| Indiana | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Plan | Option | Code | 1999 Total Biweekly Premium | 2000 Biweekly premium rates | 1999 Total Monthly Premium | 2000 Monthly premium rates | ||||||
| Total Premium | Gov't pays | Empl. Pays | Change in empl. Payment | Total premium | Gov't pays | Empl. Pays | Change in empl. Payment | |||||
| Aetna U.S. Healthcare | ||||||||||||
| High Self | RD1 | 96.01 | 104.29 | 78.22 | 26.07 | 2.07 | 208.02 | 225.96 | 169.47 | 56.49 | 4.49 | |
| High Family | RD2 | 234.99 | 258.14 | 175.97 | 82.17 | 7.57 | 509.15 | 559.30 | 381.27 | 178.03 | 16.39 | |
| Aetna U.S. Healthcare | ||||||||||||
| High Self | XC1 | 71.51 | 70.08 | 52.56 | 17.52 | -0.36 | 154.94 | 151.84 | 113.88 | 37.96 | -0.77 | |
| High Family | XC2 | 225.71 | 221.98 | 166.49 | 55.49 | -9.83 | 489.04 | 480.96 | 360.72 | 120.24 | -21.29 | |
| American HMO | ||||||||||||
| High Self | AC1 | 86.18 | 88.43 | 66.32 | 22.11 | 0.57 | 186.72 | 191.60 | 143.70 | 47.90 | 1.22 | |
| High Family | AC2 | 206.84 | 247.63 | 175.97 | 71.66 | 19.95 | 448.15 | 536.53 | 381.27 | 155.26 | 43.22 | |
| Arnett HMO | ||||||||||||
| High Self | G21 | 101.39 | 106.43 | 78.83 | 27.60 | -1.73 | 219.68 | 230.60 | 170.80 | 59.80 | -3.75 | |
| High Family | G22 | 263.62 | 276.75 | 175.97 | 100.78 | -2.45 | 571.18 | 599.63 | 381.27 | 218.36 | -5.31 | |
| Health Alliance HMO | ||||||||||||
| High Self | FX1 | 101.59 | 110.73 | 78.83 | 31.90 | 2.37 | 220.11 | 239.92 | 170.80 | 69.12 | 5.14 | |
| High Family | FX2 | 237.12 | 258.46 | 175.97 | 82.49 | 5.76 | 513.76 | 560.00 | 381.27 | 178.73 | 12.48 | |
| Humana Care Plan | ||||||||||||
| High Self | 181 | 97.03 | 101.89 | 76.42 | 25.47 | 0.50 | 210.23 | 220.76 | 165.57 | 55.19 | 1.09 | |
| High Family | 182 | 242.59 | 254.75 | 175.97 | 78.78 | -3.42 | 525.61 | 551.96 | 381.27 | 170.69 | -7.41 | |
| Humana Health Plan | ||||||||||||
| High Self | D21 | 97.45 | 107.94 | 78.83 | 29.11 | 3.72 | 211.14 | 233.87 | 170.80 | 63.07 | 8.06 | |
| High Family | D22 | 243.62 | 269.83 | 175.97 | 93.86 | 10.63 | 527.84 | 584.63 | 381.27 | 203.36 | 23.03 | |
| Humana Health Plan Inc. | ||||||||||||
| High Self | 751 | 96.17 | 100.03 | 75.02 | 25.01 | 0.90 | 208.37 | 216.73 | 162.55 | 54.18 | 1.94 | |
| High Family | 752 | 230.81 | 239.90 | 175.97 | 63.93 | -6.49 | 500.09 | 519.78 | 381.27 | 138.51 | -14.07 | |
| Maxicare Indiana | ||||||||||||
| High Self | GK1 | 86.28 | 96.34 | 72.26 | 24.08 | 2.51 | 186.94 | 208.74 | 156.56 | 52.18 | 5.45 | |
| High Family | GK2 | 203.11 | 226.21 | 169.66 | 56.55 | 5.77 | 440.07 | 490.12 | 367.59 | 122.53 | 12.51 | |
| PARTNERS Nat'l HPs of IN | ||||||||||||
| High Self | MC1 | 80.52 | 90.26 | 67.70 | 22.56 | 2.43 | 174.46 | 195.56 | 146.67 | 48.89 | 5.28 | |
| High Family | MC2 | 210.09 | 234.73 | 175.97 | 58.76 | 6.24 | 455.20 | 508.58 | 381.27 | 127.31 | 13.51 | |
| Physicians HP of N. Indiana | ||||||||||||
| High Self | DQ1 | 101.31 | 105.33 | 78.83 | 26.50 | -2.75 | 219.51 | 228.22 | 170.80 | 57.42 | -5.96 | |
| High Family | DQ2 | 228.52 | 237.41 | 175.97 | 61.44 | -6.69 | 495.13 | 514.39 | 381.27 | 133.12 | -14.50 | |
| Prudential HealthCare HMO Midwest | ||||||||||||
| High Self | S31 | 76.99 | 96.41 | 72.31 | 24.10 | 4.85 | 166.81 | 208.89 | 156.67 | 52.22 | 10.52 | |
| High Family | S32 | 199.92 | 250.34 | 175.97 | 74.37 | 24.39 | 433.16 | 542.40 | 381.27 | 161.13 | 52.84 | |
| Rush Prudential HMO | ||||||||||||
| High Self | 171 | 85.77 | 88.90 | 66.68 | 22.22 | 0.78 | 185.84 | 192.62 | 144.47 | 48.15 | 1.69 | |
| High Family | 172 | 206.34 | 230.72 | 173.04 | 57.68 | 6.10 | 447.07 | 499.89 | 374.92 | 124.97 | 13.20 | |
| The M*Plan | ||||||||||||
| High Self | IN1 | 92.05 | 103.83 | 77.87 | 25.96 | 2.95 | 199.44 | 224.97 | 168.73 | 56.24 | 6.38 | |
| High Family | IN2 | 198.56 | 231.16 | 173.37 | 57.79 | 8.15 | 430.21 | 500.85 | 375.64 | 125.21 | 17.66 | |
| Welborn HMO | ||||||||||||
| High Self | H31 | 83.84 | 93.06 | 69.80 | 23.26 | 2.30 | 181.65 | 201.63 | 151.22 | 50.41 | 5.00 | |
| High Family | H32 | 216.72 | 240.56 | 175.97 | 64.59 | 8.26 | 469.56 | 521.21 | 381.27 | 139.94 | 17.89 | |
Web page created 20 Sept 1999