1,497.20

You & Spouse/Registered Domestic Partner

$3,144.07

 

You & Child(ren)

$2,694.93

$2,694.93

You & Family

$4,341.80

 

Healthcare + Savings Plan (Out of Area)

You Only

$1,497.20

$1,497.20

You & Spouse/Registered Domestic Partner

$3,144.07

 

You & Child(ren)

$2,694.93

$2,694.93

You & Family

$4,341.80

 

ACA Basic High Deductible

You Only

$992.13

$992.13

You & Spouse/Registered Domestic Partner

$2,079.18

 

You & Child(ren)

$1,782.72

$1,782.72

You & Family

$2,869.78

 

Dental and Vision Plans

Subscriber Cost

Dependent Cost

Delta Dental Basic PPO

You Only

$41.94

$41.94

You & Spouse/Registered Domestic Partner

$88.09

 

You & Child(ren)

$75.51

$75.51

You & Family

$121.65

 

Delta Dental Enhanced PPO

You Only

$66.61

$66.61

You & Spouse/Registered Domestic Partner

$139.87

 

You & Child(ren)

$119.90

$119.90

You & Family

$193.17

 

VSP Vision Care

You Only

$11.44

$11.44

You & Spouse/Registered Domestic Partner

$18.34

 

You & Child(ren)

$18.73

$18.73

You & Family

$30.17