Medical Plans
Monthly medical plan premiums are based on the dependents you cover, your plan option and annual salary as of October 1, 2021. For team members newly hired in 2022, medical premiums will be based on your salary as of your date of hire.
If You Elect Coverage For |
VillageMD |
HSA Medical Plan |
---|---|---|
Annual Salary Up to $49,999 |
||
Employee Only |
$71.82 |
$80.59 |
Employee + Spouse/Domestic Partner |
$166.62 |
$185.31 |
Employee + Child |
$155.51 |
$172.10 |
Employee + Family |
$258.35 |
$285.63 |
Annual Salary $50,000–$74,999 |
||
Employee Only |
$89.77 |
$99.19 |
Employee + Spouse/Domestic Partner |
$208.28 |
$226.50 |
Employee + Child |
$194.39 |
$211.82 |
Employee + Family |
$322.94 |
$351.54 |
Annual Salary $75,000–$124,999 |
||
Employee Only |
$101.74 |
$111.58 |
Employee + Spouse/Domestic Partner |
$236.05 |
$253.94 |
Employee + Child |
$220.30 |
$238.29 |
Employee + Family |
$365.99 |
$395.48 |
Annual Salary $125,000 + |
||
Employee Only |
$149.62 |
$161.17 |
Employee + Spouse/Domestic Partner |
$347.13 |
$377.49 |
Employee + Child |
$323.98 |
$350.82 |
Employee + Family |
$398.29 |
$477.87 |
Dental PPO Plan
Monthly dental costs are based on the dependents you cover.
If You Elect Coverage For |
Your Monthly Cost |
---|---|
Employee Only |
$9.66 |
Employee + Spouse/Domestic Partner |
$18.46 |
Employee + Child |
$22.98 |
Employee + Family |
$31.78 |
Vision Plan
Monthly vision costs are based on the dependents you cover.
If You Elect Coverage For |
Your Monthly Cost |
---|---|
Employee Only |
$2.32 |
Employee + Spouse/Domestic Partner |
$3.73 |
Employee + Child |
$3.80 |
Employee + Family |
$6.11 |
Employee-Paid Supplemental Life and AD&D
To supplement your Basic Life and AD&D coverage, you may enroll in supplemental coverage at your own cost.
Supplemental Coverage Type |
Age |
Monthly Cost Per $1,000 of Coverage |
---|---|---|
Supplemental Life — Team Member or Spouse |
<30 |
$0.071 |
30-34 |
$0.078 |
|
35-39 |
$0.117 |
|
40-44 |
$0.189 |
|
45-49 |
$0.292 |
|
50-54 |
$0.475 |
|
55-59 |
$0.746 |
|
60-64 |
$1.036 |
|
65-69 |
$1.912 |
|
70+ |
$3.160 |
|
Supplemental AD&D — |
N/A |
$0.024 |
Supplemental Life — |
N/A |
$0.020 |
Voluntary Long-Term Disability (LTD)
For Team Members Below Director Level who choose to enroll in Voluntary LTD, the monthly cost is based on your age and covered monthly earnings.
Your Age |
Your Monthly Cost |
---|---|
Under 20 |
$0.12 |
20-24 |
$0.12 |
25-29 |
$0.17 |
30-34 |
$0.24 |
35-39 |
$0.39 |
40-44 |
$0.66 |
45-49 |
$0.77 |
50-54 |
$1.00 |
55-59 |
$1.21 |
60-64 |
$1.05 |
65-69 |
$0.44 |
70-74 |
$0.22 |