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| 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 |
|
| VA Aetna U.S. Healthcare |
|
|
|
|
|
|
High Self |
JN1 |
|
108.20 |
114.25 |
85.69 |
28.56 |
-0.81 |
|
234.43 |
247.54 |
185.66 |
61.88 |
-1.75 |
|
|
High Family |
JN2 |
|
253.30 |
264.25 |
195.82 |
68.43 |
-8.90 |
|
548.82 |
572.54 |
424.28 |
148.26 |
-19.29 |
|
|
Standard Self |
JN4 |
|
74.69 |
83.16 |
62.37 |
20.79 |
2.12 |
|
161.83 |
180.18 |
135.14 |
45.04 |
4.58 |
|
|
Standard Family |
JN5 |
|
175.20 |
194.60 |
145.95 |
48.65 |
4.85 |
|
379.60 |
421.63 |
316.22 |
105.41 |
10.51 |
|
| VA Aetna U.S. Healthcare |
|
|
|
|
|
|
High Self |
XE1 |
|
101.89 |
97.72 |
73.29 |
24.43 |
-1.04 |
|
220.76 |
211.73 |
158.80 |
52.93 |
-2.26 |
|
|
High Family |
XE2 |
|
255.74 |
253.53 |
190.15 |
63.38 |
-16.39 |
|
554.10 |
549.32 |
411.99 |
137.33 |
-35.50 |
|
|
Standard Self |
XE4 |
|
New Option |
86.95 |
65.21 |
21.74 |
N/A |
|
New Option |
188.39 |
141.29 |
47.10 |
N/A |
|
|
Standard Family |
XE5 |
|
New Option |
225.93 |
169.45 |
56.48 |
N/A |
|
New Option |
489.52 |
367.14 |
122.38 |
N/A |
|
| VA CapitalCare |
|
|
|
|
|
|
|
High Self |
2G1 |
|
103.45 |
119.01 |
86.59 |
32.42 |
6.56 |
|
224.14 |
257.86 |
187.61 |
70.25 |
14.22 |
|
|
High Family |
2G2 |
|
253.44 |
273.72 |
195.82 |
77.90 |
0.43 |
|
549.12 |
593.06 |
424.28 |
168.78 |
0.93 |
|
| VA CIGNA HealthCare of VA |
|
|
|
|
|
|
High Self |
W21 |
|
83.82 |
98.59 |
73.94 |
24.65 |
3.70 |
|
181.61 |
213.61 |
160.21 |
53.40 |
8.00 |
|
|
High Family |
W22 |
|
187.42 |
220.94 |
165.71 |
55.23 |
8.38 |
|
406.08 |
478.70 |
359.03 |
119.67 |
18.15 |
|
| VA CIGNA HealthCare of VA |
|
|
|
|
|
|
High Self |
W31 |
|
89.78 |
92.13 |
69.10 |
23.03 |
0.59 |
|
194.52 |
199.62 |
149.72 |
49.90 |
1.27 |
|
|
High Family |
W32 |
|
202.51 |
208.27 |
156.20 |
52.07 |
1.44 |
|
438.77 |
451.25 |
338.44 |
112.81 |
3.12 |
|
| VA George Washington Univ HP |
|
|
|
|
|
|
High Self |
E51 |
|
97.46 |
102.44 |
76.83 |
25.61 |
1.25 |
|
211.16 |
221.95 |
166.46 |
55.49 |
2.70 |
|
|
High Family |
E52 |
|
238.88 |
251.01 |
188.26 |
62.75 |
-0.16 |
|
517.57 |
543.86 |
407.90 |
135.96 |
-0.34 |
|
| VA HealthKeepers |
|
|
|
|
|
|
|
High Self |
X81 |
|
88.19 |
104.44 |
78.33 |
26.11 |
4.06 |
|
191.08 |
226.29 |
169.72 |
56.57 |
8.80 |
|
|
High Family |
X82 |
|
223.96 |
265.21 |
195.82 |
69.39 |
13.40 |
|
485.25 |
574.62 |
424.28 |
150.34 |
29.03 |
|
| VA Kaiser Permanente |
|
|
|
|
|
|
|
High Self |
E31 |
|
94.00 |
105.76 |
79.32 |
26.44 |
2.94 |
|
203.67 |
229.15 |
171.86 |
57.29 |
6.37 |
|
|
High Family |
E32 |
|
232.40 |
261.22 |
195.82 |
65.40 |
7.30 |
|
503.53 |
565.98 |
424.28 |
141.70 |
15.82 |
|
| VA MD-IPA |
|
|
|
|
|
|
|
High Self |
JP1 |
|
104.61 |
108.91 |
81.68 |
27.23 |
1.08 |
|
226.66 |
235.97 |
176.98 |
58.99 |
2.33 |
|
|
High Family |
JP2 |
|
251.12 |
261.41 |
195.82 |
65.59 |
-9.56 |
|
544.09 |
566.39 |
424.28 |
142.11 |
-20.71 |
|
| VA OPTIMA Health Plan |
|
|
|
|
|
|
|
High Self |
9R1 |
|
107.17 |
122.18 |
86.59 |
35.59 |
7.25 |
|
232.20 |
264.72 |
187.61 |
77.11 |
15.71 |
|
|
High Family |
9R2 |
|
253.59 |
289.10 |
195.82 |
93.28 |
15.66 |
|
549.45 |
626.38 |
424.28 |
202.10 |
33.92 |
|
| VA PARTNERS NHP of NC |
|
|
|
|
|
|
High Self |
EQ1 |
|
99.13 |
116.21 |
86.59 |
29.62 |
4.84 |
|
214.78 |
251.79 |
187.61 |
64.18 |
10.49 |
|
|
High Family |
EQ2 |
|
223.04 |
261.49 |
195.82 |
65.67 |
9.91 |
|
483.25 |
566.56 |
424.28 |
142.28 |
21.47 |
|
| VA Piedmont Community Healthcare |
|
|
|
|
|
|
High Self |
2C1 |
|
89.70 |
111.54 |
83.66 |
27.88 |
5.46 |
|
194.35 |
241.67 |
181.25 |
60.42 |
11.83 |
|
|
High Family |
2C2 |
|
260.15 |
259.57 |
194.68 |
64.89 |
-19.29 |
|
563.66 |
562.40 |
421.80 |
140.60 |
-41.79 |
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