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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
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Attention

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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