Healthcare Plan Information For Pennsylvania
2023 Plan Information for Pennsylvania
Choose a state below to view a list of all plans available in that state, as well as links to the plan brochures, changes for each plan from the previous year, information on plan patient safety programs, and links to the plan provider directories.
Disclaimer: In some cases, the enrollee share of premiums for the Self Plus One enrollment type will be higher than the Self and Family enrollment type. Enrollees who wish to cover one eligible family member are free to elect either the Self and Family or Self Plus One enrollment type. Check premiums on our website at www.opm.gov/fehbpremiums.
Nationwide Fee-for-Service Open to All
| Plan / Brochure | Option | Enrollment Codes | Summary of Benefits | Provider Directory | Plan Website |
|---|---|---|---|---|---|
|
APWU Health Plan
|
CDHP | 474, 475, 476 | Go (external link) | Go (external link) | Go (external link) |
|
APWU Health Plan
|
High | 471, 472, 473 | Go (external link) | Go (external link) | Go (external link) |
|
Blue Cross and Blue Shield Service Benefit Plan Basic Option
|
Basic | 111, 112, 113 | Go (external link) | Go (external link) | Go (external link) |
|
Blue Cross and Blue Shield Service Benefit Plan FEP Blue Focus
|
FEP Blue Focus | 131, 132, 133 | Go (external link) | Go (external link) | Go (external link) |
|
Blue Cross and Blue Shield Service Benefit Plan Standard Option
|
Standard | 104, 105, 106 | Go (external link) | Go (external link) | Go (external link) |
|
Compass Rose Health Plan
|
High | 421, 422, 423 | Go (external link) | Go (external link) | Go (external link) |
|
GEHA Benefit Plan
|
High | 311, 312, 313 | Go (external link) | Go (external link) | Go (external link) |
|
GEHA Benefit Plan
|
Standard | 314, 315, 316 | Go (external link) | Go (external link) | Go (external link) |
|
GEHA HDHP
|
HDHP | 341, 342, 343 | Go (external link) | Go (external link) | Go (external link) |
|
GEHA Indemnity Benefit Plan
|
Elevate Plus | 251, 252, 253 | Go (external link) | Go (external link) | Go (external link) |
|
GEHA Indemnity Benefit Plan
|
Elevate | 254, 255, 256 | Go (external link) | Go (external link) | Go (external link) |
|
MHBP Consumer Option
|
HDHP | 481, 482, 483 | Go (external link) | Go (external link) | Go (external link) |
|
MHBP Standard Option
|
Standard | 454, 455, 456 | Go (external link) | Go (external link) | Go (external link) |
|
MHBP Value Plan
|
Value | 414, 415, 416 | Go (external link) | Go (external link) | Go (external link) |
|
NALC Health Benefit Plan
|
CDHP | 324, 325, 326 | Go (external link) | Go (external link) | Go (external link) |
|
NALC Health Benefit Plan
|
High | 321, 322, 323 | Go (external link) | Go (external link) | Go (external link) |
|
NALC Health Benefit Plan
|
Value | KM1, KM2, KM3 | Go (external link) | Go (external link) | Go (external link) |
|
SAMBA Health Benefit Plan
|
High | 441, 442, 443 | Go (external link) | Go (external link) | Go (external link) |
|
SAMBA Health Benefit Plan
|
Standard | 444, 445, 446 | Go (external link) | Go (external link) | Go (external link) |
| APWU Health Plan |
|---|
|
Option
CDHP
|
|
Enrollment codes
474, 475, 476
|
|
Resources
|
| APWU Health Plan |
|
Option
High
|
|
Enrollment codes
471, 472, 473
|
|
Resources
|
