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Healthcare Plan Information

Premium Rates for the Federal Employees Health Benefits Program

FFS (Fee-for-Service/Nationwide Plans)

Plan - Option Enrollment Code 2021 Total Biweekly Premium 2022 Biweekly Premium Rates - Total Premium 2022 Biweekly Premium Rates - Government Pays 2022 Biweekly Premium Rates - Employee Pays 2022 Biweekly Premium Rates - Change in Employee Payment 2021 Total Monthly Premium 2022 Monthly Premium Rates - Total Premium 2022 Monthly Premium Rates - Government Pays 2022 Monthly Premium Rates - Employee Pays 2022 Monthly Premium Rates - Change in Employee Payment
Nationwide APWU Health Plan - CDHP Self 474 278.61 278.61 208.96 69.65 0.00 603.66 603.66 452.75 150.91 0.00
Nationwide APWU Health Plan - CDHP Self & Family 475 660.58 660.58 495.44 165.14 0.00 1431.26 1431.26 1073.45 357.81 0.00
Nationwide APWU Health Plan - CDHP Self Plus One 476 605.53 605.53 454.15 151.38 0.00 1311.98 1311.98 983.99 327.99 0.00
Nationwide APWU Health Plan - High Self 471 345.24 351.25 244.86 106.39 2.73 748.02 761.04 530.53 230.51 5.91
Nationwide APWU Health Plan - High Self & Family 472 828.55 842.96 574.13 268.83 2.53 1795.19 1826.41 1243.95 582.46 5.48
Nationwide APWU Health Plan - High Self Plus One 473 724.97 737.59 524.63 212.96 5.45 1570.77 1598.11 1136.70 461.41 11.80
Nationwide Blue Cross and Blue Shield Service Benefit Plan Basic Option - Basic Self 111 314.42 320.74 240.56 80.18 1.58 681.24 694.94 521.21 173.73 3.42
Nationwide Blue Cross and Blue Shield Service Benefit Plan Basic Option - Basic Self & Family 112 763.52 786.42 574.13 212.29 11.02 1654.29 1703.91 1243.95 459.96 23.88
Nationwide Blue Cross and Blue Shield Service Benefit Plan Basic Option - Basic Self Plus One 113 706.63 720.76 524.63 196.13 6.96 1531.03 1561.65 1136.70 424.95 15.08
Nationwide Blue Cross and Blue Shield Service Benefit Plan FEP Blue Focus - FEP Blue Focus Self 131 212.58 212.58 159.44 53.14 0.00 460.59 460.59 345.44 115.15 0.00
Nationwide Blue Cross and Blue Shield Service Benefit Plan FEP Blue Focus - FEP Blue Focus Self & Family 132 502.70 502.70 377.03 125.67 0.00 1089.18 1089.18 816.89 272.29 0.00
Nationwide Blue Cross and Blue Shield Service Benefit Plan FEP Blue Focus - FEP Blue Focus Self Plus One 133 457.02 457.02 342.77 114.25 0.00 990.21 990.21 742.66 247.55 0.00
Nationwide Blue Cross and Blue Shield Service Benefit Plan Standard Option - Standard Self 104 365.03 372.33 244.86 127.47 4.02 790.90 806.72 530.53 276.19 8.71
Nationwide Blue Cross and Blue Shield Service Benefit Plan Standard Option - Standard Self & Family 105 862.37 888.24 574.13 314.11 13.99 1868.47 1924.52 1243.95 680.57 30.31
Nationwide Blue Cross and Blue Shield Service Benefit Plan Standard Option - Standard Self Plus One 106 798.27 814.24 524.63 289.61 8.80 1729.59 1764.19 1136.70 627.49 19.06
Nationwide Compass Rose Health Plan - High Self 421 347.55 351.02 244.86 106.16 0.19 753.03 760.54 530.53 230.01 0.40
Nationwide Compass Rose Health Plan - High Self & Family 422 834.13 842.47 574.13 268.34 -3.54 1807.28 1825.35 1243.95 581.40 -7.67
