2022 COBRA Plan Rates
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 |
$604.55 |
$604.55 |
You & Spouse/Registered Domestic Partner |
$1,269.57 |
|
|
You & Child(ren) |
$1,088.21 |
$1,088.21 |
|
You & Family |
$1,753.19 |
|
|
Kaiser Permanente HMO Hawaii |
You Only |
$616.82 |
$616.82 |
You & Spouse/Registered Domestic Partner |
$1,233.64 |
|
|
You & Child(ren) |
$1,110.28 |
$1,110.28 |
|
You & Family |
$1,850.47 |
|
|
Stanford Health Care Alliance |
You Only |
$1,328.47 |
$1,328.47 |
You & Spouse/Registered Domestic Partner |
$2,789.78 |
|
|
You & Child(ren) |
$2,391.24 |
$2,391.24 |
|
You & Family |
$3,852.54 |
|
|
Trio, by Blue Shield |
You Only |
$898.91 |
$898.91 |
You & Spouse/Registered Domestic Partner |
$1,887.70 |
|
|
You & Child(ren) |
$1,618.03 |
$1,618.03 |
|
You & Family |
$2,606.82 |
|
|
Healthcare + Savings Plan |
You Only |
$1,267.20 |
$1,267.20 |
You & Spouse/Registered Domestic Partner |
$2,650.82 |
|
|
You & Child(ren) |
$2,273.48 |
$2,273.48 |
|
You & Family |
$3,657.09 |
|
|
Healthcare + Savings Plan (Out of Area) |
You Only |
$1,267.20 |
$1,267.20 |
You & Spouse/Registered Domestic Partner |
$2,650.82 |
|
|
You & Child(ren) |
$2,273.48 |
$2,273.48 |
|
You & Family |
$3,657.09 |
|
|
ACA Basic High Deductible |
You Only |
$880.99 |
$880.99 |
You & Spouse/Registered Domestic Partner |
$1,839.79 |
|
|
You & Child(ren) |
$1,578.30 |
$1,578.30 |
|
You & Family |
$2,537.12 |
Dental and Vision Plans |
Subscriber Cost |
Dependent Cost |
|
Delta Dental Basic PPO |
You Only |
$39.64 |
$39.64 |
You & Spouse/Registered Domestic Partner |
$83.26 |
||
You & Child(ren) |
$71.36 |
$71.36 |
|
You & Family |
$114.97 |
||
Delta Dental Enhanced PPO |
You Only |
$64.31 |
$64.31 |
You & Spouse/Registered Domestic Partner |
$135.04 |
||
You & Child(ren) |
$115.75 |
$115.75 |
|
You & Family |
$186.49 |
||
VSP Vision Care |
You Only |
$11.44 |
$11.44 |
You & Spouse/Registered Domestic Partner |
$18.33 |
||
You & Child(ren) |
$18.72 |
$18.72 |
|
You & Family |
$30.17 |