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Healthcare Plan Information

2019 Plan Information for Indiana

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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 164.93
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 363.8
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 360.1
Aetna Direct N61 Non-Postal CDHP Self Monthly 139.33
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 351.38
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 305.56
Aetna HealthFund CDHP and Aetna Value Plan JS1 Non-Postal CDHP Self Monthly 550.32
Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly 1253.16
Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly 1301.1
Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Value Self Monthly 305.27
Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Value Self & Family Monthly 697.22
Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Value Self Plus One Monthly 750.66
Health Alliance HMO K84 Non-Postal Standard Self Monthly 160.61
Health Alliance HMO K85 Non-Postal Standard Self & Family Monthly 596.42
Health Alliance HMO K86 Non-Postal Standard Self Plus One Monthly 421.65
Humana CoverageFirst and Humana Value Plan MW1 Non-Postal CDHP Self Monthly 258.34
Humana CoverageFirst and Humana Value Plan MW2 Non-Postal CDHP Self & Family Monthly 565.22
Humana CoverageFirst and Humana Value Plan MW3 Non-Postal CDHP Self Plus One Monthly 561.08
Humana CoverageFirst and Humana Value Plan MW4 Non-Postal Value Self Monthly 152.2
Humana CoverageFirst and Humana Value Plan MW5 Non-Postal Value Self & Family Monthly 342.45
Humana CoverageFirst and Humana Value Plan MW6 Non-Postal Value Self Plus One Monthly 327.23
Humana CoverageFirst and Humana Value Plan TC1 Non-Postal CDHP Self Monthly 155.53
Humana CoverageFirst and Humana Value Plan TC2 Non-Postal CDHP Self & Family Monthly 349.94
Humana CoverageFirst and Humana Value Plan TC3 Non-Postal CDHP Self Plus One Monthly 334.39
Humana CoverageFirst and Humana Value Plan X31 Non-Postal CDHP Self Monthly 185.93
Humana CoverageFirst and Humana Value Plan X32 Non-Postal CDHP Self & Family Monthly 402.29
Humana CoverageFirst and Humana Value Plan X33 Non-Postal CDHP Self Plus One Monthly 405.42
Humana CoverageFirst and Humana Value Plan X34 Non-Postal Value Self Monthly 142.57
Humana CoverageFirst and Humana Value Plan X35 Non-Postal Value Self & Family Monthly 320.78
Humana CoverageFirst and Humana Value Plan X36 Non-Postal Value Self Plus One Monthly 306.52
Humana Health Plan of Ohio, Inc. A61 Non-Postal High Self Monthly 673.92
Humana Health Plan of Ohio, Inc. A62 Non-Postal High Self & Family Monthly 1500.29
Humana Health Plan of Ohio, Inc. A63 Non-Postal High Self Plus One Monthly 1454.63
Humana Health Plan of Ohio, Inc. A64 Non-Postal Standard Self Monthly 431.56
Humana Health Plan of Ohio, Inc. A65 Non-Postal Standard Self & Family Monthly 954.98
Humana Health Plan of Ohio, Inc. A66 Non-Postal Standard Self Plus One Monthly 933.57
Humana Health Plan, Inc. 751 Non-Postal High Self Monthly 713.34
Humana Health Plan, Inc. 752 Non-Postal High Self & Family Monthly 1588.95
Humana Health Plan, Inc. 753 Non-Postal High Self Plus One Monthly 1539.33
Humana Health Plan, Inc. 754 Non-Postal Standard Self Monthly 356.94
Humana Health Plan, Inc. 755 Non-Postal Standard Self & Family Monthly 787.05
Humana Health Plan, Inc. 756 Non-Postal Standard Self Plus One Monthly 773.08
Humana Health Plan, Inc. MH1 Non-Postal High Self Monthly 385.26
Humana Health Plan, Inc. MH2 Non-Postal High Self & Family Monthly 850.77
Humana Health Plan, Inc. MH3 Non-Postal High Self Plus One Monthly 833.97
Humana Health Plan, Inc. MH4 Non-Postal Standard Self Monthly 223.67
Humana Health Plan, Inc. MH5 Non-Postal Standard Self & Family Monthly 487.18
Humana Health Plan, Inc. MH6 Non-Postal Standard Self Plus One Monthly 486.54
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