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Healthcare Plan Information

2017 Plan Information for Arizona

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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 138.7
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 305.95
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 299.95
Aetna Direct N61 Non-Postal CDHP Self Monthly 120.05
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 302.77
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 263.29
Aetna HealthFund CDHP and Aetna Value Plan G51 Non-Postal CDHP Self Monthly 218.59
Aetna HealthFund CDHP and Aetna Value Plan G52 Non-Postal CDHP Self & Family Monthly 499.44
Aetna HealthFund CDHP and Aetna Value Plan G53 Non-Postal CDHP Self Plus One Monthly 547.43
Aetna HealthFund CDHP and Aetna Value Plan G54 Non-Postal Value Self Monthly 133.71
Aetna HealthFund CDHP and Aetna Value Plan G55 Non-Postal Value Self & Family Monthly 306.25
Aetna HealthFund CDHP and Aetna Value Plan G56 Non-Postal Value Self Plus One Monthly 300.24
Aetna Open Access WQ1 Non-Postal High Self Monthly 457.66
Aetna Open Access WQ2 Non-Postal High Self & Family Monthly 1182.7
Aetna Open Access WQ3 Non-Postal High Self Plus One Monthly 1223.91
Health Net of Arizona, Inc. A74 Non-Postal Standard Self Monthly 265.56
Health Net of Arizona, Inc. A75 Non-Postal Standard Self & Family Monthly 793.85
Health Net of Arizona, Inc. A76 Non-Postal Standard Self Plus One Monthly 857.61
Humana Health Plan, Inc. BF1 Non-Postal High Self Monthly 425.03
Humana Health Plan, Inc. BF2 Non-Postal High Self & Family Monthly 942.33
Humana Health Plan, Inc. BF3 Non-Postal High Self Plus One Monthly 915.57
Humana Health Plan, Inc. BF4 Non-Postal Standard Self Monthly 210.23
Humana Health Plan, Inc. BF5 Non-Postal Standard Self & Family Monthly 459.03
Humana Health Plan, Inc. BF6 Non-Postal Standard Self Plus One Monthly 453.72
Humana Health Plan, Inc. C71 Non-Postal High Self Monthly 257.94
Humana Health Plan, Inc. C72 Non-Postal High Self & Family Monthly 566.41
Humana Health Plan, Inc. C73 Non-Postal High Self Plus One Monthly 556.33
Humana Health Plan, Inc. C74 Non-Postal Standard Self Monthly 170.58
Humana Health Plan, Inc. C75 Non-Postal Standard Self & Family Monthly 369.83
Humana Health Plan, Inc. C76 Non-Postal Standard Self Plus One Monthly 368.51
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) LU1 Non-Postal HDHP Self Monthly 123.09
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) LU2 Non-Postal HDHP Self & Family Monthly 307.72
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) LU3 Non-Postal HDHP Self Plus One Monthly 264.64
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) KT1 Non-Postal High Self Monthly 139.27
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) KT2 Non-Postal High Self & Family Monthly 348.18
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) KT3 Non-Postal High Self Plus One Monthly 299.43
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