Page 18 - 2022-23 Drug Plastics Benefit Guide
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Benefit Costs
Your bi-weekly (26 pays) payroll contributions for medical, dental and vision benefits are shown here.
Highmark Medical PPO (HSA) Green PPO Blue PPO White
Individual $0.00 $74.90 $112.99
Employee/Spouse $83.16 $171.74 $259.10
Employee/Child(ren) $67.53 $138.11 $208.36
Family $90.77 $188.10 $283.79
MetLife Dental Standard Premium
Individual $3.85 $10.30
Employee/Spouse $7.46 $19.73
Employee/Child(ren) $6.84 $21.27
Family $11.36 $33.28
VSP Vision
Employee Only $2.61
2 Party $5.19
Family $9.66
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