2017 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 | 138.7 |
Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 305.95 |
Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 299.95 |
Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 120.05 |
Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 302.77 |
Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 263.29 |
Aetna HealthFund CDHP and Aetna Value Plan | G51 | Non-Postal | CDHP Self | Monthly | 218.59 |
Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 499.44 |
Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 547.43 |
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 | 223.21 |
Aetna Open Access | HA2 | Non-Postal | High Self & Family | Monthly | 567.15 |
Aetna Open Access | HA3 | Non-Postal | High Self Plus One | Monthly | 614.49 |
Aetna Open Access | HA4 | Non-Postal | Standard Self | Monthly | 151.3 |
Aetna Open Access | HA5 | Non-Postal | Standard Self & Family | Monthly | 357.15 |
Aetna Open Access | HA6 | Non-Postal | Standard Self Plus One | Monthly | 383.59 |
Blue Preferred | 9G1 | Non-Postal | High Self | Monthly | 218.2 |
Blue Preferred | 9G2 | Non-Postal | High Self & Family | Monthly | 417.61 |
Blue Preferred | 9G3 | Non-Postal | High Self Plus One | Monthly | 380.1 |
Blue Preferred | 9G4 | Non-Postal | Standard Self | Monthly | 129.78 |
Blue Preferred | 9G5 | Non-Postal | Standard Self & Family | Monthly | 374.51 |
Blue Preferred | 9G6 | Non-Postal | Standard Self Plus One | Monthly | 337.44 |
Humana CoverageFirst and Humana Value Plan | PH1 | Non-Postal | CDHP Self | Monthly | 151.58 |
Humana CoverageFirst and Humana Value Plan | PH2 | Non-Postal | CDHP Self & Family | Monthly | 341.08 |
Humana CoverageFirst and Humana Value Plan | PH3 | Non-Postal | CDHP Self Plus One | Monthly | 325.91 |
Humana CoverageFirst and Humana Value Plan | PH4 | Non-Postal | Value Self | Monthly | 116.33 |
Humana CoverageFirst and Humana Value Plan | PH5 | Non-Postal | Value Self & Family | Monthly | 261.73 |
Humana CoverageFirst and Humana Value Plan | PH6 | Non-Postal | Value Self Plus One | Monthly | 250.1 |
Humana Health Plan, Inc. | MS1 | Non-Postal | High Self | Monthly | 1125.28 |
Humana Health Plan, Inc. | MS2 | Non-Postal | High Self & Family | Monthly | 2517.89 |
Humana Health Plan, Inc. | MS3 | Non-Postal | High Self Plus One | Monthly | 2421.08 |
Humana Health Plan, Inc. | MS4 | Non-Postal | Standard Self | Monthly | 349.67 |
Humana Health Plan, Inc. | MS5 | Non-Postal | Standard Self & Family | Monthly | 772.81 |
Humana Health Plan, Inc. | MS6 | Non-Postal | Standard Self Plus One | Monthly | 753.59 |