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    Healthcare Plan Information

    2018 Plan Information for Pennsylvania

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    State Specific Rates
    Contract Enrollment Code Employee Type Option/Enrollment Type Payment Period Employee Payment
    Aetna Direct N61 Non-Postal CDHP Self Monthly $131.92
    Aetna Direct N62 Non-Postal CDHP Self & Family Monthly $332.67
    Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly $289.29
    Aetna HealthFund CDHP and Aetna Value Plan H41 Non-Postal CDHP Self Monthly $326.13
    Aetna HealthFund CDHP and Aetna Value Plan H42 Non-Postal CDHP Self & Family Monthly $745.55
    Aetna HealthFund CDHP and Aetna Value Plan H43 Non-Postal CDHP Self Plus One Monthly $793.24
    Aetna HealthFund CDHP and Aetna Value Plan H44 Non-Postal Value Self Monthly $143.93
    Aetna HealthFund CDHP and Aetna Value Plan H45 Non-Postal Value Self & Family Monthly $330.34
    Aetna HealthFund CDHP and Aetna Value Plan H46 Non-Postal Value Self Plus One Monthly $323.86
    Aetna HealthFund HDHP 224 Non-Postal HDHP Self Monthly $151.86
    Aetna HealthFund HDHP 225 Non-Postal HDHP Self & Family Monthly $334.98
    Aetna HealthFund HDHP 226 Non-Postal HDHP Self Plus One Monthly $328.41
    Aetna Open Access P31 Non-Postal High Self Monthly $1075.71
    Aetna Open Access P32 Non-Postal High Self & Family Monthly $2682.25
    Aetna Open Access P33 Non-Postal High Self Plus One Monthly $2710.74
    Aetna Open Access P34 Non-Postal Basic Self Monthly $851.37
    Aetna Open Access P35 Non-Postal Basic Self & Family Monthly $1998.79
    Aetna Open Access P36 Non-Postal Basic Self Plus One Monthly $2034.07
    Aetna Open Access YE1 Non-Postal High Self Monthly $423.39
    Aetna Open Access YE2 Non-Postal High Self & Family Monthly $1180.29
    Aetna Open Access YE3 Non-Postal High Self Plus One Monthly $1223.67
    CareFirst BlueChoice 2G1 Non-Postal High Self Monthly $358.37
    CareFirst BlueChoice 2G2 Non-Postal High Self & Family Monthly $901.51
    CareFirst BlueChoice 2G3 Non-Postal High Self Plus One Monthly $646.30
    CareFirst BlueChoice 2G4 Non-Postal Standard Self Monthly $196.91
    CareFirst BlueChoice 2G5 Non-Postal Standard Self & Family Monthly $517.96
    CareFirst BlueChoice 2G6 Non-Postal Standard Self Plus One Monthly $346.81
    CareFirst BlueChoice B61 Non-Postal HDHP Self Monthly $152.43
    CareFirst BlueChoice B62 Non-Postal HDHP Self & Family Monthly $362.17
    CareFirst BlueChoice B63 Non-Postal HDHP Self Plus One Monthly $304.86
    Geisinger Health Plan GG4 Non-Postal Standard Self Monthly $187.37
    Geisinger Health Plan GG5 Non-Postal Standard Self & Family Monthly $436.11
    Geisinger Health Plan GG6 Non-Postal Standard Self Plus One Monthly $414.27
    Highmark Choice Company NP1 Non-Postal High Self Monthly $193.05
    Highmark Choice Company NP2 Non-Postal High Self & Family Monthly $438.10
    Highmark Choice Company NP3 Non-Postal High Self Plus One Monthly $347.29
    UnitedHealthcare Insurance Company, Inc. Choice HMO LR1 Non-Postal High Self Monthly $152.00
    UnitedHealthcare Insurance Company, Inc. Choice HMO LR2 Non-Postal High Self & Family Monthly $389.91
    UnitedHealthcare Insurance Company, Inc. Choice HMO LR3 Non-Postal High Self Plus One Monthly $326.80
    UnitedHealthcare Insurance Company, Inc. Choice Plus HDHP V41 Non-Postal HDHP Self Monthly $141.74
    UnitedHealthcare Insurance Company, Inc. Choice Plus HDHP V42 Non-Postal HDHP Self & Family Monthly $354.37
    UnitedHealthcare Insurance Company, Inc. Choice Plus HDHP V43 Non-Postal HDHP Self Plus One Monthly $304.75
    UPMC Health Plan 8W1 Non-Postal High Self Monthly $367.68
    UPMC Health Plan 8W2 Non-Postal High Self & Family Monthly $901.23
    UPMC Health Plan 8W3 Non-Postal High Self Plus One Monthly $881.12
    UPMC Health Plan 8W4 Non-Postal HDHP Self Monthly $134.90
    UPMC Health Plan 8W5 Non-Postal HDHP Self & Family Monthly $309.39
    UPMC Health Plan 8W6 Non-Postal HDHP Self Plus One Monthly $297.86
    UPMC Health Plan UW4 Non-Postal Standard Self Monthly $156.12
    UPMC Health Plan UW5 Non-Postal Standard Self & Family Monthly $366.88
    UPMC Health Plan UW6 Non-Postal Standard Self Plus One Monthly $351.28
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