HMO and POS Plans

Virginia
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 JN1 93.18 108.20 78.83 29.37 6.08 201.89 234.43 170.80 63.63 13.16
  High Family JN2 218.99 253.30 175.97 77.33 18.73 474.48 548.82 381.27 167.55 40.58
  Standard Self JN4 65.85 74.69 56.02 18.67 2.21 142.68 161.83 121.37 40.46 4.79
  Standard Family JN5 154.75 175.20 131.40 43.80 5.11 335.29 379.60 284.70 94.90 11.08
Aetna U.S. Healthcare
  High Self Z11 94.11 101.89 76.42 25.47 1.94 203.91 220.76 165.57 55.19 4.21
  High Family Z12 236.32 255.74 175.97 79.77 3.84 512.03 554.10 381.27 172.83 8.31
CapitalCare
  High Self 2G1 98.29 103.45 77.59 25.86 -0.37 212.96 224.14 168.11 56.03 -0.80
  High Family 2G2 270.31 253.44 175.97 77.47 -32.45 585.67 549.12 381.27 167.85 -70.31
CIGNA HealthCare of VA
  High Self W21 90.29 83.82 62.87 20.95 -1.62 195.63 181.61 136.21 45.40 -3.51
  High Family W22 198.26 187.42 140.57 46.85 -2.71 429.56 406.08 304.56 101.52 -5.87
CIGNA HealthCare of VA
  High Self W31 88.47 89.78 67.34 22.44 0.32 191.69 194.52 145.89 48.63 0.71
  High Family W32 199.96 202.51 151.88 50.63 0.64 433.25 438.77 329.08 109.69 1.38
George Washington Univ HP
  High Self E51 106.10 97.46 73.10 24.36 -9.68 229.88 211.16 158.37 52.79 -20.96
  High Family E52 232.08 238.88 175.97 62.91 -8.78 502.84 517.57 381.27 136.30 -19.03
Healthkeepers
  High Self X81 104.41 88.19 66.14 22.05 -10.30 226.22 191.08 143.31 47.77 -22.32
  High Family X82 265.15 223.96 167.97 55.99 -48.77 574.49 485.25 363.94 121.31 -105.67
John Deere Health Plan
  High Self 3J1 90.95 94.86 71.15 23.71 0.97 197.06 205.53 154.15 51.38 2.12
  High Family 3J2 245.54 256.12 175.97 80.15 -5.00 532.00 554.93 381.27 173.66 -10.83
Kaiser Permanente
  High Self E31 87.33 94.00 70.50 23.50 1.67 189.22 203.67 152.75 50.92 3.62
  High Family E32 215.66 232.40 174.30 58.10 2.83 467.26 503.53 377.65 125.88 6.13
MD-IPA
  High Self JP1 93.15 104.61 78.46 26.15 2.86 201.83 226.66 170.00 56.66 6.20
  High Family JP2 223.58 251.12 175.97 75.15 11.96 484.42 544.09 381.27 162.82 25.91
OPTIMA Health Plan
  High Self 9R1 93.55 107.17 78.83 28.34 4.95 202.69 232.20 170.80 61.40 10.73
  High Family 9R2 221.36 253.59 175.97 77.62 16.65 479.61 549.45 381.27 168.18 36.08
PARTNERS NHP of NC
  High Self EQ1 94.38 99.13 74.35 24.78 1.19 204.49 214.78 161.09 53.69 2.57
  High Family EQ2 212.35 223.04 167.28 55.76 2.67 460.09 483.25 362.44 120.81 5.79
Piedmont Community Healthcare
  High Self 2C1 New Plan 89.70 67.28 22.42 N/A New Plan 194.35 145.76 48.59 N/A
  High Family 2C2 New Plan 260.15 175.97 84.18 N/A New Plan 563.66 381.27 182.39 N/A
Prudential HealthCare HMO
  High Self JB1 92.26 112.09 78.83 33.26 10.20 199.90 242.86 170.80 72.06 22.09
  High Family JB2 203.07 246.72 175.97 70.75 19.98 439.99 534.56 381.27 153.29 43.29
Prudential HealthCare HMO
  High Self V61 71.61 95.65 71.74 23.91 6.01 155.16 207.24 155.43 51.81 13.02
  High Family V62 193.28 258.14 175.97 82.17 33.85 418.77 559.30 381.27 178.03 73.34


Web page created 20 Sept 1999