Click here to skip navigation
#{Settings:VersionLabel}
Skip Navigation

In This Section

Healthcare

2020 Plan Information for Virginia

Choose a Location, Employee Type, & Payment Period  

Click to view Plan Information for this state

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
Sentara Health Plans PG1 Non-Postal High Self Monthly 181.26
Sentara Health Plans PG2 Non-Postal High Self & Family Monthly 488.34
Sentara Health Plans PG3 Non-Postal High Self Plus One Monthly 579.97
Sentara Health Plans PG4 Non-Postal HDHP Self Monthly 161.1
Sentara Health Plans PG5 Non-Postal HDHP Self & Family Monthly 355.37
Sentara Health Plans PG6 Non-Postal HDHP Self Plus One Monthly 348.4
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
Control Panel