Active Retiree Rates

When a UI retiree and/or spouse are not yet Medicare eligible, they will have an active retiree policy until they turn age 65. Once you turn 65, you will be placed into our UI Medicare Carveout plans under UIChoice and UISelect.

2025 Not Medicare Eligible Rates

2024 Not Medicare Eligible Rates

Medicare Eligible Rates

Once a retiree and/or spouse turns 65, the plan participant is moved into a UI Medicare Carveout plan under UIChoice or UISelect. You are also eligible for the two Medicare Advantage plans UI Health Alliance offers.

2025 Medicare Eligible Rates

2024 Medicare Eligible Rates

University of Iowa Contribution Eligibility 

Faculty and staff enrolled in UIChoice or UISelect who retire at age 62 or older with 10 or more years of continuous benefit-eligible service, may receive a $288 university contribution toward the cost of the UIChoice or UISelect health insurance premium per month. Please note that this contribution is NOT guaranteed and is reviewed by executive leadership on a yearly basis. 

Retiree's who are eligible for the University Contribution ($288)
Total Cost - ($288) = Eligible for UI Contribution Retiree's Cost
Example: $651 (UISelect) - $288 = $363 premium per month 

What happens to your rates when you become Medicare eligible?

When a UI retiree becomes Medicare eligible, the University Benefits Office will move the UI retiree from an active retiree rate (first table on this page) to a single UI Medicare Carveout policy within the plan you are enrolled in UIChoice or UISelect.

Examples:

  • NO UI CONTRIBUTION:
    Gabriel is enrolled in the UIChoice active retiree single plan and pays $904 for their monthly premium. In February, Gabriel turns 65 and will move into the Medicare Carveout plan for UIChoice. Their new monthly premium will increase to $1,018 per month.
  • HAS UI CONTRIBUTION:
    Florence retired at age 64 and had 24 years of continuous benefit-eligible service with the university, which makes them eligible for the $288 UI contribution towards their premium. Florence's monthly premium for UISelect is $382 after the UI contribution. When they turn 65 later this year, Florence will be moved into the Medicare Carveout plan for UISelect, and the new premium will be:
    • Single UISelect Medicare Eligible premium $916 - $288 UI Contribution = $628

If the Medicare-eligible UI retiree covers a spouse who is not Medicare-eligible, the spouse will have a single (non-medicare eligible) policy paying the retiree's cost.

Examples:

  • Maggie is Medicare eligible (age 66), and her spouse is not (age 64). Therefore, Maggie and her spouse have two different policies.
    • Maggie will be in the UISelect Medicare Carveout Single plan, which is $916/month.
    • Her spouse will be enrolled in the UISelect Active Retiree Single plan for $670/month.
    • Maggie and her spouse's total monthly premium for health insurance is $1,586.00
    • If Maggie is eligible for the UI Contribution, their total premium for health insurance is $1,586 - $288 contribution = $1,298 per month.

If the Medicare-eligible UI retiree is covering a spouse, not Medicare eligible, and child(ren), the spouse and child(ren) will be enrolled in a Retiree + Child(ren) policy. The UI retiree will have a single Medicare carveout plan.

Example:

  • Donald retired from the university at age 67. He also plans to cover his spouse, Kate, who is 59, and their son, Jack, who is 25 and has decided to return to school. 
    • Donald is Medicare eligible, but Kate is not. So, University Benefits will put Donald on his Medicare Carveout Single plan, and Kate and Jack will be enrolled in the Active Retiree + Child(ren) plan. 
    • Donald is also eligible for the $288 UI contribution since he met the eligibility requirements.
  • This family is enrolled in the UIChoice plan.
    • Donald's Medicare carveout single plan = $1,018 - $288 contribution = $730
    • Kate and Jack's Active Retiree + Child plan = $1,760.00
    • Total cost for health insurance = $2,490 per month

If the UI retiree and the spouse are Medicare eligible, the UI retiree and spouse will have single Carveout policies. If they cover children, each child will be enrolled in a single non-Medicare policy. 

Example:

  • Gus and Kim are both Medicare eligible and have the UISelect health plan. However, neither was eligible for the UI Contribution when they retired from the University.
    • Gus and Kim are both put in their own Medicare Carveout single plans. $916.00 x 2 policies = $1,832.00 per month.
  • They have two children who have come back to their plan; below is the breakdown:
    • Gus and Kim remain in their single Medicare Carveout plans and continue to pay $1,832.00 in total for themselves.
    • The two children will each be enrolled in a single active retiree plan for UISelect. $670.00 x 2 policies = $1,340.00. 
    • Total premium for all 4 per month = $3,172.00

2025 Retiree Health Insurance Monthly Premiums

Rates effective Jan. 01, 2025 - Dec. 31, 2025

2025 Not Medicare Eligible

(UI Retiree and/or spouse is not yet age 65)

COVERAGE OPTIONSUICHOICE
TOTAL COST
UICHOICE
WITH $288 UI CONTRIBUTION*
UISELECT
TOTAL COST
UISELECT
WITH $288 UI CONTRIBUTION*
Single$904.00$616.00$670.00$382.00
Retiree + Spouse/Partner$2,157.00$1,869.00$1,599.00$1,311.00
Retiree + Children$1,760.00$1,472.00$1,305.00$1,017.00
Retiree + Family$2,311.00$2,023.00$1,713.00$1,425.00

*Total cost premium minus the $288 contribution = Retirees eligible for contribution premium rate.
To be eligible, One must have retired from the university at age 62 or older with ten or more years of continuous benefit-eligible service.

