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CDHP

Aetna: CDHP and Value — Aetna Value Plan

PSHB Offered in 2027|Aetna: CDHP and Value|Traditional|PPO

Premium

biweekly · employee pays
Self Only
$334.90biweekly · employee pays
vs 2026−$66.78 -16.6%
Lowest$334.90 (2027)
Highest$401.68 (2026)
Since 2025-0.7%
Self Plus One
$780.13biweekly · employee pays
vs 2026−$151.52 -16.3%
Lowest$780.13 (2027)
Highest$931.65 (2026)
Since 2025-0.5%
Self & Family
$750.31biweekly · employee pays
vs 2026−$158.32 -17.4%
Lowest$750.31 (2027)
Highest$908.63 (2026)
Since 2025-1.0%

Premium history

Share
Period
Rate type

Year by year

follows the chart's share, period and rate-type selection
YearSelf OnlyΔSelf Plus OneΔSelf & FamilyΔListed as

Changelog

  • 2025
    First appears in OPM rate tables
    New plan option for 2025.
  • 2026
    Largest increase: +19.1%
    Self Only employee share went from $337.36 to $401.68.
  • 2027
    Largest decrease: -16.6%
    Self Only employee share went from $401.68 to $334.90.

Full rate schedule

Plan year

In-network

2027 plan benefits file
Self OnlySelf Plus OneSelf & Family
Annual deductible$700$1,400$1,400
Medical account contributionNot applicableNot applicableNot applicable
Net deductible$700$1,400$1,400
Annual out-of-pocket maximum$6,000$12,000$12,000
  • Type of accountNot Applicable
  • Medicare Part D EGWP Prescription Drug Out-of-Pocket Maximum per enrollee$2,400
  • Tier 0$0 Copayment
  • Tier 1$10 Copayment
  • Tier 230% Coinsurance
  • Tier 350% Coinsurance
  • Tier 450% Coinsurance
  • Tier 550% Coinsurance
  • Mail Order PharmacyNo
  • Deductible waiver (with Medicare Part A as Primary)No
  • Deductible waiver (with Medicare Part B as Primary)No
  • Deductible Waiver with Parts A & BNo
  • Out-of-Pocket Maximum with Parts A & B$6,000
  • Primary Care Physician Office Visit with Medicare A & B Primary$25 Copayment
  • Specialty Physician Office Visit with Parts A & B$40 Copayment
  • Inpatient Hospital Services with Parts A & B20% Coinsurance
  • Outpatient Hospital Services with Part A20% Coinsurance
  • Outpatient physician services (with Medicare Part B as Primary)20% Coinsurance
  • Part B Premium Reimbursement with Parts A & BNo
  • Requirement for Part B ReimbursementNot applicable
  • Deductible Waiver with Part CNot applicable
  • Out-of-Pocket Maximum with Part CNot applicable
  • Primary Care Physician Office Visit with Medicare Advantage (Part C) PrimaryNot applicable
  • Specialty Physician Office Visit with Part CNot applicable
  • Inpatient Hospital Services with Part CNot applicable
  • Outpatient Hospital Services with Part CNot applicable
  • Outpatient physician services (with Medicare Advantage Part C as Primary)Not applicable
