Healthcare
2020 Plan Information for District of Columbia
Choose a Location, Employee Type, & Payment Period
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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 | 217.96 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 423.58 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 483.84 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 153.16 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 386.25 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 335.89 |
| Aetna Direct | Z24 | Non-Postal | Advantage Self | Monthly | 115.96 |
| Aetna Direct | Z25 | Non-Postal | Advantage Self & Family | Monthly | 307.29 |
| Aetna Direct | Z26 | Non-Postal | Advantage Self Plus One | Monthly | 255.11 |
| Aetna HealthFund CDHP and Aetna Value Plan | F51 | Non-Postal | CDHP Self | Monthly | 318.39 |
| Aetna HealthFund CDHP and Aetna Value Plan | F52 | Non-Postal | CDHP Self & Family | Monthly | 706.7 |
| Aetna HealthFund CDHP and Aetna Value Plan | F53 | Non-Postal | CDHP Self Plus One | Monthly | 779.74 |
| Aetna HealthFund CDHP and Aetna Value Plan | F54 | Non-Postal | Value Self | Monthly | 309.14 |
| Aetna HealthFund CDHP and Aetna Value Plan | F55 | Non-Postal | Value Self & Family | Monthly | 693.59 |
| Aetna HealthFund CDHP and Aetna Value Plan | F56 | Non-Postal | Value Self Plus One | Monthly | 748.52 |
| Aetna Open Access | JN1 | Non-Postal | High Self | Monthly | 626.73 |
| Aetna Open Access | JN2 | Non-Postal | High Self & Family | Monthly | 1373.41 |
| Aetna Open Access | JN3 | Non-Postal | High Self Plus One | Monthly | 1439.84 |
| Aetna Open Access | JN4 | Non-Postal | Basic Self | Monthly | 186.26 |
| Aetna Open Access | JN5 | Non-Postal | Basic Self & Family | Monthly | 411.32 |
| Aetna Open Access | JN6 | Non-Postal | Basic Self Plus One | Monthly | 372.73 |
| Aetna Open Access | QQ4 | Non-Postal | Saver Self | Monthly | 148.8 |
| Aetna Open Access | QQ5 | Non-Postal | Saver Self & Family | Monthly | 340.53 |
| Aetna Open Access | QQ6 | Non-Postal | Saver Self Plus One | Monthly | 312.7 |
| CareFirst BlueChoice | 2G4 | Non-Postal | Standard Self | Monthly | 334.7 |
| CareFirst BlueChoice | 2G5 | Non-Postal | Standard Self & Family | Monthly | 824.94 |
| CareFirst BlueChoice | 2G6 | Non-Postal | Standard Self Plus One | Monthly | 598.8 |
| CareFirst BlueChoice | B61 | Non-Postal | HDHP Self | Monthly | 142.52 |
| CareFirst BlueChoice | B62 | Non-Postal | HDHP Self & Family | Monthly | 338.63 |
| CareFirst BlueChoice | B63 | Non-Postal | HDHP Self Plus One | Monthly | 285.04 |
| CareFirst BlueChoice | B64 | Non-Postal | Blue Value Plus Self | Monthly | 195.15 |
| CareFirst BlueChoice | B65 | Non-Postal | Blue Value Plus Self & Family | Monthly | 493.44 |
| CareFirst BlueChoice | B66 | Non-Postal | Blue Value Plus Self Plus One | Monthly | 353 |
| Kaiser Permanente - Mid-Atlantic States | E31 | Non-Postal | High Self | Monthly | 211.98 |
| Kaiser Permanente - Mid-Atlantic States | E32 | Non-Postal | High Self & Family | Monthly | 478.51 |
| Kaiser Permanente - Mid-Atlantic States | E33 | Non-Postal | High Self Plus One | Monthly | 570.27 |
| Kaiser Permanente - Mid-Atlantic States | E34 | Non-Postal | Standard Self | Monthly | 142.89 |
| Kaiser Permanente - Mid-Atlantic States | E35 | Non-Postal | Standard Self & Family | Monthly | 328.62 |
| Kaiser Permanente - Mid-Atlantic States | E36 | Non-Postal | Standard Self Plus One | Monthly | 328.62 |
| Kaiser Permanente - Mid-Atlantic States | T71 | Non-Postal | Basic Self | Monthly | 105.03 |
| Kaiser Permanente - Mid-Atlantic States | T72 | Non-Postal | Basic Self & Family | Monthly | 256.54 |
| Kaiser Permanente - Mid-Atlantic States | T73 | Non-Postal | Basic Self Plus One | Monthly | 233.72 |
| M.D. IPA | JP1 | Non-Postal | High Self | Monthly | 365.77 |
| M.D. IPA | JP2 | Non-Postal | High Self & Family | Monthly | 1274.02 |
| M.D. IPA | JP3 | Non-Postal | High Self Plus One | Monthly | 619.78 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | V41 | Non-Postal | HDHP Self | Monthly | 121.64 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | V42 | Non-Postal | HDHP Self & Family | Monthly | 279.78 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | V43 | Non-Postal | HDHP Self Plus One | Monthly | 261.53 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | LR1 | Non-Postal | High Self | Monthly | 204.05 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | LR2 | Non-Postal | High Self & Family | Monthly | 510.27 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | LR3 | Non-Postal | High Self Plus One | Monthly | 444.73 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) | L91 | Non-Postal | Value Self | Monthly | 130.37 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) | L92 | Non-Postal | Value Self & Family | Monthly | 365.56 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) | L93 | Non-Postal | Value Self Plus One | Monthly | 254.61 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS1 | Non-Postal | High Self | Monthly | 131.45 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS2 | Non-Postal | High Self & Family | Monthly | 310.84 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS3 | Non-Postal | High Self Plus One | Monthly | 282.6 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y81 | Non-Postal | High Self | Monthly | 126.68 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y82 | Non-Postal | High Self & Family | Monthly | 299.56 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y83 | Non-Postal | High Self Plus One | Monthly | 272.34 |