FEHB Fee for Service Plans

Plan Option Code 1999 Total Monthly DoD/FEHB Premium Gov't Pays Enrollee Pays
Alliance Health Plan
High Self 1R1 378.63 170.80 207.83
High Family 1R2 802.66 381.27 421.39
APWU Health Plan
High Self 471 300.45 170.80 129.65
High Family 472 659.34 381.27 278.07
Blue Cross and Blue Shield
High Self 101 314.43 170.80 143.63
High Family 102 672.36 381.27 291.09
Standard Self 104 235.89 170.80 65.09
Standard Family 105 525.96 381.27 144.69
GEHA Benefit Plan
High Self 311 269.86 170.80 99.06
High Family 312 582.05 381.27 200.78
Mail Handlers
High Self 451 266.78 170.80 95.98
High Family 452 615.59 381.27 234.32
Standard Self 454 241.43 170.80 70.63
Standard Family 455 557.12 381.27 175.85
High Self 321 299.61 170.80 128.81
High Family 322 640.25 381.27 258.98
High Self 361 457.23 170.80 286.43
High Family 362 986.53 381.27 605.26
Standard Self 364 344.87 170.80 174.07
Standard Family 365 746.01 381.27 364.74

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