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Healthcare Plan Information

2021 Plan Information for District of Columbia

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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 Biweekly 121.2
Aetna Direct 225 Non-Postal HDHP Self & Family Biweekly 237.98
Aetna Direct 226 Non-Postal HDHP Self Plus One Biweekly 267.1
Aetna Direct N61 Non-Postal CDHP Self Biweekly 71.06
Aetna Direct N62 Non-Postal CDHP Self & Family Biweekly 179.2
Aetna Direct N63 Non-Postal CDHP Self Plus One Biweekly 155.83
Aetna Direct Z24 Non-Postal Advantage Self Biweekly 57.69
Aetna Direct Z25 Non-Postal Advantage Self & Family Biweekly 152.88
Aetna Direct Z26 Non-Postal Advantage Self Plus One Biweekly 126.92
Aetna HealthFund CDHP and Aetna Value Plan F51 Non-Postal CDHP Self Biweekly 151.53
Aetna HealthFund CDHP and Aetna Value Plan F52 Non-Postal CDHP Self & Family Biweekly 334.07
Aetna HealthFund CDHP and Aetna Value Plan F53 Non-Postal CDHP Self Plus One Biweekly 369.99
Aetna HealthFund CDHP and Aetna Value Plan F54 Non-Postal Value Self Biweekly 137.72
Aetna HealthFund CDHP and Aetna Value Plan F55 Non-Postal Value Self & Family Biweekly 306.31
Aetna HealthFund CDHP and Aetna Value Plan F56 Non-Postal Value Self Plus One Biweekly 334.06
Aetna Open Access JN1 Non-Postal High Self Biweekly 301.45
Aetna Open Access JN2 Non-Postal High Self & Family Biweekly 658.54
Aetna Open Access JN3 Non-Postal High Self Plus One Biweekly 691.24
Aetna Open Access JN4 Non-Postal Basic Self Biweekly 88.15
Aetna Open Access JN5 Non-Postal Basic Self & Family Biweekly 192.33
Aetna Open Access JN6 Non-Postal Basic Self Plus One Biweekly 175.46
Aetna Open Access QQ4 Non-Postal Saver Self Biweekly 68.68
Aetna Open Access QQ5 Non-Postal Saver Self & Family Biweekly 157.17
Aetna Open Access QQ6 Non-Postal Saver Self Plus One Biweekly 144.32
CareFirst BlueChoice 2G4 Non-Postal Standard Self Biweekly 168.18
CareFirst BlueChoice 2G5 Non-Postal Standard Self & Family Biweekly 411.33
CareFirst BlueChoice 2G6 Non-Postal Standard Self Plus One Biweekly 302.05
CareFirst BlueChoice B61 Non-Postal HDHP Self Biweekly 65.78
CareFirst BlueChoice B62 Non-Postal HDHP Self & Family Biweekly 156.29
CareFirst BlueChoice B63 Non-Postal HDHP Self Plus One Biweekly 131.56
CareFirst BlueChoice B64 Non-Postal Blue Value Plus Self Biweekly 92.42
CareFirst BlueChoice B65 Non-Postal Blue Value Plus Self & Family Biweekly 231.31
CareFirst BlueChoice B66 Non-Postal Blue Value Plus Self Plus One Biweekly 166.99
Kaiser Permanente - Mid-Atlantic States E31 Non-Postal High Self Biweekly 102.84
Kaiser Permanente - Mid-Atlantic States E32 Non-Postal High Self & Family Biweekly 229.91
Kaiser Permanente - Mid-Atlantic States E33 Non-Postal High Self Plus One Biweekly 274.7
Kaiser Permanente - Mid-Atlantic States E34 Non-Postal Standard Self Biweekly 69.03
Kaiser Permanente - Mid-Atlantic States E35 Non-Postal Standard Self & Family Biweekly 158.77
Kaiser Permanente - Mid-Atlantic States E36 Non-Postal Standard Self Plus One Biweekly 158.77
Kaiser Permanente - Mid-Atlantic States T71 Non-Postal Basic Self Biweekly 49.35
Kaiser Permanente - Mid-Atlantic States T72 Non-Postal Basic Self & Family Biweekly 126.87
Kaiser Permanente - Mid-Atlantic States T73 Non-Postal Basic Self Plus One Biweekly 109.83
M.D. IPA JP1 Non-Postal High Self Biweekly 197.29
M.D. IPA JP2 Non-Postal High Self & Family Biweekly 668.34
M.D. IPA JP3 Non-Postal High Self Plus One Biweekly 339.66
UnitedHealthcare Advantage Plan Y51 Non-Postal High Self Biweekly 47.51
UnitedHealthcare Advantage Plan Y52 Non-Postal High Self & Family Biweekly 125.89
UnitedHealthcare Advantage Plan Y53 Non-Postal High Self Plus One Biweekly 104.51
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V41 Non-Postal HDHP Self Biweekly 59.99
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V42 Non-Postal HDHP Self & Family Biweekly 137.98
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V43 Non-Postal HDHP Self Plus One Biweekly 128.98
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR1 Non-Postal High Self Biweekly 113.99
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR2 Non-Postal High Self & Family Biweekly 280.44
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR3 Non-Postal High Self Plus One Biweekly 247
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L91 Non-Postal Value Self Biweekly 63.99
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L92 Non-Postal Value Self & Family Biweekly 179.44
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L93 Non-Postal Value Self Plus One Biweekly 124.98
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS1 Non-Postal High Self Biweekly 69.17
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS2 Non-Postal High Self & Family Biweekly 163.59
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS3 Non-Postal High Self Plus One Biweekly 148.72
UnitedHealthcare Insurance Company, Inc. Choice Primary Y81 Non-Postal High Self Biweekly 66.54
UnitedHealthcare Insurance Company, Inc. Choice Primary Y82 Non-Postal High Self & Family Biweekly 157.38
UnitedHealthcare Insurance Company, Inc. Choice Primary Y83 Non-Postal High Self Plus One Biweekly 143.07
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