2024 Plan Information for Georgia
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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 | 272.61 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 498.46 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 590.61 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 160.8 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 405.51 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 352.64 |
| 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 | F51 | Non-Postal | CDHP Self | Monthly | 471.38 |
| Aetna HealthFund CDHP and Aetna Value Plan | F52 | Non-Postal | CDHP Self & Family | Monthly | 1015.69 |
| Aetna HealthFund CDHP and Aetna Value Plan | F53 | Non-Postal | CDHP Self Plus One | Monthly | 1121.06 |
| Aetna HealthFund CDHP and Aetna Value Plan | F54 | Non-Postal | Value Self | Monthly | 435.87 |
| Aetna HealthFund CDHP and Aetna Value Plan | F55 | Non-Postal | Value Self & Family | Monthly | 944.77 |
| Aetna HealthFund CDHP and Aetna Value Plan | F56 | Non-Postal | Value Self Plus One | Monthly | 1028.06 |
| Aetna Open Access | 2U1 | Non-Postal | High Self | Monthly | 1215.87 |
| Aetna Open Access | 2U2 | Non-Postal | High Self & Family | Monthly | 2755.28 |
| Aetna Open Access | 2U3 | Non-Postal | High Self Plus One | Monthly | 2843.45 |
| Kaiser Permanente - Georgia | F81 | Non-Postal | High Self | Monthly | 338.45 |
| Kaiser Permanente - Georgia | F82 | Non-Postal | High Self & Family | Monthly | 693.92 |
| Kaiser Permanente - Georgia | F83 | Non-Postal | High Self Plus One | Monthly | 823.23 |
| Kaiser Permanente - Georgia | F84 | Non-Postal | Standard Self | Monthly | 181.58 |
| Kaiser Permanente - Georgia | F85 | Non-Postal | Standard Self & Family | Monthly | 410.39 |
| Kaiser Permanente - Georgia | F86 | Non-Postal | Standard Self Plus One | Monthly | 410.39 |
| Kaiser Permanente - Georgia | LA1 | Non-Postal | Prosper Self | Monthly | 126.54 |
| Kaiser Permanente - Georgia | LA2 | Non-Postal | Prosper Self & Family | Monthly | 328.54 |
| Kaiser Permanente - Georgia | LA3 | Non-Postal | Prosper Self Plus One | Monthly | 285.99 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS1 | Non-Postal | High Self | Monthly | 203.41 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS2 | Non-Postal | High Self & Family | Monthly | 471.92 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS3 | Non-Postal | High Self Plus One | Monthly | 431.04 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y81 | Non-Postal | High Self | Monthly | 181.3 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y82 | Non-Postal | High Self & Family | Monthly | 428.78 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y83 | Non-Postal | High Self Plus One | Monthly | 389.8 |