What is this dataset?
It is OPM's plan year 2026 premium data for the Federal Employees Health Benefits program, from OPM's fee-for-service and HMO rate files. It covers the nationwide fee-for-service plans and the HMO plans offered state by state, with each plan's Self Only enrollment code. Premiums shown are total premiums, the full cost before the government contribution. Postal Service enrollees moved to the separate Postal Service Health Benefits program and are not in this table.
485 plans
Source: 2026 FEHB fee-for-service premium rates (nationwide plans), non-Postal. opm.gov, retrieved 2026-07-05, effective 2026-01-01. Biweekly TOTAL premium (government plus enrollee share), non-Postal. Your own share is lower; check the OPM plan pages.
| Plan | State | Type | Code | Self Only | Self Plus One | Self and Family |
|---|---|---|---|---|---|---|
| APWU Health Plan (CDHP) | Nationwide | FFS | 474 | $402.47 | $874.73 | $954.26 |
| APWU Health Plan (High) | Nationwide | FFS | 471 | $464.92 | $976.28 | $1,115.75 |
| Blue Cross and Blue Shield Service Benefit Plan FEP Blue Basic (Basic) | Nationwide | FFS | 111 | $458.53 | $1,030.42 | $1,134.89 |
| Blue Cross and Blue Shield Service Benefit Plan FEP Blue Focus (FEP Blue Focus) | Nationwide | FFS | 131 | $267.26 | $574.54 | $631.90 |
| Blue Cross and Blue Shield Service Benefit Plan FEP Blue Standard (Standard) | Nationwide | FFS | 104 | $513.08 | $1,122.05 | $1,235.69 |
| Compass Rose Health Plan (High) | Nationwide | FFS | 421 | $464.82 | $1,022.61 | $1,115.60 |
| Compass Rose Health Plan (Standard) | Nationwide | FFS | 424 | $246.56 | $542.45 | $591.77 |
| Foreign Service Benefit Plan (High) | Nationwide | FFS | 401 | $401.45 | $969.13 | $993.10 |
| GEHA Benefit Plan (High) | Nationwide | FFS | 311 | $520.05 | $1,144.12 | $1,303.21 |
| GEHA Benefit Plan (Standard) | Nationwide | FFS | 314 | $346.99 | $746.06 | $925.79 |
| GEHA HDHP (HDHP) | Nationwide | FFS | 341 | $326.47 | $701.88 | $862.51 |
| GEHA Indemnity Benefit Plan (Elevate Plus) | Nationwide | FFS | 251 | $529.89 | $1,160.75 | $1,274.15 |
| GEHA Indemnity Benefit Plan (Elevate) | Nationwide | FFS | 254 | $311.69 | $751.95 | $915.42 |
| MHBP Consumer Option (HDHP) | Nationwide | FFS | 481 | $383.95 | $849.69 | $892.15 |
| MHBP Standard Option (Standard) | Nationwide | FFS | 454 | $375.58 | $864.50 | $872.79 |
| MHBP Value Plan (Value) | Nationwide | FFS | 414 | $271.19 | $642.56 | $655.39 |
| Panama Canal Area Benefit Plan (High) | Nationwide | FFS | 431 | $630.34 | $1,269.85 | $1,328.08 |
| SAMBA Health Benefit Plan (High) | Nationwide | FFS | 441 | $550.85 | $1,211.90 | $1,322.08 |
| SAMBA Health Benefit Plan (Standard) | Nationwide | FFS | 444 | $447.62 | $946.94 | $1,029.94 |
| Aetna Advantage (Advantage) | Alabama | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Alabama | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Alabama | HMO | F51 | $610.15 | $1,377.44 | $1,391.23 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Alabama | HMO | F54 | $618.09 | $1,387.62 | $1,415.42 |
| Aetna HealthFund HDHP (HDHP) | Alabama | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Primary) (High) | Alabama | HMO | AS1 | $466.40 | $1,002.76 | $1,103.04 |
| UnitedHealthcare Insurance Company, Inc. (Choice Primary) (High) | Alabama | HMO | Y81 | $372.11 | $800.04 | $880.02 |
| UnitedHealthcare Insurance Company, Inc. Choice HDHP (HDHP) | Alabama | HMO | LS1 | $401.30 | $862.79 | $919.92 |
| Aetna Advantage (Advantage) | Alaska | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Alaska | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Alaska | HMO | JS1 | $692.80 | $1,563.62 | $1,579.27 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Alaska | HMO | JS4 | $786.07 | $1,776.76 | $1,794.47 |
| Aetna HealthFund HDHP (HDHP) | Alaska | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Aetna Advantage (Advantage) | Arizona | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Arizona | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Arizona | HMO | G51 | $650.86 | $1,469.92 | $1,484.59 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Arizona | HMO | G54 | $572.50 | $1,285.50 | $1,311.18 |
| Aetna HealthFund HDHP (HDHP) | Arizona | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary (High) | Arizona | HMO | WF1 | $504.49 | $1,084.71 | $1,193.16 |
| UnitedHealthcare Insurance Company, Inc. Choice HDHP (HDHP) | Arizona | HMO | LU1 | $433.22 | $931.43 | $996.42 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary (High) | Arizona | HMO | VD1 | $391.13 | $840.96 | $925.06 |
| Aetna Advantage (Advantage) | Arkansas | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Arkansas | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Arkansas | HMO | F51 | $610.15 | $1,377.44 | $1,391.23 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Arkansas | HMO | F54 | $618.09 | $1,387.62 | $1,415.42 |
| Aetna HealthFund HDHP (HDHP) | Arkansas | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| QualChoice (High) | Arkansas | HMO | DH1 | $478.98 | $930.47 | $1,249.35 |
| QualChoice (Standard) | Arkansas | HMO | DH4 | $373.89 | $726.32 | $975.24 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Primary) (High) | Arkansas | HMO | AS1 | $466.40 | $1,002.76 | $1,103.04 |
| UnitedHealthcare Insurance Company, Inc. (Choice Primary) (High) | Arkansas | HMO | Y81 | $372.11 | $800.04 | $880.02 |
| UnitedHealthcare Insurance Company, Inc. Choice HDHP (HDHP) | Arkansas | HMO | LS1 | $401.30 | $862.79 | $919.92 |
| Aetna Advantage (Advantage) | California | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | California | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | California | HMO | JS1 | $692.80 | $1,563.62 | $1,579.27 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | California | HMO | JS4 | $786.07 | $1,776.76 | $1,794.47 |
| Aetna HealthFund HDHP (HDHP) | California | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Aetna Open Access (High) | California | HMO | 2X1 | $685.64 | $1,578.08 | $1,609.61 |
