Both Employee and Spouse have Medicare

$520.00

$560.00

One of them has Medicare

$989.00

$1,035.00

Neither of them has Medicare

$1,458.00

$1,510.00

Single with Medicare

$260.00

$280.00

Single without Medicare

$729.00

$755.00

Single with Medicare (covering at least 1 child)

$391.00

$421.00

Single without Medicare (covering at least 1 child)

$859.00

$885.00