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UPMC Health Plan Rate Information

To compare your FEHB health plan options please go to

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.

2024 PA Service Area Rates

Pennsylvania service area counties: 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, Venango, Warren, Washington, and Westmoreland.

Type of Enrollment Enrollment Code Premium Rate
Biweekly Monthly
Gov't Share Your Share Gov't Share Your Share
Standard Option Self Only UW4 $267.18 $89.06 $578.89 $192.96
Standard Option Self Plus One UW6 $586.50 $213.42 $1,270.75 $462.41
Standard Option Self and Family UW5 $628.47 $209.49 $1,361.69 $453.89
HDHP Option Self Only 8W4 $242.15 $80.72 $524.66 $174.89
HDHP Option Self Plus One 8W6 $536.55 $178.85 $1,162.52 $387.51
HDHP Option Self and Family 8W5 $558.45 $186.15 $1,209.98 $403.32


It is important to know that when you enroll in this plan, services are provided through UPMC Health Plan's participating providers as described in UPMC Health Plan's federal brochure — but the continued participation of any one doctor, hospital, or other provider cannot be guaranteed.

Continue to UPMC Health Plan online provider search


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