UPMC Health Plan Rate Information
2025 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 | G9D | $227.94 | $75.98 | $493.87 | $164.62 |
| Standard Option Self Plus One | G9F | $555.50 | $185.16 | $1,203.57 | $401.19 |
| Standard Option Self and Family | G9E | $621.77 | $207.26 | $1,347.17 | $449.06 |
| HDHP Option Self Only | G9A | $165.98 | $55.33 | $359.63 | $119.88 |
| HDHP Option Self Plus One | G9C | $391.46 | $130.48 | $848.15 | $282.72 |
| HDHP Option Self and Family | G9B | $433.49 | $144.50 | $939.23 | $313.08 |