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Healthcare Plan Information

2018 Plan Information for Virginia

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Location Specific Rates

Contract Enrollment Code Enrollment Type Option/Enrollment Type Payment Period Employee Payment
Aetna Direct 224 Non-Postal HDHP Self Monthly 151.86
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 334.98
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 328.41
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 F51 Non-Postal CDHP Self Monthly 309.25
Aetna HealthFund CDHP and Aetna Value Plan F52 Non-Postal CDHP Self & Family Monthly 707.57
Aetna HealthFund CDHP and Aetna Value Plan F53 Non-Postal CDHP Self Plus One Monthly 755.63
Aetna HealthFund CDHP and Aetna Value Plan F54 Non-Postal Value Self Monthly 145.75
Aetna HealthFund CDHP and Aetna Value Plan F55 Non-Postal Value Self & Family Monthly 333.75
Aetna HealthFund CDHP and Aetna Value Plan F56 Non-Postal Value Self Plus One Monthly 327.2
Aetna Open Access JN1 Non-Postal High Self Monthly 606.38
Aetna Open Access JN2 Non-Postal High Self & Family Monthly 1349.86
Aetna Open Access JN3 Non-Postal High Self Plus One Monthly 1391.55
Aetna Open Access JN4 Non-Postal Basic Self Monthly 166.14
Aetna Open Access JN5 Non-Postal Basic Self & Family Monthly 386.86
Aetna Open Access JN6 Non-Postal Basic Self Plus One Monthly 348.25
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 646.3
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
Kaiser Foundation Health Plan Mid-Atlantic States E31 Non-Postal High Self Monthly 165.09
Kaiser Foundation Health Plan Mid-Atlantic States E32 Non-Postal High Self & Family Monthly 388.74
Kaiser Foundation Health Plan Mid-Atlantic States E33 Non-Postal High Self Plus One Monthly 455
Kaiser Foundation Health Plan Mid-Atlantic States E34 Non-Postal Standard Self Monthly 126.24
Kaiser Foundation Health Plan Mid-Atlantic States E35 Non-Postal Standard Self & Family Monthly 290.37
Kaiser Foundation Health Plan Mid-Atlantic States E36 Non-Postal Standard Self Plus One Monthly 290.37
Kaiser Foundation Health Plan Mid-Atlantic States T71 Non-Postal Basic Self Monthly 115.01
Kaiser Foundation Health Plan Mid-Atlantic States T72 Non-Postal Basic Self & Family Monthly 276.12
Kaiser Foundation Health Plan Mid-Atlantic States T73 Non-Postal Basic Self Plus One Monthly 251.55
M.D. IPA JP1 Non-Postal High Self Monthly 221.06
M.D. IPA JP2 Non-Postal High Self & Family Monthly 882.57
M.D. IPA JP3 Non-Postal High Self Plus One Monthly 350.45
Optima Health PG1 Non-Postal High Self Monthly 162.82
Optima Health PG2 Non-Postal High Self & Family Monthly 443.71
Optima Health PG3 Non-Postal High Self Plus One Monthly 509.86
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V41 Non-Postal HDHP Self Monthly 141.74
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V42 Non-Postal HDHP Self & Family Monthly 354.37
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V43 Non-Postal HDHP Self Plus One Monthly 304.75
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR1 Non-Postal High Self Monthly 152
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR2 Non-Postal High Self & Family Monthly 389.91
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR3 Non-Postal High Self Plus One Monthly 326.8
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L91 Non-Postal Value Self Monthly 115.83
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L92 Non-Postal Value Self & Family Monthly 324.79
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L93 Non-Postal Value Self Plus One Monthly 226.22
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