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Healthcare Plan Information

2019 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 164.93
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 363.8
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 360.1
Aetna Direct N61 Non-Postal CDHP Self Monthly 139.33
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 351.38
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 305.56
Aetna HealthFund CDHP and Aetna Value Plan F51 Non-Postal CDHP Self Monthly 312.07
Aetna HealthFund CDHP and Aetna Value Plan F52 Non-Postal CDHP Self & Family Monthly 710.52
Aetna HealthFund CDHP and Aetna Value Plan F53 Non-Postal CDHP Self Plus One Monthly 763.81
Aetna HealthFund CDHP and Aetna Value Plan F54 Non-Postal Value Self Monthly 209.72
Aetna HealthFund CDHP and Aetna Value Plan F55 Non-Postal Value Self & Family Monthly 484.06
Aetna HealthFund CDHP and Aetna Value Plan F56 Non-Postal Value Self Plus One Monthly 523.83
Aetna Open Access JN1 Non-Postal High Self Monthly 620.41
Aetna Open Access JN2 Non-Postal High Self & Family Monthly 1377.79
Aetna Open Access JN3 Non-Postal High Self Plus One Monthly 1424.45
Aetna Open Access JN4 Non-Postal Basic Self Monthly 181.74
Aetna Open Access JN5 Non-Postal Basic Self & Family Monthly 419.06
Aetna Open Access JN6 Non-Postal Basic Self Plus One Monthly 363.41
CareFirst BlueChoice 2G4 Non-Postal Standard Self Monthly 298.96
CareFirst BlueChoice 2G5 Non-Postal Standard Self & Family Monthly 757.06
CareFirst BlueChoice 2G6 Non-Postal Standard Self Plus One Monthly 528.75
CareFirst BlueChoice B61 Non-Postal HDHP Self Monthly 129.57
CareFirst BlueChoice B62 Non-Postal HDHP Self & Family Monthly 307.84
CareFirst BlueChoice B63 Non-Postal HDHP Self Plus One Monthly 259.13
Kaiser Foundation Health Plan Mid-Atlantic States E31 Non-Postal High Self Monthly 193.96
Kaiser Foundation Health Plan Mid-Atlantic States E32 Non-Postal High Self & Family Monthly 454.96
Kaiser Foundation Health Plan Mid-Atlantic States E33 Non-Postal High Self Plus One Monthly 526.56
Kaiser Foundation Health Plan Mid-Atlantic States E34 Non-Postal Standard Self Monthly 130.44
Kaiser Foundation Health Plan Mid-Atlantic States E35 Non-Postal Standard Self & Family Monthly 300
Kaiser Foundation Health Plan Mid-Atlantic States E36 Non-Postal Standard Self Plus One Monthly 300
Kaiser Foundation Health Plan Mid-Atlantic States T71 Non-Postal Basic Self Monthly 105.03
Kaiser Foundation Health Plan Mid-Atlantic States T72 Non-Postal Basic Self & Family Monthly 256.54
Kaiser Foundation Health Plan Mid-Atlantic States T73 Non-Postal Basic Self Plus One Monthly 233.72
M.D. IPA JP1 Non-Postal High Self Monthly 292.14
M.D. IPA JP2 Non-Postal High Self & Family Monthly 1079.35
M.D. IPA JP3 Non-Postal High Self Plus One Monthly 477.94
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V41 Non-Postal HDHP Self Monthly 123.92
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V42 Non-Postal HDHP Self & Family Monthly 285.01
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V43 Non-Postal HDHP Self Plus One Monthly 266.43
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR1 Non-Postal High Self Monthly 169.22
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR2 Non-Postal High Self & Family Monthly 444.8
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR3 Non-Postal High Self Plus One Monthly 369.46
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L91 Non-Postal Value Self Monthly 109.26
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L92 Non-Postal Value Self & Family Monthly 306.37
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L93 Non-Postal Value Self Plus One Monthly 213.39
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