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 |