Nationwide Compass Rose Health Plan - High Self Plus One 423 764.62 772.26 524.63 247.63 0.47 1656.68 1673.23 1136.70 536.53 1.01
Nationwide Foreign Service Benefit Plan - High Self 401 287.02 292.76 219.57 73.19 1.44 621.88 634.31 475.73 158.58 3.11
Nationwide Foreign Service Benefit Plan - High Self & Family 402 710.02 724.22 543.17 181.05 3.55 1538.38 1569.14 1176.86 392.28 7.69
Nationwide Foreign Service Benefit Plan - High Self Plus One 403 696.19 710.11 524.63 185.48 6.75 1508.41 1538.57 1136.70 401.87 14.62
Nationwide GEHA Benefit Plan - High Self 311 349.72 349.72 244.86 104.86 -3.28 757.73 757.73 530.53 227.20 -7.11
Nationwide GEHA Benefit Plan - High Self & Family 312 876.38 876.38 574.13 302.25 -11.88 1898.82 1898.82 1243.95 654.87 -25.74
Nationwide GEHA Benefit Plan - High Self Plus One 313 769.39 769.39 524.63 244.76 -7.17 1667.01 1667.01 1136.70 530.31 -15.54
Nationwide GEHA Benefit Plan - Standard Self 314 250.66 250.66 188.00 62.66 0.00 543.10 543.10 407.33 135.77 0.00
Nationwide GEHA Benefit Plan - Standard Self & Family 315 659.40 659.40 494.55 164.85 0.00 1428.70 1428.70 1071.53 357.17 0.00
Nationwide GEHA Benefit Plan - Standard Self Plus One 316 538.94 538.94 404.21 134.73 0.00 1167.70 1167.70 875.78 291.92 0.00
Nationwide GEHA HDHP - HDHP Self 341 245.47 252.83 189.62 63.21 1.84 531.85 547.80 410.85 136.95 3.99
Nationwide GEHA HDHP - HDHP Self & Family 342 636.18 667.99 500.99 167.00 7.96 1378.39 1447.31 1085.48 361.83 17.23
Nationwide GEHA HDHP - HDHP Self Plus One 343 527.76 543.59 407.69 135.90 3.96 1143.48 1177.78 883.34 294.44 8.57
Nationwide GEHA Indemnity Benefit Plan - Elevate Plus Self 251 301.44 316.51 237.38 79.13 3.77 653.12 685.77 514.33 171.44 8.16
Nationwide GEHA Indemnity Benefit Plan - Elevate Plus Self & Family 252 747.57 762.53 571.90 190.63 3.74 1619.74 1652.15 1239.11 413.04 8.11
Nationwide GEHA Indemnity Benefit Plan - Elevate Plus Self Plus One 253 693.27 707.14 524.63 182.51 6.70 1502.09 1532.14 1136.70 395.44 14.51
Nationwide GEHA Indemnity Benefit Plan - Elevate Self 254 189.29 194.97 146.23 48.74 1.42 410.13 422.44 316.83 105.61 3.08
Nationwide GEHA Indemnity Benefit Plan - Elevate Self & Family 255 530.03 545.93 409.45 136.48 3.97 1148.40 1182.85 887.14 295.71 8.61
Nationwide GEHA Indemnity Benefit Plan - Elevate Self Plus One 256 435.38 448.44 336.33 112.11 3.27 943.32 971.62 728.72 242.90 7.07
Nationwide MHBP Consumer Option - HDHP Self 481 291.04 305.59 229.19 76.40 3.64 630.59 662.11 496.58 165.53 7.88
Nationwide MHBP Consumer Option - HDHP Self & Family 482 676.28 710.09 532.57 177.52 8.45 1465.27 1538.53 1153.90 384.63 18.31
Nationwide MHBP Consumer Option - HDHP Self Plus One 483 644.08 676.28 507.21 169.07 8.05 1395.51 1465.27 1098.95 366.32 17.44
Nationwide MHBP Standard Option - Standard Self 454 287.19 313.04 234.78 78.26 6.46 622.25 678.25 508.69 169.56 14.00
Nationwide MHBP Standard Option - Standard Self & Family 455 667.41 727.48 545.61 181.87 15.02 1446.06 1576.21 1182.16 394.05 32.54
Nationwide MHBP Standard Option - Standard Self Plus One 456 661.06 720.55 524.63 195.92 30.66 1432.30 1561.19 1136.70 424.49 66.42
