2019 Plan Information for New York
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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 | EP1 | Non-Postal | CDHP Self | Monthly | 418.08 |
Aetna HealthFund CDHP and Aetna Value Plan | EP2 | Non-Postal | CDHP Self & Family | Monthly | 952.64 |
Aetna HealthFund CDHP and Aetna Value Plan | EP3 | Non-Postal | CDHP Self Plus One | Monthly | 1003.53 |
Aetna HealthFund CDHP and Aetna Value Plan | EP4 | Non-Postal | Value Self | Monthly | 154.77 |
Aetna HealthFund CDHP and Aetna Value Plan | EP5 | Non-Postal | Value Self & Family | Monthly | 354.41 |
Aetna HealthFund CDHP and Aetna Value Plan | EP6 | Non-Postal | Value Self Plus One | Monthly | 347.46 |
Aetna Open Access | JC1 | Non-Postal | High Self | Monthly | 804.34 |
Aetna Open Access | JC2 | Non-Postal | High Self & Family | Monthly | 2081.65 |
Aetna Open Access | JC3 | Non-Postal | High Self Plus One | Monthly | 2121.4 |
Aetna Open Access | JC4 | Non-Postal | Basic Self | Monthly | 564.49 |
Aetna Open Access | JC5 | Non-Postal | Basic Self & Family | Monthly | 1455.18 |
Aetna Open Access | JC6 | Non-Postal | Basic Self Plus One | Monthly | 1501.13 |
CDPHP Universal Benefits, Inc. | SG1 | Non-Postal | High Self | Monthly | 371.57 |
CDPHP Universal Benefits, Inc. | SG2 | Non-Postal | High Self & Family | Monthly | 1472.36 |
CDPHP Universal Benefits, Inc. | SG3 | Non-Postal | High Self Plus One | Monthly | 673.96 |
CDPHP Universal Benefits, Inc. | SG4 | Non-Postal | Standard Self | Monthly | 144.39 |
CDPHP Universal Benefits, Inc. | SG5 | Non-Postal | Standard Self & Family | Monthly | 594.47 |
CDPHP Universal Benefits, Inc. | SG6 | Non-Postal | Standard Self Plus One | Monthly | 288.78 |
EmblemHealth Plan | 804 | Non-Postal | Standard Self | Monthly | 427.25 |
EmblemHealth Plan | 805 | Non-Postal | Standard Self & Family | Monthly | 1108.28 |
EmblemHealth Plan | 806 | Non-Postal | Standard Self Plus One | Monthly | 1087.25 |
HIP of Greater New York | 511 | Non-Postal | High Self | Monthly | 486.64 |
HIP of Greater New York | 512 | Non-Postal | High Self & Family | Monthly | 1683.2 |
HIP of Greater New York | 513 | Non-Postal | High Self Plus One | Monthly | 688.87 |
HIP of Greater New York | YL4 | Non-Postal | Standard Self | Monthly | 164.65 |
HIP of Greater New York | YL5 | Non-Postal | Standard Self & Family | Monthly | 746.49 |
HIP of Greater New York | YL6 | Non-Postal | Standard Self Plus One | Monthly | 292.3 |
Independent Health Assoc | C54 | Non-Postal | Standard Self | Monthly | 203.11 |
Independent Health Assoc | C55 | Non-Postal | Standard Self & Family | Monthly | 756.76 |
Independent Health Assoc | C56 | Non-Postal | Standard Self Plus One | Monthly | 723.06 |
Independent Health Assoc | QA1 | Non-Postal | High Self | Monthly | 228.91 |
Independent Health Assoc | QA2 | Non-Postal | High Self & Family | Monthly | 826.37 |
Independent Health Assoc | QA3 | Non-Postal | High Self Plus One | Monthly | 788.84 |
Independent Health Assoc | QA4 | Non-Postal | HDHP Self | Monthly | 147.64 |
Independent Health Assoc | QA5 | Non-Postal | HDHP Self & Family | Monthly | 386.65 |
Independent Health Assoc | QA6 | Non-Postal | HDHP Self Plus One | Monthly | 355.3 |
MVP Health Care | GA4 | Non-Postal | Standard Self | Monthly | 243.15 |
MVP Health Care | GA5 | Non-Postal | Standard Self & Family | Monthly | 679.36 |
MVP Health Care | GA6 | Non-Postal | Standard Self Plus One | Monthly | 639.68 |
MVP Health Care | GV4 | Non-Postal | Standard Self | Monthly | 157.34 |
MVP Health Care | GV5 | Non-Postal | Standard Self & Family | Monthly | 403.72 |
MVP Health Care | GV6 | Non-Postal | Standard Self Plus One | Monthly | 380.94 |
MVP Health Care | M94 | Non-Postal | Standard Self | Monthly | 224.54 |
MVP Health Care | M95 | Non-Postal | Standard Self & Family | Monthly | 633.82 |
MVP Health Care | M96 | Non-Postal | Standard Self Plus One | Monthly | 596.89 |
MVP Health Care | MF4 | Non-Postal | Standard Self | Monthly | 482.65 |
MVP Health Care | MF5 | Non-Postal | Standard Self & Family | Monthly | 1266.16 |
MVP Health Care | MF6 | Non-Postal | Standard Self Plus One | Monthly | 1190.58 |
MVP Health Care | MX4 | Non-Postal | Standard Self | Monthly | 379.73 |
MVP Health Care | MX5 | Non-Postal | Standard Self & Family | Monthly | 1014 |
MVP Health Care | MX6 | Non-Postal | Standard Self Plus One | Monthly | 953.87 |