Healthcare
2020 Plan Information for Pennsylvania
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 | H41 | Non-Postal | CDHP Self | Monthly | 317.63 |
| Aetna HealthFund CDHP and Aetna Value Plan | H42 | Non-Postal | CDHP Self & Family | Monthly | 704.43 |
| Aetna HealthFund CDHP and Aetna Value Plan | H43 | Non-Postal | CDHP Self Plus One | Monthly | 777.66 |
| Aetna HealthFund CDHP and Aetna Value Plan | H44 | Non-Postal | Value Self | Monthly | 296.2 |
| Aetna HealthFund CDHP and Aetna Value Plan | H45 | Non-Postal | Value Self & Family | Monthly | 668.16 |
| Aetna HealthFund CDHP and Aetna Value Plan | H46 | Non-Postal | Value Self Plus One | Monthly | 723.6 |
| Aetna Open Access | P31 | Non-Postal | High Self | Monthly | 945.77 |
| Aetna Open Access | P32 | Non-Postal | High Self & Family | Monthly | 2347.52 |
| Aetna Open Access | P33 | Non-Postal | High Self Plus One | Monthly | 2404.29 |
| Aetna Open Access | P34 | Non-Postal | Basic Self | Monthly | 799.24 |
| Aetna Open Access | P35 | Non-Postal | Basic Self & Family | Monthly | 1856.66 |
| Aetna Open Access | P36 | Non-Postal | Basic Self Plus One | Monthly | 1918.28 |
| Aetna Open Access | YE1 | Non-Postal | High Self | Monthly | 704.29 |
| Aetna Open Access | YE2 | Non-Postal | High Self & Family | Monthly | 1867.17 |
| Aetna Open Access | YE3 | Non-Postal | High Self Plus One | Monthly | 1928.72 |
| Geisinger Health Plan | GG4 | Non-Postal | Standard Self | Monthly | 311.89 |
| Geisinger Health Plan | GG5 | Non-Postal | Standard Self & Family | Monthly | 699.66 |
| Geisinger Health Plan | GG6 | Non-Postal | Standard Self Plus One | Monthly | 685.45 |
| 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 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 |
| UPMC Health Plan | 8W1 | Non-Postal | High Self | Monthly | 425.55 |
| UPMC Health Plan | 8W2 | Non-Postal | High Self & Family | Monthly | 1016.82 |
| UPMC Health Plan | 8W3 | Non-Postal | High Self Plus One | Monthly | 1015.02 |
| UPMC Health Plan | 8W4 | Non-Postal | HDHP Self | Monthly | 152.66 |
| UPMC Health Plan | 8W5 | Non-Postal | HDHP Self & Family | Monthly | 351.25 |
| UPMC Health Plan | 8W6 | Non-Postal | HDHP Self Plus One | Monthly | 337.91 |
| UPMC Health Plan | UW4 | Non-Postal | Standard Self | Monthly | 168.42 |
| UPMC Health Plan | UW5 | Non-Postal | Standard Self & Family | Monthly | 396.72 |
| UPMC Health Plan | UW6 | Non-Postal | Standard Self Plus One | Monthly | 421.94 |
| UPMC Health Plan | YS1 | Non-Postal | High Self | Monthly | 631.51 |
| UPMC Health Plan | YS2 | Non-Postal | High Self & Family | Monthly | 1500.85 |
| UPMC Health Plan | YS3 | Non-Postal | High Self Plus One | Monthly | 1478.43 |
| UPMC Health Plan | YS4 | Non-Postal | HDHP Self | Monthly | 264.96 |
| UPMC Health Plan | YS5 | Non-Postal | HDHP Self & Family | Monthly | 607.03 |
| UPMC Health Plan | YS6 | Non-Postal | HDHP Self Plus One | Monthly | 629.46 |
| UPMC Health Plan | YT4 | Non-Postal | Standard Self | Monthly | 393.25 |
| UPMC Health Plan | YT5 | Non-Postal | Standard Self & Family | Monthly | 937.95 |
| UPMC Health Plan | YT6 | Non-Postal | Standard Self Plus One | Monthly | 940.2 |