| Anthem Blue Cross Select HMO (High) | California | HMO | B31 | $412.22 | $890.80 | $981.49 |
| Health Net of California (Basic) | California | HMO | P61 | $318.85 | $701.47 | $765.23 |
| Health Net of California (High) | California | HMO | LP1 | $693.48 | $1,525.67 | $1,664.36 |
| Health Net of California (High) | California | HMO | LB1 | $913.56 | $2,009.82 | $2,192.54 |
| Health Net of California (Standard) | California | HMO | P64 | $516.87 | $1,137.12 | $1,240.49 |
| Kaiser Permanente - Fresno California (High) | California | HMO | NZ1 | $481.80 | $1,113.52 | $1,113.52 |
| Kaiser Permanente - Fresno California (Standard) | California | HMO | NZ4 | $379.48 | $874.80 | $937.96 |
| Kaiser Permanente - Northern California (High) | California | HMO | 591 | $523.69 | $1,250.10 | $1,250.10 |
| Kaiser Permanente - Northern California (Prosper) | California | HMO | KC1 | $327.09 | $765.38 | $765.38 |
| Kaiser Permanente - Northern California (Standard) | California | HMO | 594 | $435.18 | $1,018.35 | $1,018.35 |
| Kaiser Permanente - Southern California (High) | California | HMO | 621 | $439.37 | $1,032.50 | $1,032.50 |
| Kaiser Permanente - Southern California (Prosper) | California | HMO | FL1 | $208.16 | $480.84 | $516.25 |
| Kaiser Permanente - Southern California (Standard) | California | HMO | 624 | $292.05 | $697.98 | $773.91 |
| Prosper (Prosper) | California | HMO | YV1 | $237.92 | $524.22 | $576.64 |
| Sharp Health Plan (Standard) | California | HMO | YJ4 | $365.79 | $804.75 | $877.91 |
| Western Health Advantage (High) | California | HMO | W51 | $445.71 | $980.56 | $1,069.70 |
| Aetna Advantage (Advantage) | Colorado | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Colorado | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Colorado | HMO | G51 | $650.86 | $1,469.92 | $1,484.59 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Colorado | HMO | G54 | $572.50 | $1,285.50 | $1,311.18 |
| Aetna HealthFund HDHP (HDHP) | Colorado | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Kaiser Permanente - Colorado (High) | Colorado | HMO | 651 | $435.58 | $984.41 | $1,001.84 |
| Kaiser Permanente - Colorado (Prosper) | Colorado | HMO | N41 | $226.92 | $512.84 | $558.21 |
| Kaiser Permanente - Colorado (Standard) | Colorado | HMO | 654 | $385.72 | $871.73 | $871.73 |
| UnitedHealthcare Insurance Company, Inc. Choice HDHP (HDHP) | Colorado | HMO | LU1 | $433.22 | $931.43 | $996.42 |
| Aetna Advantage (Advantage) | Connecticut | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Connecticut | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Connecticut | HMO | EP1 | $697.90 | $1,575.82 | $1,591.60 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Connecticut | HMO | EP4 | $729.93 | $1,638.69 | $1,671.49 |
| Aetna HealthFund HDHP (HDHP) | Connecticut | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Aetna Advantage (Advantage) | Delaware | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Delaware | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Delaware | HMO | EP1 | $697.90 | $1,575.82 | $1,591.60 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Delaware | HMO | EP4 | $729.93 | $1,638.69 | $1,671.49 |
| Aetna HealthFund HDHP (HDHP) | Delaware | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Aetna Open Access (Basic) | Delaware | HMO | P34 | $924.68 | $2,124.91 | $2,146.19 |
| Aetna Open Access (High) | Delaware | HMO | P31 | $960.85 | $2,306.52 | $2,329.57 |
| Aetna Advantage (Advantage) | District Of Columbia | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | District Of Columbia | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | District Of Columbia | HMO | F51 | $610.15 | $1,377.44 | $1,391.23 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | District Of Columbia | HMO | F54 | $618.09 | $1,387.62 | $1,415.42 |
| Aetna HealthFund HDHP (HDHP) | District Of Columbia | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Aetna Open Access (Basic) | District Of Columbia | HMO | JN4 | $427.41 | $898.21 | $978.14 |
| Aetna Open Access (High) | District Of Columbia | HMO | JN1 | $751.83 | $1,673.48 | $1,690.24 |
| Aetna Saver (Open Access) (Saver) | District Of Columbia | HMO | QQ4 | $276.70 | $581.51 | $633.26 |
| CareFirst BlueChoice (Blue Value Plus) | District Of Columbia | HMO | B64 | $379.17 | $758.34 | $900.89 |
| CareFirst BlueChoice (HDHP) | District Of Columbia | HMO | B61 | $366.10 | $732.18 | $869.82 |
| CareFirst BlueChoice (Standard) | District Of Columbia | HMO | 2G4 | $572.96 | $1,145.92 | $1,361.34 |
| Kaiser Permanente - Mid-Atlantic States (High) | District Of Columbia | HMO | E31 | $469.03 | $1,078.75 | $1,078.75 |
| Kaiser Permanente - Mid-Atlantic States (Prosper) | District Of Columbia | HMO | T71 | $231.32 | $552.64 | $650.80 |
| Kaiser Permanente - Mid-Atlantic States (Standard) | District Of Columbia | HMO | E34 | $377.26 | $867.71 | $867.71 |
| M.D. IPA (M.D. IPA) | District Of Columbia | HMO | JP1 | $542.38 | $1,059.26 | $1,520.81 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) (Value) | District Of Columbia | HMO | L91 | $412.70 | $876.62 | $990.13 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Primary) (High) | District Of Columbia | HMO | AS1 | $466.40 | $1,002.76 | $1,103.04 |
| UnitedHealthcare Insurance Company, Inc. (Choice Primary) (High) | District Of Columbia | HMO | Y81 | $372.11 | $800.04 | $880.02 |
| UnitedHealthcare Insurance Company, Inc. Choice HDHP (HDHP) | District Of Columbia | HMO | V41 | $348.60 | $748.42 | $796.41 |
| UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO (High) | District Of Columbia | HMO | LR1 | $569.94 | $1,225.38 | $1,350.75 |
| Aetna Advantage (Advantage) | Florida | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Florida | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Florida | HMO | F51 | $610.15 | $1,377.44 | $1,391.23 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Florida | HMO | F54 | $618.09 | $1,387.62 | $1,415.42 |
