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Premium Rates for the Federal Employees Health Benefits Program
FFS (Fee-for-Service/Nationwide Plans)
Nationwide APWU Health Plan - CDHP Self
474
278.61
295.32
221.49
73.83
4.18
603.66
639.86
479.90
159.96
9.05
Nationwide APWU Health Plan - CDHP Self & Family
475
660.58
700.21
525.16
175.05
9.91
1431.26
1517.12
1137.84
379.28
21.47
Nationwide APWU Health Plan - CDHP Self Plus One
476
605.53
641.86
481.40
160.46
9.08
1311.98
1390.70
1043.03
347.67
19.68
Nationwide APWU Health Plan - High Self
471
351.25
380.72
259.72
121.00
14.61
761.04
824.89
562.73
262.16
31.65
Nationwide APWU Health Plan - High Self & Family
472
842.96
913.68
611.42
302.26
33.43
1826.41
1979.64
1324.74
654.90
72.44
Nationwide APWU Health Plan - High Self Plus One
473
737.59
799.47
560.52
238.95
25.99
1598.11
1732.19
1214.46
517.73
56.32
Nationwide Blue Cross and Blue Shield Service Benefit Plan Basic Option - Basic Self
111
320.74
346.39
259.72
86.67
6.49
694.94
750.51
562.73
187.78
14.05
Nationwide Blue Cross and Blue Shield Service Benefit Plan Basic Option - Basic Self & Family
112
786.42
849.33
611.42
237.91
25.62
1703.91
1840.22
1324.74
515.48
55.52
Nationwide Blue Cross and Blue Shield Service Benefit Plan Basic Option - Basic Self Plus One
113
720.76
778.42
560.52
217.90
21.77
1561.65
1686.58
1214.46
472.12
47.17
Nationwide Blue Cross and Blue Shield Service Benefit Plan FEP Blue Focus - FEP Blue Focus Self
131
212.58
216.86
162.65
54.21
1.07
460.59
469.86
352.40
117.46
2.31
Nationwide Blue Cross and Blue Shield Service Benefit Plan FEP Blue Focus - FEP Blue Focus Self & Family
132
502.70
512.78
384.59
128.19
2.52
1089.18
1111.02
833.27
277.75
5.46
Nationwide Blue Cross and Blue Shield Service Benefit Plan FEP Blue Focus - FEP Blue Focus Self Plus One
133
457.02
466.18
349.64
116.54
2.29
990.21
1010.06
757.55
252.51
4.96
Nationwide Blue Cross and Blue Shield Service Benefit Plan Standard Option - Standard Self
104
372.33
402.12
259.72
142.40
14.93
806.72
871.26
562.73
308.53
32.34
Nationwide Blue Cross and Blue Shield Service Benefit Plan Standard Option - Standard Self & Family
105
888.24
959.31
611.42
347.89
33.78
1924.52
2078.51
1324.74
753.77
73.20
Nationwide Blue Cross and Blue Shield Service Benefit Plan Standard Option - Standard Self Plus One
106
814.24
879.37
560.52
318.85
29.24
1764.19
1905.30
1214.46
690.84
63.35
Nationwide Compass Rose Health Plan - High Self
421
351.02
358.04
259.72
98.32
-7.84
760.54
775.75
562.73
213.02
-16.99
Nationwide Compass Rose Health Plan - High Self & Family
422
842.47
859.32
611.42
247.90
-20.44
1825.35
1861.86
1324.74
537.12
-44.28
Nationwide Compass Rose Health Plan - High Self Plus One
423
772.26
787.71
560.52
227.19
-20.44
1673.23
1706.71
1214.46
492.25
-44.28
Nationwide Foreign Service Benefit Plan - High Self
401
292.76
313.25
234.94
78.31
5.12
634.31
678.71
509.03
169.68
11.10
Nationwide Foreign Service Benefit Plan - High Self & Family
402
