Healthcare
2023 Plan Information for District of Columbia
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 | 269.92 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 511.92 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 586.26 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 160.35 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 404.39 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 351.67 |
| 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 | 415.48 |
| Aetna HealthFund CDHP and Aetna Value Plan | F52 | Non-Postal | CDHP Self & Family | Monthly | 905.69 |
| Aetna HealthFund CDHP and Aetna Value Plan | F53 | Non-Postal | CDHP Self Plus One | Monthly | 993.87 |
| Aetna HealthFund CDHP and Aetna Value Plan | F54 | Non-Postal | Value Self | Monthly | 445.55 |
| Aetna HealthFund CDHP and Aetna Value Plan | F55 | Non-Postal | Value Self & Family | Monthly | 984.15 |
| Aetna HealthFund CDHP and Aetna Value Plan | F56 | Non-Postal | Value Self Plus One | Monthly | 1049.12 |
| Aetna Open Access | JN1 | Non-Postal | High Self | Monthly | 766.11 |
| Aetna Open Access | JN2 | Non-Postal | High Self & Family | Monthly | 1662.66 |
| Aetna Open Access | JN3 | Non-Postal | High Self Plus One | Monthly | 1743.34 |
| Aetna Open Access | JN4 | Non-Postal | Basic Self | Monthly | 208 |
| Aetna Open Access | JN5 | Non-Postal | Basic Self & Family | Monthly | 440.95 |
| Aetna Open Access | JN6 | Non-Postal | Basic Self Plus One | Monthly | 405.21 |
| Aetna Open Access | QQ4 | Non-Postal | Saver Self | Monthly | 153.39 |
| Aetna Open Access | QQ5 | Non-Postal | Saver Self & Family | Monthly | 351.05 |
| Aetna Open Access | QQ6 | Non-Postal | Saver Self Plus One | Monthly | 322.36 |
| CareFirst BlueChoice | 2G4 | Non-Postal | Standard Self | Monthly | 460.54 |
| CareFirst BlueChoice | 2G5 | Non-Postal | Standard Self & Family | Monthly | 1106.56 |
| CareFirst BlueChoice | 2G6 | Non-Postal | Standard Self Plus One | Monthly | 832.11 |
| CareFirst BlueChoice | B61 | Non-Postal | HDHP Self | Monthly | 172.97 |
| CareFirst BlueChoice | B62 | Non-Postal | HDHP Self & Family | Monthly | 410.99 |
| CareFirst BlueChoice | B63 | Non-Postal | HDHP Self Plus One | Monthly | 345.96 |
| CareFirst BlueChoice | B64 | Non-Postal | Blue Value Plus Self | Monthly | 197.1 |
| CareFirst BlueChoice | B65 | Non-Postal | Blue Value Plus Self & Family | Monthly | 480.61 |
| CareFirst BlueChoice | B66 | Non-Postal | Blue Value Plus Self Plus One | Monthly | 379.92 |
| Kaiser Permanente - Mid-Atlantic States | E31 | Non-Postal | High Self | Monthly | 228.17 |
| Kaiser Permanente - Mid-Atlantic States | E32 | Non-Postal | High Self & Family | Monthly | 494.29 |
| Kaiser Permanente - Mid-Atlantic States | E33 | Non-Postal | High Self Plus One | Monthly | 604.57 |
| Kaiser Permanente - Mid-Atlantic States | E34 | Non-Postal | Standard Self | Monthly | 158.82 |
| Kaiser Permanente - Mid-Atlantic States | E35 | Non-Postal | Standard Self & Family | Monthly | 365.27 |
| Kaiser Permanente - Mid-Atlantic States | E36 | Non-Postal | Standard Self Plus One | Monthly | 365.27 |
| Kaiser Permanente - Mid-Atlantic States | T71 | Non-Postal | Prosper Self | Monthly | 94.93 |
| Kaiser Permanente - Mid-Atlantic States | T72 | Non-Postal | Prosper Self & Family | Monthly | 267.08 |
| Kaiser Permanente - Mid-Atlantic States | T73 | Non-Postal | Prosper Self Plus One | Monthly | 226.79 |
| M.D. IPA | JP1 | Non-Postal | High Self | Monthly | 503.05 |
| M.D. IPA | JP2 | Non-Postal | High Self & Family | Monthly | 1663.7 |
| M.D. IPA | JP3 | Non-Postal | High Self Plus One | Monthly | 866.99 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | V41 | Non-Postal | HDHP Self | Monthly | 166.3 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | V42 | Non-Postal | HDHP Self & Family | Monthly | 382.46 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | V43 | Non-Postal | HDHP Self Plus One | Monthly | 357.53 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | LR1 | Non-Postal | High Self | Monthly | 345.28 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | LR2 | Non-Postal | High Self & Family | Monthly | 827.19 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | LR3 | Non-Postal | High Self Plus One | Monthly | 737.71 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) | L91 | Non-Postal | Value Self | Monthly | 174.25 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) | L92 | Non-Postal | Value Self & Family | Monthly | 418.2 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) | L93 | Non-Postal | Value Self Plus One | Monthly | 370.29 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS1 | Non-Postal | High Self | Monthly | 177.95 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS2 | Non-Postal | High Self & Family | Monthly | 420.84 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS3 | Non-Postal | High Self Plus One | Monthly | 382.58 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y81 | Non-Postal | High Self | Monthly | 168.85 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y82 | Non-Postal | High Self & Family | Monthly | 399.34 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y83 | Non-Postal | High Self Plus One | Monthly | 363.03 |