| Aetna HealthFund HDHP (HDHP) | Florida | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Capital Health Plan (High) | Florida | HMO | EA1 | $445.16 | $973.53 | $1,062.00 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Primary) (High) | Florida | HMO | AS1 | $466.40 | $1,002.76 | $1,103.04 |
| UnitedHealthcare Insurance Company, Inc. (Choice Primary) (High) | Florida | HMO | Y81 | $372.11 | $800.04 | $880.02 |
| UnitedHealthcare Insurance Company, Inc. Choice HDHP (HDHP) | Florida | HMO | LS1 | $401.30 | $862.79 | $919.92 |
| Aetna Advantage (Advantage) | Georgia | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Georgia | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Georgia | HMO | F51 | $610.15 | $1,377.44 | $1,391.23 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Georgia | HMO | F54 | $618.09 | $1,387.62 | $1,415.42 |
| Aetna HealthFund HDHP (HDHP) | Georgia | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Kaiser Permanente - Georgia (High) | Georgia | HMO | F81 | $448.69 | $1,014.03 | $1,014.03 |
| Kaiser Permanente - Georgia (Prosper) | Georgia | HMO | LA1 | $245.82 | $555.60 | $638.26 |
| Kaiser Permanente - Georgia (Standard) | Georgia | HMO | F84 | $341.23 | $771.19 | $771.19 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Primary) (High) | Georgia | HMO | AS1 | $466.40 | $1,002.76 | $1,103.04 |
| UnitedHealthcare Insurance Company, Inc. (Choice Primary) (High) | Georgia | HMO | Y81 | $372.11 | $800.04 | $880.02 |
| Calvo's SelectCare (High) | Guam | HMO | B41 | $267.57 | $522.17 | $708.71 |
| Calvo's SelectCare (Standard) | Guam | HMO | B44 | $194.71 | $383.86 | $565.78 |
| TakeCare (HDHP) | Guam | HMO | KX1 | $71.20 | $171.88 | $190.87 |
| TakeCare (High) | Guam | HMO | JK1 | $291.19 | $582.17 | $837.18 |
| TakeCare (Standard) | Guam | HMO | JK4 | $185.39 | $371.47 | $611.88 |
| Aetna Advantage (Advantage) | Hawaii | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Hawaii | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Hawaii | HMO | JS1 | $692.80 | $1,563.62 | $1,579.27 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Hawaii | HMO | JS4 | $786.07 | $1,776.76 | $1,794.47 |
| Aetna HealthFund HDHP (HDHP) | Hawaii | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| HMSA Plan (High) | Hawaii | HMO | 871 | $411.48 | $901.61 | $925.02 |
| HMSA Plan (Standard) | Hawaii | HMO | 874 | $251.80 | $551.67 | $566.02 |
| Kaiser Permanente - Hawaii (High) | Hawaii | HMO | 631 | $367.32 | $819.11 | $819.11 |
| Kaiser Permanente - Hawaii (Standard) | Hawaii | HMO | 634 | $254.30 | $567.08 | $567.08 |
| Aetna Advantage (Advantage) | Idaho | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Idaho | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Idaho | HMO | H41 | $643.12 | $1,451.73 | $1,465.93 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Idaho | HMO | H44 | $659.53 | $1,483.88 | $1,513.56 |
| Aetna HealthFund HDHP (HDHP) | Idaho | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Altius Health Plan (HDHP) | Idaho | HMO | 9K4 | $499.25 | $1,022.91 | $1,043.41 |
| Altius Health Plan (High) | Idaho | HMO | 9K1 | $712.48 | $1,560.11 | $1,575.69 |
| Altius Health Plan (Standard) | Idaho | HMO | DK4 | $580.36 | $1,268.96 | $1,281.65 |
| Kaiser Permanente - Washington Core (High) | Idaho | HMO | 541 | $547.55 | $1,204.63 | $1,204.63 |
| Kaiser Permanente - Washington Core (Prosper) | Idaho | HMO | PT4 | $210.14 | $501.82 | $563.98 |
| Kaiser Permanente - Washington Core (Standard) | Idaho | HMO | 544 | $416.90 | $958.88 | $958.88 |
| Aetna Advantage (Advantage) | Illinois | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Illinois | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Illinois | HMO | H41 | $643.12 | $1,451.73 | $1,465.93 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Illinois | HMO | H44 | $659.53 | $1,483.88 | $1,513.56 |
| Aetna HealthFund HDHP (HDHP) | Illinois | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) (Value) | Illinois | HMO | L91 | $412.70 | $876.62 | $990.13 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Primary) (High) | Illinois | HMO | AS1 | $466.40 | $1,002.76 | $1,103.04 |
| UnitedHealthcare Insurance Company, Inc. (Choice Primary) (High) | Illinois | HMO | Y81 | $372.11 | $800.04 | $880.02 |
| Aetna Advantage (Advantage) | Indiana | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Indiana | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Indiana | HMO | JS1 | $692.80 | $1,563.62 | $1,579.27 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Indiana | HMO | JS4 | $786.07 | $1,776.76 | $1,794.47 |
| Aetna HealthFund HDHP (HDHP) | Indiana | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Aetna Advantage (Advantage) | Iowa | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Iowa | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Iowa | HMO | H41 | $643.12 | $1,451.73 | $1,465.93 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Iowa | HMO | H44 | $659.53 | $1,483.88 | $1,513.56 |
| Aetna HealthFund HDHP (HDHP) | Iowa | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| HealthPartners (High) | Iowa | HMO | V31 | $519.51 | $1,148.11 | $1,265.51 |
| HealthPartners (Standard) | Iowa | HMO | V34 | $315.06 | $696.29 | $767.49 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Primary) (High) | Iowa | HMO | AS1 | $466.40 | $1,002.76 | $1,103.04 |
| UnitedHealthcare Insurance Company, Inc. (Choice Primary) (High) | Iowa | HMO | Y81 | $372.11 | $800.04 | $880.02 |
| Aetna Advantage (Advantage) | Kansas | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Kansas | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Kansas | HMO | G51 | $650.86 | $1,469.92 | $1,484.59 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Kansas | HMO | G54 | $572.50 | $1,285.50 | $1,311.18 |
| Aetna HealthFund HDHP (HDHP) | Kansas | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Aetna Advantage (Advantage) | Kentucky | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Kentucky | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Kentucky | HMO | H41 | $643.12 | $1,451.73 | $1,465.93 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Kentucky | HMO | H44 | $659.53 | $1,483.88 | $1,513.56 |
