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Healthcare

2021 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 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 JC1 Non-Postal High Self Monthly 936.16
Aetna Open Access JC2 Non-Postal High Self & Family Monthly 2388.36
Aetna Open Access JC3 Non-Postal High Self Plus One Monthly 2449.72
Aetna Open Access JC4 Non-Postal Basic Self Monthly 696.44
Aetna Open Access JC5 Non-Postal Basic Self & Family Monthly 1757.3
Aetna Open Access JC6 Non-Postal Basic Self Plus One Monthly 1824.9
CDPHP Universal Benefits, Inc. SG4 Non-Postal Standard Self Monthly 181.14
CDPHP Universal Benefits, Inc. SG5 Non-Postal Standard Self & Family Monthly 472.66
CDPHP Universal Benefits, Inc. SG6 Non-Postal Standard Self Plus One Monthly 442.96
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
HIP of Greater New York 511 Non-Postal High Self Monthly 527.33
HIP of Greater New York 512 Non-Postal High Self & Family Monthly 1836.18
HIP of Greater New York 513 Non-Postal High Self Plus One Monthly 797.47
HIP of Greater New York YL4 Non-Postal Standard Self Monthly 377.26
HIP of Greater New York YL5 Non-Postal Standard Self & Family Monthly 1400.03
HIP of Greater New York YL6 Non-Postal Standard Self Plus One Monthly 523.43
Independent Health Assoc C54 Non-Postal Standard Self Monthly 198.73
Independent Health Assoc C55 Non-Postal Standard Self & Family Monthly 731.6
Independent Health Assoc C56 Non-Postal Standard Self Plus One Monthly 720.33
Independent Health Assoc QA1 Non-Postal High Self Monthly 267.52
Independent Health Assoc QA2 Non-Postal High Self & Family Monthly 917.34
Independent Health Assoc QA3 Non-Postal High Self Plus One Monthly 895.75
Independent Health Assoc QA4 Non-Postal HDHP Self Monthly 149.82
Independent Health Assoc QA5 Non-Postal HDHP Self & Family Monthly 387.84
Independent Health Assoc QA6 Non-Postal HDHP Self Plus One Monthly 368.94
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
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