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@m039153

You mean what is the cost to Mayo Clinic of providing spousal coverage? Let's look at one example. The true cost of Single coverage in Mayo Premier for 2018 will be $567 per month. The employee will pay $95 per month and Mayo Clinic will contribute $472 per month. When a spouse is added, the true cost goes up to $1,020. The employee pays $185 per month and Mayo Clinic contributes $835 per month. So, when the employee adds their spouse to Mayo Premier in 2018, it costs Mayo Clinic an additional $363 per month which is $4,356 for the year.

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Replies to "You mean what is the cost to Mayo Clinic of providing spousal coverage? Let's look at..."

What i want to know is what is the differance in cost to mayo to cove a spouse who is unemployed vs a spouse who does not use their employers insurance in dollars

I think this is a great question, I'm curious to hear this answer as it seems they pick and choose who they want to cover. Same would go for spouses on self-employed.

There is no difference.

So if there is no difference why is there the 75 dollar fee

Because there is a difference between being a Secondary Insurer and being a Primary, if the Spouses Employer covers as a Primary then Mayo spends less as Mayo is only the Secondary Insurer (amounts not listed here, $75 fee not required), if the spouse decides to not use their Employers insurance then Mayo covers as the Primary Insurer (for which the amounts are listed above, $75 fee required to cover the extra cost to mayo).