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Healthcare Plan Information

2022 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 293.78
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 574.3
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 645.93
Aetna Direct N61 Non-Postal CDHP Self Monthly 157.07
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 396.12
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 344.47
Aetna Direct Z24 Non-Postal Advantage Self Monthly 125
Aetna Direct Z25 Non-Postal Advantage Self & Family Monthly 331.25
Aetna Direct Z26 Non-Postal Advantage Self Plus One Monthly 275
Aetna HealthFund CDHP and Aetna Value Plan F51 Non-Postal CDHP Self Monthly 340.12
Aetna HealthFund CDHP and Aetna Value Plan F52 Non-Postal CDHP Self & Family Monthly 741.15
Aetna HealthFund CDHP and Aetna Value Plan F53 Non-Postal CDHP Self Plus One Monthly 828.75
Aetna HealthFund CDHP and Aetna Value Plan F54 Non-Postal Value Self Monthly 365
Aetna HealthFund CDHP and Aetna Value Plan F55 Non-Postal Value Self & Family Monthly 806.69
Aetna HealthFund CDHP and Aetna Value Plan F56 Non-Postal Value Self Plus One Monthly 873.75
Aetna Open Access 2U1 Non-Postal High Self Monthly 1199.1
Aetna Open Access 2U2 Non-Postal High Self & Family Monthly 2740.18
Aetna Open Access 2U3 Non-Postal High Self Plus One Monthly 2807.98
Blue Open Access POS QM1 Non-Postal High Self Monthly 175.43
Blue Open Access POS QM2 Non-Postal High Self & Family Monthly 599.49
Blue Open Access POS QM3 Non-Postal High Self Plus One Monthly 448.78
Humana CoverageFirst and Humana Value Plan AD1 Non-Postal CDHP Self Monthly 635.98
Humana CoverageFirst and Humana Value Plan AD2 Non-Postal CDHP Self & Family Monthly 1380.66
Humana CoverageFirst and Humana Value Plan AD3 Non-Postal CDHP Self Plus One Monthly 1371.28
Humana CoverageFirst and Humana Value Plan AD4 Non-Postal Value Self Monthly 295.51
Humana CoverageFirst and Humana Value Plan AD5 Non-Postal Value Self & Family Monthly 614.55
Humana CoverageFirst and Humana Value Plan AD6 Non-Postal Value Self Plus One Monthly 639.23
Humana CoverageFirst and Humana Value Plan AR1 Non-Postal HDHP Self Monthly 119.36
Humana CoverageFirst and Humana Value Plan AR2 Non-Postal HDHP Self & Family Monthly 297.43
Humana CoverageFirst and Humana Value Plan AR3 Non-Postal HDHP Self Plus One Monthly 261.81
Humana CoverageFirst and Humana Value Plan AZ1 Non-Postal HDHP Self Monthly 118.1
Humana CoverageFirst and Humana Value Plan AZ2 Non-Postal HDHP Self & Family Monthly 294.26
Humana CoverageFirst and Humana Value Plan AZ3 Non-Postal HDHP Self Plus One Monthly 259.03
Humana CoverageFirst and Humana Value Plan B21 Non-Postal HDHP Self Monthly 121.75
Humana CoverageFirst and Humana Value Plan B22 Non-Postal HDHP Self & Family Monthly 303.4
Humana CoverageFirst and Humana Value Plan B23 Non-Postal HDHP Self Plus One Monthly 267.07
Humana CoverageFirst and Humana Value Plan LM1 Non-Postal CDHP Self Monthly 253.98
Humana CoverageFirst and Humana Value Plan LM2 Non-Postal CDHP Self & Family Monthly 521.19
Humana CoverageFirst and Humana Value Plan LM3 Non-Postal CDHP Self Plus One Monthly 549.99
Humana CoverageFirst and Humana Value Plan LM4 Non-Postal Value Self Monthly 211.6
Humana CoverageFirst and Humana Value Plan LM5 Non-Postal Value Self & Family Monthly 425.86
Humana CoverageFirst and Humana Value Plan LM6 Non-Postal Value Self Plus One Monthly 458.9
Humana CoverageFirst and Humana Value Plan S91 Non-Postal CDHP Self Monthly 296.57
Humana CoverageFirst and Humana Value Plan S92 Non-Postal CDHP Self & Family Monthly 617.04
Humana CoverageFirst and Humana Value Plan S93 Non-Postal CDHP Self Plus One Monthly 641.59
