Healthcare
2021 Plan Information for Virginia
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 | 262.6 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 515.62 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 578.72 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 153.96 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 388.27 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 337.64 |
| Aetna Direct | Z24 | Non-Postal | Advantage Self | Monthly | 125 |
| Aetna Direct | Z25 | Non-Postal | Advantage Self & Family | Monthly | 331.25 |
| Aetna Direct | Z26 | Non-Postal | Advantage Self Plus One | Monthly | 275 |
| Aetna HealthFund CDHP and Aetna Value Plan | F51 | Non-Postal | CDHP Self | Monthly | 328.32 |
| Aetna HealthFund CDHP and Aetna Value Plan | F52 | Non-Postal | CDHP Self & Family | Monthly | 723.82 |
| Aetna HealthFund CDHP and Aetna Value Plan | F53 | Non-Postal | CDHP Self Plus One | Monthly | 801.65 |
| Aetna HealthFund CDHP and Aetna Value Plan | F54 | Non-Postal | Value Self | Monthly | 298.4 |
| Aetna HealthFund CDHP and Aetna Value Plan | F55 | Non-Postal | Value Self & Family | Monthly | 663.67 |
| Aetna HealthFund CDHP and Aetna Value Plan | F56 | Non-Postal | Value Self Plus One | Monthly | 723.8 |
| Aetna Open Access | JN1 | Non-Postal | High Self | Monthly | 653.15 |
| Aetna Open Access | JN2 | Non-Postal | High Self & Family | Monthly | 1426.84 |
| Aetna Open Access | JN3 | Non-Postal | High Self Plus One | Monthly | 1497.69 |
| Aetna Open Access | JN4 | Non-Postal | Basic Self | Monthly | 191 |
| Aetna Open Access | JN5 | Non-Postal | Basic Self & Family | Monthly | 416.71 |
| Aetna Open Access | JN6 | Non-Postal | Basic Self Plus One | Monthly | 380.17 |
| 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 | 364.39 |
| CareFirst BlueChoice | 2G5 | Non-Postal | Standard Self & Family | Monthly | 891.21 |
| CareFirst BlueChoice | 2G6 | Non-Postal | Standard Self Plus One | Monthly | 654.45 |
| 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 | 200.25 |
| CareFirst BlueChoice | B65 | Non-Postal | Blue Value Plus Self & Family | Monthly | 501.17 |
| CareFirst BlueChoice | B66 | Non-Postal | Blue Value Plus Self Plus One | Monthly | 361.82 |
| Kaiser Permanente - Mid-Atlantic States | E31 | Non-Postal | High Self | Monthly | 222.82 |
| Kaiser Permanente - Mid-Atlantic States | E32 | Non-Postal | High Self & Family | Monthly | 498.14 |
| Kaiser Permanente - Mid-Atlantic States | E33 | Non-Postal | High Self Plus One | Monthly | 595.19 |
| Kaiser Permanente - Mid-Atlantic States | E34 | Non-Postal | Standard Self | Monthly | 149.57 |
| Kaiser Permanente - Mid-Atlantic States | E35 | Non-Postal | Standard Self & Family | Monthly | 344.01 |
| Kaiser Permanente - Mid-Atlantic States | E36 | Non-Postal | Standard Self Plus One | Monthly | 344.01 |
| Kaiser Permanente - Mid-Atlantic States | T71 | Non-Postal | Basic Self | Monthly | 106.93 |
| Kaiser Permanente - Mid-Atlantic States | T72 | Non-Postal | Basic Self & Family | Monthly | 274.88 |
| Kaiser Permanente - Mid-Atlantic States | T73 | Non-Postal | Basic Self Plus One | Monthly | 237.96 |
| M.D. IPA | JP1 | Non-Postal | High Self | Monthly | 427.47 |
| M.D. IPA | JP2 | Non-Postal | High Self & Family | Monthly | 1448.07 |
| M.D. IPA | JP3 | Non-Postal | High Self Plus One | Monthly | 735.93 |
| Sentara Health Plans | PG1 | Non-Postal | High Self | Monthly | 196.13 |
| Sentara Health Plans | PG2 | Non-Postal | High Self & Family | Monthly | 520.48 |
| Sentara Health Plans | PG3 | Non-Postal | High Self Plus One | Monthly | 617.4 |
| Sentara Health Plans | PG4 | Non-Postal | HDHP Self | Monthly | 151.27 |
| Sentara Health Plans | PG5 | Non-Postal | HDHP Self & Family | Monthly | 333.69 |
| Sentara Health Plans | PG6 | Non-Postal | HDHP Self Plus One | Monthly | 327.15 |
| UnitedHealthcare Advantage Plan | Y51 | Non-Postal | High Self | Monthly | 102.93 |
| UnitedHealthcare Advantage Plan | Y52 | Non-Postal | High Self & Family | Monthly | 272.77 |
| UnitedHealthcare Advantage Plan | Y53 | Non-Postal | High Self Plus One | Monthly | 226.45 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | V41 | Non-Postal | HDHP Self | Monthly | 129.98 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | V42 | Non-Postal | HDHP Self & Family | Monthly | 298.95 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | V43 | Non-Postal | HDHP Self Plus One | Monthly | 279.45 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | LR1 | Non-Postal | High Self | Monthly | 246.98 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | LR2 | Non-Postal | High Self & Family | Monthly | 607.62 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | LR3 | Non-Postal | High Self Plus One | Monthly | 535.17 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) | L91 | Non-Postal | Value Self | Monthly | 138.65 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) | L92 | Non-Postal | Value Self & Family | Monthly | 388.79 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) | L93 | Non-Postal | Value Self Plus One | Monthly | 270.79 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS1 | Non-Postal | High Self | Monthly | 149.87 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS2 | Non-Postal | High Self & Family | Monthly | 354.44 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS3 | Non-Postal | High Self Plus One | Monthly | 322.22 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y81 | Non-Postal | High Self | Monthly | 144.18 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y82 | Non-Postal | High Self & Family | Monthly | 340.98 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y83 | Non-Postal | High Self Plus One | Monthly | 309.98 |