2016 Plan Information for Missouri
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Location Specific Rates
Contract | Enrollment Code | Enrollment Type | Option/Enrollment Type | Payment Period | Employee Payment |
---|---|---|---|---|---|
Aetna Direct | 224 | Non-Postal | HDHP Self | Monthly | 130.08 |
Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 286.94 |
Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 281.31 |
Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 118.33 |
Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 298.42 |
Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 259.5 |
Aetna HealthFund CDHP and Aetna Value Plan | G51 | Non-Postal | CDHP Self | Monthly | 234.89 |
Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 531.83 |
Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 575.62 |
Aetna HealthFund CDHP and Aetna Value Plan | G54 | Non-Postal | Value Self | Monthly | 133.71 |
Aetna HealthFund CDHP and Aetna Value Plan | G55 | Non-Postal | Value Self & Family | Monthly | 306.25 |
Aetna HealthFund CDHP and Aetna Value Plan | G56 | Non-Postal | Value Self Plus One | Monthly | 300.24 |
Aetna Open Access | HA1 | Non-Postal | High Self | Monthly | 164.39 |
Aetna Open Access | HA2 | Non-Postal | High Self & Family | Monthly | 421.98 |
Aetna Open Access | HA3 | Non-Postal | High Self Plus One | Monthly | 466.87 |
Aetna Open Access | HA4 | Non-Postal | Standard Self | Monthly | 152.37 |
Aetna Open Access | HA5 | Non-Postal | Standard Self & Family | Monthly | 380.25 |
Aetna Open Access | HA6 | Non-Postal | Standard Self Plus One | Monthly | 425.55 |
Blue Preferred | 9G1 | Non-Postal | High Self | Monthly | 213.66 |
Blue Preferred | 9G2 | Non-Postal | High Self & Family | Monthly | 382.63 |
Blue Preferred | 9G3 | Non-Postal | High Self Plus One | Monthly | 353.06 |
Humana CoverageFirst and Humana Value Plan | PH1 | Non-Postal | CDHP Self | Monthly | 152.1 |
Humana CoverageFirst and Humana Value Plan | PH2 | Non-Postal | CDHP Self & Family | Monthly | 342.23 |
Humana CoverageFirst and Humana Value Plan | PH3 | Non-Postal | CDHP Self Plus One | Monthly | 327.02 |
Humana CoverageFirst and Humana Value Plan | PH4 | Non-Postal | Value Self | Monthly | 116.61 |
Humana CoverageFirst and Humana Value Plan | PH5 | Non-Postal | Value Self & Family | Monthly | 262.37 |
Humana CoverageFirst and Humana Value Plan | PH6 | Non-Postal | Value Self Plus One | Monthly | 250.7 |
Humana Health Plan, Inc. | MS1 | Non-Postal | High Self | Monthly | 1000.61 |
Humana Health Plan, Inc. | MS2 | Non-Postal | High Self & Family | Monthly | 2233.12 |
Humana Health Plan, Inc. | MS3 | Non-Postal | High Self Plus One | Monthly | 2146.34 |
Humana Health Plan, Inc. | MS4 | Non-Postal | Standard Self | Monthly | 267.13 |
Humana Health Plan, Inc. | MS5 | Non-Postal | Standard Self & Family | Monthly | 582.77 |
Humana Health Plan, Inc. | MS6 | Non-Postal | Standard Self Plus One | Monthly | 569.38 |