| Aetna HealthFund HDHP (HDHP) | Kentucky | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Primary) (High) | Kentucky | HMO | AS1 | $466.40 | $1,002.76 | $1,103.04 |
| UnitedHealthcare Insurance Company, Inc. (Choice Primary) (High) | Kentucky | HMO | Y81 | $372.11 | $800.04 | $880.02 |
| Aetna Advantage (Advantage) | Louisiana | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Louisiana | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Louisiana | HMO | F51 | $610.15 | $1,377.44 | $1,391.23 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Louisiana | HMO | F54 | $618.09 | $1,387.62 | $1,415.42 |
| Aetna HealthFund HDHP (HDHP) | Louisiana | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Primary) (High) | Louisiana | HMO | AS1 | $466.40 | $1,002.76 | $1,103.04 |
| UnitedHealthcare Insurance Company, Inc. (Choice Primary) (High) | Louisiana | HMO | Y81 | $372.11 | $800.04 | $880.02 |
| UnitedHealthcare Insurance Company, Inc. Choice HDHP (HDHP) | Louisiana | HMO | LS1 | $401.30 | $862.79 | $919.92 |
| Aetna Advantage (Advantage) | Maine | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Maine | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Maine | HMO | EP1 | $697.90 | $1,575.82 | $1,591.60 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Maine | HMO | EP4 | $729.93 | $1,638.69 | $1,671.49 |
| Aetna HealthFund HDHP (HDHP) | Maine | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Aetna Advantage (Advantage) | Maryland | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Maryland | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Maryland | HMO | F51 | $610.15 | $1,377.44 | $1,391.23 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Maryland | HMO | F54 | $618.09 | $1,387.62 | $1,415.42 |
| Aetna HealthFund HDHP (HDHP) | Maryland | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Aetna Open Access (Basic) | Maryland | HMO | JN4 | $427.41 | $898.21 | $978.14 |
| Aetna Open Access (High) | Maryland | HMO | JN1 | $751.83 | $1,673.48 | $1,690.24 |
| Aetna Saver (Open Access) (Saver) | Maryland | HMO | QQ4 | $276.70 | $581.51 | $633.26 |
| CareFirst BlueChoice (Blue Value Plus) | Maryland | HMO | B64 | $379.17 | $758.34 | $900.89 |
| CareFirst BlueChoice (HDHP) | Maryland | HMO | B61 | $366.10 | $732.18 | $869.82 |
| CareFirst BlueChoice (Standard) | Maryland | HMO | 2G4 | $572.96 | $1,145.92 | $1,361.34 |
| Kaiser Permanente - Mid-Atlantic States (High) | Maryland | HMO | E31 | $469.03 | $1,078.75 | $1,078.75 |
| Kaiser Permanente - Mid-Atlantic States (Prosper) | Maryland | HMO | T71 | $231.32 | $552.64 | $650.80 |
| Kaiser Permanente - Mid-Atlantic States (Standard) | Maryland | HMO | E34 | $377.26 | $867.71 | $867.71 |
| M.D. IPA (M.D. IPA) | Maryland | HMO | JP1 | $542.38 | $1,059.26 | $1,520.81 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) (Value) | Maryland | HMO | L91 | $412.70 | $876.62 | $990.13 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Primary) (High) | Maryland | HMO | AS1 | $466.40 | $1,002.76 | $1,103.04 |
| UnitedHealthcare Insurance Company, Inc. (Choice Primary) (High) | Maryland | HMO | Y81 | $372.11 | $800.04 | $880.02 |
| UnitedHealthcare Insurance Company, Inc. Choice HDHP (HDHP) | Maryland | HMO | V41 | $348.60 | $748.42 | $796.41 |
| UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO (High) | Maryland | HMO | LR1 | $569.94 | $1,225.38 | $1,350.75 |
| Aetna Advantage (Advantage) | Massachusetts | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Massachusetts | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Massachusetts | HMO | EP1 | $697.90 | $1,575.82 | $1,591.60 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Massachusetts | HMO | EP4 | $729.93 | $1,638.69 | $1,671.49 |
| Aetna HealthFund HDHP (HDHP) | Massachusetts | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Aetna Advantage (Advantage) | Michigan | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Michigan | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Michigan | HMO | G51 | $650.86 | $1,469.92 | $1,484.59 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Michigan | HMO | G54 | $572.50 | $1,285.50 | $1,311.18 |
| Aetna HealthFund HDHP (HDHP) | Michigan | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Blue Care Network of Michigan (High) | Michigan | HMO | LX1 | $574.33 | $1,320.97 | $1,401.38 |
| Health Alliance Plan (High) | Michigan | HMO | 521 | $587.05 | $1,350.20 | $1,432.38 |
| Health Alliance Plan (Standard) | Michigan | HMO | GY4 | $356.49 | $819.94 | $869.85 |
| Aetna Advantage (Advantage) | Minnesota | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Minnesota | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Minnesota | HMO | H41 | $643.12 | $1,451.73 | $1,465.93 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Minnesota | HMO | H44 | $659.53 | $1,483.88 | $1,513.56 |
| Aetna HealthFund HDHP (HDHP) | Minnesota | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| HealthPartners (High) | Minnesota | HMO | V31 | $519.51 | $1,148.11 | $1,265.51 |
| HealthPartners (Standard) | Minnesota | HMO | V34 | $315.06 | $696.29 | $767.49 |
| Aetna Advantage (Advantage) | Mississippi | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Mississippi | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Mississippi | HMO | H41 | $643.12 | $1,451.73 | $1,465.93 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Mississippi | HMO | H44 | $659.53 | $1,483.88 | $1,513.56 |
| Aetna HealthFund HDHP (HDHP) | Mississippi | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Primary) (High) | Mississippi | HMO | AS1 | $466.40 | $1,002.76 | $1,103.04 |
| UnitedHealthcare Insurance Company, Inc. (Choice Primary) (High) | Mississippi | HMO | Y81 | $372.11 | $800.04 | $880.02 |
| UnitedHealthcare Insurance Company, Inc. Choice HDHP (HDHP) | Mississippi | HMO | LS1 | $401.30 | $862.79 | $919.92 |
