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: 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 |
$253.50 |
$84.50 |
$549.25 |
$183.08 |
Standard Option Self Plus One |
UW6 |
$560.52 |
$199.44 |
$1,214.46 |
$432.12 |
Standard Option Self and Family |
UW5 |
$597.32 |
$199.11 |
$1,294.20 |
$431.40 |
HDHP Option Self Only |
8W4 |
$243.95 |
$81.32 |
$528.56 |
$176.19 |
HDHP Option Self Plus One |
8W6 |
$540.67 |
$180.22 |
$1,171.45 |
$390.48 |
HDHP Option Self and Family |
8W5 |
$562.77 |
$187.59 |
$1,219.34 |
$406.44 |