Medical cost per paycheck | HSA Plan | PPO Plan | | = Tobacco-Free Discount | 10 Month (18 Pays) | 12 Month (26 Pays) | 10 Month (18 Pays) | 12 Month (26 Pays) | | Employee Only | $84.76 | $58.68 | $125.45 | $86.85 | | Employee Only | $134.76 | $93.29 | $175.45 | $121.46 | | Employee + Children | $170.51 | $118.04 | $247.85 | $171.59 | | Employee + Children | $220.51 | $152.66 | $297.85 | $206.20 | | Family | $222.68 | $154.16 | $328.33 | $227.30 | | Family | $272.68 | $188.78 | $378.33 | $261.92 |