EX-99.2 3 ex99_2.htm EXHIBIT 99.2
Exhibit 99.2

Administracion de Seguros de Salud
November 1, 2018 to September 30, 2019
PSG (MI Salud) PMPM Premium Rates
  
Rate Cell
  
PMPM Premium Rate
  
Medicaid Pulmonary
  
$
208.27
  
Medicaid Diabetes or Low Cardio
  
$
322.97
  
Medicaid High Cardio
  
$
704.54
  
Medicaid Renal
  
$
1,471.71
  
Medicaid Cancer
  
$
1,688.77
  
Medicaid Male 45+
  
$
120.77
  
Medicaid Male 19-44
  
$
87.44
  
Medicaid Male 14-18
  
$
72.98
  
Medicaid Female 45+
  
$
157.42
  
Medicaid Female 19-44
  
$
108.21
  
Medicaid Female 14-18
  
$
83.30
  
Medicaid Age 7-13
  
$
75.25
  
Medicaid Age 1-6
  
$
87.48
  
Medicaid Under 1
  
$
249.25
  
Commonwealth Pulmonary
  
$
137.49
  
Commonwealth Diabetes or Low Cardio
  
$
173.79
  
Commonwealth High Cardio
  
$
375.75
  
Commonwealth Renal
  
$
607.43
  
Commonwealth Cancer
  
$
1,250.44
  
Commonwealth Male 45+
  
$
66.88
  
Commonwealth Male 19-44
  
$
47.59
  
Commonwealth Male 14-18
  
$
45.49
  
Commonwealth Female 45+
  
$
94.63
  
Commonwealth Female 19-44
  
$
76.24
  
Commonwealth Female 14-18
  
$
56.54
  
Commonwealth Age 7-13
  
$
61.58
  
Commonwealth Age 1-6
  
$
69.21
  
Commonwealth Under 1
  
$
260.25
  
CHIP Pulmonary
  
$
191.68
  
CHIP Diabetes
  
$
503.89
  
CHIP Age 7-13
  
$
68.46
  
CHIP Age 14+
  
$
63.08
  
CHIP Age 1-6
  
$
91.16
  
CHIP Under 1
  
$
256.09
  
Dual Eligible Part A and B
  
$
740.27
  
Dual Eligible Part A Only
  
$
299.62
  
Maternity Delivery Kick Payment
  
$
4,641.59