Employee Monthly Cost Gold Buy-Up Buy-Up PPO Core HDHP Basic HDHP Dental Vision PPO Employee Only $948.04 $886.91 $785.47 $697.79 $36.30 $5.88 Employee + $2,344.18 $2,185.25 $1,921.52 $1,725.28 $72.58 $11.75 Spouse Employee + $1,794.45 $1,674.02 $1,474.19 $1,320.71 $96.80 $11.87 Child(ren) Family $2,571.05 $2,396.23 $2,106.11 $1,892.34 $144.54 $18.94