Healthcare
2024 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 | 272.61 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 498.46 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 590.61 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 160.8 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 405.51 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 352.64 |
| 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 | H41 | Non-Postal | CDHP Self | Monthly | 310.22 |
| Aetna HealthFund CDHP and Aetna Value Plan | H42 | Non-Postal | CDHP Self & Family | Monthly | 647.59 |
| Aetna HealthFund CDHP and Aetna Value Plan | H43 | Non-Postal | CDHP Self Plus One | Monthly | 757.06 |
| Aetna HealthFund CDHP and Aetna Value Plan | H44 | Non-Postal | Value Self | Monthly | 524.94 |
| Aetna HealthFund CDHP and Aetna Value Plan | H45 | Non-Postal | Value Self & Family | Monthly | 1154.29 |
| Aetna HealthFund CDHP and Aetna Value Plan | H46 | Non-Postal | Value Self Plus One | Monthly | 1233.53 |
| Aetna Open Access | P31 | Non-Postal | High Self | Monthly | 1218.53 |
| Aetna Open Access | P32 | Non-Postal | High Self & Family | Monthly | 2980.12 |
| Aetna Open Access | P33 | Non-Postal | High Self Plus One | Monthly | 3066.09 |
| Aetna Open Access | P34 | Non-Postal | Basic Self | Monthly | 1245.12 |
| Aetna Open Access | P35 | Non-Postal | Basic Self & Family | Monthly | 2854.84 |
| Aetna Open Access | P36 | Non-Postal | Basic Self Plus One | Monthly | 2941.97 |
| Aetna Open Access | YE1 | Non-Postal | High Self | Monthly | 697.56 |
| Aetna Open Access | YE2 | Non-Postal | High Self & Family | Monthly | 1828.27 |
| Aetna Open Access | YE3 | Non-Postal | High Self Plus One | Monthly | 1925.63 |
| Geisinger Health Plan | AJ1 | Non-Postal | Basic Self | Monthly | 255.21 |
| Geisinger Health Plan | AJ2 | Non-Postal | Basic Self & Family | Monthly | 530.7 |
| Geisinger Health Plan | AJ3 | Non-Postal | Basic Self Plus One | Monthly | 551.4 |
| Geisinger Health Plan | GG4 | Non-Postal | Standard Self | Monthly | 344.24 |
| Geisinger Health Plan | GG5 | Non-Postal | Standard Self & Family | Monthly | 734.54 |
| Geisinger Health Plan | GG6 | Non-Postal | Standard Self Plus One | Monthly | 743.77 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | V41 | Non-Postal | HDHP Self | Monthly | 173.39 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | V42 | Non-Postal | HDHP Self & Family | Monthly | 396.95 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | V43 | Non-Postal | HDHP Self Plus One | Monthly | 372.8 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | LR1 | Non-Postal | High Self | Monthly | 419.44 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | LR2 | Non-Postal | High Self & Family | Monthly | 987.82 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | LR3 | Non-Postal | High Self Plus One | Monthly | 895.46 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS1 | Non-Postal | High Self | Monthly | 203.41 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS2 | Non-Postal | High Self & Family | Monthly | 471.92 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS3 | Non-Postal | High Self Plus One | Monthly | 431.04 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y81 | Non-Postal | High Self | Monthly | 181.3 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y82 | Non-Postal | High Self & Family | Monthly | 428.78 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y83 | Non-Postal | High Self Plus One | Monthly | 389.8 |
| UPMC Health Plan | 8W4 | Non-Postal | HDHP Self | Monthly | 174.89 |
| UPMC Health Plan | 8W5 | Non-Postal | HDHP Self & Family | Monthly | 403.32 |
| UPMC Health Plan | 8W6 | Non-Postal | HDHP Self Plus One | Monthly | 387.51 |
| UPMC Health Plan | UW4 | Non-Postal | Standard Self | Monthly | 192.96 |
| UPMC Health Plan | UW5 | Non-Postal | Standard Self & Family | Monthly | 453.89 |
| UPMC Health Plan | UW6 | Non-Postal | Standard Self Plus One | Monthly | 462.41 |