U. S. Office of Personnel Management
2002 FEHB Non-Postal Premium Rates for Pennsylvania

HMO Plans 2001 Total Biweekly Premium 2002 Biweekly premium rates 2001 Total Monthly Premium 2002 Monthly premium rates
Plan - Option - Enrollment Code Total Premium Gov't Pays Empl. Pays Change in employee payment Total Premium Gov't Pays Empl. Pays Change in employee payment
Aetna U. S. Healthcare, Inc.
  High Self P31 136.48 143.88 97.86 46.02 -3.87 295.71 311.74 212.03 99.71 -8.39
High Family P32 352.02 374.09 223.41 150.68 -5.52 762.71 810.53 484.06 326.47 -11.96
HealthAmerica Pennsylvania
  High Self 261 92.94 115.38 86.54 28.84 5.61 201.37 249.99 187.49 62.50 12.16
High Family 262 241.66 299.96 223.41 76.55 16.14 523.60 649.91 484.06 165.85 34.95
HealthAmerica Pennsylvania
  High Self SW1 99.27 124.14 93.11 31.03 6.21 215.09 268.97 201.73 67.24 13.47
High Family SW2 258.08 322.78 223.41 99.37 34.85 559.17 699.36 484.06 215.30 75.51
HealthGuard
  High Self NQ1 92.31 99.57 74.68 24.89 1.81 200.01 215.74 161.81 53.93 3.93
High Family NQ2 240.73 258.90 194.18 64.72 4.54 521.58 560.95 420.71 140.24 9.85
Keystone Health Plan Central
  High Self S41 115.94 145.19 97.86 47.33 17.98 251.20 314.58 212.03 102.55 38.96
High Family S42 280.60 351.30 223.41 127.89 43.11 607.97 761.15 484.06 277.09 93.40
Keystone Health Plan East
  High Self ED1 107.01 128.60 96.45 32.15 5.40 231.86 278.63 208.97 69.66 11.70
High Family ED2 282.00 338.90 223.41 115.49 29.31 611.00 734.28 484.06 250.22 63.50
KeystoneBlue
  High Self EF1 110.84 145.49 97.86 47.63 19.92 240.15 315.23 212.03 103.20 43.16
High Family EF2 328.82 431.62 223.41 208.21 75.21 712.44 935.18 484.06 451.12 162.96
PHS Health Plans (QualMed Plans for Hlth)
  High Self 271 140.20 150.77 97.86 52.91 -0.70 303.77 326.67 212.03 114.64 -1.52
High Family 272 325.94 354.35 223.41 130.94 0.82 706.20 767.76 484.06 283.70 1.78
PHS Health Plans (QualMed Plans for Hlth)
  High Self 2K1 116.28 129.17 96.88 32.29 2.60 251.94 279.87 209.90 69.97 5.64
High Family 2K2 282.32 317.03 223.41 93.62 7.12 611.69 686.90 484.06 202.84 15.43
UPMC Health Plan
  High Self 8W1 81.32 93.52 70.14 23.38 3.05 176.19 202.63 151.97 50.66 6.61
High Family 8W2 207.44 238.56 178.92 59.64 7.78 449.45 516.88 387.66 129.22 16.86

Web page updated 28 October 2001