Healthcare
2016 Plan Information for Arizona
Choose a Location, Employee Type, & Payment Period
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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 | 130.08 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 286.94 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 281.31 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 118.33 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 298.42 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 259.5 |
| Aetna HealthFund CDHP and Aetna Value Plan | G51 | Non-Postal | CDHP Self | Monthly | 234.89 |
| Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 531.83 |
| Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 575.62 |
| 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 | 416.54 |
| Aetna Open Access | WQ2 | Non-Postal | High Self & Family | Monthly | 1075.4 |
| Aetna Open Access | WQ3 | Non-Postal | High Self Plus One | Monthly | 1113.79 |
| Health Net of Arizona, Inc. | A71 | Non-Postal | High Self | Monthly | 324.31 |
| Health Net of Arizona, Inc. | A72 | Non-Postal | High Self & Family | Monthly | 933.35 |
| Health Net of Arizona, Inc. | A73 | Non-Postal | High Self Plus One | Monthly | 992.89 |
| Health Net of Arizona, Inc. | A74 | Non-Postal | Standard Self | Monthly | 221.54 |
| Health Net of Arizona, Inc. | A75 | Non-Postal | Standard Self & Family | Monthly | 673.01 |
| Health Net of Arizona, Inc. | A76 | Non-Postal | Standard Self Plus One | Monthly | 732.55 |
| Humana Health Plan, Inc. | BF1 | Non-Postal | High Self | Monthly | 293.91 |
| Humana Health Plan, Inc. | BF2 | Non-Postal | High Self & Family | Monthly | 643.06 |
| Humana Health Plan, Inc. | BF3 | Non-Postal | High Self Plus One | Monthly | 626.99 |
| Humana Health Plan, Inc. | BF4 | Non-Postal | Standard Self | Monthly | 196.67 |
| Humana Health Plan, Inc. | BF5 | Non-Postal | Standard Self & Family | Monthly | 424.25 |
| Humana Health Plan, Inc. | BF6 | Non-Postal | Standard Self Plus One | Monthly | 417.88 |
| Humana Health Plan, Inc. | C71 | Non-Postal | High Self | Monthly | 209.89 |
| Humana Health Plan, Inc. | C72 | Non-Postal | High Self & Family | Monthly | 454.02 |
| Humana Health Plan, Inc. | C73 | Non-Postal | High Self Plus One | Monthly | 446.33 |
| Humana Health Plan, Inc. | C74 | Non-Postal | Standard Self | Monthly | 164.86 |
| Humana Health Plan, Inc. | C75 | Non-Postal | Standard Self & Family | Monthly | 352.79 |
| Humana Health Plan, Inc. | C76 | Non-Postal | Standard Self Plus One | Monthly | 349.55 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU1 | Non-Postal | HDHP Self | Monthly | 128.24 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU2 | Non-Postal | HDHP Self & Family | Monthly | 379.86 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU3 | Non-Postal | HDHP Self Plus One | Monthly | 250.44 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT1 | Non-Postal | High Self | Monthly | 132.7 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT2 | Non-Postal | High Self & Family | Monthly | 429.93 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT3 | Non-Postal | High Self Plus One | Monthly | 259.16 |