2023 Plan Information for Ohio
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 | 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 |