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Healthcare

2024 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 272.61
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 498.46
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 590.61
Aetna Direct N61 Non-Postal CDHP Self Monthly 160.8
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 405.51
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 352.64
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 471.38
Aetna HealthFund CDHP and Aetna Value Plan F52 Non-Postal CDHP Self & Family Monthly 1015.69
Aetna HealthFund CDHP and Aetna Value Plan F53 Non-Postal CDHP Self Plus One Monthly 1121.06
Aetna HealthFund CDHP and Aetna Value Plan F54 Non-Postal Value Self Monthly 435.87
Aetna HealthFund CDHP and Aetna Value Plan F55 Non-Postal Value Self & Family Monthly 944.77
Aetna HealthFund CDHP and Aetna Value Plan F56 Non-Postal Value Self Plus One Monthly 1028.06
Aetna Open Access JN1 Non-Postal High Self Monthly 775.97
Aetna Open Access JN2 Non-Postal High Self & Family Monthly 1666.6
Aetna Open Access JN3 Non-Postal High Self Plus One Monthly 1765.51
Aetna Open Access JN4 Non-Postal Basic Self Monthly 216.73
Aetna Open Access JN5 Non-Postal Basic Self & Family Monthly 460.45
Aetna Open Access JN6 Non-Postal Basic Self Plus One Monthly 422.82
Aetna Open Access QQ4 Non-Postal Saver Self Monthly 155.57
Aetna Open Access QQ5 Non-Postal Saver Self & Family Monthly 356.03
Aetna Open Access QQ6 Non-Postal Saver Self Plus One Monthly 326.94
CareFirst BlueChoice 2G4 Non-Postal Standard Self Monthly 527.28
CareFirst BlueChoice 2G5 Non-Postal Standard Self & Family Monthly 1250.06
CareFirst BlueChoice 2G6 Non-Postal Standard Self Plus One Monthly 960.01
CareFirst BlueChoice B61 Non-Postal HDHP Self Monthly 181.63
CareFirst BlueChoice B62 Non-Postal HDHP Self & Family Monthly 431.54
CareFirst BlueChoice B63 Non-Postal HDHP Self Plus One Monthly 363.25
CareFirst BlueChoice B64 Non-Postal Blue Value Plus Self Monthly 193.76
CareFirst BlueChoice B65 Non-Postal Blue Value Plus Self & Family Monthly 460.36
CareFirst BlueChoice B66 Non-Postal Blue Value Plus Self Plus One Monthly 387.52
Kaiser Permanente - Mid-Atlantic States E31 Non-Postal High Self Monthly 301.77
Kaiser Permanente - Mid-Atlantic States E32 Non-Postal High Self & Family Monthly 646.64
Kaiser Permanente - Mid-Atlantic States E33 Non-Postal High Self Plus One Monthly 775.95
Kaiser Permanente - Mid-Atlantic States E34 Non-Postal Standard Self Monthly 176.88
Kaiser Permanente - Mid-Atlantic States E35 Non-Postal Standard Self & Family Monthly 406.82
Kaiser Permanente - Mid-Atlantic States E36 Non-Postal Standard Self Plus One Monthly 406.82
Kaiser Permanente - Mid-Atlantic States T71 Non-Postal Prosper Self Monthly 106.25
Kaiser Permanente - Mid-Atlantic States T72 Non-Postal Prosper Self & Family Monthly 298.95
Kaiser Permanente - Mid-Atlantic States T73 Non-Postal Prosper Self Plus One Monthly 253.86
M.D. IPA JP1 Non-Postal High Self Monthly 565.2
M.D. IPA JP2 Non-Postal High Self & Family Monthly 1833.8
M.D. IPA JP3 Non-Postal High Self Plus One Monthly 981.67
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V41 Non-Postal HDHP Self Monthly 173.39
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V42 Non-Postal HDHP Self & Family Monthly 396.95
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V43 Non-Postal HDHP Self Plus One Monthly 372.8
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR1 Non-Postal High Self Monthly 419.44
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR2 Non-Postal High Self & Family Monthly 987.82
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR3 Non-Postal High Self Plus One Monthly 895.46
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L91 Non-Postal Value Self Monthly 192.31
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L92 Non-Postal Value Self & Family Monthly 461.56
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L93 Non-Postal Value Self Plus One Monthly 408.67
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS1 Non-Postal High Self Monthly 203.41
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS2 Non-Postal High Self & Family Monthly 471.92
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS3 Non-Postal High Self Plus One Monthly 431.04
UnitedHealthcare Insurance Company, Inc. Choice Primary Y81 Non-Postal High Self Monthly 181.3
UnitedHealthcare Insurance Company, Inc. Choice Primary Y82 Non-Postal High Self & Family Monthly 428.78
UnitedHealthcare Insurance Company, Inc. Choice Primary Y83 Non-Postal High Self Plus One Monthly 389.8
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