Department of Defense--Federal Employees Health Benefits Program Demonstration Project
Fee-for-Service Plans (FFS) 2001 Total Monthly DoD-FEHB Premium 2002 DoD-FEHB Monthly Premium
Plan - Option - Enrollment Code Total Premium DoD Pays DoD-FEHB Enrollee Pays Change in enrollee payment
     
Alliance Health Plan    
  High Self 1R1 397.50 445.19 212.03 233.16 23.27
  High Family 1R2 842.79 943.93 484.06 459.87 41.36
APWU Health Plan    
  High Self 471 495.76 644.48 212.03 432.45 124.30
  High Family 472 1087.93 1414.31 484.06 930.25 266.60
Blue Cross and Blue Shield Service Benefit Plan  
  Standard Self 104 261.84 286.07 212.03 74.04 -0.19
  Standard Family 105 599.58 655.05 484.06 170.99 -4.31
  Basic Self 111 New code 260.30 195.23 65.07 N/A
  Basic Family 112 New code 615.75 461.81 153.94 N/A
GEHA Benefit Plan    
  High Self 311 296.86 341.38 212.03 129.35 20.10
  High Family 312 646.06 742.97 484.06 258.91 37.13
  Standard Self 314 238.33 238.33 178.75 59.58 0.00
  Standard Family 315 541.67 541.67 406.25 135.42 0.00
Mail Handlers    
  High Self 451 290.77 332.93 212.03 120.90 17.74
  High Family 452 671.00 768.30 484.06 284.24 37.52
  Standard Self 454 263.14 307.91 212.03 95.88 20.35
  Standard Family 455 607.25 710.47 484.06 226.41 43.44
NALC      
  High Self 321 323.18 311.42 212.03 99.39 -36.18
  High Family 322 690.56 665.45 484.06 181.39 -84.89
PBP Health Plan    
  High Self 361 594.38 594.38 212.03 382.35 -24.42
  High Family 362 1282.49 1282.49 484.06 798.43 -59.78
  Standard Self 364 406.94 419.16 212.03 207.13 -12.20
  Standard Family 365 880.30 906.73 484.06 422.67 -33.35
Department of Defense--Federal Employees Health Benefits Program Demonstration Project
HMO Plans 2001 Total Monthly DoD-FEHB Premium 2002 DoD-FEHB Monthly Premium
Location - Plan - Option - Enrollment Code Total Premium DoD Pays DoD-FEHB Enrollee Pays Change in enrollee payment
     
CA Aetna U. S. Healthcare, Inc.  
  High Self 2X1 286.78 278.83 209.12 69.71 -29.46
  High Family 2X2 566.80 557.64 418.23 139.41 -3.11
CA Blue Cross- HMO    
  High Self M51 232.57 260.24 195.18 65.06 6.92
  High Family M52 593.06 663.63 484.06 179.57 10.79
CA Blue Shield of CA Access+  
  High Self SJ1 297.29 297.29 212.03 85.26 -24.42
  High Family SJ2 636.05 636.05 477.04 159.01 -52.76
CA CIGNA HealthCare of California  
  High Self 9T1 326.73 339.80 212.03 127.77 -11.35
  High Family 9T2 653.47 679.60 484.06 195.54 -33.65
CA Health Net    
  High Self LB1 328.88 302.75 212.03 90.72 -50.55
  High Family LB2 625.08 687.01 484.06 202.95 2.15
CA Kaiser Permanente  
  High Self 621 273.72 242.36 181.77 60.59 -25.52
  High Family 622 545.33 484.73 363.55 121.18 -15.15
CA PacifiCare Health Plans  
  High Self CY1 281.67 281.67 211.25 70.42 -23.64
  High Family CY2 658.47 658.47 484.06 174.41 -59.78
FL Av-Med Health Plan    
  High Self EM1 337.91 340.93 212.03 128.9 -21.40
  High Family EM2 787.35 794.37 484.06 310.31 -52.76
IN Aetna U. S. Healthcare, Inc.  
  High Self 7L1 359.06 372.75 212.03 160.72 -10.73
  High Family 7L2 718.16 745.49 484.06 261.43 -32.45
IN Humana Health Plan  
  High Self D21 271.90 319.45 212.03 107.42 23.13
  High Family D22 653.94 769.45 484.06 285.39 55.73
IA Coventry Health Care of Iowa  
  High Self SV1 323.51 176.93 132.70 44.23 -91.67
  High Family SV2 647.03 707.66 484.06 223.60 0.85
KS Coventry HC Kansas Cty formerly Kaiser  
  High Self HA1 265.24 144.76 108.57 36.19 -41.44
  High Family HA2 684.34 579.02 434.27 144.75 -115.31
KS Humana Kansas City, Inc.  
  High Self MS1 279.65 280.56 210.42 70.14 -21.90
  High Family MS2 649.13 649.29 484.06 165.23 -59.62
  Standard Self MS4 218.75 232.29 174.22 58.07 3.38
  Standard Family MS5 502.95 533.48 400.11 133.37 7.63
Department of Defense--Federal Employees Health Benefits Program Demonstration Project
HMO Plans 2001 Total Monthly DoD-FEHB Premium 2002 DoD-FEHB Monthly Premium
Location - Plan - Option - Enrollment Code Total Premium DoD Pays DoD-FEHB Enrollee Pays Change in enrollee payment
     
