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Healthcare

2021 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 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
Aetna Open Access HA1 Non-Postal High Self Monthly 633.1
Aetna Open Access HA2 Non-Postal High Self & Family Monthly 1513.7
Aetna Open Access HA3 Non-Postal High Self Plus One Monthly 1583.73
Aetna Open Access HA4 Non-Postal Standard Self Monthly 377.94
Aetna Open Access HA5 Non-Postal Standard Self & Family Monthly 909.33
Aetna Open Access HA6 Non-Postal Standard Self Plus One Monthly 985.32
Blue Preferred 9G1 Non-Postal High Self Monthly 350.81
Blue Preferred 9G2 Non-Postal High Self & Family Monthly 766.31
Blue Preferred 9G3 Non-Postal High Self Plus One Monthly 740.96
Blue Preferred 9G4 Non-Postal Standard Self Monthly 158.41
Blue Preferred 9G5 Non-Postal Standard Self & Family Monthly 540.02
Blue Preferred 9G6 Non-Postal Standard Self Plus One Monthly 453.42
Humana CoverageFirst and Humana Value Plan PH1 Non-Postal CDHP Self Monthly 234.61
Humana CoverageFirst and Humana Value Plan PH2 Non-Postal CDHP Self & Family Monthly 487.37
Humana CoverageFirst and Humana Value Plan PH3 Non-Postal CDHP Self Plus One Monthly 508.61
Humana CoverageFirst and Humana Value Plan PH4 Non-Postal Value Self Monthly 131.9
Humana CoverageFirst and Humana Value Plan PH5 Non-Postal Value Self & Family Monthly 296.78
Humana CoverageFirst and Humana Value Plan PH6 Non-Postal Value Self Plus One Monthly 283.59
Humana Health Plan, Inc. MS1 Non-Postal High Self Monthly 1273.42
Humana Health Plan, Inc. MS2 Non-Postal High Self & Family Monthly 2824.68
Humana Health Plan, Inc. MS3 Non-Postal High Self Plus One Monthly 2742.01
Humana Health Plan, Inc. MS4 Non-Postal Standard Self Monthly 677.17
Humana Health Plan, Inc. MS5 Non-Postal Standard Self & Family Monthly 1483.13
Humana Health Plan, Inc. MS6 Non-Postal Standard Self Plus One Monthly 1460.16
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
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS1 Non-Postal High Self Monthly 149.87
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS2 Non-Postal High Self & Family Monthly 354.44
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS3 Non-Postal High Self Plus One Monthly 322.22
UnitedHealthcare Insurance Company, Inc. Choice Primary Y81 Non-Postal High Self Monthly 144.18
UnitedHealthcare Insurance Company, Inc. Choice Primary Y82 Non-Postal High Self & Family Monthly 340.98
UnitedHealthcare Insurance Company, Inc. Choice Primary Y83 Non-Postal High Self Plus One Monthly 309.98
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