724.22
774.91
581.18
193.73
12.68
1569.14
1678.97
1259.23
419.74
27.46
Nationwide Foreign Service Benefit Plan - High Self Plus One
403
710.11
759.81
560.52
199.29
13.81
1538.57
1646.26
1214.46
431.80
29.93
Nationwide GEHA Benefit Plan - High Self
311
349.72
365.46
259.72
105.74
0.88
757.73
791.83
562.73
229.10
1.90
Nationwide GEHA Benefit Plan - High Self & Family
312
876.38
915.81
611.42
304.39
2.14
1898.82
1984.26
1324.74
659.52
4.65
Nationwide GEHA Benefit Plan - High Self Plus One
313
769.39
804.01
560.52
243.49
-1.27
1667.01
1742.02
1214.46
527.56
-2.75
Nationwide GEHA Benefit Plan - Standard Self
314
250.66
275.10
206.33
68.77
6.11
543.10
596.05
447.04
149.01
13.24
Nationwide GEHA Benefit Plan - Standard Self & Family
315
659.40
723.69
542.77
180.92
16.07
1428.70
1568.00
1176.00
392.00
34.83
Nationwide GEHA Benefit Plan - Standard Self Plus One
316
538.94
591.49
443.62
147.87
13.14
1167.70
1281.56
961.17
320.39
28.47
Nationwide GEHA HDHP - HDHP Self
341
252.83
277.48
208.11
69.37
6.16
547.80
601.21
450.91
150.30
13.35
Nationwide GEHA HDHP - HDHP Self & Family
342
667.99
733.12
549.84
183.28
16.28
1447.31
1588.43
1191.32
397.11
35.28
Nationwide GEHA HDHP - HDHP Self Plus One
343
543.59
596.59
447.44
149.15
13.25
1177.78
1292.61
969.46
323.15
28.71
Nationwide GEHA Indemnity Benefit Plan - Elevate Plus Self
251
316.51
343.10
257.33
85.77
6.64
685.77
743.38
557.54
185.84
14.40
Nationwide GEHA Indemnity Benefit Plan - Elevate Plus Self & Family
252
762.53
821.25
611.42
209.83
19.20
1652.15
1779.38
1324.74
454.64
41.60
Nationwide GEHA Indemnity Benefit Plan - Elevate Plus Self Plus One
253
707.14
748.16
560.52
187.64
5.13
1532.14
1621.01
1214.46
406.55
11.11
Nationwide GEHA Indemnity Benefit Plan - Elevate Self
254
194.97
202.77
152.08
50.69
1.95
422.44
439.34
329.51
109.83
4.22
Nationwide GEHA Indemnity Benefit Plan - Elevate Self & Family
255
545.93
578.69
434.02
144.67
8.19
1182.85
1253.83
940.37
313.46
17.75
Nationwide GEHA Indemnity Benefit Plan - Elevate Self Plus One
256
448.44
475.34
356.51
118.83
6.72
971.62
1029.90
772.43
257.47
14.57
Nationwide MHBP Consumer Option - HDHP Self
481
305.59
314.77
236.08
78.69
2.29
662.11
682.00
511.50
170.50
4.97
Nationwide MHBP Consumer Option - HDHP Self & Family
482
710.09
731.39
548.54
182.85
5.33
1538.53
1584.68
1188.51
396.17
11.54
Nationwide MHBP Consumer Option - HDHP Self Plus One
483
676.28
696.57
522.43
174.14
5.07
1465.27
1509.24
1131.93
377.31
10.99
Nationwide MHBP Standard Option - Standard Self
454
313.04
322.43
241.82
80.61
2.35
678.25
698.60
523.95
174.65
5.09
Nationwide MHBP Standard Option - Standard Self & Family
455
727.48
749.31
561.98
187.33
5.46
1576.21
1623.51
1217.63
405.88
11.83
Nationwide MHBP Standard Option - Standard Self Plus One
456
720.55
742.18
556.64
185.54
-10.38
1561.19
1608.06
1206.05
402.01
-22.48
Nationwide MHBP Value Plan - Value Self
414
223.87
232.82
174.62
58.20
2.23
485.05
504.44
378.33
126.11
4.85
Nationwide MHBP Value Plan - Value Self & Family
