2021 Plan Information for New Jersey
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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 | EP1 | Non-Postal | CDHP Self | Monthly | 601.23 |
| Aetna HealthFund CDHP and Aetna Value Plan | EP2 | Non-Postal | CDHP Self & Family | Monthly | 1346.67 |
| Aetna HealthFund CDHP and Aetna Value Plan | EP3 | Non-Postal | CDHP Self Plus One | Monthly | 1418.3 |
| Aetna HealthFund CDHP and Aetna Value Plan | EP4 | Non-Postal | Value Self | Monthly | 316.21 |
| Aetna HealthFund CDHP and Aetna Value Plan | EP5 | Non-Postal | Value Self & Family | Monthly | 704.47 |
| Aetna HealthFund CDHP and Aetna Value Plan | EP6 | Non-Postal | Value Self Plus One | Monthly | 763.8 |
| Aetna Open Access | JR1 | Non-Postal | High Self | Monthly | 1133.39 |
| Aetna Open Access | JR2 | Non-Postal | High Self & Family | Monthly | 2608.82 |
| Aetna Open Access | JR3 | Non-Postal | High Self Plus One | Monthly | 2667.95 |
| Aetna Open Access | JR4 | Non-Postal | Basic Self | Monthly | 905.93 |
| Aetna Open Access | JR5 | Non-Postal | Basic Self & Family | Monthly | 2094.49 |
| Aetna Open Access | JR6 | Non-Postal | Basic Self Plus One | Monthly | 2158.72 |
| Aetna Open Access | P31 | Non-Postal | High Self | Monthly | 1064.81 |
| Aetna Open Access | P32 | Non-Postal | High Self & Family | Monthly | 2632.5 |
| Aetna Open Access | P33 | Non-Postal | High Self Plus One | Monthly | 2691.42 |
| Aetna Open Access | P34 | Non-Postal | Basic Self | Monthly | 982.11 |
| Aetna Open Access | P35 | Non-Postal | Basic Self & Family | Monthly | 2276.13 |
| Aetna Open Access | P36 | Non-Postal | Basic Self Plus One | Monthly | 2338.57 |
| EmblemHealth Plan | 804 | Non-Postal | Standard Self | Monthly | 516.43 |
| EmblemHealth Plan | 805 | Non-Postal | Standard Self & Family | Monthly | 1304.51 |
| EmblemHealth Plan | 806 | Non-Postal | Standard Self Plus One | Monthly | 1297.58 |
| 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 |