2021 Plan Information for Michigan
Choose a Location, Employee Type, & Payment Period
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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 | 262.6 |
Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 515.62 |
Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 578.72 |
Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 153.96 |
Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 388.27 |
Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 337.64 |
Aetna Direct | Z24 | Non-Postal | Advantage Self | Monthly | 125 |
Aetna Direct | Z25 | Non-Postal | Advantage Self & Family | Monthly | 331.25 |
Aetna Direct | Z26 | Non-Postal | Advantage Self Plus One | Monthly | 275 |
Aetna HealthFund CDHP and Aetna Value Plan | G51 | Non-Postal | CDHP Self | Monthly | 535.34 |
Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 1196.87 |
Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 1270.04 |
Aetna HealthFund CDHP and Aetna Value Plan | G54 | Non-Postal | Value Self | Monthly | 193.62 |
Aetna HealthFund CDHP and Aetna Value Plan | G55 | Non-Postal | Value Self & Family | Monthly | 424.06 |
Aetna HealthFund CDHP and Aetna Value Plan | G56 | Non-Postal | Value Self Plus One | Monthly | 488.93 |
Bluecare Network of Michigan | K51 | Non-Postal | High Self | Monthly | 473.07 |
Bluecare Network of Michigan | K52 | Non-Postal | High Self & Family | Monthly | 1213.25 |
Bluecare Network of Michigan | K53 | Non-Postal | High Self Plus One | Monthly | 1170.81 |
Bluecare Network of Michigan | LX1 | Non-Postal | High Self | Monthly | 242.39 |
Bluecare Network of Michigan | LX2 | Non-Postal | High Self & Family | Monthly | 650.37 |
Bluecare Network of Michigan | LX3 | Non-Postal | High Self Plus One | Monthly | 640.23 |
Health Alliance Plan | 521 | Non-Postal | High Self | Monthly | 318.76 |
Health Alliance Plan | 522 | Non-Postal | High Self & Family | Monthly | 836.72 |
Health Alliance Plan | 523 | Non-Postal | High Self Plus One | Monthly | 815.84 |
Health Alliance Plan | GY4 | Non-Postal | Standard Self | Monthly | 139.39 |
Health Alliance Plan | GY5 | Non-Postal | Standard Self & Family | Monthly | 340.1 |
Health Alliance Plan | GY6 | Non-Postal | Standard Self Plus One | Monthly | 320.58 |
Priority Health | LE1 | Non-Postal | High Self | Monthly | 513.87 |
Priority Health | LE2 | Non-Postal | High Self & Family | Monthly | 1219.42 |
Priority Health | LE3 | Non-Postal | High Self Plus One | Monthly | 1160.88 |
Priority Health | LE4 | Non-Postal | Standard Self | Monthly | 146.84 |
Priority Health | LE5 | Non-Postal | Standard Self & Family | Monthly | 345.08 |
Priority Health | LE6 | Non-Postal | Standard Self Plus One | Monthly | 323.05 |
Priority Health | Y41 | Non-Postal | Value Self | Monthly | 118.31 |
Priority Health | Y42 | Non-Postal | Value Self & Family | Monthly | 278.03 |
Priority Health | Y43 | Non-Postal | Value Self Plus One | Monthly | 260.28 |
UnitedHealthcare Advantage Plan | Y51 | Non-Postal | High Self | Monthly | 102.93 |
UnitedHealthcare Advantage Plan | Y52 | Non-Postal | High Self & Family | Monthly | 272.77 |
UnitedHealthcare Advantage Plan | Y53 | Non-Postal | High Self Plus One | Monthly | 226.45 |