415
541.02
562.66
422.00
140.66
5.41
1172.21
1219.10
914.33
304.77
11.72
Nationwide MHBP Value Plan - Value Self Plus One
416
530.43
551.65
413.74
137.91
5.30
1149.27
1195.24
896.43
298.81
11.49
Nationwide NALC Health Benefit Plan - CDHP Self
324
218.55
222.91
167.18
55.73
1.09
473.53
482.97
362.23
120.74
2.36
Nationwide NALC Health Benefit Plan - CDHP Self & Family
325
512.73
528.11
396.08
132.03
3.85
1110.92
1144.24
858.18
286.06
8.33
Nationwide NALC Health Benefit Plan - CDHP Self Plus One
326
482.16
491.81
368.86
122.95
2.41
1044.68
1065.59
799.19
266.40
5.23
Nationwide NALC Health Benefit Plan - High Self
321
343.14
362.70
259.72
102.98
4.70
743.47
785.85
562.73
223.12
10.18
Nationwide NALC Health Benefit Plan - High Self & Family
322
776.15
822.72
611.42
211.30
9.28
1681.66
1782.56
1324.74
457.82
20.11
Nationwide NALC Health Benefit Plan - High Self Plus One
323
758.98
802.25
560.52
241.73
7.38
1644.46
1738.21
1214.46
523.75
15.99
Nationwide NALC Health Benefit Plan - Value Self
KM1
179.37
182.96
137.22
45.74
0.90
388.64
396.41
297.31
99.10
1.94
Nationwide NALC Health Benefit Plan - Value Self & Family
KM2
420.99
433.62
325.22
108.40
3.15
912.15
939.51
704.63
234.88
6.84
Nationwide NALC Health Benefit Plan - Value Self Plus One
KM3
395.70
403.61
302.71
100.90
1.98
857.35
874.49
655.87
218.62
4.28
Nationwide Panama Canal Area Benefit Plan - High Self
431
325.92
351.99
259.72
92.27
10.79
706.16
762.65
562.73
199.92
23.38
Nationwide Panama Canal Area Benefit Plan - High Self & Family
432
686.68
741.61
556.21
185.40
13.73
1487.81
1606.82
1205.12
401.70
29.75
Nationwide Panama Canal Area Benefit Plan - High Self Plus One
433
656.57
709.10
531.83
177.27
13.13
1422.57
1536.38
1152.29
384.09
28.45
Nationwide Rural Carrier Benefit Plan - High Self
381
375.67
390.70
259.72
130.98
0.17
813.95
846.52
562.73
283.79
0.37
Nationwide Rural Carrier Benefit Plan - High Self & Family
382
811.02
854.65
611.42
243.23
6.34
1757.21
1851.74
1324.74
527.00
13.74
Nationwide Rural Carrier Benefit Plan - High Self Plus One
383
772.12
813.66
560.52
253.14
5.65
1672.93
1762.93
1214.46
548.47
12.24
Nationwide SAMBA Health Benefit Plan - High Self
441
403.70
415.81
259.72
156.09
-2.75
874.68
900.92
562.73
338.19
-5.96
Nationwide SAMBA Health Benefit Plan - High Self & Family
442
968.87
997.94
611.42
386.52
-8.22
2099.22
2162.20
1324.74
837.46
-17.81
Nationwide SAMBA Health Benefit Plan - High Self Plus One
443
888.14
914.78
560.52
354.26
-9.25
1924.30
1982.02
1214.46
767.56
-20.04
Nationwide SAMBA Health Benefit Plan - Standard Self
444
326.74
336.54
252.41
84.13
2.25
707.94
729.17
546.88
182.29
4.88
Nationwide SAMBA Health Benefit Plan - Standard Self & Family
445
745.44
767.80
575.85
191.95
5.59
1615.12
1663.57
1247.68
415.89
12.11
Nationwide SAMBA Health Benefit Plan - Standard Self Plus One
446
703.25
724.34
543.26
181.08
2.46
1523.71
1569.40
1177.05
392.35
5.34
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service