| Blue Cross and Blue Shield Service Benefit Plan Basic Option |
|
Option
Basic
|
|
Enrollment codes
111, 112, 113
|
|
Resources
|
| Blue Cross and Blue Shield Service Benefit Plan FEP Blue Focus |
|
Option
FEP Blue Focus
|
|
Enrollment codes
131, 132, 133
|
|
Resources
|
| Blue Cross and Blue Shield Service Benefit Plan Standard Option |
|
Option
Standard
|
|
Enrollment codes
104, 105, 106
|
|
Resources
|
| Compass Rose Health Plan |
|
Option
High
|
|
Enrollment codes
421, 422, 423
|
|
Resources
|
| GEHA Benefit Plan |
|
Option
High
|
|
Enrollment codes
311, 312, 313
|
|
Resources
|
| GEHA Benefit Plan |
|
Option
Standard
|
|
Enrollment codes
314, 315, 316
|
|
Resources
|
| GEHA HDHP |
|
Option
HDHP
|
|
Enrollment codes
341, 342, 343
|
|
Resources
|
| GEHA Indemnity Benefit Plan |
|
Option
Elevate Plus
|
|
Enrollment codes
251, 252, 253
|
|
Resources
|
| GEHA Indemnity Benefit Plan |
|
Option
Elevate
|
|
Enrollment codes
254, 255, 256
|
|
Resources
|
| MHBP Consumer Option |
|
Option
HDHP
|
|
Enrollment codes
481, 482, 483
|
|
Resources
|
| MHBP Standard Option |
|
Option
Standard
|
|
Enrollment codes
454, 455, 456
|
|
Resources
|
| MHBP Value Plan |
|
Option
Value
|
|
Enrollment codes
414, 415, 416
|
|
Resources
|
| NALC Health Benefit Plan |
|
Option
CDHP
|
|
Enrollment codes
324, 325, 326
|
|
Resources
|
| NALC Health Benefit Plan |
|
Option
High
|
|
Enrollment codes
321, 322, 323
|
|
Resources
|
| NALC Health Benefit Plan |
|
Option
Value
|
|
Enrollment codes
KM1, KM2, KM3
|
|
Resources
|
| SAMBA Health Benefit Plan |
|
Option
High
|
|
Enrollment codes
441, 442, 443
|
|
Resources
|
| SAMBA Health Benefit Plan |
|
Option
Standard
|
|
Enrollment codes
444, 445, 446
|
|
Resources
|
Nationwide Fee-for-Service Plans Open Only to Specific Groups
| Plan / Brochure | Option | Enrollment Codes | Summary of Benefits | Provider Directory | Plan Website |
|---|---|---|---|---|---|
|
Foreign Service Benefit Plan
|
High | 401, 402, 403 | Go (external link) | Go (external link) | Go (external link) |
|
Panama Canal Area Benefit Plan
|
High | 431, 432, 433 | Go (external link) | Go (external link) | Go (external link) |
|
Rural Carrier Benefit Plan
|
High | 381, 382, 383 | Go (external link) | Go (external link) | Go (external link) |
| Foreign Service Benefit Plan |
|---|
|
Option
High
|
|
Enrollment codes
401, 402, 403
|
|
Resources
|
| Panama Canal Area Benefit Plan |
|
Option
High
|
|
Enrollment codes
431, 432, 433
|
|
Resources
|
| Rural Carrier Benefit Plan |
|
Option
High
|
|
Enrollment codes
381, 382, 383
|
|
Resources
|
State Specific HMO, HDHP and CDHP Plans
| Plan / Brochure | Option | Enrollment Codes | Location | Summary of Benefits | Provider Directory | Plan Website |
|---|---|---|---|---|---|---|
|
Aetna Advantage
|
Advantage | Z24, Z25, Z26; | All of Pennsylvania | Go (external link) | Go (external link) | Go (external link) |
|
Aetna Direct
|
CDHP | N61, N62, N63; | All of Pennsylvania | Go (external link) | Go (external link) | Go (external link) |
|
Aetna HealthFund CDHP and Aetna Value Plan
|
CDHP | H41, H42, H43; | All of Pennsylvania | Go (external link) | Go (external link) | Go (external link) |
|
Aetna HealthFund CDHP and Aetna Value Plan
|
Value | H44, H45, H46; | All of Pennsylvania | Go (external link) | Go (external link) | Go (external link) |
|
Aetna HealthFund HDHP
|
