Page 7 - Dentons 2021 Benefits Guide Retiree

MEDICAL, MEDICARE SUPPLEMENT,

DENTAL, AND VISION INSURANCE

Monthly Rates for 2021
Plan Single Single + One Family
Medical
CDHP 3000 $658.87 $1,265.05 $2,246.78
CDHP 1500 $679.26 $1,306.00 $2,318.28
PPO 1200 $840.41 $1,613.58 $2,865.79
United American/Express Scripts
Medicare Supplement—Part D $364.76 per person
Medicare Supplement—Part F $262.00 per person
Dental
MetLife Basic $26.94 $51.82 $85.38
MetLife Enhanced $49.82 $97.84 $141.53
Vision
VSP $5.42 $9.86 $15.10

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