2003 FEHB Non-Postal Premium Rates for Pennsylvania
| HMO Plans | 2002 Total Biweekly Premium | 2003 Biweekly premium rates | 2002 Total Monthly Premium | 2003 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 Health Inc. | |||||||||||
| High Self | P31 | 143.88 | 148.51 | 109.30 | 39.21 | -6.81 | 311.74 | 321.77 | 236.82 | 84.95 | -14.76 |
| High Family | P32 | 374.09 | 358.34 | 249.62 | 108.72 | -41.96 | 810.53 | 776.40 | 540.84 | 235.56 | -90.91 |
| Health Net of Pennsylvania | |||||||||||
| High Self | 2K1 | 129.17 | 146.49 | 109.30 | 37.19 | 4.90 | 279.87 | 317.40 | 236.82 | 80.58 | 10.61 |
| High Family | 2K2 | 317.03 | 359.50 | 249.62 | 109.88 | 16.26 | 686.90 | 778.92 | 540.84 | 238.08 | 35.24 |
| HealthAmerica Pennsylvania | |||||||||||
| High Self | 261 | 115.38 | 137.03 | 102.77 | 34.26 | 5.42 | 249.99 | 296.90 | 222.68 | 74.22 | 11.72 |
| High Family | 262 | 299.96 | 356.28 | 249.62 | 106.66 | 30.11 | 649.91 | 771.94 | 540.84 | 231.10 | 65.25 |
| HealthAmerica Pennsylvania | |||||||||||
| High Self | SW1 | 124.14 | 141.82 | 106.37 | 35.45 | 4.42 | 268.97 | 307.28 | 230.46 | 76.82 | 9.58 |
| High Family | SW2 | 322.78 | 368.75 | 249.62 | 119.13 | 19.76 | 699.36 | 798.96 | 540.84 | 258.12 | 42.82 |
| HealthGuard | |||||||||||
| High Self | NQ1 | 99.57 | 120.79 | 90.59 | 30.20 | 5.31 | 215.74 | 261.71 | 196.28 | 65.43 | 11.50 |
| High Family | NQ2 | 258.90 | 314.65 | 235.99 | 78.66 | 13.94 | 560.95 | 681.74 | 511.31 | 170.43 | 30.19 |
| Keystone Health Plan Central | |||||||||||
| High Self | S41 | 145.19 | 156.21 | 109.30 | 46.91 | -0.42 | 314.58 | 338.46 | 236.82 | 101.64 | -0.91 |
| High Family | S42 | 351.30 | 378.36 | 249.62 | 128.74 | 0.85 | 761.15 | 819.78 | 540.84 | 278.94 | 1.85 |
| Keystone Health Plan East | |||||||||||
| High Self | ED1 | 128.60 | 146.63 | 109.30 | 37.33 | 5.18 | 278.63 | 317.70 | 236.82 | 80.88 | 11.22 |
| High Family | ED2 | 338.90 | 386.69 | 249.62 | 137.07 | 21.58 | 734.28 | 837.83 | 540.84 | 296.99 | 46.77 |
| UPMC Health Plan | |||||||||||
| High Self | 8W1 | 93.52 | 138.90 | 104.18 | 34.72 | 11.34 | 202.63 | 300.95 | 225.71 | 75.24 | 24.58 |
| High Family | 8W2 | 238.56 | 354.29 | 249.62 | 104.67 | 45.03 | 516.88 | 767.63 | 540.84 | 226.79 | 97.57 |