Click here to skip navigation
Skip Navigation

In This Section

Healthcare Plan Information

2020 Plan Information for Ohio

Choose a Location, Employee Type, & Payment Period  

Click to view Plan Information for this state

Location Specific Rates

Contract Enrollment Code Enrollment Type Option/Enrollment Type Payment Period Employee Payment
Aetna Direct 224 Non-Postal HDHP Self Monthly 217.96
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 423.58
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 483.84
Aetna Direct N61 Non-Postal CDHP Self Monthly 153.16
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 386.25
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 335.89
Aetna Direct Z24 Non-Postal Advantage Self Monthly 115.96
Aetna Direct Z25 Non-Postal Advantage Self & Family Monthly 307.29
Aetna Direct Z26 Non-Postal Advantage Self Plus One Monthly 255.11
Aetna HealthFund CDHP and Aetna Value Plan JS1 Non-Postal CDHP Self Monthly 493.15
Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly 1104.63
Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly 1173.73
Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Value Self Monthly 562.64
Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Value Self & Family Monthly 1266.57
Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Value Self Plus One Monthly 1334.06
AultCare Insurance Company 3A1 Non-Postal High Self Monthly 331.19
AultCare Insurance Company 3A2 Non-Postal High Self & Family Monthly 895.76
AultCare Insurance Company 3A3 Non-Postal High Self Plus One Monthly 675.98
AultCare Insurance Company 3A4 Non-Postal HDHP Self Monthly 109.4
AultCare Insurance Company 3A5 Non-Postal HDHP Self & Family Monthly 350.31
AultCare Insurance Company 3A6 Non-Postal HDHP Self Plus One Monthly 207.99
Humana CoverageFirst and Humana Value Plan X31 Non-Postal CDHP Self Monthly 288.6
Humana CoverageFirst and Humana Value Plan X32 Non-Postal CDHP Self & Family Monthly 614.75
Humana CoverageFirst and Humana Value Plan X33 Non-Postal CDHP Self Plus One Monthly 626.56
Humana CoverageFirst and Humana Value Plan X34 Non-Postal Value Self Monthly 153.78
Humana CoverageFirst and Humana Value Plan X35 Non-Postal Value Self & Family Monthly 346.01
Humana CoverageFirst and Humana Value Plan X36 Non-Postal Value Self Plus One Monthly 330.63
Humana Health Plan of Ohio, Inc. A61 Non-Postal High Self Monthly 990.14
Humana Health Plan of Ohio, Inc. A62 Non-Postal High Self & Family Monthly 2193.21
Humana Health Plan of Ohio, Inc. A63 Non-Postal High Self Plus One Monthly 2134.88
Humana Health Plan of Ohio, Inc. A64 Non-Postal Standard Self Monthly 661.33
Humana Health Plan of Ohio, Inc. A65 Non-Postal Standard Self & Family Monthly 1453.4
Humana Health Plan of Ohio, Inc. A66 Non-Postal Standard Self Plus One Monthly 1427.94
Humana Health Plan of Ohio, Inc. W61 Non-Postal Basic Self Monthly 152.15
Humana Health Plan of Ohio, Inc. W62 Non-Postal Basic Self & Family Monthly 342.36
Humana Health Plan of Ohio, Inc. W63 Non-Postal Basic Self Plus One Monthly 327.14
Medical Mutual of Ohio 644 Non-Postal Standard Self Monthly 516.94
Medical Mutual of Ohio 645 Non-Postal Standard Self & Family Monthly 1282.69
Medical Mutual of Ohio 646 Non-Postal Standard Self Plus One Monthly 1168.9
Medical Mutual of Ohio UX1 Non-Postal Basic Self Monthly 110.03
Medical Mutual of Ohio UX2 Non-Postal Basic Self & Family Monthly 264.08
Medical Mutual of Ohio UX3 Non-Postal Basic Self Plus One Monthly 242.08
Medical Mutual of Ohio X61 Non-Postal Basic Self Monthly 110
Medical Mutual of Ohio X62 Non-Postal Basic Self & Family Monthly 263.99
Medical Mutual of Ohio X63 Non-Postal Basic Self Plus One Monthly 241.99
Medical Mutual of Ohio X64 Non-Postal Standard Self Monthly 338.58
Medical Mutual of Ohio X65 Non-Postal Standard Self & Family Monthly 854.58
Medical Mutual of Ohio X66 Non-Postal Standard Self Plus One Monthly 776.45
Medical Mutual of Ohio YF1 Non-Postal Basic Self Monthly 110.03
Medical Mutual of Ohio YF2 Non-Postal Basic Self & Family Monthly 264.08
Medical Mutual of Ohio YF3 Non-Postal Basic Self Plus One Monthly 242.08
Medical Mutual of Ohio YF4 Non-Postal Standard Self Monthly 458.14
Medical Mutual of Ohio YF5 Non-Postal Standard Self & Family Monthly 1141.53
Medical Mutual of Ohio YF6 Non-Postal Standard Self Plus One Monthly 1039.48
Control Panel