Healthcare
2023 Plan Information for Pennsylvania
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 | 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 | H41 | Non-Postal | CDHP Self | Monthly | 302.2 |
| Aetna HealthFund CDHP and Aetna Value Plan | H42 | Non-Postal | CDHP Self & Family | Monthly | 646.78 |
| Aetna HealthFund CDHP and Aetna Value Plan | H43 | Non-Postal | CDHP Self Plus One | Monthly | 737.95 |
| Aetna HealthFund CDHP and Aetna Value Plan | H44 | Non-Postal | Value Self | Monthly | 338.43 |
| Aetna HealthFund CDHP and Aetna Value Plan | H45 | Non-Postal | Value Self & Family | Monthly | 743.37 |
| Aetna HealthFund CDHP and Aetna Value Plan | H46 | Non-Postal | Value Self Plus One | Monthly | 813.13 |
| Aetna Open Access | P31 | Non-Postal | High Self | Monthly | 1175.24 |
| Aetna Open Access | P32 | Non-Postal | High Self & Family | Monthly | 2888.97 |
| Aetna Open Access | P33 | Non-Postal | High Self Plus One | Monthly | 2957.54 |
| Aetna Open Access | P34 | Non-Postal | Basic Self | Monthly | 1191.3 |
| Aetna Open Access | P35 | Non-Postal | Basic Self & Family | Monthly | 2746.36 |
| Aetna Open Access | P36 | Non-Postal | Basic Self Plus One | Monthly | 2816.28 |
| Aetna Open Access | YE1 | Non-Postal | High Self | Monthly | 640.96 |
| Aetna Open Access | YE2 | Non-Postal | High Self & Family | Monthly | 1697.74 |
| Aetna Open Access | YE3 | Non-Postal | High Self Plus One | Monthly | 1778.1 |
| Geisinger Health Plan | AJ1 | Non-Postal | Basic Self | Monthly | 302.81 |
| Geisinger Health Plan | AJ2 | Non-Postal | Basic Self & Family | Monthly | 656.96 |
| Geisinger Health Plan | AJ3 | Non-Postal | Basic Self Plus One | Monthly | 655.76 |
| Geisinger Health Plan | GG4 | Non-Postal | Standard Self | Monthly | 394.24 |
| Geisinger Health Plan | GG5 | Non-Postal | Standard Self & Family | Monthly | 866.24 |
| Geisinger Health Plan | GG6 | Non-Postal | Standard Self Plus One | Monthly | 853.28 |
| 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 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 |
| UPMC Health Plan | 8W4 | Non-Postal | HDHP Self | Monthly | 176.19 |
| UPMC Health Plan | 8W5 | Non-Postal | HDHP Self & Family | Monthly | 406.44 |
| UPMC Health Plan | 8W6 | Non-Postal | HDHP Self Plus One | Monthly | 390.48 |
| UPMC Health Plan | UW4 | Non-Postal | Standard Self | Monthly | 183.08 |
| UPMC Health Plan | UW5 | Non-Postal | Standard Self & Family | Monthly | 431.4 |
| UPMC Health Plan | UW6 | Non-Postal | Standard Self Plus One | Monthly | 432.12 |