HMO and POS Plans

Pennsylvania
Plan Option Code 1999 Total Biweekly Premium 2000 Biweekly premium rates 1999 Total Monthly Premium 2000 Monthly premium rates
Total Premium Gov't pays Empl. Pays Change in empl. Payment Total premium Gov't pays Empl. Pays Change in empl. Payment
Aetna U.S. Healthcare
  High Self KL1 86.00 90.94 68.21 22.73 1.23 186.33 197.04 147.78 49.26 2.68
  High Family KL2 229.24 242.04 175.97 66.07 -2.78 496.69 524.42 381.27 143.15 -6.03
  Standard Self KL4 78.87 76.41 57.31 19.10 -0.62 170.89 165.56 124.17 41.39 -1.33
  Standard Family KL5 210.53 203.80 152.85 50.95 -1.68 456.15 441.57 331.18 110.39 -3.65
Aetna U.S. Healthcare
  High Self SU1 103.42 115.81 78.83 36.98 5.62 224.08 250.92 170.80 80.12 12.17
  High Family SU2 274.60 295.84 175.97 119.87 5.66 594.97 640.99 381.27 259.72 12.26
  Standard Self SU4 86.06 98.98 74.24 24.74 3.23 186.46 214.46 160.85 53.61 7.00
  Standard Family SU5 226.32 255.61 175.97 79.64 13.71 490.36 553.82 381.27 172.55 29.70
First Priority Hlth
  High Self C81 85.14 96.26 72.20 24.06 2.78 184.47 208.56 156.42 52.14 6.02
  High Family C82 219.48 248.14 175.97 72.17 13.08 475.54 537.64 381.27 156.37 28.34
Free State Health Plan
  High Self LD1 95.48 124.90 78.83 46.07 22.20 206.87 270.62 170.80 99.82 48.10
  High Family LD2 246.49 284.79 175.97 108.82 22.72 534.06 617.05 381.27 235.78 49.23
HealthAmerica Pennsylvania
  High Self 261 83.12 87.62 65.72 21.90 1.12 180.09 189.84 142.38 47.46 2.44
  High Family 262 216.11 227.81 170.86 56.95 1.23 468.24 493.59 370.19 123.40 2.67
HealthAmerica Pennsylvania
  High Self SW1 0.00 94.55 70.91 23.64 23.64 0.00 204.86 153.65 51.21 51.21
  High Family SW2 0.00 245.82 175.97 69.85 69.85 0.00 532.61 381.27 151.34 151.34
HealthGuard
  High Self NQ1 82.93 83.28 62.46 20.82 0.09 179.68 180.44 135.33 45.11 0.19
  High Family NQ2 217.30 217.01 162.76 54.25 -2.66 470.82 470.19 352.64 117.55 -5.76
Keystone Health Plan Central
  High Self S41 97.23 108.30 78.83 29.47 4.30 210.67 234.65 170.80 63.85 9.31
  High Family S42 236.17 262.29 175.97 86.32 10.54 511.70 568.30 381.27 187.03 22.84
Keystone Health Plan East
  High Self ED1 90.38 93.16 69.87 23.29 0.70 195.82 201.85 151.39 50.46 1.51
  High Family ED2 238.36 245.72 175.97 69.75 -8.22 516.45 532.39 381.27 151.12 -17.82
KeystoneBlue
  High Self EF1 69.57 96.38 72.29 24.09 6.70 150.74 208.82 156.62 52.20 14.52
  High Family EF2 206.39 285.93 175.97 109.96 58.36 447.18 619.52 381.27 238.25 126.46
Penn State Geisinger HlthPlan
  High Self N91 67.65 65.34 49.01 16.33 -0.58 146.58 141.57 106.18 35.39 -1.25
  High Family N92 206.33 199.31 149.48 49.83 -1.75 447.05 431.84 323.88 107.96 -3.80
Prudential HealthCare HMO
  High Self VV1 75.88 97.05 72.79 24.26 5.29 164.41 210.28 157.71 52.57 11.47
  High Family VV2 208.68 266.92 175.97 90.95 38.78 452.14 578.33 381.27 197.06 84.03
QualMed Plans for Health -Pa.
  High Self 241 88.05 78.70 59.03 19.67 -2.34 190.78 170.52 127.89 42.63 -5.06
  High Family 242 228.92 192.81 144.61 48.20 -20.33 495.99 417.76 313.32 104.44 -44.04
QualMed Plans for Health
  High Self 271 105.99 123.29 78.83 44.46 10.53 229.65 267.13 170.80 96.33 22.81
  High Family 272 246.44 286.63 175.97 110.66 24.61 533.95 621.03 381.27 239.76 53.32
QualMed Plans for Health
  High Self 2K1 84.80 88.04 66.03 22.01 0.81 183.73 190.75 143.06 47.69 1.76
  High Family 2K2 205.90 213.75 160.31 53.44 1.97 446.12 463.13 347.35 115.78 4.25
UPMC Health Plan
  High Self 8W1 New Plan 72.53 54.40 18.13 N/A New Plan 157.15 117.86 39.29 N/A
  High Family 8W2 New Plan 214.95 161.21 53.74 N/A New Plan 465.73 349.30 116.43 N/A

Web page created 20 Sept 1999