| Aetna Advantage (Advantage) | Missouri | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Missouri | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Missouri | HMO | G51 | $650.86 | $1,469.92 | $1,484.59 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Missouri | HMO | G54 | $572.50 | $1,285.50 | $1,311.18 |
| Aetna HealthFund HDHP (HDHP) | Missouri | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Primary) (High) | Missouri | HMO | AS1 | $466.40 | $1,002.76 | $1,103.04 |
| UnitedHealthcare Insurance Company, Inc. (Choice Primary) (High) | Missouri | HMO | Y81 | $372.11 | $800.04 | $880.02 |
| Aetna Advantage (Advantage) | Montana | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Montana | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Montana | HMO | H41 | $643.12 | $1,451.73 | $1,465.93 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Montana | HMO | H44 | $659.53 | $1,483.88 | $1,513.56 |
| Aetna HealthFund HDHP (HDHP) | Montana | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Aetna Advantage (Advantage) | Nebraska | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Nebraska | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Nebraska | HMO | H41 | $643.12 | $1,451.73 | $1,465.93 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Nebraska | HMO | H44 | $659.53 | $1,483.88 | $1,513.56 |
| Aetna HealthFund HDHP (HDHP) | Nebraska | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Aetna Advantage (Advantage) | Nevada | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Nevada | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Nevada | HMO | G51 | $650.86 | $1,469.92 | $1,484.59 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Nevada | HMO | G54 | $572.50 | $1,285.50 | $1,311.18 |
| Aetna HealthFund HDHP (HDHP) | Nevada | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Health Plan of Nevada, Inc. (High) | Nevada | HMO | NM1 | $423.16 | $803.99 | $1,002.83 |
| UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary (High) | Nevada | HMO | WF1 | $504.49 | $1,084.71 | $1,193.16 |
| UnitedHealthcare Insurance Company, Inc. Choice HDHP (HDHP) | Nevada | HMO | LU1 | $433.22 | $931.43 | $996.42 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary (High) | Nevada | HMO | VD1 | $391.13 | $840.96 | $925.06 |
| Aetna Advantage (Advantage) | New Hampshire | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | New Hampshire | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | New Hampshire | HMO | EP1 | $697.90 | $1,575.82 | $1,591.60 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | New Hampshire | HMO | EP4 | $729.93 | $1,638.69 | $1,671.49 |
| Aetna HealthFund HDHP (HDHP) | New Hampshire | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Aetna Advantage (Advantage) | New Jersey | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | New Jersey | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | New Jersey | HMO | EP1 | $697.90 | $1,575.82 | $1,591.60 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | New Jersey | HMO | EP4 | $729.93 | $1,638.69 | $1,671.49 |
| Aetna HealthFund HDHP (HDHP) | New Jersey | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Aetna Open Access (Basic) | New Jersey | HMO | JR4 | $921.77 | $2,115.13 | $2,136.30 |
| Aetna Open Access (Basic) | New Jersey | HMO | P34 | $924.68 | $2,124.91 | $2,146.19 |
| Aetna Open Access (High) | New Jersey | HMO | JR1 | $1,207.23 | $2,760.91 | $2,788.52 |
| Aetna Open Access (High) | New Jersey | HMO | P31 | $960.85 | $2,306.52 | $2,329.57 |
| Aetna Advantage (Advantage) | New Mexico | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | New Mexico | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | New Mexico | HMO | G51 | $650.86 | $1,469.92 | $1,484.59 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | New Mexico | HMO | G54 | $572.50 | $1,285.50 | $1,311.18 |
| Aetna HealthFund HDHP (HDHP) | New Mexico | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Presbyterian Health Plan (High) | New Mexico | HMO | P21 | $586.53 | $1,331.48 | $1,378.34 |
| Presbyterian Health Plan (Standard) | New Mexico | HMO | PS4 | $495.87 | $1,125.68 | $1,165.29 |
| Presbyterian Health Plan (Wellness) | New Mexico | HMO | PS1 | $437.14 | $992.36 | $1,027.29 |
| Aetna Advantage (Advantage) | New York | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | New York | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | New York | HMO | EP1 | $697.90 | $1,575.82 | $1,591.60 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | New York | HMO | EP4 | $729.93 | $1,638.69 | $1,671.49 |
| Aetna HealthFund HDHP (HDHP) | New York | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Aetna Open Access (Basic) | New York | HMO | JC4 | $887.98 | $2,144.56 | $2,166.00 |
| Aetna Open Access (High) | New York | HMO | JC1 | $1,018.66 | $2,492.21 | $2,517.13 |
| Independent Health (HDHP) | New York | HMO | QA4 | $420.72 | $1,046.93 | $1,103.08 |
| Independent Health (Standard) | New York | HMO | C54 | $489.10 | $1,247.22 | $1,320.58 |
| Aetna Advantage (Advantage) | North Carolina | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | North Carolina | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | North Carolina | HMO | F51 | $610.15 | $1,377.44 | $1,391.23 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | North Carolina | HMO | F54 | $618.09 | $1,387.62 | $1,415.42 |
| Aetna HealthFund HDHP (HDHP) | North Carolina | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Primary) (High) | North Carolina | HMO | AS1 | $466.40 | $1,002.76 | $1,103.04 |
| UnitedHealthcare Insurance Company, Inc. (Choice Primary) (High) | North Carolina | HMO | Y81 | $372.11 | $800.04 | $880.02 |
| UnitedHealthcare Insurance Company, Inc. Choice HDHP (HDHP) | North Carolina | HMO | LS1 | $401.30 | $862.79 | $919.92 |
| Aetna Advantage (Advantage) | North Dakota | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | North Dakota | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | North Dakota | HMO | H41 | $643.12 | $1,451.73 | $1,465.93 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | North Dakota | HMO | H44 | $659.53 | $1,483.88 | $1,513.56 |