  • Part B Premium Reimbursement with Part CNo
  • Preventive CareMember Pays Nothing
  • Primary Care Office Visit$25 Copayment
  • Specialist Office Visit$40 Copayment
  • Emergency Care20% Coinsurance
  • Urgent Care20% Coinsurance
  • Doctor Costs for Inpatient Surgery20% Coinsurance
  • Hospital Inpatient Cost Per Admission20% Coinsurance
  • Hospital Room Costs20% Coinsurance
  • Other Inpatient Hospital Costs20% Coinsurance
  • Doctor Costs for Outpatient Surgery20% Coinsurance
  • Other Outpatient Surgery Costs20% Coinsurance
  • Diagnostic Tests or Procedures (e.g., Blood Tests, X-rays, Urinalysis, Ultrasounds)$25 Copayment
  • Diagnostic Tests or Procedures (e.g., CT scans, MRIs, PET Scans)20% Coinsurance
  • Enhanced Lab Network20% Coinsurance
  • Applied Behavioral Analysis (ABA)20% Coinsurance
  • Chiropractic20% Coinsurance
  • Occupational Therapy$40 Copayment
  • Physical Therapy$40 Copayment
  • Speech Therapy$40 Copayment
  • Professional Services (Mental Health and Substance Use Disorder)$40 Copayment
  • Inpatient Hospital (Mental Health and Substance Use Disorder Services)20% Coinsurance
  • Outpatient Hospital (Mental Health and Substance Use Disorder Services)20% Coinsurance
  • Diagnosis and Treatment (Infertility Services)20% Coinsurance
  • Fertility Preservation Procedures (e.g., iatrogenic infertility) (Infertility Services)20% Coinsurance
  • Artificial Insemination Services (e.g. ICI, IVI, IUI)20% Coinsurance
  • Assisted Reproductive Technology (ART) (e.g., IVF, GIFT, ZIFT) (Infertility Services)20% Coinsurance
  • Surgical Procedures20% Coinsurance
  • Reconstructive Surgery20% Coinsurance
  • Hearing Services$40 Copayment
  • Hearing Aids (external)Not Covered
  • Prenatal Care, Screening for Gestational Diabetes, Delivery, and Postpartum Care (Maternity Care)Member Pays Nothing
  • Hospital Stay--Vaginal Birth, Cesarean Birth (Maternity Care)20% Coinsurance
  • Hospice Care20% Coinsurance
  • Home Health Services (Skilled Nursing Care)20% Coinsurance
  • Durable Medical Equipment20% Coinsurance
  • Outpatient Rehabilitation (Skilled Nursing Care Facility)20% Coinsurance
  • Diabetes EducationMember Pays Nothing
  • Nutritional CounselingMember Pays Nothing
  • Routine Dental Exams and Cleaning for AdultsNot Covered
  • Routine Dental Exams and Cleaning for ChildrenNot Covered
  • Routine Eye ExamsCovered
  • Eye Exams for Medical Condition or Non-Surgical TreatmentCovered
  • EyeglassesNot Covered
  • Contact LensesNot Covered
  • Acupuncture20% Coinsurance
  • Chronic Disease Management: Heart DiseaseCovered
  • Chronic Disease Management: ObesityCovered
  • Chronic Disease Management: HypertensionCovered
  • Chronic Disease Management: AsthmaCovered

