Premiums

The primary source of funding for PEEHIP comes from the Legislature’s annual appropriation. For fiscal year 2026, PEEHIP's funding employer contribution is $904 per active employee.

This amount is used to fund claim costs for active employees, retirees, and all covered dependents.

The following monthly premiums are effective October 1, 2025 - September 30, 2026.

Premium Rates 2025-2026

These are base rates and do not include the monthly tobacco and wellness premiums per member and/or spouse, if applicable.

Sliding Scale Information for Retirees

For the charts below, ME refers to Medicare-Eligible while NME refers to Non-Medicare-Eligible. 

PEEHIP Hospital Medical Plan

Individual $30
Individual plus non-spouse dependents (no spouse)* $207
Individual plus spouse only (no other dependents) $282
Individual plus spouse plus other dependents $307

Member on LOA/COBRA

Individual $644
Family $1,617

*Spouses dually eligible for PEEHIP enrolled in family coverage qualify for this premium rate.

Tobacco Premium and Wellness Premium

Tobacco Premium

Member $50
Spouse $50

Wellness Premium

Member $50
Spouse $50

PEEHIP Supplemental Medical Plan

Active Member

Individual or Family $0

Member on LOA/COBRA

Individual or Family $198

Optional Coverage Plan

Cancer, Indemnity, and Vision

Individual or Family (cost per plan) $38

Dental

Individual $38
Family $50

Retired Members who retired prior to 10/1/2005 

Premium if Retiree Subscriber is NME

Individual Coverage
Individual Coverage $210
Family Coverage
Non-Medicare-eligible (NME) dependent(s) but no spouse $465
NME dependent(s) & NME spouse $565
NME dependent(s) & Medicare-eligible (ME) spouse $465
NME spouse only $540
ME spouse only $275
Non-spousal ME dependent only $275
Non-spousal ME dependent & ME spouse $340

Premium if Retiree Subscriber is ME

Individual Coverage
Individual Coverage $25
Family Coverage
Non-Medicare-eligible (NME) dependent(s) but no spouse $280
NME dependent(s) & NME spouse $380
NME dependent(s) & Medicare-eligible (ME) spouse $280
NME spouse only $355
ME spouse only $90
Non-spousal ME dependent only $90
Non-spousal ME dependent  & ME spouse $155

These rates apply to the PEEHIP Hospital Medical Plan or the VIVA Health Plan and is the monthly amount that will be deducted from a retiree's benefit. The VIVA Health Plan is not available to retired members who are Medicare-eligible or retired members with dependents who are Medicare-eligible.

Surviving Dependent

Active Member

Individual Coverage
Non-Medicare-eligible (NME) Survivor $1,014
Medicare-eligible (ME) Survivor $260
Family Coverage
NME Survivor & more than 1 Dependent or Only Dependent NME $1,715
NME Survivor & ME Dependent Only  $1,380
ME Survivor & more than 1 Dependent or Only Dependent NME $1,207
ME Survivor & ME Dependent Only $520

For fiscal year 2025, PEEHIP's funding employer contribution is $800 per active employee.

The following monthly premiums are effective October 1, 2024 - September 30, 2025.

Premium Rates 2024-2025 archive