2023 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	$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

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