HDHP | 224, 225, 226; | All of Pennsylvania | Go (external link) | Go (external link) | Go (external link) |
|
Aetna Open Access
|
Basic | P34, P35, P36; | Philadelphia | Go (external link) | Go (external link) | Go (external link) |
|
Aetna Open Access
|
High | P31, P32, P33; | Philadelphia | Go (external link) | Go (external link) | Go (external link) |
|
Aetna Open Access
|
High | YE1, YE2, YE3; | Pittsburgh and Western PA Areas | Go (external link) | Go (external link) | Go (external link) |
|
Geisinger Health Plan
|
Basic | AJ1, AJ2, AJ3; | Northeastern/ Central/ South Central areas | Go (external link) | Go (external link) | Go (external link) |
|
Geisinger Health Plan
|
Standard | GG4, GG5, GG6; | Northeastern/Central/South Central areas | Go (external link) | Go (external link) | Go (external link) |
|
UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary
|
High | AS1, AS2, AS3; | Entire State | Go (external link) | Go (external link) | Go (external link) |
|
UnitedHealthcare Insurance Company, Inc. Choice HDHP
|
HDHP | V41, V42, V43; | Entire State | Go (external link) | Go (external link) | Go (external link) |
|
UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO
|
High | LR1, LR2, LR3; | Entire State | Go (external link) | Go (external link) | Go (external link) |
|
UnitedHealthcare Insurance Company, Inc. Choice Primary
|
High | Y81, Y82, Y83; | Entire State | Go (external link) | Go (external link) | Go (external link) |
|
UPMC Health Plan
|
HDHP | 8W4, 8W5, 8W6; | Western Pennsylvania | Go (external link) | Go (external link) | Go (external link) |
|
UPMC Health Plan
|
Standard | UW4, UW5, UW6; | Western Pennsylvania | Go (external link) | Go (external link) | Go (external link) |
| Aetna Advantage |
|---|
|
Option
Advantage
|
|
Enrollment codes
Z24, Z25, Z26
|
|
Resources
|
| Aetna Direct |
|
Option
CDHP
|
|
Enrollment codes
N61, N62, N63
|
|
Resources
|
| Aetna HealthFund CDHP and Aetna Value Plan |
|
Option
CDHP
|
|
Enrollment codes
H41, H42, H43
|
|
Resources
|
| Aetna HealthFund CDHP and Aetna Value Plan |
|
Option
Value
|
|
Enrollment codes
H44, H45, H46
|
|
Resources
|
| Aetna HealthFund HDHP |
|
Option
HDHP
|
|
Enrollment codes
224, 225, 226
|
|
Resources
|
| Aetna Open Access |
|
Option
Basic
|
|
Enrollment codes
P34, P35, P36
|
|
Resources
|
| Aetna Open Access |
|
Option
High
|
|
Enrollment codes
P31, P32, P33
|
|
Resources
|
| Aetna Open Access |
|
Option
High
|
|
Enrollment codes
YE1, YE2, YE3
|
|
Resources
|
| Geisinger Health Plan |
|
Option
Basic
|
|
Enrollment codes
AJ1, AJ2, AJ3
|
|
Resources
|
| Geisinger Health Plan |
|
Option
Standard
|
|
Enrollment codes
GG4, GG5, GG6
|
|
Resources
|
| UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary |
|
Option
High
|
|
Enrollment codes
AS1, AS2, AS3
|
|
Resources
|
| UnitedHealthcare Insurance Company, Inc. Choice HDHP |
|
Option
HDHP
|
|
Enrollment codes
V41, V42, V43
|
|
Resources
|
| UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO |
|
Option
High
|
|
Enrollment codes
LR1, LR2, LR3
|
|
Resources
|
| UnitedHealthcare Insurance Company, Inc. Choice Primary |
|
Option
High
|
|
Enrollment codes
Y81, Y82, Y83
|
|
Resources
|
| UPMC Health Plan |
|
Option
HDHP
|
|
Enrollment codes
8W4, 8W5, 8W6
|
|
Resources
|
| UPMC Health Plan |
|
Option
Standard
|
|
Enrollment codes
UW4, UW5, UW6
|
|
Resources
|