Healthcare
2025 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 | 292.93 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 523.23 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 621.86 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 166.53 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 419.96 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 365.21 |
| Aetna Direct | Z24 | Non-Postal | Advantage Self | Monthly | 115.34 |
| Aetna Direct | Z25 | Non-Postal | Advantage Self & Family | Monthly | 305.63 |
| Aetna Direct | Z26 | Non-Postal | Advantage Self Plus One | Monthly | 253.74 |
| Aetna HealthFund CDHP and Aetna Value Plan | H41 | Non-Postal | CDHP Self | Monthly | 497.38 |
| Aetna HealthFund CDHP and Aetna Value Plan | H42 | Non-Postal | CDHP Self & Family | Monthly | 1058.39 |
| Aetna HealthFund CDHP and Aetna Value Plan | H43 | Non-Postal | CDHP Self Plus One | Monthly | 1172.32 |
| Aetna HealthFund CDHP and Aetna Value Plan | H44 | Non-Postal | Value Self | Monthly | 759.11 |
| Aetna HealthFund CDHP and Aetna Value Plan | H45 | Non-Postal | Value Self & Family | Monthly | 1676.78 |
| Aetna HealthFund CDHP and Aetna Value Plan | H46 | Non-Postal | Value Self Plus One | Monthly | 1752.73 |
| Aetna Open Access | P31 | Non-Postal | High Self | Monthly | 1180.64 |
| Aetna Open Access | P32 | Non-Postal | High Self & Family | Monthly | 2880.82 |
| Aetna Open Access | P33 | Non-Postal | High Self Plus One | Monthly | 2976.16 |
| Aetna Open Access | P34 | Non-Postal | Basic Self | Monthly | 1149.01 |
| Aetna Open Access | P35 | Non-Postal | Basic Self & Family | Monthly | 2618.35 |
| Aetna Open Access | P36 | Non-Postal | Basic Self Plus One | Monthly | 2716.22 |
| Aetna Open Access | YE1 | Non-Postal | High Self | Monthly | 1050.99 |
| Aetna Open Access | YE2 | Non-Postal | High Self & Family | Monthly | 2713.25 |
| Aetna Open Access | YE3 | Non-Postal | High Self Plus One | Monthly | 2810.28 |
| Geisinger Health Plan | AJ1 | Non-Postal | Basic Self | Monthly | 365.78 |
| Geisinger Health Plan | AJ2 | Non-Postal | Basic Self & Family | Monthly | 768.6 |
| Geisinger Health Plan | AJ3 | Non-Postal | Basic Self Plus One | Monthly | 777.45 |
| Geisinger Health Plan | GG4 | Non-Postal | Standard Self | Monthly | 461.26 |
| Geisinger Health Plan | GG5 | Non-Postal | Standard Self & Family | Monthly | 987.24 |
| Geisinger Health Plan | GG6 | Non-Postal | Standard Self Plus One | Monthly | 983.78 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | V41 | Non-Postal | HDHP Self | Monthly | 175.54 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | V42 | Non-Postal | HDHP Self & Family | Monthly | 401.81 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | V43 | Non-Postal | HDHP Self Plus One | Monthly | 377.41 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | LR1 | Non-Postal | High Self | Monthly | 486.55 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | LR2 | Non-Postal | High Self & Family | Monthly | 1136.22 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | LR3 | Non-Postal | High Self Plus One | Monthly | 1026.27 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS1 | Non-Postal | High Self | Monthly | 205.69 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS2 | Non-Postal | High Self & Family | Monthly | 486.46 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS3 | Non-Postal | High Self Plus One | Monthly | 442.23 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y81 | Non-Postal | High Self | Monthly | 176.44 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y82 | Non-Postal | High Self & Family | Monthly | 417.28 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y83 | Non-Postal | High Self Plus One | Monthly | 379.35 |
| UPMC Health Plan | 8W4 | Non-Postal | HDHP Self | Monthly | 178.39 |
| UPMC Health Plan | 8W5 | Non-Postal | HDHP Self & Family | Monthly | 474.48 |
| UPMC Health Plan | 8W6 | Non-Postal | HDHP Self Plus One | Monthly | 426.13 |
| UPMC Health Plan | UW4 | Non-Postal | Standard Self | Monthly | 193.52 |
| UPMC Health Plan | UW5 | Non-Postal | Standard Self & Family | Monthly | 574.88 |
| UPMC Health Plan | UW6 | Non-Postal | Standard Self Plus One | Monthly | 480.2 |