Out-of-network

2027 plan benefits file
Self OnlySelf Plus OneSelf & Family
Annual deductible$1,400$2,800$2,800
Medical account contributionNot applicableNot applicableNot applicable
Net deductible$1,400$2,800$2,800
Annual out-of-pocket maximum$7,000$14,000$14,000
  • Type of accountNot Applicable
  • Tier 050% Coinsurance
  • Tier 150% Coinsurance
  • Tier 250% Coinsurance
  • Tier 350% Coinsurance
  • Tier 4100% Coinsurance
  • Tier 5100% Coinsurance
  • Mail Order PharmacyNo
  • Deductible waiver (with Medicare Part A as Primary)No
  • Deductible waiver (with Medicare Part B as Primary)No
  • Deductible Waiver with Parts A & BNo
  • Out-of-Pocket Maximum with Parts A & B$7,000
  • Primary Care Physician Office Visit with Medicare A & B Primary50% Coinsurance
  • Specialty Physician Office Visit with Parts A & B50% Coinsurance
  • Inpatient Hospital Services with Parts A & B50% Coinsurance
  • Outpatient Hospital Services with Part A50% Coinsurance
  • Outpatient physician services (with Medicare Part B as Primary)50% Coinsurance
  • Part B Premium Reimbursement with Parts A & BNo
  • Requirement for Part B ReimbursementNot applicable
  • Deductible Waiver with Part CNot applicable
  • Out-of-Pocket Maximum with Part CNot applicable
  • Primary Care Physician Office Visit with Medicare Advantage (Part C) PrimaryNot applicable
  • Specialty Physician Office Visit with Part CNot applicable
  • Inpatient Hospital Services with Part CNot applicable
  • Outpatient Hospital Services with Part CNot applicable
  • Outpatient physician services (with Medicare Advantage Part C as Primary)Not applicable
  • Part B Premium Reimbursement with Part CNo
  • Preventive Care50% Coinsurance
  • Primary Care Office Visit50% Coinsurance
  • Specialist Office Visit50% Coinsurance
  • Emergency Care20% Coinsurance
  • Urgent Care20% Coinsurance
  • Doctor Costs for Inpatient Surgery50% Coinsurance
  • Hospital Inpatient Cost Per Admission50% Coinsurance
  • Hospital Room Costs50% Coinsurance
  • Other Inpatient Hospital Costs50% Coinsurance
  • Doctor Costs for Outpatient Surgery50% Coinsurance
  • Other Outpatient Surgery Costs50% Coinsurance
  • Diagnostic Tests or Procedures (e.g., Blood Tests, X-rays, Urinalysis, Ultrasounds)50% Coinsurance
  • Diagnostic Tests or Procedures (e.g., CT scans, MRIs, PET Scans)50% Coinsurance
  • Enhanced Lab Network50% Coinsurance
  • Applied Behavioral Analysis (ABA)50% Coinsurance
  • Chiropractic50% Coinsurance
  • Occupational Therapy50% Coinsurance
  • Physical Therapy50% Coinsurance
  • Speech Therapy50% Coinsurance
  • Professional Services (Mental Health and Substance Use Disorder)50% Coinsurance
  • Inpatient Hospital (Mental Health and Substance Use Disorder Services)50% Coinsurance
  • Outpatient Hospital (Mental Health and Substance Use Disorder Services)50% Coinsurance
  • Diagnosis and Treatment (Infertility Services)50% Coinsurance
  • Fertility Preservation Procedures (e.g., iatrogenic infertility) (Infertility Services)50% Coinsurance
  • Artificial Insemination Services (e.g. ICI, IVI, IUI)50% Coinsurance
  • Assisted Reproductive Technology (ART) (e.g., IVF, GIFT, ZIFT) (Infertility Services)50% Coinsurance
  • Surgical Procedures50% Coinsurance
  • Reconstructive Surgery50% Coinsurance
  • Hearing Services50% Coinsurance
  • Hearing Aids (external)Not Covered
  • Prenatal Care, Screening for Gestational Diabetes, Delivery, and Postpartum Care (Maternity Care)50% Coinsurance
  • Hospital Stay--Vaginal Birth, Cesarean Birth (Maternity Care)50% Coinsurance
  • Hospice Care50% Coinsurance
  • Home Health Services (Skilled Nursing Care)50% Coinsurance
  • Durable Medical Equipment50% Coinsurance
  • Outpatient Rehabilitation (Skilled Nursing Care Facility)50% Coinsurance
  • Diabetes EducationMember Pays All Charges
  • Nutritional CounselingMember Pays All Charges
  • Routine Dental Exams and Cleaning for AdultsNot Covered
  • Routine Dental Exams and Cleaning for ChildrenNot Covered
  • Routine Eye ExamsCovered
  • Eye Exams for Medical Condition or Non-Surgical TreatmentCovered
  • EyeglassesNot Covered
  • Contact LensesNot Covered
  • Acupuncture50% Coinsurance
  • Chronic Disease Management: Heart DiseaseNot Covered
  • Chronic Disease Management: ObesityNot Covered
  • Chronic Disease Management: HypertensionNot Covered
  • Chronic Disease Management: AsthmaNot Covered

