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Healthcare Plan Information

2017 Plan Information for District of Columbia

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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 138.7
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 305.95
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 299.95
Aetna Direct N61 Non-Postal CDHP Self Monthly 120.05
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 302.77
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 263.29
Aetna HealthFund CDHP and Aetna Value Plan F51 Non-Postal CDHP Self Monthly 236.68
Aetna HealthFund CDHP and Aetna Value Plan F52 Non-Postal CDHP Self & Family Monthly 540.15
Aetna HealthFund CDHP and Aetna Value Plan F53 Non-Postal CDHP Self Plus One Monthly 587.71
Aetna HealthFund CDHP and Aetna Value Plan F54 Non-Postal Value Self Monthly 139.84
Aetna HealthFund CDHP and Aetna Value Plan F55 Non-Postal Value Self & Family Monthly 320.21
Aetna HealthFund CDHP and Aetna Value Plan F56 Non-Postal Value Self Plus One Monthly 313.93
Aetna Open Access JN1 Non-Postal High Self Monthly 536.05
Aetna Open Access JN2 Non-Postal High Self & Family Monthly 1190.28
Aetna Open Access JN3 Non-Postal High Self Plus One Monthly 1231.42
Aetna Open Access JN4 Non-Postal Basic Self Monthly 159.34
Aetna Open Access JN5 Non-Postal Basic Self & Family Monthly 359.96
Aetna Open Access JN6 Non-Postal Basic Self Plus One Monthly 343.5
CareFirst BlueChoice 2G1 Non-Postal High Self Monthly 297.05
CareFirst BlueChoice 2G2 Non-Postal High Self & Family Monthly 752.29
CareFirst BlueChoice 2G3 Non-Postal High Self Plus One Monthly 523.79
CareFirst BlueChoice 2G4 Non-Postal Standard Self Monthly 180.31
CareFirst BlueChoice 2G5 Non-Postal Standard Self & Family Monthly 474.92
CareFirst BlueChoice 2G6 Non-Postal Standard Self Plus One Monthly 330.3
CareFirst BlueChoice B61 Non-Postal HDHP Self Monthly 152.43
CareFirst BlueChoice B62 Non-Postal HDHP Self & Family Monthly 362.17
CareFirst BlueChoice B63 Non-Postal HDHP Self Plus One Monthly 304.86
Kaiser Foundation Health Plan Mid-Atlantic States E31 Non-Postal High Self Monthly 161.41
Kaiser Foundation Health Plan Mid-Atlantic States E32 Non-Postal High Self & Family Monthly 406.99
Kaiser Foundation Health Plan Mid-Atlantic States E33 Non-Postal High Self Plus One Monthly 419.4
Kaiser Foundation Health Plan Mid-Atlantic States E34 Non-Postal Standard Self Monthly 121.01
Kaiser Foundation Health Plan Mid-Atlantic States E35 Non-Postal Standard Self & Family Monthly 283.16
Kaiser Foundation Health Plan Mid-Atlantic States E36 Non-Postal Standard Self Plus One Monthly 273.47
M.D. IPA JP1 Non-Postal High Self Monthly 210.44
M.D. IPA JP2 Non-Postal High Self & Family Monthly 842.17
M.D. IPA JP3 Non-Postal High Self Plus One Monthly 337.25
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR1 Non-Postal High Self Monthly 151.52
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR2 Non-Postal High Self & Family Monthly 420.62
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR3 Non-Postal High Self Plus One Monthly 310.63
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L91 Non-Postal Value Self Monthly 108.27
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L92 Non-Postal Value Self & Family Monthly 303.59
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L93 Non-Postal Value Self Plus One Monthly 211.44
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