STANDARD

PREMIUM RATES
for fiscal years 2016 to present

Bermuda
Health Council
Standard Premium Rates for fiscal years 2016 to present
Contact us:
If you would like any further information about the Bermuda Health Council, or if you would like to bring a healthcare matter to our
attention, we look forward to hearing from you.

Mailing Address:
PO Box HM 3381
Hamilton HM PX
Bermuda

Street Address:
Sterling House, 3rd Floor
16 Wesley Street
Hamilton HM11
Bermuda

Phone: 292-6420
Fax: 292-8067
Email: healthcouncil@bhec.bm

Published by:
Bermuda Health Council (April 2019)
Copyright © 2019 Bermuda Health Council

Reference as:
Bermuda Health Council (2019)
Standard Premium Rates for fiscal years 2016 to present
Bermuda Health Council: Bermuda.

Printed by:
Bermuda Health Council
TABLE OF CONTENTS
1st June 2019 - 31st March 2020* 4

1st June 2018 - 31st May 2019* 5

1st July 2017 - 31st May 2018 6

1st April 2016 - 30th June 2017 7

1st April 2015 - 31st March 2016 8

*anticipated dates, as of publication

 2019/20 SPR Bermuda
Health Council
Anticipated effective date, 1st June 2019

Standard Diagnostic Home Medical

Other Cost
Effective

Premium Imaging
$17.78
& Support
Services
Community
Services
$5.05
Rate $0.51

$355.31
Community
Out-Patient
Services
MRF $23.34
Enhanced Care
Programme Administration
$2.00 $0.51

Low-Cost
Emergency
Services Insurance Plan
$52.19 Support
Hospital
Imaging & In-Patient $35.89
Lab Tests
$57.93
Services Mutual
$63.09
Operating 15+ Hospital Reinsurance
Room Care Hospitalisation Care1
$9.24
Hospital
$25.30
Hospital $231.33 Fund
Out-Patient
Doctors
Care
$13.16
$331.97 Kidney
$8.783
Hospital
Transplants &
In-Patient Dialysis Care
Doctors $57.84
$11.67 Chronic
Health
Disease
System
Innovation
Oversight
Fund
$1.00
Notes: $3.40
1. In prior years, hospital care was divided into eight categories of in-patient,
out-patient and emergency services. When the new SPR comes into effect,
all hopsital care will be covered by a single MRF transfer of $231.33,
compared to a cumulative SPR-related income of $241.36 in 2018/19.
4
 2018/19 SPR
Bermuda
Health Council
Health
MRF
Effective 1st June 2018 System
Administration
Hospital 15+ Day
Oversight Services Hospitalisation
$0.55 $0.51 $63.09
$0.51 $25.30
$1.09 $65.17 $22.02

Hospital
Care
$13.16 Low-Cost
$13.16 Insurance Plan Hospital
Support Doctors
$50.35 $11.67
Mutual $48.03 Hospital $11.24
Chronic
Disease Reinsurance In-Patient
Programme Fund Services
$-
$3.37 $101.97 $100.06
$91.57 $98.43

Dialysis Standard
Care
$37.40
Premium
$25.41
Rate
$355.31
$334.00
Hospital &
Community Emergency
Out-Patient Services
Services $52.19
$48.84
Ancillary $101.09
Suppport & $95.16
Supplies
$25.14
$22.00 Imaging
and Lab
Tests
$57.93
Hospital Operating $54.63
Doctors Room Care
Note: White text represents the 2017/18 figure for comparison
$8.78 $9.24
$9.94
$8.59 5
 2017/18 SPR Health
Bermuda
Health Council

Effective 1st July 2017 System MRF Hospital 15+ Day

Oversight Administration Services Hospitalisation
$1.09 $0.51 $65.17
$0.51 $22.02
$1.09 $61.33 $27.13

Hospital
Care
$13.16 Low-Cost
$16.40 Insurance Plan Hospital
Support Doctors
$48.03 $11.24
Chronic
Mutual $39.00 Hospital $9.92

Disease Reinsurance In-Patient

Programme
$3.37
FundC Services
$6.19 $91.57 $98.43
$70.72 $98.38

Dialysis
CareB Standard
$25.41
$31.97 Premium
Rate
$334.00
$338.07A

Hospital &
Community Emergency
Out-Patient Services
Services $48.84
$47.24
Ancillary $95.16
Suppport & $121.73
Supplies
$22.00
$19.11 Imaging
and Lab
Tests
$54.63
Hospital Operating $52.46
Doctors Room Care Note:
$8.59 $9.94 A. Green text reflects the 2016/17 figure for comparison
$8.19 $10.00 B. In 2016/17, a transfer of $7.53 was made to support Patient Subsidies
6 C. In 2016/17, Dialysis was covered under Hospital and Community Out-Patient Services
 2016/17 SPR Future Care
Bermuda
Health Council

Effective 1st April 2016 Funding

HIP Funding $14.00 Patient
$25.00
Subsidy
$7.53
Regulation & Chronic Disease
Coordination Management Pilot
$1.09 Mutual $6.19
Reinsurance
MRF Fund (MRF) Hospital
Administration
$0.51
$70.72 Modernisation
$16.40
Ancillary
Support Imaging & Lab
& Supplies Tests
$12.60 $52.46 Operating
Hospital Room
Doctors Care
$9.92 $10.00
Hospital Hospital &
Standard Community Ancillary
In-Patient Support &
Premium Rate Out-Patient
Services Supplies
Hospital $98.38 $338.07 Services $19.11
Services $121.73
$48.73 Dialysis (for
Kidney Failure)
$31.97
15+ Day Hospital
Hospitalisation Doctors
$27.13 $8.19
Emergency
Services
$47.24

7
 2015/16 SPR Hospital care
Bermuda
Health Council

Hospital
Effective 1st April 2015 and services
Doctors
$10.11 $45.06

Ancillary 15+ Day

Support Hospitalisation
& Supplies In-Patient $56.82
$8.87
Services
$120.86
Hospital
Health System MRF Doctors
Regulation by Administration $7.92
Health Council $0.51 Operating
$1. 00 Room
Procedures
$8.10
Chronic Disease
Management Pilot
$6.19 Mutual Standard
Reinsurance Out-Patient Ancillary
Premium Rate Support &
Fund (MRF) Services Supplies
$338.07 $18.27
Future Care
$63.74 $111.27
Funding
$14.00
Dialysis (for
Kidney Failure)
HIP Funding $26.66
$18.40 Hospital
Modernisation Imaging & Lab
$23.64 Tests
$50.32

Emergency
Services
$42.20
8