Nationwide MHBP Value Plan - Value Self 414 213.41 223.87 167.90 55.97 2.62 462.39 485.05 363.79 121.26 5.66
Nationwide MHBP Value Plan - Value Self & Family 415 515.75 541.02 405.77 135.25 6.31 1117.46 1172.21 879.16 293.05 13.69
Nationwide MHBP Value Plan - Value Self Plus One 416 505.65 530.43 397.82 132.61 6.20 1095.58 1149.27 861.95 287.32 13.43
Nationwide NALC Health Benefit Plan - CDHP Self 324 218.55 218.55 163.91 54.64 0.00 473.53 473.53 355.15 118.38 0.00
Nationwide NALC Health Benefit Plan - CDHP Self & Family 325 507.66 512.73 384.55 128.18 1.27 1099.93 1110.92 833.19 277.73 2.75
Nationwide NALC Health Benefit Plan - CDHP Self Plus One 326 482.16 482.16 361.62 120.54 0.00 1044.68 1044.68 783.51 261.17 0.00
Nationwide NALC Health Benefit Plan - High Self 321 336.41 343.14 244.86 98.28 3.45 728.89 743.47 530.53 212.94 7.47
Nationwide NALC Health Benefit Plan - High Self & Family 322 760.94 776.15 574.13 202.02 3.33 1648.70 1681.66 1243.95 437.71 7.22
Nationwide NALC Health Benefit Plan - High Self Plus One 323 744.10 758.98 524.63 234.35 7.71 1612.22 1644.46 1136.70 507.76 16.70
Nationwide NALC Health Benefit Plan - Value Self KM1 179.37 179.37 134.53 44.84 0.00 388.64 388.64 291.48 97.16 0.00
Nationwide NALC Health Benefit Plan - Value Self & Family KM2 416.82 420.99 315.74 105.25 1.05 903.11 912.15 684.11 228.04 2.26
Nationwide NALC Health Benefit Plan - Value Self Plus One KM3 395.70 395.70 296.78 98.92 0.00 857.35 857.35 643.01 214.34 0.00
Nationwide Panama Canal Area Benefit Plan - High Self 431 304.60 325.92 244.44 81.48 5.33 659.97 706.16 529.62 176.54 11.55
Nationwide Panama Canal Area Benefit Plan - High Self & Family 432 635.81 686.68 515.01 171.67 12.72 1377.59 1487.81 1115.86 371.95 27.55
Nationwide Panama Canal Area Benefit Plan - High Self Plus One 433 607.94 656.57 492.43 164.14 12.16 1317.20 1422.57 1066.93 355.64 26.34
Nationwide Rural Carrier Benefit Plan - High Self 381 368.30 375.67 244.86 130.81 4.09 797.98 813.95 530.53 283.42 8.86
Nationwide Rural Carrier Benefit Plan - High Self & Family 382 781.71 811.02 574.13 236.89 17.43 1693.71 1757.21 1243.95 513.26 37.76
Nationwide Rural Carrier Benefit Plan - High Self Plus One 383 744.21 772.12 524.63 247.49 20.74 1612.46 1672.93 1136.70 536.23 44.93
Nationwide SAMBA Health Benefit Plan - High Self 441 403.70 403.70 244.86 158.84 -3.28 874.68 874.68 530.53 344.15 -7.11
Nationwide SAMBA Health Benefit Plan - High Self & Family 442 968.87 968.87 574.13 394.74 -11.88 2099.22 2099.22 1243.95 855.27 -25.74
Nationwide SAMBA Health Benefit Plan - High Self Plus One 443 888.14 888.14 524.63 363.51 -7.17 1924.30 1924.30 1136.70 787.60 -15.54
Nationwide SAMBA Health Benefit Plan - Standard Self 444 323.50 326.74 244.86 81.88 -0.04 700.92 707.94 530.53 177.41 -0.09
Nationwide SAMBA Health Benefit Plan - Standard Self & Family 445 738.06 745.44 559.08 186.36 1.85 1599.13 1615.12 1211.34 403.78 4.00
Nationwide SAMBA Health Benefit Plan - Standard Self Plus One 446 696.28 703.25 524.63 178.62 -0.20 1508.61 1523.71 1136.70 387.01 -0.44
Control Panel