Click here to skip navigation
#{Settings:VersionLabel}
Skip Navigation

In This Section

Healthcare

2022 Plan Information for District of Columbia

Choose a Location, Employee Type, & Payment Period  

Click to view Plan Information for this state

Location Specific Rates

Contract Enrollment Code Enrollment Type Option/Enrollment Type Payment Period Employee Payment
Aetna Direct 224 Non-Postal HDHP Self Monthly 293.78
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 574.3
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 645.93
Aetna Direct N61 Non-Postal CDHP Self Monthly 157.07
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 396.12
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 344.47
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 340.12
Aetna HealthFund CDHP and Aetna Value Plan F52 Non-Postal CDHP Self & Family Monthly 741.15
Aetna HealthFund CDHP and Aetna Value Plan F53 Non-Postal CDHP Self Plus One Monthly 828.75
Aetna HealthFund CDHP and Aetna Value Plan F54 Non-Postal Value Self Monthly 365
Aetna HealthFund CDHP and Aetna Value Plan F55 Non-Postal Value Self & Family Monthly 806.69
Aetna HealthFund CDHP and Aetna Value Plan F56 Non-Postal Value Self Plus One Monthly 873.75
Aetna Open Access JN1 Non-Postal High Self Monthly 721.02
Aetna Open Access JN2 Non-Postal High Self & Family Monthly 1569.73
Aetna Open Access JN3 Non-Postal High Self Plus One Monthly 1649.09
Aetna Open Access JN4 Non-Postal Basic Self Monthly 208.93
Aetna Open Access JN5 Non-Postal Basic Self & Family Monthly 448.28
Aetna Open Access JN6 Non-Postal Basic Self Plus One Monthly 417.23
Aetna Open Access QQ4 Non-Postal Saver Self Monthly 148.8
Aetna Open Access QQ5 Non-Postal Saver Self & Family Monthly 340.53
Aetna Open Access QQ6 Non-Postal Saver Self Plus One Monthly 312.7
CareFirst BlueChoice 2G4 Non-Postal Standard Self Monthly 375.05
CareFirst BlueChoice 2G5 Non-Postal Standard Self & Family Monthly 907.64
CareFirst BlueChoice 2G6 Non-Postal Standard Self Plus One Monthly 674.42
CareFirst BlueChoice B61 Non-Postal HDHP Self Monthly 151.08
CareFirst BlueChoice B62 Non-Postal HDHP Self & Family Monthly 358.95
CareFirst BlueChoice B63 Non-Postal HDHP Self Plus One Monthly 302.14
CareFirst BlueChoice B64 Non-Postal Blue Value Plus Self Monthly 193.14
CareFirst BlueChoice B65 Non-Postal Blue Value Plus Self & Family Monthly 475.43
CareFirst BlueChoice B66 Non-Postal Blue Value Plus Self Plus One Monthly 361.82
Kaiser Permanente - Mid-Atlantic States E31 Non-Postal High Self Monthly 226.07
Kaiser Permanente - Mid-Atlantic States E32 Non-Postal High Self & Family Monthly 496.25
Kaiser Permanente - Mid-Atlantic States E33 Non-Postal High Self Plus One Monthly 603.5
Kaiser Permanente - Mid-Atlantic States E34 Non-Postal Standard Self Monthly 151.81
Kaiser Permanente - Mid-Atlantic States E35 Non-Postal Standard Self & Family Monthly 349.16
Kaiser Permanente - Mid-Atlantic States E36 Non-Postal Standard Self Plus One Monthly 349.16
Kaiser Permanente - Mid-Atlantic States T71 Non-Postal Prosper Self Monthly 92.22
Kaiser Permanente - Mid-Atlantic States T72 Non-Postal Prosper Self & Family Monthly 262.83
Kaiser Permanente - Mid-Atlantic States T73 Non-Postal Prosper Self Plus One Monthly 216.73
M.D. IPA JP1 Non-Postal High Self Monthly 481.46
M.D. IPA JP2 Non-Postal High Self & Family Monthly 1593.71
M.D. IPA JP3 Non-Postal High Self Plus One Monthly 839.73
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V41 Non-Postal HDHP Self Monthly 165.45
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V42 Non-Postal HDHP Self & Family Monthly 378.55
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V43 Non-Postal HDHP Self Plus One Monthly 355.73
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR1 Non-Postal High Self Monthly 291.63
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR2 Non-Postal High Self & Family Monthly 704.6
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR3 Non-Postal High Self Plus One Monthly 630.98
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L91 Non-Postal Value Self Monthly 165.94
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L92 Non-Postal Value Self & Family Monthly 396.6
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L93 Non-Postal Value Self Plus One Monthly 331.88
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS1 Non-Postal High Self Monthly 162.73
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS2 Non-Postal High Self & Family Monthly 384.86
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS3 Non-Postal High Self Plus One Monthly 349.87
UnitedHealthcare Insurance Company, Inc. Choice Primary Y81 Non-Postal High Self Monthly 145.31
UnitedHealthcare Insurance Company, Inc. Choice Primary Y82 Non-Postal High Self & Family Monthly 343.67
UnitedHealthcare Insurance Company, Inc. Choice Primary Y83 Non-Postal High Self Plus One Monthly 312.43
Control Panel