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Healthcare

2020 Plan Information for Indiana

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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 217.96
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 423.58
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 483.84
Aetna Direct N61 Non-Postal CDHP Self Monthly 153.16
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 386.25
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 335.89
Aetna Direct Z24 Non-Postal Advantage Self Monthly 115.96
Aetna Direct Z25 Non-Postal Advantage Self & Family Monthly 307.29
Aetna Direct Z26 Non-Postal Advantage Self Plus One Monthly 255.11
Aetna HealthFund CDHP and Aetna Value Plan JS1 Non-Postal CDHP Self Monthly 493.15
Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly 1104.63
Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly 1173.73
Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Value Self Monthly 562.64
Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Value Self & Family Monthly 1266.57
Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Value Self Plus One Monthly 1334.06
Health Alliance HMO K84 Non-Postal Standard Self Monthly 167.03
Health Alliance HMO K85 Non-Postal Standard Self & Family Monthly 619.97
Health Alliance HMO K86 Non-Postal Standard Self Plus One Monthly 455.52
Humana CoverageFirst and Humana Value Plan MW1 Non-Postal CDHP Self Monthly 405.18
Humana CoverageFirst and Humana Value Plan MW2 Non-Postal CDHP Self & Family Monthly 877.13
Humana CoverageFirst and Humana Value Plan MW3 Non-Postal CDHP Self Plus One Monthly 877.24
Humana CoverageFirst and Humana Value Plan MW4 Non-Postal Value Self Monthly 244.07
Humana CoverageFirst and Humana Value Plan MW5 Non-Postal Value Self & Family Monthly 514.5
Humana CoverageFirst and Humana Value Plan MW6 Non-Postal Value Self Plus One Monthly 530.79
Humana CoverageFirst and Humana Value Plan TC1 Non-Postal CDHP Self Monthly 164.87
Humana CoverageFirst and Humana Value Plan TC2 Non-Postal CDHP Self & Family Monthly 370.93
Humana CoverageFirst and Humana Value Plan TC3 Non-Postal CDHP Self Plus One Monthly 354.45
Humana CoverageFirst and Humana Value Plan X31 Non-Postal CDHP Self Monthly 288.6
Humana CoverageFirst and Humana Value Plan X32 Non-Postal CDHP Self & Family Monthly 614.75
Humana CoverageFirst and Humana Value Plan X33 Non-Postal CDHP Self Plus One Monthly 626.56
Humana CoverageFirst and Humana Value Plan X34 Non-Postal Value Self Monthly 153.78
Humana CoverageFirst and Humana Value Plan X35 Non-Postal Value Self & Family Monthly 346.01
Humana CoverageFirst and Humana Value Plan X36 Non-Postal Value Self Plus One Monthly 330.63
Humana Health Plan of Ohio, Inc. A61 Non-Postal High Self Monthly 990.14
Humana Health Plan of Ohio, Inc. A62 Non-Postal High Self & Family Monthly 2193.21
Humana Health Plan of Ohio, Inc. A63 Non-Postal High Self Plus One Monthly 2134.88
Humana Health Plan of Ohio, Inc. A64 Non-Postal Standard Self Monthly 661.33
Humana Health Plan of Ohio, Inc. A65 Non-Postal Standard Self & Family Monthly 1453.4
Humana Health Plan of Ohio, Inc. A66 Non-Postal Standard Self Plus One Monthly 1427.94
Humana Health Plan, Inc. 751 Non-Postal High Self Monthly 728.1
Humana Health Plan, Inc. 752 Non-Postal High Self & Family Monthly 1603.59
Humana Health Plan, Inc. 753 Non-Postal High Self Plus One Monthly 1571.48
Humana Health Plan, Inc. 754 Non-Postal Standard Self Monthly 441.06
Humana Health Plan, Inc. 755 Non-Postal Standard Self & Family Monthly 957.75
Humana Health Plan, Inc. 756 Non-Postal Standard Self Plus One Monthly 954.33
Humana Health Plan, Inc. MH1 Non-Postal High Self Monthly 594.12
Humana Health Plan, Inc. MH2 Non-Postal High Self & Family Monthly 1302.17
Humana Health Plan, Inc. MH3 Non-Postal High Self Plus One Monthly 1283.43
Humana Health Plan, Inc. MH4 Non-Postal Standard Self Monthly 348.81
Humana Health Plan, Inc. MH5 Non-Postal Standard Self & Family Monthly 750.16
Humana Health Plan, Inc. MH6 Non-Postal Standard Self Plus One Monthly 755.97
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