| Aetna HealthFund HDHP (HDHP) | North Dakota | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| HealthPartners (High) | North Dakota | HMO | V31 | $519.51 | $1,148.11 | $1,265.51 |
| HealthPartners (Standard) | North Dakota | HMO | V34 | $315.06 | $696.29 | $767.49 |
| Calvo's SelectCare (High) | Northern Mariana Islands | HMO | B41 | $267.57 | $522.17 | $708.71 |
| Calvo's SelectCare (Standard) | Northern Mariana Islands | HMO | B44 | $194.71 | $383.86 | $565.78 |
| TakeCare (HDHP) | Northern Mariana Islands | HMO | KX1 | $71.20 | $171.88 | $190.87 |
| TakeCare (High) | Northern Mariana Islands | HMO | JK1 | $291.19 | $582.17 | $837.18 |
| TakeCare (Standard) | Northern Mariana Islands | HMO | JK4 | $185.39 | $371.47 | $611.88 |
| Aetna Advantage (Advantage) | Ohio | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Ohio | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Ohio | HMO | JS1 | $692.80 | $1,563.62 | $1,579.27 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Ohio | HMO | JS4 | $786.07 | $1,776.76 | $1,794.47 |
| Aetna HealthFund HDHP (HDHP) | Ohio | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Medical Mutual of Ohio (Basic) | Ohio | HMO | UX1 | $243.60 | $535.91 | $584.63 |
| Medical Mutual of Ohio (Basic) | Ohio | HMO | YF1 | $239.71 | $527.35 | $575.29 |
| Medical Mutual of Ohio (Standard) | Ohio | HMO | 644 | $705.98 | $1,553.17 | $1,694.37 |
| Aetna Advantage (Advantage) | Oklahoma | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Oklahoma | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Oklahoma | HMO | JS1 | $692.80 | $1,563.62 | $1,579.27 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Oklahoma | HMO | JS4 | $786.07 | $1,776.76 | $1,794.47 |
| Aetna HealthFund HDHP (HDHP) | Oklahoma | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Aetna Advantage (Advantage) | Oregon | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Oregon | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Oregon | HMO | H41 | $643.12 | $1,451.73 | $1,465.93 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Oregon | HMO | H44 | $659.53 | $1,483.88 | $1,513.56 |
| Aetna HealthFund HDHP (HDHP) | Oregon | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Kaiser Permanente - Northwest (High) | Oregon | HMO | 571 | $454.06 | $1,025.62 | $1,025.62 |
| Kaiser Permanente - Northwest (Prosper) | Oregon | HMO | AM1 | $227.88 | $489.93 | $565.16 |
| Kaiser Permanente - Northwest (Standard) | Oregon | HMO | 574 | $401.42 | $922.15 | $922.15 |
| UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary (High) | Oregon | HMO | WF1 | $504.49 | $1,084.71 | $1,193.16 |
| UnitedHealthcare Insurance Company, Inc. Choice HDHP (HDHP) | Oregon | HMO | LU1 | $433.22 | $931.43 | $996.42 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary (High) | Oregon | HMO | VD1 | $391.13 | $840.96 | $925.06 |
| Calvo's SelectCare (High) | Palau | HMO | B41 | $267.57 | $522.17 | $708.71 |
| Calvo's SelectCare (Standard) | Palau | HMO | B44 | $194.71 | $383.86 | $565.78 |
| TakeCare (HDHP) | Palau | HMO | KX1 | $71.20 | $171.88 | $190.87 |
| TakeCare (High) | Palau | HMO | JK1 | $291.19 | $582.17 | $837.18 |
| TakeCare (Standard) | Palau | HMO | JK4 | $185.39 | $371.47 | $611.88 |
| Aetna Advantage (Advantage) | Pennsylvania | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Pennsylvania | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Pennsylvania | HMO | H41 | $643.12 | $1,451.73 | $1,465.93 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Pennsylvania | HMO | H44 | $659.53 | $1,483.88 | $1,513.56 |
| Aetna HealthFund HDHP (HDHP) | Pennsylvania | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Aetna Open Access (Basic) | Pennsylvania | HMO | P34 | $924.68 | $2,124.91 | $2,146.19 |
| Aetna Open Access (High) | Pennsylvania | HMO | P31 | $960.85 | $2,306.52 | $2,329.57 |
| Geisinger Health Plan (Basic) | Pennsylvania | HMO | AJ1 | $540.18 | $1,167.16 | $1,236.75 |
| Geisinger Health Plan (Standard) | Pennsylvania | HMO | GG4 | $566.92 | $1,224.98 | $1,298.01 |
| UPMC Health Plan (HDHP) | Pennsylvania | HMO | 8W4 | $355.35 | $849.20 | $948.90 |
| UPMC Health Plan (Standard) | Pennsylvania | HMO | UW4 | $385.49 | $937.89 | $1,056.71 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Primary) (High) | Pennsylvania | HMO | AS1 | $466.40 | $1,002.76 | $1,103.04 |
| UnitedHealthcare Insurance Company, Inc. (Choice Primary) (High) | Pennsylvania | HMO | Y81 | $372.11 | $800.04 | $880.02 |
| UnitedHealthcare Insurance Company, Inc. Choice HDHP (HDHP) | Pennsylvania | HMO | V41 | $348.60 | $748.42 | $796.41 |
| UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO (High) | Pennsylvania | HMO | LR1 | $569.94 | $1,225.38 | $1,350.75 |
| Triple-S Salud Inc. (High) | Puerto Rico | HMO | 891 | $232.60 | $522.26 | $532.65 |
| Aetna Advantage (Advantage) | Rhode Island | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Rhode Island | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Rhode Island | HMO | EP1 | $697.90 | $1,575.82 | $1,591.60 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Rhode Island | HMO | EP4 | $729.93 | $1,638.69 | $1,671.49 |
| Aetna HealthFund HDHP (HDHP) | Rhode Island | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Aetna Advantage (Advantage) | South Carolina | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | South Carolina | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | South Carolina | HMO | JS1 | $692.80 | $1,563.62 | $1,579.27 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | South Carolina | HMO | JS4 | $786.07 | $1,776.76 | $1,794.47 |
| Aetna HealthFund HDHP (HDHP) | South Carolina | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Aetna Advantage (Advantage) | South Dakota | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | South Dakota | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | South Dakota | HMO | G51 | $650.86 | $1,469.92 | $1,484.59 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | South Dakota | HMO | G54 | $572.50 | $1,285.50 | $1,311.18 |