KY Aetna U. S. Healthcare, Inc.  
  High Self 7L1 359.06 372.75 212.03 160.72 -10.73
  High Family 7L2 718.16 745.49 484.06 261.43 -32.45
KY Humana Health Plan  
  High Self D21 271.90 319.45 212.03 107.42 23.13
  High Family D22 653.94 769.45 484.06 285.39 55.73
LA Coventry Healthcare Louisiana former Maxicare LA  
  High Self BJ1 New area 175.18 131.39 43.79 N/A
  High Family BJ2 New area 700.72 484.06 216.66 N/A
LA Coventry Healthcare Louisiana former Maxicare LA  
  High Self JA1 221.85 203.60 152.70 50.90 -4.56
  High Family JA2 465.90 814.41 484.06 330.35 213.88
MD MD-IPA    
  High Self JP1 269.62 301.62 212.03 89.59 7.58
  High Family JP2 539.24 603.24 452.43 150.81 16.00
MN HealthPartners Classic  
  High Self 531 280.13 295.97 212.03 83.94 -8.58
  High Family 532 560.28 591.96 443.97 147.99 7.92
  Standard Self 534 249.69 264.42 198.32 66.10 3.68
  Standard Family 535 499.35 528.86 396.65 132.21 7.37
MN HealthPartners Health Plan  
  High Self HQ1 301.86 332.89 212.03 120.86 6.61
  High Family HQ2 603.72 665.77 484.06 181.71 2.27
MO BlueCHOICE    
  High Self 9G1 313.73 327.86 212.03 115.83 -10.29
  High Family 9G2 624.52 652.60 484.06 168.54 -31.70
MO Coventry HC Kansas Cty formerly Kaiser  
  High Self HA1 265.24 144.76 108.57 36.19 -41.44
  High Family HA2 684.34 579.02 434.27 144.75 -115.31
MO Group Health Plan    
  High Self MM1 327.19 327.19 212.03 115.16 -24.42
  High Family MM2 693.12 693.12 484.06 209.06 -58.78
MO Humana Kansas City, Inc.  
  High Self MS1 279.65 280.56 210.42 70.14 -21.90
  High Family MS2 649.13 649.29 484.06 165.23 -59.62
  Standard Self MS4 218.75 232.29 174.22 58.07 3.38
  Standard Family MS5 502.95 533.48 400.11 133.37 7.63
MO Mercy Health Plans/Premier  
  High Self 7M1 292.93 378.97 212.03 166.94 61.62
  High Family 7M2 585.87 757.92 484.06 273.86 112.27
NC PARTNERS NHP of NC  
  High Self EQ1 360.53 353.17 212.03 141.14 -31.78
  High Family EQ2 721.07 706.33 484.06 222.27 -74.52
Department of Defense--Federal Employees Health Benefits Program Demonstration Project
HMO Plans 2001 Total Monthly DoD-FEHB Premium 2002 DoD-FEHB Monthly Premium
Location - Plan - Option - Enrollment Code Total Premium DoD Pays DoD-FEHB Enrollee Pays Change in enrollee payment
PR Triple-S    
  High Self 891 228.41 216.99 162.74 54.25 -2.85
  High Family 892 540.76 513.72 385.29 128.43 -6.76
TX HMO Blue Texas    
  High Self YX1 310.16 354.49 212.03 142.46 19.91
  High Family YX2 620.32 709.02 484.06 224.96 28.92
TX PacifiCare Health Plans  
  High Self GF1 281.67 281.67 211.25 70.42 -23.64
  High Family GF2 654.85 654.85 484.06 170.79 -59.78
TX Texas Health Choice, L. C.  
  High Self UK1 281.78 316.12 212.03 104.09 9.92
  High Family UK2 563.53 632.23 474.17 158.06 17.18
Web page created September 21, 2001