2019 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 | 164.93 |
Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 363.8 |
Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 360.1 |
Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 139.33 |
Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 351.38 |
Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 305.56 |
Aetna HealthFund CDHP and Aetna Value Plan | G51 | Non-Postal | CDHP Self | Monthly | 286.42 |
Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 652.69 |
Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 706.59 |
Aetna HealthFund CDHP and Aetna Value Plan | G54 | Non-Postal | Value Self | Monthly | 171.86 |
Aetna HealthFund CDHP and Aetna Value Plan | G55 | Non-Postal | Value Self & Family | Monthly | 397.67 |
Aetna HealthFund CDHP and Aetna Value Plan | G56 | Non-Postal | Value Self Plus One | Monthly | 439.18 |
Aetna Open Access | HA1 | Non-Postal | High Self | Monthly | 382.29 |
Aetna Open Access | HA2 | Non-Postal | High Self & Family | Monthly | 942.92 |
Aetna Open Access | HA3 | Non-Postal | High Self Plus One | Monthly | 993.95 |
Aetna Open Access | HA4 | Non-Postal | Standard Self | Monthly | 209.13 |
Aetna Open Access | HA5 | Non-Postal | Standard Self & Family | Monthly | 532.59 |
Aetna Open Access | HA6 | Non-Postal | Standard Self Plus One | Monthly | 587.66 |
Blue Preferred | 9G1 | Non-Postal | High Self | Monthly | 283.64 |
Blue Preferred | 9G2 | Non-Postal | High Self & Family | Monthly | 542.88 |
Blue Preferred | 9G3 | Non-Postal | High Self Plus One | Monthly | 525.22 |
Blue Preferred | 9G4 | Non-Postal | Standard Self | Monthly | 139.68 |
Blue Preferred | 9G5 | Non-Postal | Standard Self & Family | Monthly | 449.72 |
Blue Preferred | 9G6 | Non-Postal | Standard Self Plus One | Monthly | 369.43 |
Humana CoverageFirst and Humana Value Plan | PH1 | Non-Postal | CDHP Self | Monthly | 150.24 |
Humana CoverageFirst and Humana Value Plan | PH2 | Non-Postal | CDHP Self & Family | Monthly | 338.03 |
Humana CoverageFirst and Humana Value Plan | PH3 | Non-Postal | CDHP Self Plus One | Monthly | 323.01 |
Humana CoverageFirst and Humana Value Plan | PH4 | Non-Postal | Value Self | Monthly | 107.09 |
Humana CoverageFirst and Humana Value Plan | PH5 | Non-Postal | Value Self & Family | Monthly | 240.95 |
Humana CoverageFirst and Humana Value Plan | PH6 | Non-Postal | Value Self Plus One | Monthly | 230.24 |
Humana Health Plan, Inc. | MS1 | Non-Postal | High Self | Monthly | 1126.91 |
Humana Health Plan, Inc. | MS2 | Non-Postal | High Self & Family | Monthly | 2519.47 |
Humana Health Plan, Inc. | MS3 | Non-Postal | High Self Plus One | Monthly | 2428.5 |
Humana Health Plan, Inc. | MS4 | Non-Postal | Standard Self | Monthly | 454.05 |
Humana Health Plan, Inc. | MS5 | Non-Postal | Standard Self & Family | Monthly | 1005.6 |
Humana Health Plan, Inc. | MS6 | Non-Postal | Standard Self Plus One | Monthly | 981.91 |