| Aetna HealthFund HDHP (HDHP) | South Dakota | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| HealthPartners (High) | South Dakota | HMO | V31 | $519.51 | $1,148.11 | $1,265.51 |
| HealthPartners (Standard) | South Dakota | HMO | V34 | $315.06 | $696.29 | $767.49 |
| Aetna Advantage (Advantage) | Tennessee | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Tennessee | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Tennessee | HMO | F51 | $610.15 | $1,377.44 | $1,391.23 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Tennessee | HMO | F54 | $618.09 | $1,387.62 | $1,415.42 |
| Aetna HealthFund HDHP (HDHP) | Tennessee | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Primary) (High) | Tennessee | HMO | AS1 | $466.40 | $1,002.76 | $1,103.04 |
| UnitedHealthcare Insurance Company, Inc. (Choice Primary) (High) | Tennessee | HMO | Y81 | $372.11 | $800.04 | $880.02 |
| UnitedHealthcare Insurance Company, Inc. Choice HDHP (HDHP) | Tennessee | HMO | LS1 | $401.30 | $862.79 | $919.92 |
| Aetna Advantage (Advantage) | Texas | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Texas | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Texas | HMO | JS1 | $692.80 | $1,563.62 | $1,579.27 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Texas | HMO | JS4 | $786.07 | $1,776.76 | $1,794.47 |
| Aetna HealthFund HDHP (HDHP) | Texas | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Baylor Scott & White Health Plan (Basic) | Texas | HMO | A81 | $289.78 | $643.30 | $680.97 |
| Baylor Scott & White Health Plan (Basic) | Texas | HMO | P81 | $300.60 | $667.35 | $706.43 |
| Baylor Scott & White Health Plan (Standard) | Texas | HMO | A84 | $433.22 | $961.76 | $1,018.08 |
| Baylor Scott & White Health Plan (Standard) | Texas | HMO | P84 | $506.47 | $1,124.36 | $1,190.21 |
| Baylor Scott & White Health Plan (Value) | Texas | HMO | YZ1 | $270.65 | $600.84 | $636.02 |
| Baylor Scott & White Health Plan (Value) | Texas | HMO | RE1 | $279.01 | $619.41 | $655.69 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) (Value) | Texas | HMO | L91 | $412.70 | $876.62 | $990.13 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Primary) (High) | Texas | HMO | AS1 | $466.40 | $1,002.76 | $1,103.04 |
| UnitedHealthcare Insurance Company, Inc. (Choice Primary) (High) | Texas | HMO | Y81 | $372.11 | $800.04 | $880.02 |
| Aetna Advantage (Advantage) | Utah | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Utah | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Utah | HMO | G51 | $650.86 | $1,469.92 | $1,484.59 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Utah | HMO | G54 | $572.50 | $1,285.50 | $1,311.18 |
| Aetna HealthFund HDHP (HDHP) | Utah | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Altius Health Plan (HDHP) | Utah | HMO | 9K4 | $499.25 | $1,022.91 | $1,043.41 |
| Altius Health Plan (High) | Utah | HMO | 9K1 | $712.48 | $1,560.11 | $1,575.69 |
| Altius Health Plan (Standard) | Utah | HMO | DK4 | $580.36 | $1,268.96 | $1,281.65 |
| SelectHealth, Inc. (HDHP) | Utah | HMO | WX1 | $392.14 | $862.71 | $980.36 |
| SelectHealth, Inc. (Standard) | Utah | HMO | SF4 | $425.89 | $936.96 | $1,064.74 |
| Aetna Advantage (Advantage) | Vermont | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Vermont | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Vermont | HMO | EP1 | $697.90 | $1,575.82 | $1,591.60 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Vermont | HMO | EP4 | $729.93 | $1,638.69 | $1,671.49 |
| Aetna HealthFund HDHP (HDHP) | Vermont | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Triple-S Salud Inc. (High) | Virgin Islands | HMO | 891 | $232.60 | $522.26 | $532.65 |
| Aetna Advantage (Advantage) | Virginia | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Virginia | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Virginia | HMO | F51 | $610.15 | $1,377.44 | $1,391.23 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Virginia | HMO | F54 | $618.09 | $1,387.62 | $1,415.42 |
| Aetna HealthFund HDHP (HDHP) | Virginia | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Aetna Open Access (Basic) | Virginia | HMO | JN4 | $427.41 | $898.21 | $978.14 |
| Aetna Open Access (High) | Virginia | HMO | JN1 | $751.83 | $1,673.48 | $1,690.24 |
| Aetna Saver (Open Access) (Saver) | Virginia | HMO | QQ4 | $276.70 | $581.51 | $633.26 |
| CareFirst BlueChoice (Blue Value Plus) | Virginia | HMO | B64 | $379.17 | $758.34 | $900.89 |
| CareFirst BlueChoice (HDHP) | Virginia | HMO | B61 | $366.10 | $732.18 | $869.82 |
| CareFirst BlueChoice (Standard) | Virginia | HMO | 2G4 | $572.96 | $1,145.92 | $1,361.34 |
| Kaiser Permanente - Mid-Atlantic States (High) | Virginia | HMO | E31 | $469.03 | $1,078.75 | $1,078.75 |
| Kaiser Permanente - Mid-Atlantic States (Prosper) | Virginia | HMO | T71 | $231.32 | $552.64 | $650.80 |
| Kaiser Permanente - Mid-Atlantic States (Standard) | Virginia | HMO | E34 | $377.26 | $867.71 | $867.71 |
| M.D. IPA (M.D. IPA) | Virginia | HMO | JP1 | $542.38 | $1,059.26 | $1,520.81 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) (Value) | Virginia | HMO | L91 | $412.70 | $876.62 | $990.13 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Primary) (High) | Virginia | HMO | AS1 | $466.40 | $1,002.76 | $1,103.04 |
| UnitedHealthcare Insurance Company, Inc. (Choice Primary) (High) | Virginia | HMO | Y81 | $372.11 | $800.04 | $880.02 |
| UnitedHealthcare Insurance Company, Inc. Choice HDHP (HDHP) | Virginia | HMO | V41 | $348.60 | $748.42 | $796.41 |
| UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO (High) | Virginia | HMO | LR1 | $569.94 | $1,225.38 | $1,350.75 |
| Aetna Advantage (Advantage) | Washington | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Washington | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Washington | HMO | G51 | $650.86 | $1,469.92 | $1,484.59 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Washington | HMO | G54 | $572.50 | $1,285.50 | $1,311.18 |
