Costs – tables

Employee Only

Medical

Employee Monthly Cost
Ancestry Monthly Cost
UHC $500 Plan
$189
$778
UHC HSA $1,500 Plan*
$84
$638
UHC HSA $2,500 Plan**
$60
$549
Kaiser HMO $500 Plan
$101
$462

* Annual Ancestry HSA contribution: $750 employee
** Annual Ancestry HSA contribution: $1,250 employee

Dental

Employee Monthly Cost
Ancestry Monthly Cost
MetLife—PDP Plus Network
$16
$34

Vision

Employee Monthly Cost
Ancestry Monthly Cost
VSP—Choice Network
$0
$9

Employee + Spouse/Partner

Medical

Employee Monthly Cost
Ancestry Monthly Cost
UHC $500 Plan
$421
$1,738
UHC HSA $1,500 Plan*
$161
$1,448
UHC HSA $2,500 Plan**
$131
$1,223
Kaiser HMO $500 Plan
$228
$1,040

* Annual Ancestry HSA contribution: $1,500 family
** Annual Ancestry HSA contribution: $2,500 family

Dental

Employee Monthly Cost
Ancestry Monthly Cost
MetLife—PDP Plus Network
$30
$61

Vision

Employee Monthly Cost
Ancestry Monthly Cost
VSP—Choice Network
$9
$9

Employee + Children

Medical

Employee Monthly Cost
Ancestry Monthly Cost
UHC $500 Plan
$403
$1,661
UHC HSA $1,500 Plan*
$155
$1,383
UHC HSA $2,500 Plan**
$125
$1,170
Kaiser HMO $500 Plan
$218
$994

* Annual Ancestry HSA contribution: $1,500 family
** Annual Ancestry HSA contribution: $2,500 family

Dental

Employee Monthly Cost
Ancestry Monthly Cost
MetLife—PDP Plus Network
$33
$68

Vision

Employee Monthly Cost
Ancestry Monthly Cost
VSP—Choice Network
$12
$9

Employee + Family

Medical

Employee Monthly Cost
Ancestry Monthly Cost
UHC $500 Plan
$579
$2,391
UHC HSA $1,500 Plan*
$232
$1,981
UHC HSA $2,500 Plan**
$181
$1,680
Kaiser HMO $500 Plan
$315
$1,432

* Annual Ancestry HSA contribution: $1,500 family
** Annual Ancestry HSA contribution: $2,500 family

Dental

Employee Monthly Cost
Ancestry Monthly Cost
MetLife—PDP Plus Network
$57
$114

Vision

Employee Monthly Cost
Ancestry Monthly Cost
VSP—Choice Network
$18
$10