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.
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 | Biweekly Premium Rate | Monthly Premium Rate | ||
|---|---|---|---|---|---|
| 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 |