Healthcare
2017 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 | 138.7 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 305.95 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 299.95 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 120.05 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 302.77 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 263.29 |
| Aetna HealthFund CDHP and Aetna Value Plan | G51 | Non-Postal | CDHP Self | Monthly | 218.59 |
| Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 499.44 |
| Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 547.43 |
| 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 | 457.66 |
| Aetna Open Access | WQ2 | Non-Postal | High Self & Family | Monthly | 1182.7 |
| Aetna Open Access | WQ3 | Non-Postal | High Self Plus One | Monthly | 1223.91 |
| Health Net of Arizona, Inc. | A74 | Non-Postal | Standard Self | Monthly | 265.56 |
| Health Net of Arizona, Inc. | A75 | Non-Postal | Standard Self & Family | Monthly | 793.85 |
| Health Net of Arizona, Inc. | A76 | Non-Postal | Standard Self Plus One | Monthly | 857.61 |
| Humana Health Plan, Inc. | BF1 | Non-Postal | High Self | Monthly | 425.03 |
| Humana Health Plan, Inc. | BF2 | Non-Postal | High Self & Family | Monthly | 942.33 |
| Humana Health Plan, Inc. | BF3 | Non-Postal | High Self Plus One | Monthly | 915.57 |
| Humana Health Plan, Inc. | BF4 | Non-Postal | Standard Self | Monthly | 210.23 |
| Humana Health Plan, Inc. | BF5 | Non-Postal | Standard Self & Family | Monthly | 459.03 |
| Humana Health Plan, Inc. | BF6 | Non-Postal | Standard Self Plus One | Monthly | 453.72 |
| Humana Health Plan, Inc. | C71 | Non-Postal | High Self | Monthly | 257.94 |
| Humana Health Plan, Inc. | C72 | Non-Postal | High Self & Family | Monthly | 566.41 |
| Humana Health Plan, Inc. | C73 | Non-Postal | High Self Plus One | Monthly | 556.33 |
| Humana Health Plan, Inc. | C74 | Non-Postal | Standard Self | Monthly | 170.58 |
| Humana Health Plan, Inc. | C75 | Non-Postal | Standard Self & Family | Monthly | 369.83 |
| Humana Health Plan, Inc. | C76 | Non-Postal | Standard Self Plus One | Monthly | 368.51 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU1 | Non-Postal | HDHP Self | Monthly | 123.09 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU2 | Non-Postal | HDHP Self & Family | Monthly | 307.72 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU3 | Non-Postal | HDHP Self Plus One | Monthly | 264.64 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT1 | Non-Postal | High Self | Monthly | 139.27 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT2 | Non-Postal | High Self & Family | Monthly | 348.18 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT3 | Non-Postal | High Self Plus One | Monthly | 299.43 |