States

12
IdahoIllinoisIowaKentuckyMinnesotaMississippiMontanaNebraskaNorth DakotaOregonPennsylvaniaWyoming

Counties covered

StateArea
IdahoAda, Adams, Bannock, Bear Lake, Benewah, Bingham, Blaine, Boise, Bonner, Bonneville, Boundary, Camas, Canyon, Caribou, Cassia, Clark, Custer, Elmore, Franklin, Fremont, Gem, Gooding, Jefferson, Jerome, Kootenai, Latah, Lincoln, Madison, Minidoka, Nez Perce, Oneida, Owyhee, Payette, Shoshone, Teton, Twin Falls, Valley, Washington
IllinoisAdams, Alexander, Bond, Boone, Brown, Bureau, Calhoun, Carroll, Cass, Champaign, Christian, Clark, Clay, Clinton, Coles, Cook, Crawford, Cumberland, Dekalb, Dewitt, Douglas, Dupage, Edgar, Edwards, Effingham, Fayette, Ford, Franklin, Fulton, Gallatin, Greene, Grundy, Hamilton, Hancock, Hardin, Henderson, Henry, Iroquois, Jackson, Jasper, Jefferson, Jersey, Jo Daviess, Johnson, Kane, Kankakee, Kendall, Knox, La Salle, Lake, Lawrence, Lee, Livingston, Logan, Macon, Macoupin, Madison, Marion, Marshall, Mason, Massac, Mcdonough, Mchenry, Mclean, Menard, Mercer, Monroe, Montgomery, Morgan, Moultrie, Ogle, Peoria, Perry, Piatt, Pike, Pope, Pulaski, Putnam, Randolph, Richland, Rock Island, Saint Clair, Saline, Sangamon, Schuyler, Scott, Shelby, Stark, Stephenson, Tazewell, Union, Vermilion, Wabash, Warren, Washington, Wayne, White, Whiteside, Will, Williamson, Winnebago, Woodford
IowaEntire state
KentuckyAdair, Allen, Anderson, Ballard, Barren, Bath, Bell, Boone, Bourbon, Boyd, Boyle, Bracken, Breathitt, Breckinridge, Bullitt, Butler, Caldwell, Calloway, Campbell, Carlisle, Carroll, Carter, Casey, Christian, Clark, Clinton, Crittenden, Cumberland, Daviess, Edmonson, Elliott, Estill, Fayette, Fleming, Floyd, Franklin, Fulton, Gallatin, Garrard, Grant, Graves, Grayson, Green, Greenup, Hancock, Hardin, Harlan, Harrison, Hart, Henderson, Henry, Hopkins, Jefferson, Jessamine, Johnson, Kenton, Knott, Knox, Larue, Lawrence, Letcher, Lewis, Lincoln, Livingston, Logan, Lyon, Madison, Magoffin, Marion, Marshall, Martin, Mason, Mccracken, Mccreary, Mclean, Meade, Menifee, Mercer, Metcalfe, Monroe, Montgomery, Morgan, Muhlenberg, Nelson, Nicholas, Ohio, Oldham, Owen, Pendleton, Perry, Pike, Powell, Pulaski, Robertson, Rowan, Russell, Scott, Shelby, Simpson, Spencer, Taylor, Todd, Trigg, Trimble, Warren, Washington, Wayne, Webster, Whitley, Wolfe, Woodford
