Healthcare
2024 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 | 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 | F51 | Non-Postal | CDHP Self | Monthly | 471.38 |
| Aetna HealthFund CDHP and Aetna Value Plan | F52 | Non-Postal | CDHP Self & Family | Monthly | 1015.69 |
| Aetna HealthFund CDHP and Aetna Value Plan | F53 | Non-Postal | CDHP Self Plus One | Monthly | 1121.06 |
| Aetna HealthFund CDHP and Aetna Value Plan | F54 | Non-Postal | Value Self | Monthly | 435.87 |
| Aetna HealthFund CDHP and Aetna Value Plan | F55 | Non-Postal | Value Self & Family | Monthly | 944.77 |
| Aetna HealthFund CDHP and Aetna Value Plan | F56 | Non-Postal | Value Self Plus One | Monthly | 1028.06 |
| Aetna Open Access | JN1 | Non-Postal | High Self | Monthly | 775.97 |
| Aetna Open Access | JN2 | Non-Postal | High Self & Family | Monthly | 1666.6 |
| Aetna Open Access | JN3 | Non-Postal | High Self Plus One | Monthly | 1765.51 |
| Aetna Open Access | JN4 | Non-Postal | Basic Self | Monthly | 216.73 |
| Aetna Open Access | JN5 | Non-Postal | Basic Self & Family | Monthly | 460.45 |
| Aetna Open Access | JN6 | Non-Postal | Basic Self Plus One | Monthly | 422.82 |
| Aetna Open Access | QQ4 | Non-Postal | Saver Self | Monthly | 155.57 |
| Aetna Open Access | QQ5 | Non-Postal | Saver Self & Family | Monthly | 356.03 |
| Aetna Open Access | QQ6 | Non-Postal | Saver Self Plus One | Monthly | 326.94 |
| CareFirst BlueChoice | 2G4 | Non-Postal | Standard Self | Monthly | 527.28 |
| CareFirst BlueChoice | 2G5 | Non-Postal | Standard Self & Family | Monthly | 1250.06 |
| CareFirst BlueChoice | 2G6 | Non-Postal | Standard Self Plus One | Monthly | 960.01 |
| CareFirst BlueChoice | B61 | Non-Postal | HDHP Self | Monthly | 181.63 |
| CareFirst BlueChoice | B62 | Non-Postal | HDHP Self & Family | Monthly | 431.54 |
| CareFirst BlueChoice | B63 | Non-Postal | HDHP Self Plus One | Monthly | 363.25 |
| CareFirst BlueChoice | B64 | Non-Postal | Blue Value Plus Self | Monthly | 193.76 |
| CareFirst BlueChoice | B65 | Non-Postal | Blue Value Plus Self & Family | Monthly | 460.36 |
| CareFirst BlueChoice | B66 | Non-Postal | Blue Value Plus Self Plus One | Monthly | 387.52 |
| Kaiser Permanente - Mid-Atlantic States | E31 | Non-Postal | High Self | Monthly | 301.77 |
| Kaiser Permanente - Mid-Atlantic States | E32 | Non-Postal | High Self & Family | Monthly | 646.64 |
| Kaiser Permanente - Mid-Atlantic States | E33 | Non-Postal | High Self Plus One | Monthly | 775.95 |
| Kaiser Permanente - Mid-Atlantic States | E34 | Non-Postal | Standard Self | Monthly | 176.88 |
| Kaiser Permanente - Mid-Atlantic States | E35 | Non-Postal | Standard Self & Family | Monthly | 406.82 |
| Kaiser Permanente - Mid-Atlantic States | E36 | Non-Postal | Standard Self Plus One | Monthly | 406.82 |
| Kaiser Permanente - Mid-Atlantic States | T71 | Non-Postal | Prosper Self | Monthly | 106.25 |
| Kaiser Permanente - Mid-Atlantic States | T72 | Non-Postal | Prosper Self & Family | Monthly | 298.95 |
| Kaiser Permanente - Mid-Atlantic States | T73 | Non-Postal | Prosper Self Plus One | Monthly | 253.86 |
| M.D. IPA | JP1 | Non-Postal | High Self | Monthly | 565.2 |
| M.D. IPA | JP2 | Non-Postal | High Self & Family | Monthly | 1833.8 |
| M.D. IPA | JP3 | Non-Postal | High Self Plus One | Monthly | 981.67 |
| Sentara Health Plans | F21 | Non-Postal | High Self | Monthly | 177.35 |
| Sentara Health Plans | F22 | Non-Postal | High Self & Family | Monthly | 405.88 |
| Sentara Health Plans | F23 | Non-Postal | High Self Plus One | Monthly | 405.85 |
| Sentara Health Plans | PG1 | Non-Postal | High Self | Monthly | 266.13 |
| Sentara Health Plans | PG2 | Non-Postal | High Self & Family | Monthly | 664.04 |
| Sentara Health Plans | PG3 | Non-Postal | High Self Plus One | Monthly | 793.2 |
| Sentara Health Plans | PG4 | Non-Postal | HDHP Self | Monthly | 163.03 |
| Sentara Health Plans | PG5 | Non-Postal | HDHP Self & Family | Monthly | 359.61 |
| Sentara Health Plans | PG6 | Non-Postal | HDHP Self Plus One | Monthly | 352.56 |
| 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 Advanced) | L91 | Non-Postal | Value Self | Monthly | 192.31 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) | L92 | Non-Postal | Value Self & Family | Monthly | 461.56 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) | L93 | Non-Postal | Value Self Plus One | Monthly | 408.67 |
| 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 |