2001 FEHB Non-Postal Premium Rates for Pennsylvania
                             
HMO Plans   2000 Total Biweekly Premium 2001 Biweekly premium rates 2000 Total Monthly Premium 2001 Monthly premium rates
Location - Plan  -  Option -   Total Premium Gov't Pays Empl. Pays Change in employee payment Total Premium Gov't Pays Empl. Pays Change in employee payment
Enrollment Code  
PA     Aetna U.S. Healthcare    
High Self KL1   90.94   91.56   68.67   22.89   0.16   197.04   198.38   148.79   49.59   0.33
High Family KL2   242.04   242.29   181.72   60.57   -5.50   524.42   524.96   393.72   131.24   -11.91
Standard Self KL4   76.41   79.51   59.63   19.88   0.78   165.56   172.27   129.20   43.07   1.68
Standard Family KL5   203.80   211.53   158.65   52.88   1.93   441.57   458.32   343.74   114.58   4.19
PA     Aetna U.S. Healthcare    
High Self SU1   115.81   122.88   86.59   36.29   -0.69   250.92   266.24   187.61   78.63   -1.49
High Family SU2   295.84   315.11   195.82   119.29   -0.58   640.99   682.74   424.28   258.46   -1.26
Standard Self SU4   98.98   107.99   80.99   27.00   2.26   214.46   233.98   175.49   58.49   4.88
Standard Family SU5   255.61   278.77   195.82   82.95   3.31   553.82   604.00   424.28   179.72   7.17
PA     First Priority Hlth    
High Self C81   96.26   140.49   86.59   53.90   29.84   208.56   304.40   187.61   116.79   64.65
High Family C82   248.14   362.17   195.82   166.35   94.18   537.64   784.70   424.28   360.42   204.05
PA     Free State Health Plan    
High Self LD1   124.90   119.38   86.59   32.79   -13.28   270.62   258.66   187.61   71.05   -28.77
High Family LD2   284.79   272.14   195.82   76.32   -32.50   617.05   589.64   424.28   165.36   -70.42
PA     Geisinger Health Plan    
High Self N91   65.34   91.07   68.30   22.77   6.44   141.57   197.32   147.99   49.33   13.94
High Family N92   199.31   271.37   195.82   75.55   25.72   431.84   587.97   424.28   163.69   55.73
PA     HealthAmerica Pennsylvania    
High Self 261   87.62   92.94   69.71   23.23   1.33   189.84   201.37   151.03   50.34   2.88
High Family 262   227.81   241.66   181.25   60.41   3.46   493.59   523.60   392.70   130.90   7.50
PA     HealthAmerica Pennsylvania    
High Self SW1   94.55   99.27   74.45   24.82   1.18   204.86   215.09   161.32   53.77   2.56
High Family SW2   245.82   258.08   193.56   64.52   -5.33   532.61   559.17   419.38   139.79   -11.55
PA     HealthGuard    
High Self NQ1   83.28   92.31   69.23   23.08   2.26   180.44   200.01   150.01   50.00   4.89
High Family NQ2   217.01   240.73   180.55   60.18   5.93   470.19   521.58   391.19   130.39   12.84
PA     Keystone Health Plan Central    
High Self S41   108.30   115.94   86.59   29.35   -0.12   234.65   251.20   187.61   63.59   -0.26
High Family S42   262.29   280.60   195.82   84.78   -1.54   568.30   607.97   424.28   183.69   -3.34
PA     Keystone Health Plan East    
High Self ED1   93.16   107.01   80.26   26.75   3.46   201.85   231.86   173.90   57.96   7.50
High Family ED2   245.72   282.00   195.82   86.18   16.43   532.39   611.00   424.28   186.72   35.60
PA     KeystoneBlue    
High Self EF1   96.38   110.84   83.13   27.71   3.62   208.82   240.15   180.11   60.04   7.84
High Family EF2   285.93   328.82   195.82   133.00   23.04   619.52   712.44   424.28   288.16   49.91
PA     QualMed Plans for Health    
High Self 271   123.29   140.20   86.59   53.61   9.15   267.13   303.77   187.61   116.16   19.83
High Family 272   286.63   325.94   195.82   130.12   19.46   621.03   706.20   424.28   281.92   42.16
PA     QualMed Plans for Health    
High Self 2K1   88.04   116.28   86.59   29.69   7.68   190.75   251.94   187.61   64.33   16.64
High Family 2K2   213.75   282.32   195.82   86.50   33.06   463.13   611.69   424.28   187.41   71.63
PA     UPMC Health Plan    
High Self 8W1   72.53   81.32   60.99   20.33   2.20   157.15   176.19   132.14   44.05   4.76
High Family 8W2   214.95   207.44   155.58   51.86   -1.88   465.73   449.45   337.09   112.36   -4.07


Web page created 14 Sept 2000