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Healthcare

2023 Plan Information for Ohio

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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 269.92
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 511.92
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 586.26
Aetna Direct N61 Non-Postal CDHP Self Monthly 160.35
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 404.39
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 351.67
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 JS1 Non-Postal CDHP Self Monthly 603.67
Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly 1334.15
Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly 1418.08
Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Value Self Monthly 544.24
Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Value Self & Family Monthly 1202.31
Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Value Self Plus One Monthly 1287.61
AultCare Insurance Company 3A1 Non-Postal High Self Monthly 371.26
AultCare Insurance Company 3A2 Non-Postal High Self & Family Monthly 823.49
AultCare Insurance Company 3A3 Non-Postal High Self Plus One Monthly 746.89
AultCare Insurance Company 3A4 Non-Postal HDHP Self Monthly 109.59
AultCare Insurance Company 3A5 Non-Postal HDHP Self & Family Monthly 350.93
AultCare Insurance Company 3A6 Non-Postal HDHP Self Plus One Monthly 208.36
Humana CoverageFirst and Humana Value Plan DT1 Non-Postal HDHP Self Monthly 127.65
Humana CoverageFirst and Humana Value Plan DT2 Non-Postal HDHP Self & Family Monthly 318.12
Humana CoverageFirst and Humana Value Plan DT3 Non-Postal HDHP Self Plus One Monthly 280.02
Humana CoverageFirst and Humana Value Plan X31 Non-Postal CDHP Self Monthly 389.28
Humana CoverageFirst and Humana Value Plan X32 Non-Postal CDHP Self & Family Monthly 817.27
Humana CoverageFirst and Humana Value Plan X33 Non-Postal CDHP Self Plus One Monthly 832.37
Humana CoverageFirst and Humana Value Plan X34 Non-Postal Value Self Monthly 183.13
Humana CoverageFirst and Humana Value Plan X35 Non-Postal Value Self & Family Monthly 412.04
Humana CoverageFirst and Humana Value Plan X36 Non-Postal Value Self Plus One Monthly 393.73
Humana Health Plan of Ohio, Inc. A64 Non-Postal Standard Self Monthly 741.73
Humana Health Plan of Ohio, Inc. A65 Non-Postal Standard Self & Family Monthly 1610.31
Humana Health Plan of Ohio, Inc. A66 Non-Postal Standard Self Plus One Monthly 1590.16
Humana Health Plan of Ohio, Inc. W61 Non-Postal Basic Self Monthly 195.52
Humana Health Plan of Ohio, Inc. W62 Non-Postal Basic Self & Family Monthly 426.52
Humana Health Plan of Ohio, Inc. W63 Non-Postal Basic Self Plus One Monthly 415.78
Medical Mutual of Ohio 644 Non-Postal Standard Self Monthly 625.86
Medical Mutual of Ohio 645 Non-Postal Standard Self & Family Monthly 1527.89
Medical Mutual of Ohio 646 Non-Postal Standard Self Plus One Monthly 1400.45
Medical Mutual of Ohio F11 Non-Postal WellFlex Self Monthly 180.36
Medical Mutual of Ohio F12 Non-Postal WellFlex Self & Family Monthly 432.86
Medical Mutual of Ohio F13 Non-Postal WellFlex Self Plus One Monthly 396.78
Medical Mutual of Ohio UX1 Non-Postal Basic Self Monthly 103.22
Medical Mutual of Ohio UX2 Non-Postal Basic Self & Family Monthly 247.74
Medical Mutual of Ohio UX3 Non-Postal Basic Self Plus One Monthly 227.1
Medical Mutual of Ohio YF1 Non-Postal Basic Self Monthly 101.53
Medical Mutual of Ohio YF2 Non-Postal Basic Self & Family Monthly 243.68
Medical Mutual of Ohio YF3 Non-Postal Basic Self Plus One Monthly 223.38
Medical Mutual of Ohio YF4 Non-Postal Standard Self Monthly 646.27
Medical Mutual of Ohio YF5 Non-Postal Standard Self & Family Monthly 1576.88
Medical Mutual of Ohio YF6 Non-Postal Standard Self Plus One Monthly 1445.36
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