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2004 HEALTH DENTAL INSURANCE RENEWAL <br /> <br />$15 Copay <br /> <br /> Plan <br />Name <br /> <br />Health Health <br />Partners Partners Plan <br />Current Renewal Medica Name <br /> <br />Classic ME100 <br />Single 288.40 362.30 290.43 <br />Single & Spouse 588.95 739.88 593.10 <br />Single & Children 524.16 658.48 527.85 <br />Family 976.99 1,227.36 983.87 <br /> <br />MICME/MES17 <br /> <br />MIC Elect/Essential <br /> <br />(Medica Elect/Essential rates include Allina Clinics included in HealthPartners' Primary network. <br />Because HealthPartners and Medica have different networks, plan comparisons are difficult.) <br /> <br />Primary HP60 <br />Single 311.77 n/a <br />Single & Spouse 636.70 n/a <br />Single & Children 566.65 n/a <br />Family 1,056.20 n/a <br />(HealthPartners combined the Primary and Open plans for the 2004 renewal.) <br /> <br />Open HPA60 MIC17 <br />Single 336.72 381.37 322.68 <br />Single & Spouse 687.64 778.82 658.98 <br />Single & Children 611.99 693.14 586.48 <br />Family 1,140.70 1,291.96 1,093.16 <br />(HealthPartners renewal combines Primary and Open plans. HealthPartners and Medica <br />networks are different.) <br /> <br />MIC Choice Select <br /> <br />$500 Deductible <br /> <br />Classic ME101 <br />Single 239.68 292.41 247.48 <br />Single & Spouse 489.46 597.14 505.39 <br />Single & Children 435.61 532.05 449.79 <br />Family 811.94 991.71 838.37 <br /> <br />MICME/MES500 <br /> <br />MIC Elect/Essential $500 Deductible <br /> <br />(Medica Elect/Essential rates include Allina Clinics included in HealthPartners' Primary network. <br />Because HealthPartners and Medica have different networks, plan comparisons are difficult.) <br /> <br />Primary HD12 <br />Single 259.10 n/a <br />Single & Spouse 529.14 n/a <br />Single & Children 470.92 n/a <br />Family 877.77 n/a <br />(HealthPartners combined the Primary and Open plans for the 2004 renewal.) <br /> <br />Open HPA62 MIC500 <br />Single 279.84 308.15 274.97 <br />Single & Spouse 571.47 629.29 561.54 <br />Single & Children 508.60 560.06 499.76 <br />Family 948.00 1,043.90 931.52 <br />(HealthPartners renewal combines Primary and Open plans. HealthPartners and Medica <br />networks are different.) <br /> <br />MIC Choice $500 Deductible <br /> <br />DENTAL <br /> <br />Single 26.04 26.04 <br />Family 68.02 68.02 <br /> <br />NOTE: For more information on the networks for these plans go to Medica.com and HealthPartners.com. <br /> <br />11/21/2003 <br /> <br /> <br />