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    Healthcare Plan Information

    2019 Plan Information for Virginia

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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 $139.33
    Aetna Direct N62 Non-Postal CDHP Self & Family Monthly $351.38
    Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly $305.56
    Aetna HealthFund CDHP and Aetna Value Plan F51 Non-Postal CDHP Self Monthly $312.07
    Aetna HealthFund CDHP and Aetna Value Plan F52 Non-Postal CDHP Self & Family Monthly $710.52
    Aetna HealthFund CDHP and Aetna Value Plan F53 Non-Postal CDHP Self Plus One Monthly $763.81
    Aetna HealthFund CDHP and Aetna Value Plan F54 Non-Postal Value Self Monthly $209.72
    Aetna HealthFund CDHP and Aetna Value Plan F55 Non-Postal Value Self & Family Monthly $484.06
    Aetna HealthFund CDHP and Aetna Value Plan F56 Non-Postal Value Self Plus One Monthly $523.83
    Aetna HealthFund HDHP 224 Non-Postal HDHP Self Monthly $164.93
    Aetna HealthFund HDHP 225 Non-Postal HDHP Self & Family Monthly $363.80
    Aetna HealthFund HDHP 226 Non-Postal HDHP Self Plus One Monthly $360.10
    Aetna Open Access JN1 Non-Postal High Self Monthly $620.41
    Aetna Open Access JN2 Non-Postal High Self & Family Monthly $1377.79
    Aetna Open Access JN3 Non-Postal High Self Plus One Monthly $1424.45
    Aetna Open Access JN4 Non-Postal Basic Self Monthly $181.74
    Aetna Open Access JN5 Non-Postal Basic Self & Family Monthly $419.06
    Aetna Open Access JN6 Non-Postal Basic Self Plus One Monthly $363.41
    CareFirst BlueChoice 2G4 Non-Postal Standard Self Monthly $298.96
    CareFirst BlueChoice 2G5 Non-Postal Standard Self & Family Monthly $757.06
    CareFirst BlueChoice 2G6 Non-Postal Standard Self Plus One Monthly $528.75
    CareFirst BlueChoice B61 Non-Postal HDHP Self Monthly $129.57
    CareFirst BlueChoice B62 Non-Postal HDHP Self & Family Monthly $307.84
    CareFirst BlueChoice B63 Non-Postal HDHP Self Plus One Monthly $259.13
    Highmark Choice Company NP1 Non-Postal High Self Monthly $279.01
    Highmark Choice Company NP2 Non-Postal High Self & Family Monthly $629.59
    Highmark Choice Company NP3 Non-Postal High Self Plus One Monthly $497.40
    Kaiser Foundation Health Plan Mid-Atlantic States E31 Non-Postal High Self Monthly $193.96
    Kaiser Foundation Health Plan Mid-Atlantic States E32 Non-Postal High Self & Family Monthly $454.96
    Kaiser Foundation Health Plan Mid-Atlantic States E33 Non-Postal High Self Plus One Monthly $526.56
    Kaiser Foundation Health Plan Mid-Atlantic States E34 Non-Postal Standard Self Monthly $130.44
    Kaiser Foundation Health Plan Mid-Atlantic States E35 Non-Postal Standard Self & Family Monthly $300.00
    Kaiser Foundation Health Plan Mid-Atlantic States E36 Non-Postal Standard Self Plus One Monthly $300.00
    Kaiser Foundation Health Plan Mid-Atlantic States T71 Non-Postal Basic Self Monthly $105.03
    Kaiser Foundation Health Plan Mid-Atlantic States T72 Non-Postal Basic Self & Family Monthly $256.54
    Kaiser Foundation Health Plan Mid-Atlantic States T73 Non-Postal Basic Self Plus One Monthly $233.72
    M.D. IPA JP1 Non-Postal High Self Monthly $292.14
    M.D. IPA JP2 Non-Postal High Self & Family Monthly $1079.35
    M.D. IPA JP3 Non-Postal High Self Plus One Monthly $477.94
    Optima Health PG4 Non-Postal HDHP Self Monthly $151.30
    Optima Health PG5 Non-Postal HDHP Self & Family Monthly $333.75
    Optima Health PG6 Non-Postal HDHP Self Plus One Monthly $327.20
    UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V41 Non-Postal HDHP Self Monthly $123.92
    UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V42 Non-Postal HDHP Self & Family Monthly $285.01
    UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V43 Non-Postal HDHP Self Plus One Monthly $266.43
    UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR1 Non-Postal High Self Monthly $169.22
    UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR2 Non-Postal High Self & Family Monthly $444.80
    UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR3 Non-Postal High Self Plus One Monthly $369.46
    UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L91 Non-Postal Value Self Monthly $109.26
    UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L92 Non-Postal Value Self & Family Monthly $306.37
    UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L93 Non-Postal Value Self Plus One Monthly $213.39
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