Employee Monthly Cost Gold Buy-Up Buy-Up PPO Core HDHP Basic HDHP Dental Vision PPO Employee Only $929.45 $869.52 $770.07 $684.11 $35.59 $5.76 Employee + $2,298.21 $2,142.40 $1,883.84 $1,691.45 $71.16 $11.52 Spouse Employee + $1,759.27 $1,641.19 $1,445.29 $1,294.81 $94.90 $11.64 Child(ren) Family $2,520.64 $2,349.24 $2,064.82 $1,855.24 $141.71 $18.57