2025 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 | 292.93 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 523.23 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 621.86 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 166.53 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 419.96 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 365.21 |
| Aetna Direct | Z24 | Non-Postal | Advantage Self | Monthly | 115.34 |
| Aetna Direct | Z25 | Non-Postal | Advantage Self & Family | Monthly | 305.63 |
| Aetna Direct | Z26 | Non-Postal | Advantage Self Plus One | Monthly | 253.74 |
| Aetna HealthFund CDHP and Aetna Value Plan | F51 | Non-Postal | CDHP Self | Monthly | 519.37 |
| Aetna HealthFund CDHP and Aetna Value Plan | F52 | Non-Postal | CDHP Self & Family | Monthly | 1109.35 |
| Aetna HealthFund CDHP and Aetna Value Plan | F53 | Non-Postal | CDHP Self Plus One | Monthly | 1222.2 |
| Aetna HealthFund CDHP and Aetna Value Plan | F54 | Non-Postal | Value Self | Monthly | 525.11 |
| Aetna HealthFund CDHP and Aetna Value Plan | F55 | Non-Postal | Value Self & Family | Monthly | 1133.92 |
| Aetna HealthFund CDHP and Aetna Value Plan | F56 | Non-Postal | Value Self Plus One | Monthly | 1220.44 |
| Aetna Open Access | 2U1 | Non-Postal | High Self | Monthly | 1214.48 |
| Aetna Open Access | 2U2 | Non-Postal | High Self & Family | Monthly | 2737.67 |
| Aetna Open Access | 2U3 | Non-Postal | High Self Plus One | Monthly | 2834.39 |
| Kaiser Permanente - Georgia | F81 | Non-Postal | High Self | Monthly | 329.1 |
| Kaiser Permanente - Georgia | F82 | Non-Postal | High Self & Family | Monthly | 655.85 |
| Kaiser Permanente - Georgia | F83 | Non-Postal | High Self Plus One | Monthly | 795.02 |
| Kaiser Permanente - Georgia | F84 | Non-Postal | Standard Self | Monthly | 187.61 |
| Kaiser Permanente - Georgia | F85 | Non-Postal | Standard Self & Family | Monthly | 423.99 |
| Kaiser Permanente - Georgia | F86 | Non-Postal | Standard Self Plus One | Monthly | 423.99 |
| Kaiser Permanente - Georgia | LA1 | Non-Postal | Prosper Self | Monthly | 131.19 |
| Kaiser Permanente - Georgia | LA2 | Non-Postal | Prosper Self & Family | Monthly | 340.59 |
| Kaiser Permanente - Georgia | LA3 | Non-Postal | Prosper Self Plus One | Monthly | 296.48 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS1 | Non-Postal | High Self | Monthly | 205.69 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS2 | Non-Postal | High Self & Family | Monthly | 486.46 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS3 | Non-Postal | High Self Plus One | Monthly | 442.23 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y81 | Non-Postal | High Self | Monthly | 176.44 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y82 | Non-Postal | High Self & Family | Monthly | 417.28 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y83 | Non-Postal | High Self Plus One | Monthly | 379.35 |