MinnesotaAitkin, Anoka, Becker, Beltrami, Benton, Big Stone, Blue Earth, Brown, Carlton, Carver, Cass, Chippewa, Chisago, Clay, Clearwater, Cook, Cottonwood, Crow Wing, Dakota, Dodge, Douglas, Faribault, Fillmore, Freeborn, Goodhue, Grant, Hennepin, Houston, Hubbard, Isanti, Itasca, Jackson, Kanabec, Kandiyohi, Kittson, Koochiching, Lac Qui Parle, Lake, Lake Of The Woods, Le Sueur, Lincoln, Lyon, Mahnomen, Marshall, Martin, Mcleod, Meeker, Mille Lacs, Morrison, Mower, Murray, Nicollet, Nobles, Norman, Olmsted, Otter Tail, Pennington, Pine, Pipestone, Polk, Pope, Ramsey, Red Lake, Redwood, Renville, Rice, Rock, Roseau, Saint Louis, Scott, Sherburne, Sibley, Stearns, Steele, Stevens, Swift, Todd, Traverse, Wabasha, Wadena, Waseca, Washington, Watonwan, Wilkin, Winona, Wright, Yellow Medicine
MississippiAdams, Alcorn, Amite, Attala, Benton, Bolivar, Calhoun, Carroll, Chickasaw, Claiborne, Clarke, Clay, Coahoma, Copiah, Covington, Desoto, Forrest, Franklin, George, Grenada, Hancock, Harrison, Hinds, Holmes, Issaquena, Itawamba, Jackson, Jefferson Davis, Jones, Lafayette, Lamar, Lauderdale, Lawrence, Leake, Lee, Leflore, Lincoln, Lowndes, Madison, Marion, Marshall, Monroe, Neshoba, Newton, Noxubee, Oktibbeha, Panola, Pearl River, Perry, Pike, Pontotoc, Prentiss, Quitman, Rankin, Scott, Simpson, Smith, Stone, Sunflower, Tallahatchie, Tate, Tippah, Tishomingo, Tunica, Union, Walthall, Warren, Washington, Wayne, Webster, Yalobusha, Yazoo
MontanaBeaverhead, Big Horn, Blaine, Broadwater, Carbon, Carter, Cascade, Chouteau, Custer, Daniels, Dawson, Deer Lodge, Fallon, Fergus, Flathead, Gallatin, Garfield, Glacier, Golden Valley, Granite, Hill, Jefferson, Judith Basin, Lake, Lewis And Clark, Liberty, Lincoln, Madison, Mccone, Meagher, Mineral, Missoula, Musselshell, Park, Petroleum, Phillips, Pondera, Powder River, Powell, Prairie, Ravalli, Richland, Roosevelt, Rosebud, Sanders, Sheridan, Silver Bow, Stillwater, Sweet Grass, Teton, Toole, Treasure, Valley, Wheatland, Wibaux, Yellowstone
NebraskaEntire state
North DakotaBarnes, Benson, Billings, Bottineau, Burleigh, Cass, Cavalier, Dickey, Eddy, Emmons, Foster, Grand Forks, Griggs, Kidder, Lamoure, Logan, Mchenry, Mcintosh, Mclean, Mercer, Morton, Nelson, Oliver, Pembina, Pierce, Ramsey, Ransom, Richland, Rolette, Sargent, Sheridan, Sioux, Slope, Stark, Steele, Stutsman, Towner, Traill, Walsh, Ward, Wells
OregonBaker, Benton, Clackamas, Clatsop, Columbia, Coos, Crook, Curry, Deschutes, Douglas, Gilliam, Harney, Hood River, Jackson, Jefferson, Josephine, Lane, Lincoln, Linn, Malheur, Marion, Multnomah, Polk, Tillamook, Umatilla, Union, Wasco, Washington, Yamhill
PennsylvaniaEntire state
WyomingEntire state

Service area over time

YearStates / areas listed
2027Idaho, Illinois, Iowa, Kentucky, Minnesota, Mississippi, Montana, Nebraska, North Dakota, Oregon, Pennsylvania, Wyoming
2026Idaho, Illinois, Iowa, Kentucky, Minnesota, Mississippi, Montana, Nebraska, North Dakota, Oregon, Pennsylvania, Wyoming
2025Idaho, Illinois, Iowa, Kentucky, Minnesota, Mississippi, Montana, Nebraska, North Dakota, Oregon, Pennsylvania, Wyoming