Plan Code Name Plan Choices Plan Code Service Area Description Self Plus one Biweekly 

Employee Premium 

Self & Family 

BiweeklyEmployee 

Premium 

NALC Health Benefit Plan High 32 Nationwide $255.86 $221.79 

Rural Carrier Benefit Plan High 38 Nationwide $251.57 $234.11 

Foreign Service Benefit Plan High 40 Nationwide $211.30 $204.38 

Aetna HealthFund CDHP and Aetna Value Plan CDHP F5 All of Georgia, Maryland, North Carolina 

and Washington, DC. Most of Alabama, 

Arkansas, Florida, Louisiana, Tennessee, 

Virgina, West Virginia. 

$517.41 $468.78 

Aetna HealthFund CDHP and Aetna Value Plan Value F5 All of Georgia, Maryland, North Carolina 

and Washington, DC. Most of Alabama, 

Arkansas, Florida, Louisiana, Tennessee, 

Virgina, West Virginia. 

$474.49 $436.05 

Aetna HealthFund CDHP and Aetna Value Plan Value EP All of Connecticut, Delaware, Maine, 

New Hampshire, New Jersey, Rhode 

Island, Vermont. Most of Massachusetts 

and New York. 

$559.93 $523.20 

Aetna HealthFund CDHP and Aetna Value Plan CDHP EP All of Connecticut, Delaware, Maine, 

New Hampshire, New Jersey, Rhode 

Island, Vermont. Most of Massachusetts 

and New York. 

$679.87 $632.85 

Aetna HealthFund CDHP and Aetna Value Plan CDHP H4 All of Iowa, Nebraska, Pennsylvania and 

Wyoming. South/Southeast/Western 

Montana Areas. Most of Idaho, Illinois, 

Kentucky, Minnesota, Mississippi, North 

Dakota and Oregon. 

$349.41 $298.51 

Aetna HealthFund CDHP and Aetna Value Plan Value H4 All of Iowa, Nebraska, Pennsylvania and 

Wyoming. South/Southeast/Western 

Montana Areas. Most of Idaho, Illinois, 

Kentucky, Minnesota, Mississippi, North 

Dakota and Oregon. 

$569.32 $532.75 
Plan Code Name Plan Choices Plan Code Service Area Description Self Plus one Biweekly 

Employee Premium 

Self & Family 

BiweeklyEmployee 

Premium 

Aetna HealthFund CDHP and Aetna Value Plan Value G5 All of Arizona, Colorado, and Michigan. 

Albuquerque/Dona Ana/Hobbs Area, 

Las Vegas Area, and Rapid City/Sioux 

Falls Area. Most of Kansas, Missouri, 

Utah, and Washington. 

$377.85 $337.44 

Aetna HealthFund CDHP and Aetna Value Plan CDHP G5 All of Arizona, Colorado, and Michigan. 

Albuquerque/Dona Ana/Hobbs Area, 

Las Vegas Area, and Rapid City/Sioux 

Falls Area. Most of Kansas, Missouri, 

Utah, and Washington. 

$790.97 $745.05 

Aetna HealthFund CDHP and Aetna Value Plan Value JS All of Hawaii, Indiana, Oklahoma, Ohio, 

South Carolina, Texas and Wisconsin. 

Most of Alaska and California. 

$634.86 $587.36 

Aetna HealthFund CDHP and Aetna Value Plan CDHP JS All of Hawaii, Indiana, Oklahoma, Ohio, 

South Carolina, Texas and Wisconsin. 

Most of Alaska and California. 

$776.64 $730.60 

Aetna HealthFund HDHP 

HDHP 22 In all 50 states and the District of 

Columbia 

$272.59 $230.06 

Aetna Open Access High WQ Phoenix and Tucson Areas $965.58 $921.42 

Aetna Open Access High 2X Los Angeles and San Diego Areas $704.41 $670.53 

Aetna Open Access High YE Pittsburgh and Western PA Areas $888.75 $843.82 

Aetna Open Access High 2U Atlanta and Athens Areas $1,312.36 $1,271.67 

Aetna Open Access High JR Northern New Jersey $1,221.13 $1,179.53 

Aetna Open Access Basic JR Northern New Jersey $970.50 $926.40 

Aetna Open Access Basic P3 Southern NJ, Philadelphia and 

Kent/New Castle/Sussex areas. 

