HCBD works with an independent actuary each year to set rates for the State of Montana Benefit Plan, which is self-funded. To make sure there is enough money available to cover plan costs, HCBD projects claims expenses, administrative fees, and other costs for the upcoming plan year. Based on these estimates, HCBD determines the amount of contributions needed to cover costs while maintaining an adequate reserve. Since the State Plan is self-funded, third-party administrators, like BlueCross BlueShield of Montana and Navitus Health Solutions, assume no financial risk related to claims expenses. This allows the State to set rates based on historical plan costs.
Montana's 69th legislative session passing of HB13, along with union negotiations that wrapped up in the fall of 2024, secured important financial changes starting January 1, 2026 to the State Plan to help maintain its long-term financial stability. Click here to learn more.
Due to increasing medical trends and increased costs, employee medical plan rates will be increasing for the first time since 2016. Medical benefits include Medical, Prescription Drug, Basic Vision, and Basic Life Insurance.
Plans | Medical Benefits |
Dental |
Vision Hardware | Potential Live Life Well Incentive |
Employee Only | $60.00 | $0.00 | +$7.64 | up to $60 off |
Employee & Spouse | $318.00 | +$21.40 | +$14.42 | up to $120 off |
Employee & Child(ren) | $134.00 | +$19.90 | +$15.18 | up to $60 off |
Employee & Family | $397.00 | +$28.90 | +$22.26 | up to $120 off |
Joint Core | $60.00 Per Employee (Includes Family Dental) | $0.00 |
+$22.26 |
up to $60 off |
Non-Medicare medical plan rates increased 4% from Plan Year 2025 to 2026. Medical benefits include Medical, Prescription Drug, Basic Vision, and Basic Life Insurance.
Plans |
Monthly Rate |
Potential
|
Non-Medicare Retiree Only |
$1,499.00 | up to $60 off |
Non-Medicare Retiree & Non-Medicare Spouse |
$2,391.00 | up to $120 off |
Non-Medicare Retiree & Medicare Spouse | $1,747.00 | up to $120 off |
Non-Medicare Retiree & Child(ren) |
$1,933.00 | up to $60 off |
Non-Medicare Retiree, Non-Medicare Spouse & Child(ren) |
$2,657.00 | up to $120 off |
Non-Medicare Retiree, Medicare Spouse & Child(ren) |
$2,221.00 | up to $60 off |
Medicare medical plan rates increased 4% from Plan Year 2025 to 2026. Medical benefits include Medical, Prescription Drug, and Basic Vision.
Plans |
Monthly Rate |
Potential
|
Medicare Retiree Only |
$545.00 | up to $60 off |
Medicare Retiree & Non-Medicare Spouse |
$1,473.00 | up to $120 off |
Medicare Retiree & Medicare Spouse | $971.00 | up to $120 off |
Medicare Retiree & Child(ren) |
$910.00 | up to $60 off |
Medicare Retiree, Non-Medicare Spouse, and Child(ren) |
$1,700.00 | up to $120 off |
Medicare Retiree, Medicare Spouse & Child(ren) |
$1,138.00 | up to $120 off |
No increase in Dental plan rates from Plan Year 2025 to 2026.
Plans |
Monthly Rate |
Retiree Only |
$42.37 |
Retiree & Spouse |
$63.77 |
Retiree & Children |
$62.27 |
Retiree & Family |
$71.27 |
No increase in Vision Hardware plan rates from Plan Year 2025 to 2026. If you elect Vision Hardware coverage, it will be for everyone who's covered on your medical plan.
Plans | Monthly Rate |
Member Only | $7.64 |
Member & Spouse | $14.42 |
Member & Children | $15.18 |
Member & Family | $22.26 |