Humana CoverageFirst and Humana Value Plan S94 Non-Postal Value Self Monthly 164.64
Humana CoverageFirst and Humana Value Plan S95 Non-Postal Value Self & Family Monthly 370.43
Humana CoverageFirst and Humana Value Plan S96 Non-Postal Value Self Plus One Monthly 353.97
Humana Employers Health Plan of Georgia, Inc. CB4 Non-Postal Standard Self Monthly 721.15
Humana Employers Health Plan of Georgia, Inc. CB5 Non-Postal Standard Self & Family Monthly 1572.35
Humana Employers Health Plan of Georgia, Inc. CB6 Non-Postal Standard Self Plus One Monthly 1554.43
Humana Employers Health Plan of Georgia, Inc. DG4 Non-Postal Standard Self Monthly 900.32
Humana Employers Health Plan of Georgia, Inc. DG5 Non-Postal Standard Self & Family Monthly 1975.48
Humana Employers Health Plan of Georgia, Inc. DG6 Non-Postal Standard Self Plus One Monthly 1939.71
Humana Employers Health Plan of Georgia, Inc. DN4 Non-Postal Standard Self Monthly 343.63
Humana Employers Health Plan of Georgia, Inc. DN5 Non-Postal Standard Self & Family Monthly 722.82
Humana Employers Health Plan of Georgia, Inc. DN6 Non-Postal Standard Self Plus One Monthly 742.69
Humana Employers Health Plan of Georgia, Inc. Q71 Non-Postal Basic Self Monthly 341.58
Humana Employers Health Plan of Georgia, Inc. Q72 Non-Postal Basic Self & Family Monthly 718.31
Humana Employers Health Plan of Georgia, Inc. Q73 Non-Postal Basic Self Plus One Monthly 738.33
Humana Employers Health Plan of Georgia, Inc. RJ1 Non-Postal Basic Self Monthly 175.83
Humana Employers Health Plan of Georgia, Inc. RJ2 Non-Postal Basic Self & Family Monthly 395.63
Humana Employers Health Plan of Georgia, Inc. RJ3 Non-Postal Basic Self Plus One Monthly 378.04
Humana Employers Health Plan of Georgia, Inc. RM1 Non-Postal Basic Self Monthly 261.34
Humana Employers Health Plan of Georgia, Inc. RM2 Non-Postal Basic Self & Family Monthly 537.77
Humana Employers Health Plan of Georgia, Inc. RM3 Non-Postal Basic Self Plus One Monthly 565.82
Kaiser Permanente - Georgia F81 Non-Postal High Self Monthly 239.18
Kaiser Permanente - Georgia F82 Non-Postal High Self & Family Monthly 495.62
Kaiser Permanente - Georgia F83 Non-Postal High Self Plus One Monthly 602.87
Kaiser Permanente - Georgia F84 Non-Postal Standard Self Monthly 150.18
Kaiser Permanente - Georgia F85 Non-Postal Standard Self & Family Monthly 339.4
Kaiser Permanente - Georgia F86 Non-Postal Standard Self Plus One Monthly 339.4
Kaiser Permanente - Georgia LA1 Non-Postal Prosper Self Monthly 99.66
Kaiser Permanente - Georgia LA2 Non-Postal Prosper Self & Family Monthly 258.74
Kaiser Permanente - Georgia LA3 Non-Postal Prosper Self Plus One Monthly 225.23
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) LV1 Non-Postal Value Self Monthly 367.36
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) LV2 Non-Postal Value Self & Family Monthly 1449.69
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) LV3 Non-Postal Value Self Plus One Monthly 793.76
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS1 Non-Postal High Self Monthly 162.73
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS2 Non-Postal High Self & Family Monthly 384.86
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS3 Non-Postal High Self Plus One Monthly 349.87
UnitedHealthcare Insurance Company, Inc. Choice Primary Y81 Non-Postal High Self Monthly 145.31
UnitedHealthcare Insurance Company, Inc. Choice Primary Y82 Non-Postal High Self & Family Monthly 343.67
UnitedHealthcare Insurance Company, Inc. Choice Primary Y83 Non-Postal High Self Plus One Monthly 312.43
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