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Healthcare Plan Information

2016 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 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 JS1 Non-Postal CDHP Self Monthly 412.06
Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly 934.7
Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly 974.5
Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Basic Self Monthly 190.54
Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Basic Self & Family Monthly 431.94
Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Basic Self Plus One Monthly 476.71
Health Alliance HMO FX1 Non-Postal High Self Monthly 299.18
Health Alliance HMO FX2 Non-Postal High Self & Family Monthly 1096.35
Health Alliance HMO FX3 Non-Postal High Self Plus One Monthly 600.21
Health Alliance HMO K84 Non-Postal Standard Self Monthly 162.61
Health Alliance HMO K85 Non-Postal Standard Self & Family Monthly 675.69
Health Alliance HMO K86 Non-Postal Standard Self Plus One Monthly 328.08
Humana CoverageFirst and Humana Value Plan MW1 Non-Postal CDHP Self Monthly 206.75
Humana CoverageFirst and Humana Value Plan MW2 Non-Postal CDHP Self & Family Monthly 446.92
Humana CoverageFirst and Humana Value Plan MW3 Non-Postal CDHP Self Plus One Monthly 439.55
Humana CoverageFirst and Humana Value Plan MW4 Non-Postal Value Self Monthly 116.61
Humana CoverageFirst and Humana Value Plan MW5 Non-Postal Value Self & Family Monthly 262.37
Humana CoverageFirst and Humana Value Plan MW6 Non-Postal Value Self Plus One Monthly 250.7
Humana Health Plan of Ohio, Inc. A61 Non-Postal High Self Monthly 293.91
Humana Health Plan of Ohio, Inc. A62 Non-Postal High Self & Family Monthly 643.06
Humana Health Plan of Ohio, Inc. A63 Non-Postal High Self Plus One Monthly 626.99
Humana Health Plan of Ohio, Inc. A64 Non-Postal Standard Self Monthly 176.28
Humana Health Plan of Ohio, Inc. A65 Non-Postal Standard Self & Family Monthly 378.38
Humana Health Plan of Ohio, Inc. A66 Non-Postal Standard Self Plus One Monthly 374.05
Humana Health Plan, Inc. 751 Non-Postal High Self Monthly 738.47
Humana Health Plan, Inc. 752 Non-Postal High Self & Family Monthly 1643.33
Humana Health Plan, Inc. 753 Non-Postal High Self Plus One Monthly 1582.77
Humana Health Plan, Inc. 754 Non-Postal Standard Self Monthly 284.92
Humana Health Plan, Inc. 755 Non-Postal Standard Self & Family Monthly 622.83
Humana Health Plan, Inc. 756 Non-Postal Standard Self Plus One Monthly 607.66
Humana Health Plan, Inc. MH1 Non-Postal High Self Monthly 227.83
Humana Health Plan, Inc. MH2 Non-Postal High Self & Family Monthly 494.37
Humana Health Plan, Inc. MH3 Non-Postal High Self Plus One Monthly 484.92
Humana Health Plan, Inc. MH4 Non-Postal Standard Self Monthly 164.86
Humana Health Plan, Inc. MH5 Non-Postal Standard Self & Family Monthly 352.79
Humana Health Plan, Inc. MH6 Non-Postal Standard Self Plus One Monthly 349.55
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