2025 Plan Information for New York
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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 | EP1 | Non-Postal | CDHP Self | Monthly | 729.21 |
| Aetna HealthFund CDHP and Aetna Value Plan | EP2 | Non-Postal | CDHP Self & Family | Monthly | 1588.34 |
| Aetna HealthFund CDHP and Aetna Value Plan | EP3 | Non-Postal | CDHP Self Plus One | Monthly | 1696.44 |
| Aetna HealthFund CDHP and Aetna Value Plan | EP4 | Non-Postal | Value Self | Monthly | 818.5 |
| Aetna HealthFund CDHP and Aetna Value Plan | EP5 | Non-Postal | Value Self & Family | Monthly | 1805.72 |
| Aetna HealthFund CDHP and Aetna Value Plan | EP6 | Non-Postal | Value Self Plus One | Monthly | 1879.09 |
| Aetna Open Access | JC1 | Non-Postal | High Self | Monthly | 1276.49 |
| Aetna Open Access | JC2 | Non-Postal | High Self & Family | Monthly | 3202.61 |
| Aetna Open Access | JC3 | Non-Postal | High Self Plus One | Monthly | 3294.77 |
| Aetna Open Access | JC4 | Non-Postal | Basic Self | Monthly | 1044.96 |
| Aetna Open Access | JC5 | Non-Postal | Basic Self & Family | Monthly | 2576.73 |
| Aetna Open Access | JC6 | Non-Postal | Basic Self Plus One | Monthly | 2675.1 |
| Independent Health Assoc | C54 | Non-Postal | Standard Self | Monthly | 214.96 |
| Independent Health Assoc | C55 | Non-Postal | Standard Self & Family | Monthly | 774.13 |
| Independent Health Assoc | C56 | Non-Postal | Standard Self Plus One | Monthly | 784.32 |
| Independent Health Assoc | QA1 | Non-Postal | High Self | Monthly | 308.75 |
| Independent Health Assoc | QA2 | Non-Postal | High Self & Family | Monthly | 1029.88 |
| Independent Health Assoc | QA3 | Non-Postal | High Self Plus One | Monthly | 1025.86 |
| Independent Health Assoc | QA4 | Non-Postal | HDHP Self | Monthly | 183.15 |
| Independent Health Assoc | QA5 | Non-Postal | HDHP Self & Family | Monthly | 476.74 |
| Independent Health Assoc | QA6 | Non-Postal | HDHP Self Plus One | Monthly | 453.03 |