2022 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 | 293.78 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 574.3 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 645.93 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 157.07 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 396.12 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 344.47 |
| 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 | 604.57 |
| Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 1345.26 |
| Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 1426.9 |
| Aetna HealthFund CDHP and Aetna Value Plan | G54 | Non-Postal | Value Self | Monthly | 303.85 |
| Aetna HealthFund CDHP and Aetna Value Plan | G55 | Non-Postal | Value Self & Family | Monthly | 667.12 |
| Aetna HealthFund CDHP and Aetna Value Plan | G56 | Non-Postal | Value Self Plus One | Monthly | 736.93 |
| Bluecare Network of Michigan | K51 | Non-Postal | High Self | Monthly | 511.59 |
| Bluecare Network of Michigan | K52 | Non-Postal | High Self & Family | Monthly | 1298.81 |
| Bluecare Network of Michigan | K53 | Non-Postal | High Self Plus One | Monthly | 1260.15 |
| Bluecare Network of Michigan | LX1 | Non-Postal | High Self | Monthly | 259.91 |
| Bluecare Network of Michigan | LX2 | Non-Postal | High Self & Family | Monthly | 684.75 |
| Bluecare Network of Michigan | LX3 | Non-Postal | High Self Plus One | Monthly | 681.33 |
| Health Alliance Plan | 521 | Non-Postal | High Self | Monthly | 379.58 |
| Health Alliance Plan | 522 | Non-Postal | High Self & Family | Monthly | 976.67 |
| Health Alliance Plan | 523 | Non-Postal | High Self Plus One | Monthly | 956.52 |
| Health Alliance Plan | GY4 | Non-Postal | Standard Self | Monthly | 132.54 |
| Health Alliance Plan | GY5 | Non-Postal | Standard Self & Family | Monthly | 323.39 |
| Health Alliance Plan | GY6 | Non-Postal | Standard Self Plus One | Monthly | 304.84 |
| Priority Health | LE1 | Non-Postal | High Self | Monthly | 576.18 |
| Priority Health | LE2 | Non-Postal | High Self & Family | Monthly | 1356.79 |
| Priority Health | LE3 | Non-Postal | High Self Plus One | Monthly | 1298.03 |
| Priority Health | LE4 | Non-Postal | Standard Self | Monthly | 154.3 |
| Priority Health | LE5 | Non-Postal | Standard Self & Family | Monthly | 362.61 |
| Priority Health | LE6 | Non-Postal | Standard Self Plus One | Monthly | 339.46 |
| 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 |