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Healthcare

2020 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 217.96
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 423.58
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 483.84
Aetna Direct N61 Non-Postal CDHP Self Monthly 153.16
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 386.25
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 335.89
Aetna Direct Z24 Non-Postal Advantage Self Monthly 115.96
Aetna Direct Z25 Non-Postal Advantage Self & Family Monthly 307.29
Aetna Direct Z26 Non-Postal Advantage Self Plus One Monthly 255.11
Aetna HealthFund CDHP and Aetna Value Plan H41 Non-Postal CDHP Self Monthly 317.63
Aetna HealthFund CDHP and Aetna Value Plan H42 Non-Postal CDHP Self & Family Monthly 704.43
Aetna HealthFund CDHP and Aetna Value Plan H43 Non-Postal CDHP Self Plus One Monthly 777.66
Aetna HealthFund CDHP and Aetna Value Plan H44 Non-Postal Value Self Monthly 296.2
Aetna HealthFund CDHP and Aetna Value Plan H45 Non-Postal Value Self & Family Monthly 668.16
Aetna HealthFund CDHP and Aetna Value Plan H46 Non-Postal Value Self Plus One Monthly 723.6
Aetna Open Access P31 Non-Postal High Self Monthly 945.77
Aetna Open Access P32 Non-Postal High Self & Family Monthly 2347.52
Aetna Open Access P33 Non-Postal High Self Plus One Monthly 2404.29
Aetna Open Access P34 Non-Postal Basic Self Monthly 799.24
Aetna Open Access P35 Non-Postal Basic Self & Family Monthly 1856.66
Aetna Open Access P36 Non-Postal Basic Self Plus One Monthly 1918.28
Aetna Open Access YE1 Non-Postal High Self Monthly 704.29
Aetna Open Access YE2 Non-Postal High Self & Family Monthly 1867.17
Aetna Open Access YE3 Non-Postal High Self Plus One Monthly 1928.72
Geisinger Health Plan GG4 Non-Postal Standard Self Monthly 311.89
Geisinger Health Plan GG5 Non-Postal Standard Self & Family Monthly 699.66
Geisinger Health Plan GG6 Non-Postal Standard Self Plus One Monthly 685.45
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V41 Non-Postal HDHP Self Monthly 121.64
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V42 Non-Postal HDHP Self & Family Monthly 279.78
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V43 Non-Postal HDHP Self Plus One Monthly 261.53
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR1 Non-Postal High Self Monthly 204.05
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR2 Non-Postal High Self & Family Monthly 510.27
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR3 Non-Postal High Self Plus One Monthly 444.73
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS1 Non-Postal High Self Monthly 131.45
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS2 Non-Postal High Self & Family Monthly 310.84
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS3 Non-Postal High Self Plus One Monthly 282.6
UnitedHealthcare Insurance Company, Inc. Choice Primary Y81 Non-Postal High Self Monthly 126.68
UnitedHealthcare Insurance Company, Inc. Choice Primary Y82 Non-Postal High Self & Family Monthly 299.56
UnitedHealthcare Insurance Company, Inc. Choice Primary Y83 Non-Postal High Self Plus One Monthly 272.34
UPMC Health Plan 8W1 Non-Postal High Self Monthly 425.55
UPMC Health Plan 8W2 Non-Postal High Self & Family Monthly 1016.82
UPMC Health Plan 8W3 Non-Postal High Self Plus One Monthly 1015.02
UPMC Health Plan 8W4 Non-Postal HDHP Self Monthly 152.66
UPMC Health Plan 8W5 Non-Postal HDHP Self & Family Monthly 351.25
UPMC Health Plan 8W6 Non-Postal HDHP Self Plus One Monthly 337.91
UPMC Health Plan UW4 Non-Postal Standard Self Monthly 168.42
UPMC Health Plan UW5 Non-Postal Standard Self & Family Monthly 396.72
UPMC Health Plan UW6 Non-Postal Standard Self Plus One Monthly 421.94
UPMC Health Plan YS1 Non-Postal High Self Monthly 631.51
UPMC Health Plan YS2 Non-Postal High Self & Family Monthly 1500.85
UPMC Health Plan YS3 Non-Postal High Self Plus One Monthly 1478.43
UPMC Health Plan YS4 Non-Postal HDHP Self Monthly 264.96
UPMC Health Plan YS5 Non-Postal HDHP Self & Family Monthly 607.03
UPMC Health Plan YS6 Non-Postal HDHP Self Plus One Monthly 629.46
UPMC Health Plan YT4 Non-Postal Standard Self Monthly 393.25
UPMC Health Plan YT5 Non-Postal Standard Self & Family Monthly 937.95
UPMC Health Plan YT6 Non-Postal Standard Self Plus One Monthly 940.2
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