2022 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 | 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 | EP1 | Non-Postal | CDHP Self | Monthly | 625.84 |
| Aetna HealthFund CDHP and Aetna Value Plan | EP2 | Non-Postal | CDHP Self & Family | Monthly | 1393.17 |
| Aetna HealthFund CDHP and Aetna Value Plan | EP3 | Non-Postal | CDHP Self Plus One | Monthly | 1474.31 |
| Aetna HealthFund CDHP and Aetna Value Plan | EP4 | Non-Postal | Value Self | Monthly | 397.24 |
| Aetna HealthFund CDHP and Aetna Value Plan | EP5 | Non-Postal | Value Self & Family | Monthly | 880.55 |
| Aetna HealthFund CDHP and Aetna Value Plan | EP6 | Non-Postal | Value Self Plus One | Monthly | 946.14 |
| Aetna Open Access | JR1 | Non-Postal | High Self | Monthly | 1124.65 |
| Aetna Open Access | JR2 | Non-Postal | High Self & Family | Monthly | 2579.29 |
| Aetna Open Access | JR3 | Non-Postal | High Self Plus One | Monthly | 2648.71 |
| Aetna Open Access | JR4 | Non-Postal | Basic Self | Monthly | 897.74 |
| Aetna Open Access | JR5 | Non-Postal | Basic Self & Family | Monthly | 2066.24 |
| Aetna Open Access | JR6 | Non-Postal | Basic Self Plus One | Monthly | 2140.71 |
| Aetna Open Access | P31 | Non-Postal | High Self | Monthly | 1232.01 |
| Aetna Open Access | P32 | Non-Postal | High Self & Family | Monthly | 3029.32 |
| Aetna Open Access | P33 | Non-Postal | High Self Plus One | Monthly | 3094.28 |
| Aetna Open Access | P34 | Non-Postal | Basic Self | Monthly | 1191.23 |
| Aetna Open Access | P35 | Non-Postal | Basic Self & Family | Monthly | 2752.34 |
| Aetna Open Access | P36 | Non-Postal | Basic Self Plus One | Monthly | 2820 |
| EmblemHealth Plan | 804 | Non-Postal | Standard Self | Monthly | 509.32 |
| EmblemHealth Plan | 805 | Non-Postal | Standard Self & Family | Monthly | 1278.77 |
| EmblemHealth Plan | 806 | Non-Postal | Standard Self Plus One | Monthly | 1282.04 |