Retiree Health Insurance Rates

Retiree Monthly Health Insurance Rates 2026

  • To enroll in an HMO or to remain enrolled in your current HMO, you must live or work† in the HMO’s NYSHIP service area. 
  • If you reside outside New York State, your only NYSHIP option is The Empire Plan.
  • If you move into an area served by a NYSHIP HMO, you will be eligible to change your option to an HMO at that time.
  Empire Plan CDPHP * HMO Blue * MVP *
Retirement prior to 1/1/83
  • Individual: 0.00
  • Family: 468.25
  • Individual: 109.13
  • Family: 416.31
  • Individual: 0.00
  • Family: 402.41
  • Individual: 142.95
  • Family: 455.95
Retirement between 1/1/83 -12/31/11, or on or after 1/1/12 for Classified Employees Grade 9 or below & UUP less than $52,413 & MC Professional (13) less than $54,205 **
  • Individual: 143.38
  • Family: 649.09
  • Individual: 246.41
  • Family: 599.99
  • Individual: 134.75
  • Family: 569.35
  • Individual: 282.76
  • Family: 625.51

Retirement on or after 1/1/12, for Classified Employees Grade 10 & above and UUP at or more than $52,413 & MC Professional (13) at or more than $54,205 **

  • Individual: 191.17
  • Family: 771.80
  • Individual: 292.17
  • Family: 716.73
  • Individual: 179.67
  • Family: 678.66
  • Individual: 329.37
  • Family: 747.58
Eligible survivors of active employees who died on or after 4/1/79 or of Retirees who retired on or after 4/1/79
  • Individual: 119.48
  • Family: 587.73
  • Individual: 223.53
  • Family: 541.62
  • Individual: 112.29
  • Family: 514.70
  • Individual: 259.46
  • Family: 564.47
Amended Dependent Survivors; Eligible survivors of active Employees who died between 4/1/75 and 3/31/79
  • Individual: 468.25
  • Family: 468.25
  • Individual: 416.31
  • Family: 416.31
  • Individual: 402.41
  • Family: 402.41
  • Individual: 429.99
  • Family: 429.99
Vestees, Long Term Disability Enrollees and all other Dependent Survivors
  • Individual: 1,194.83
  • Family: 3,067.83
  • Individual: 1,253.09
  • Family: 2,918.35
  • Individual: 1,122.95
  • Family: 2,732.59
  • Individual: 1.308.06
  • Family: 3,028.02

 

                                         Retiree Monthly Health Insurance Rates 2025

  Empire Plan CDPHP * HMO Blue * MVP *
Retirement prior to 1/1/83 
  • Individual: 0.00
  • Family: 427.35
  • Individual: 87.39
  • Family: 373.80
  • Individual: 0.00
  • Family: 381.82
  • Individual: 62.88
  • Family: 368.71
Retirement between 1/1/83-12/31/11, or on or after 1/1/12 for Classified Employees Grade 9 or below & UUP less than $52,413 & MC Professional (13) less than $54,205 **
  • Individual:130.86
  • Family: 592.40
  • Individual: 212.98
  • Family: 539.79
 
  • Individual:127.68
  • Family: 540.05
 
  • Individual:190.18
  • Family: 533.05
 
Retirement on or after 1/1/12, for Classified Employees Grade 10 and above and UUP at or more than $52,413 & MC Professional (13) at or more than $54,205 **
  • Individual:174.49
  • Family: 704.41
  • Individual: 254.84
  • Family: 644.96
 
  • Individual:170.25
  • Family: 643.71
 
  • Individual:232.61
  • Family: 636.99
 
Eligible survivors of active employees who died on or after 4/1/79 or of Retirees who retired on or after 4/1/79 **
  • Individual:109.05
  • Family: 536.40
 
  • Individual:192.04
  • Family: 487.20
 
  • Individual:106.40
  • Family: 488.22
  • Individual:168.96
  • Family: 481.08
 Amended Dependent Survivors; Eligible survivors of active Employees who died between 4/1/75 and 3/31/79
  • Individual:427.35
  • Family: 427.35
 
  • Individual:373.80
  • Family: 373.80
 
  • Individual:381.82
  • Family: 381.82
 
  • Individual:368.71
  • Family: 368.71
 
Vestees, Long Term Disability Enrollees and all other Dependent Survivors
  • Individual:1,090.54
  • Family: 2,799.94
 
  • Individual:1,133.96
  • Family: 2,629.18
  • Individual:1,064.04
  • Family: 2,591.34
 
  • Individual:1,123.71
  • Family: 2,598.54
 
  • NO ACTION IS REQUIRED IF YOU WISH TO KEEP YOUR CURRENT HEALTH INSURANCE OPTION AND STILL QUALIFY FOR THE PLAN
  • Retirees need to reach out to the Employee Benefits Division for assistance

      • (800) 833-4344 or (518) 457-5754, Monday through Friday between 9 am – 4pm ET
  • Medicare-primary NYSHIP HMO enrollees will be enrolled in the HMO’s Medicare Advantage plan. †If Medicare primary, check with the plan.
  • **Enrollees covered under Preferred List provisions receive the same rates as enrollees who retired on or after 1/1/12
  • Choices Book explains the options available to you under NYSHIP for your health insurance coverage and other benefits 
  • Enrollee contributions for retirees, vestees, dependent survivors and enrollees covered under Preferred List Provisions. Rates for retirees do not reflect sick leave credit.
  • Option Transfer Information for Retirees, gives you quick access to information, tools and forms needed to prepare and submit an option transfer request.
    • Go to MyNYSHIP to change options online and you may use My Flyer for more information.
  • Reminder: NYSHIP enrollees with retiree benefits are permitted to change health insurance options at any time, once during any 12-month period.
  • Employee Benefits Division: 1-800-833-4344 or 518-457-5754 – Monday through Friday between 9 a.m. – 4 p.m. ET
  • 2025 and 2026 NYSHIP monthly comparison chart