2025 Medicare Eligible - Carveout Plans

(UI Retiree and/or Spouse is Medicare Eligible, over age 65)

COVERAGE OPTIONSUICHOICE
TOTAL COST
UICHOICE WITH
$288 UI CONTRIBUTION
UISELECT
TOTAL COST
UISELECT WITH
$288 UI CONTRIBUTION
Retiree Only$1,018.00$730.00$916.00$628.00
Retiree + Spouse/Partner
(one Medicare eligible)
$1,922.00
$1,018 (Retiree Only Carveout)
+ $904 (Single Plan)
$1,634.00$1,586.00
$916 (Retiree Only Carveout)
+ $670 (Single Plan)
$1,298.00
Retiree + Spouse/Partner
(both are Medicare eligible)
Please note you and your spouse will
each have your own individual policies.
$2,036.00
$1,018 (Retiree Only Carveout) x 2
$1,748.00$1,832.00
$916 (Retiree Only Carveout) x 2
$1,544.00
Retiree + Child(ren)$1,922.00 (1 child)*
$1,018 (Retiree Only Carveout)
+ $904 (Single Plan) per child covered
$1,634.00*$1,586.00 (1 child)*
$916 (Retiree Only Carveout)
+ $670 (Single Plan) per child covered
$1,298.00*
Retiree + Family
(UI Retiree is Medicare Eligible, Spouse is Not)
$2,694.00
$1,018 (Retiree Only Carveout)
+ $1,676 (Active Retiree + Children)
$2,406.00$2,206.00
$916 (Retiree Only Carveout)
+ $1,290 (Active Retiree + Children)
$1,918.00
Retiree + Family
(Both Retiree & Spouse are Medicare Eligible)
$2,940.00 (1 Child)*
$2,036 (Retiree+Spouse Carveout)
+ $904 (Single plan) per child covered
$2,652.00*$2,502.00 (1 Child)*
$1,832 (Retiree+Spouse Carveout)
+ $670 (Single plan) per child covered
$2,214.00*

* Medicare eligible and covering child(ren)
The cost calculated in the above table for "Retiree + Child(ren)" and "Retiree + Family" is for the Retiree plus 1 covered dependent child; Add $861.00 for each additional child on UIChoice or $662.00 for each additional child on UISelect.

2025 Health Alliance Monthly Premiums

Rates effective Jan. 01, 2025, through Dec. 31, 2025

Plan  Cost
Medicare Advantage Guide HMO Plus Rx plan*$60.00
Medicare Advantage UI Health Alliance PPO*$320.00

2024 Retiree Health Insurance Monthly Premiums

Rates effective Jan. 01, 2024 - Dec. 31, 2024

2024 Not Medicare Eligible

(UI Retiree and/or spouse is not yet age 65)

COVERAGE OPTIONSUICHOICE
TOTAL COST
UICHOICE
WITH $288 UI CONTRIBUTION*
UISELECT
TOTAL COST
UISELECT
WITH $288 UI CONTRIBUTION*
Single$861.00$573.00$662.00$374.00
Retiree + Spouse/Partner$2,055.00$1,767.00$1,580.00$1,292.00
Retiree + Children$1,676.00$1,388.00$1,290.00$1,002.00
Retiree + Family$2,201.00$1,913.00$1,693.00$1,405.00

*Total cost premium minus the $288 contribution = Retirees eligible for contribution premium rate.
To be eligible: Must have retired from the university at age 62 or older with 10 or more years of continuous benefit-eligible service.

2024 Medicare Eligible - Carveout Plans

(UI Retiree and/or Spouse is Medicare Eligible, over age 65)

COVERAGE OPTIONSUICHOICE
TOTAL COST
UICHOICE WITH
$288 UI CONTRIBUTION
UISELECT
TOTAL COST
UISELECT WITH
$288 UI CONTRIBUTION
Retiree Only$1,018.00$730.00$916.00$628.00
Retiree + Spouse/Partner
(one Medicare eligible)
$1,879.00
$1,018 (Retiree Only Carveout)
+ $861 (Single Plan)
$1,591.00$1,578.00
$916 (Retiree Only Carveout)
+ $662 (Single Plan)
$1,290.00
Retiree + Spouse/Partner
(both are Medicare eligible)
Please note you and your spouse will
each have your own individual policies.
$2,036.00
$1,018 (Retiree Only Carveout) x 2
$1,748.00$1,832.00
$916 (Retiree Only Carveout) x 2
$1,544.00
Retiree + Child(ren)$1,879.00 (1 child)*
$1,018 (Retiree Only Carveout)
+ $861 (Single Plan) per child covered
$1,591.00*$1,578.00 (1 child)*
$916 (Retiree Only Carveout)
+ $662 (Single Plan) per child covered
$1,290.00*
Retiree + Family
(UI Retiree is Medicare Eligible, Spouse is Not)
$2,694.00
$1,018 (Retiree Only Carveout)
+ $1,676 (Active Retiree + Children)
$2,406.00$2,206.00
$916 (Retiree Only Carveout)
+ $1,290 (Active Retiree + Children)
$1,918.00
Retiree + Family
(Both Retiree & Spouse are Medicare Eligible)
$2,897.00 (1 Child)*
$2,036 (Retiree+Spouse Carveout)
+ $861 (Single plan) per child covered
$2,609.00*$2,494.00 (1 Child)*
$1,832 (Retiree+Spouse Carveout)
+ $662 (Single plan) per child covered
$2,206.00*

* Medicare eligible and covering child(ren)
The cost calculated in the above table for "Retiree + Child(ren)" and "Retiree + Family" is for the Retiree plus 1 covered dependent child; Add $861.00 for each additional child on UIChoice or $662.00 for each additional child on UISelect

2024 Health Alliance Monthly Premiums

Rates effective Jan. 01, 2024 - Dec. 31, 2024

Plan  Cost
Medicare Advantage Guide HMO Plus Rx plan*$60
Medicare Advantage UI Health Alliance PPO*$320

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