UPMC Health Plan Rate Information
To compare your FEHB health plan options please go to opm.gov/fehbcompare.
Premiums for Tribal employees are shown under the monthly non-Postal column. The amount shown under employee contribution is the maximum you will pay. Your Tribal employer may choose to contribute a higher portion of your premium. Please contact your Tribal Benefits Officer for exact rates.
PA Service Area Rates
Pennsylvania service area counties include: Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Cameron, Centre, Clarion, Clearfield, Crawford, Elk, Erie, Fayette, Forest, Greene, Huntingdon, Indiana, Jefferson, Lawrence, McKean, Mercer, Potter, Somerset, Venago, Warren, Washington, and Westmoreland.
| Type of Enrollment |
Enrollment Code |
Premium Rate |
| Biweekly |
Monthly |
| Gov't Share |
Your Share |
Gov't Share |
Your Share |
| HDHP Option Self Only |
8W4 |
$231.23 |
$77.07 |
$500.59 |
$166.99 |
| HDHP Option Self Plus One |
8W6 |
$512.13 |
$170.71 |
$1,109.62 |
$369.87 |
| HDHP Option Self and Family |
8W5 |
$532.80 |
$177.60 |
$1,154.40 |
$384.80 |
| Standard Option Self Only |
UW4 |
$244.86 |
$88.93 |
$530.53 |
$192.68 |
| Standard Option Self Plus One |
UW6 |
$524.63 |
$225.92 |
$1,136.70 |
$489.49 |
| Standard Option Self and Family |
UW5 |
$574.13 |
$209.98 |
$1,243.95 |
$454.96 |