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2025 Plan Information for Virginia
Choose a Location, Employee Type, & Payment Period
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Nationwide
Federal & U.S. Postal Service Employee
Certain Temporary Employees
Annuitant
Former Spouse Enrollee
Federal Deposit Insurance Corporation
Temporary Continuation of Coverage (TCC)
Tribal Employee
Biweekly
Every Four Weeks
Semi-Monthly
Monthly
Location Specific Rates
Contract
Enrollment Code
Enrollment Type
Option/Enrollment Type
Payment Period
Employee Payment
Aetna Direct
224
Non-Postal
HDHP Self
Monthly
292.93
Aetna Direct
225
Non-Postal
HDHP Self & Family
Monthly
523.23
Aetna Direct
226
Non-Postal
HDHP Self Plus One
Monthly
621.86
Aetna Direct
N61
Non-Postal
CDHP Self
Monthly
166.53
Aetna Direct
N62
Non-Postal
CDHP Self & Family
Monthly
419.96
Aetna Direct
N63
Non-Postal
CDHP Self Plus One
Monthly
365.21
Aetna Direct
Z24
Non-Postal
Advantage Self
Monthly
115.34
Aetna Direct
Z25
Non-Postal
Advantage Self & Family
Monthly
305.63
Aetna Direct
Z26
Non-Postal
Advantage Self Plus One
Monthly
253.74
Aetna HealthFund CDHP and Aetna Value Plan
F51
Non-Postal
CDHP Self
Monthly
519.37
Aetna HealthFund CDHP and Aetna Value Plan
F52
Non-Postal
CDHP Self & Family
Monthly
1109.35
Aetna HealthFund CDHP and Aetna Value Plan
F53
Non-Postal
CDHP Self Plus One
Monthly
1222.2
Aetna HealthFund CDHP and Aetna Value Plan
F54
Non-Postal
Value Self
Monthly
525.11
Aetna HealthFund CDHP and Aetna Value Plan
F55
Non-Postal
Value Self & Family
Monthly
1133.92
Aetna HealthFund CDHP and Aetna Value Plan
F56
Non-Postal
Value Self Plus One
Monthly
1220.44
Aetna Open Access
JN1
Non-Postal
High Self
Monthly
825.83
Aetna Open Access
JN2
Non-Postal
High Self & Family
Monthly
1761.09
Aetna Open Access
JN3
Non-Postal
High Self Plus One
Monthly
1867.45
Aetna Open Access
JN4
Non-Postal
Basic Self
Monthly
218.01
Aetna Open Access
JN5
Non-Postal
Basic Self & Family
Monthly
494.23
Aetna Open Access
JN6
Non-Postal
Basic Self Plus One
Monthly
453.85
Aetna Open Access
QQ4
Non-Postal
Saver Self
Monthly
146.64
Aetna Open Access
QQ5
Non-Postal
Saver Self & Family
Monthly
335.6
Aetna Open Access
QQ6
Non-Postal
Saver Self Plus One
Monthly
308.17
CareFirst BlueChoice
2G4
Non-Postal
Standard Self
Monthly
525.31
CareFirst BlueChoice
2G5
Non-Postal
Standard Self & Family
Monthly
1235.13
CareFirst BlueChoice
2G6
Non-Postal
Standard Self Plus One
Monthly
933.97
CareFirst BlueChoice
B61
Non-Postal
HDHP Self
Monthly
187.07
CareFirst BlueChoice
B62
Non-Postal
HDHP Self & Family
Monthly
444.49
CareFirst BlueChoice
B63
Non-Postal
HDHP Self Plus One
Monthly
374.15
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
316.44
Kaiser Permanente - Mid-Atlantic States
E32
Non-Postal
High Self & Family
Monthly
665.77
Kaiser Permanente - Mid-Atlantic States
E33
Non-Postal
High Self Plus One
Monthly
804.94
Kaiser Permanente - Mid-Atlantic States
E34
Non-Postal
Standard Self
Monthly
192.52
Kaiser Permanente - Mid-Atlantic States
E35
Non-Postal
Standard Self & Family
Monthly
442.8
Kaiser Permanente - Mid-Atlantic States
E36
Non-Postal
Standard Self Plus One
Monthly
442.8
Kaiser Permanente - Mid-Atlantic States
T71
Non-Postal
Prosper Self
Monthly
112.32
Kaiser Permanente - Mid-Atlantic States
T72
Non-Postal
Prosper Self & Family
Monthly
316.02
Kaiser Permanente - Mid-Atlantic States
T73
Non-Postal
Prosper Self Plus One
Monthly
268.35
M.D. IPA
JP1
Non-Postal
High Self
Monthly
513.44
M.D. IPA
JP2
Non-Postal
High Self & Family
Monthly
1703.17
M.D. IPA
JP3
Non-Postal
High Self Plus One
Monthly
855.77
Sentara Health Plans
F21
Non-Postal
High Self
Monthly
177.35
Sentara Health Plans
F22
Non-Postal
High Self & Family
Monthly
405.88
Sentara Health Plans
F23
Non-Postal
High Self Plus One
Monthly
405.85
Sentara Health Plans
PG1
Non-Postal
High Self
Monthly
276.75
Sentara Health Plans
PG2
Non-Postal
High Self & Family
Monthly
681.72
Sentara Health Plans
PG3
Non-Postal
High Self Plus One
Monthly
820.74
Sentara Health Plans
PG4
Non-Postal
HDHP Self
Monthly
175.26
Sentara Health Plans
PG5
Non-Postal
HDHP Self & Family
Monthly
386.58
Sentara Health Plans
PG6
Non-Postal
HDHP Self Plus One
Monthly
379.01
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
V41
Non-Postal
HDHP Self
Monthly
175.54
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
V42
Non-Postal
HDHP Self & Family
Monthly
401.81
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
V43
Non-Postal
HDHP Self Plus One
Monthly
377.41
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
LR1
Non-Postal
High Self
Monthly
486.55
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
LR2
Non-Postal
High Self & Family
Monthly
1136.22
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
LR3
Non-Postal
High Self Plus One
Monthly
1026.27
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
L91
Non-Postal
Value Self
Monthly
207.59
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
L92
Non-Postal
Value Self & Family
Monthly
498.01
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
L93
Non-Postal
Value Self Plus One
Monthly
440.93
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS1
Non-Postal
High Self
Monthly
205.69
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS2
Non-Postal
High Self & Family
Monthly
486.46
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS3
Non-Postal
High Self Plus One
Monthly
442.23
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y81
Non-Postal
High Self
Monthly
176.44
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y82
Non-Postal
High Self & Family
Monthly
417.28
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y83
Non-Postal
High Self Plus One
Monthly
379.35
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service
