Non-Medicare Retiree Benefit Premium Rates 2026

Single

^$274.00_/mo*

• Base Premium
  $389.00
• Non‐Tobacco User Discount
  ($65.00)
• Wellness Premium Discount
  ($50.00)
• 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

^$536.00_/mo*

• Base Premium
  $651.00
• Non‐Tobacco User Discount
  ($65.00)
• Wellness Premium Discount
  ($50.00)
• 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

^$676.00_/mo*

• Base Premium
  $816.00
• Non‐Tobacco User Discount
  ($130.00)
• Wellness Premium Discount
  ($100.00)
• 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

^$405.00_/mo*

• Base Premium
  $520.00
• Non‐Tobacco User Discount
  ($65.00)
• Wellness Premium Discount
  ($50.00)
• 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

^$430.00_/mo*

• Base Premium
  $635.00
• 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.

Surviving Spouse

^$220.00_/mo*

• Base Premium
  $335.00
• Non‐Tobacco User Discount
  ($65.00)
• Wellness Premium Discount
  ($50.00)