$1,357.83 $1,317.62 

Aetna Open Access High P3 Southern NJ, Philadelphia and 

Kent/New Castle/Sussex areas. 

$1,415.12 $1,375.44 

Aetna Open Access High JC NYC Area/Upstate NY $1,404.62 $1,364.85 

Aetna Open Access Basic JC NYC Area/Upstate NY $1,136.89 $1,094.43 

Aetna Open Access High JN Northern/Central/Southern Maryland 

Areas, Northern Virginia AreaNorthern 

Virginia Area and Washington, DC Area. 

$814.85 $769.20 
Plan Code Name Plan Choices Plan Code Service Area Description Self Plus one Biweekly 

Employee Premium 

Self & Family 

BiweeklyEmployee 

Premium 

Altius Health Plan Standard DK Most of Utah, Lincoln, Sweetwater and 

Uinta Counties and Southern Region. 

$534.40 $485.93 

Altius Health Plan High 9K Most of Utah, Lincoln, Sweetwater and 

Uinta Counties and Southern Region. 

$785.71 $739.73 

Altius Health Plan HDHP 9K Most of Utah, Lincoln, Sweetwater and 

Uinta Counties and Southern Region. 

$250.01 $213.32 

Baylor Scott and White Health Plan Standard A8 Central, North and West Texas $311.16 $304.04 

Baylor Scott and White Health Plan Standard P8 Central, North and West Texas $387.37 $384.72 

Blue Shield of California Access + HMO SI Southern region $475.77 $464.36 

Geisinger Helath Plan Basic AJ Northeastern/ Central/ South Central 

areas 

$254.49 $244.94 

Independent Health Assoc. Standard C5 Western New York $347.34 $342.58 

Kaiser Permanente - Colorado High 65 Denver/Boulder metropolitan area, 

Northern and Southern Colorado areas 

$324.44 $264.76 

Kaiser Permanente - Fresno California High NZ Fresno $328.75 $269.07 

Kaiser Permanente - Georgia High F8 Atlanta metropolitan area, Athens, 

Columbus, Macon, Savannah 

$379.95 $320.27 

Kaiser Permanente - Mid-Atlantic States High E3 Metropolitan Baltimore Maryland area, 

Northern Virginia and Washington, DC 

$358.13 $298.45 

Kaiser Permanente - Northern California High 59 Northern California $550.65 $490.97 

Kaiser Permanente - Northern California Standard 59 Northern California $328.17 $268.49 

Kaiser Permanente - Northwest Standard 57 Portland metropolitan, Salem and 

Eugene areas, Vancouver and Longview 

$209.80 $199.07 

Kaiser Permanente - Northwest High 57 Portland metropolitan, Salem and 

Eugene areas, Vancouver and Longview 

$298.44 $238.76 

Kaiser Permanente - Southern California High 62 Southern California $337.62 $277.94 

Kaiser Permanente - Washington Core High 54 Northern Idaho and Western, Central 

and Eastern Washington 

$386.57 $326.89 

Optima Health High PG Greater Hampton Roads Region $366.09 $306.48 

Presbyterian Health Plan High P2 Entire State of New Mexico $565.67 $546.61 

Presbyterian Health Plan Standard PS Entire state of New Mexico $372.13 $346.22 
Plan Code Name Plan Choices Plan Code Service Area Description Self Plus one Biweekly 

Employee Premium 

Self & Family 

BiweeklyEmployee 

Premium 

Presbyterian Health Plan Wellness PS Entire state of New Mexico $269.88 $240.37 

UPMC Health Plan Standard UW Western Pennsylvania $213.42 $209.49