Medicare Retiree Benefit Premium Rates 2026

Single

$15.00/mo*

  • Base Premium
    $80.00
  • Non‐Tobacco User Discount
    ($65.00)
  • Wellness Premium Discount
    -
  • Spouse Surcharge Discount
    -
(with all discounts)*
Federal Poverty Level Discount and retiree sliding scale adjustments are not included in this chart.
Family Non-Medicare without Spouse

$277.00/mo*

  • Base Premium
    $342.00
  • Non‐Tobacco User Discount
    ($65.00)
  • Wellness Premium Discount
    -
  • Spouse Surcharge Discount
    -
(with all discounts)*
Federal Poverty Level Discount and retiree sliding scale adjustments are not included in this chart.
Family Non-Medicare with Spouse

$302.00/mo*

  • Base Premium
    $507.00
  • Non‐Tobacco User Discount
    ($130.00)
  • Wellness Premium Discount
    ($50.00)
  • Spouse Surcharge Discount
    ($25.00)
(with all discounts)*
Federal Poverty Level Discount and retiree sliding scale adjustments are not included in this chart.
Family Medicare without Spouse

$136.00/mo*

  • Base Premium
    $201.00
  • Non‐Tobacco User Discount
    ($65.00)
  • Wellness Premium Discount
    -
  • Spouse Surcharge Discount
    -
(with all discounts)*
Federal Poverty Level Discount and retiree sliding scale adjustments are not included in this chart.
Family Medicare with Spouse

$161.00/mo*

  • Base Premium
    $316.00
  • Non‐Tobacco User Discount
    ($130.00)
  • Wellness Premium Discount
    -
  • Spouse Surcharge Discount
    ($25.00)
(with all discounts)*
Federal Poverty Level Discount and retiree sliding scale adjustments are not included in this chart.
Surviving Spouse

$220.00/mo*

  • Base Premium
    $285.00
  • Non‐Tobacco User Discount
    ($65.00)

Your choice of BCBS Dental Plan or Southland Dental Plan

Employee Only

$15.00/mo

Family

$24.00/mo

Employee Only

$15.00/mo

Family

$24.00/mo

Employee Only

$15.00/mo

Family

$24.00/mo