| Aetna HealthFund HDHP (HDHP) | Washington | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Kaiser Permanente - Northwest (High) | Washington | HMO | 571 | $454.06 | $1,025.62 | $1,025.62 |
| Kaiser Permanente - Northwest (Prosper) | Washington | HMO | AM1 | $227.88 | $489.93 | $565.16 |
| Kaiser Permanente - Northwest (Standard) | Washington | HMO | 574 | $401.42 | $922.15 | $922.15 |
| Kaiser Permanente - Washington Core (High) | Washington | HMO | 541 | $547.55 | $1,204.63 | $1,204.63 |
| Kaiser Permanente - Washington Core (Prosper) | Washington | HMO | PT4 | $210.14 | $501.82 | $563.98 |
| Kaiser Permanente - Washington Core (Standard) | Washington | HMO | 544 | $416.90 | $958.88 | $958.88 |
| Kaiser Permanente Washington Options Federal (HDHP) | Washington | HMO | L14 | $374.23 | $830.74 | $830.74 |
| Kaiser Permanente Washington Options Federal (Standard) | Washington | HMO | L11 | $390.01 | $865.82 | $865.82 |
| UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary (High) | Washington | HMO | WF1 | $504.49 | $1,084.71 | $1,193.16 |
| UnitedHealthcare Insurance Company, Inc. Choice HDHP (HDHP) | Washington | HMO | LU1 | $433.22 | $931.43 | $996.42 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary (High) | Washington | HMO | VD1 | $391.13 | $840.96 | $925.06 |
| Aetna Advantage (Advantage) | West Virginia | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | West Virginia | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | West Virginia | HMO | F51 | $610.15 | $1,377.44 | $1,391.23 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | West Virginia | HMO | F54 | $618.09 | $1,387.62 | $1,415.42 |
| Aetna HealthFund HDHP (HDHP) | West Virginia | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Aetna Advantage (Advantage) | Wisconsin | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Wisconsin | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Wisconsin | HMO | JS1 | $692.80 | $1,563.62 | $1,579.27 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Wisconsin | HMO | JS4 | $786.07 | $1,776.76 | $1,794.47 |
| Aetna HealthFund HDHP (HDHP) | Wisconsin | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Group Health Cooperative of South Central Wisconsin (High) | Wisconsin | HMO | WJ1 | $629.18 | $1,384.20 | $1,635.87 |
| Group Health Cooperative of South Central Wisconsin (Standard) | Wisconsin | HMO | WJ4 | $451.28 | $992.82 | $1,173.31 |
| Aetna Advantage (Advantage) | Wyoming | HMO | Z24 | $245.73 | $540.59 | $651.15 |
| Aetna Direct (CDHP) | Wyoming | HMO | N61 | $329.58 | $722.79 | $831.16 |
| Aetna HealthFund CDHP and Aetna Value Plan (CDHP) | Wyoming | HMO | H41 | $643.12 | $1,451.73 | $1,465.93 |
| Aetna HealthFund CDHP and Aetna Value Plan (Value) | Wyoming | HMO | H44 | $659.53 | $1,483.88 | $1,513.56 |
| Aetna HealthFund HDHP (HDHP) | Wyoming | HMO | 224 | $479.52 | $1,037.02 | $1,057.72 |
| Altius Health Plan (HDHP) | Wyoming | HMO | 9K4 | $499.25 | $1,022.91 | $1,043.41 |
| Altius Health Plan (High) | Wyoming | HMO | 9K1 | $712.48 | $1,560.11 | $1,575.69 |
| Altius Health Plan (Standard) | Wyoming | HMO | DK4 | $580.36 | $1,268.96 | $1,281.65 |
How do I read the table?
- 01
Pick your state
Nationwide plans appear everywhere; HMOs appear only where they operate.
- 02
Find your plan
The enrollment code is the Self Only code; the last digit changes by enrollment type.
- 03
Read your column
Self Only, Self Plus One or Self and Family.
- 04
Remember it is the total
Your share is the total minus the government contribution. Annuitants pay monthly.
What rules set FEHB premiums?
Each carrier sets its premium with OPM each year. The government contribution is set by law at 72 percent of the weighted average of all plan premiums, capped at 75 percent of any single plan's premium, which works out to roughly 70 percent for most enrollees (OPM, retrieved 2026-07-05). You can change plans during Open Season each fall or after a qualifying life event.
Where to go next
Read how FEHB works and how to use Open Season. At 65, compare FEHB alone with FEHB plus Part B in the FEHB vs Medicare tool.
Choosing a plan for retirement is a different question from choosing one at work.
FFEBA is an education organization. If you want someone to look at your own numbers, we can match you with a Federal Retirement Consultant (FRC®), a professional trained on federal benefits. The FRC designation is listed with FINRA. The first review is free, nothing is booked until you choose a time, and you are never obligated to work with anyone we introduce. Get matched with an FRC.
Questions about this data
How much of my FEHB premium does the government pay?
For most non-Postal employees and annuitants, the government pays roughly 70 percent of the total premium, under a formula tied to the average of all plan premiums and capped at 75 percent of any one plan's premium. You pay the rest (OPM, retrieved 2026-07-05).
Where are the 2027 FEHB premiums?
OPM publishes next year's rates each fall ahead of Open Season. This page shows plan year 2026 until our ingest loads the 2027 files; the title and table switch to 2027 the same day.
Do retirees pay the same FEHB premium as employees?
Annuitants pay the same total premium as employees in the same plan, split monthly instead of biweekly. The government share is figured the same way.
Is Self Plus One always cheaper than Self and Family?
No. In some plans Self Plus One costs about the same as, or more than, Self and Family. Compare both columns for your plan.
Reviewed by the FFEBA education team. Last reviewed October 2026.
Sources
- U.S. Office of Personnel Management, 2026 FEHB fee-for-service premium rates (XLSX), retrieved 2026-07-05
- U.S. Office of Personnel Management, FEHB premiums, retrieved 2026-07-05
Every government figure on this page carries its source and retrieval date. Worked examples are educational estimates on the assumptions shown, not a projection of any person's benefit. FFEBA is an education organization, not a financial advisor.
