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Healthcare Plan Information

2017 Plan Information for Illinois

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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 H41 Non-Postal CDHP Self Monthly 271.91
Aetna HealthFund CDHP and Aetna Value Plan H42 Non-Postal CDHP Self & Family Monthly 620.04
Aetna HealthFund CDHP and Aetna Value Plan H43 Non-Postal CDHP Self Plus One Monthly 666.83
Aetna HealthFund CDHP and Aetna Value Plan H44 Non-Postal Value Self Monthly 139.55
Aetna HealthFund CDHP and Aetna Value Plan H45 Non-Postal Value Self & Family Monthly 320.28
Aetna HealthFund CDHP and Aetna Value Plan H46 Non-Postal Value Self Plus One Monthly 314
Blue Cross and Blue Shield of Illinois A21 Non-Postal High Self Monthly 276.96
Blue Cross and Blue Shield of Illinois A22 Non-Postal High Self & Family Monthly 772.75
Blue Cross and Blue Shield of Illinois A23 Non-Postal High Self Plus One Monthly 597.2
Blue Preferred 9G1 Non-Postal High Self Monthly 218.2
Blue Preferred 9G2 Non-Postal High Self & Family Monthly 417.61
Blue Preferred 9G3 Non-Postal High Self Plus One Monthly 380.1
Blue Preferred 9G4 Non-Postal Standard Self Monthly 129.78
Blue Preferred 9G5 Non-Postal Standard Self & Family Monthly 374.51
Blue Preferred 9G6 Non-Postal Standard Self Plus One Monthly 337.44
Health Alliance HMO K84 Non-Postal Standard Self Monthly 151.54
Health Alliance HMO K85 Non-Postal Standard Self & Family Monthly 587.45
Health Alliance HMO K86 Non-Postal Standard Self Plus One Monthly 318.24
Humana CoverageFirst and Humana Value Plan GB1 Non-Postal CDHP Self Monthly 239.13
Humana CoverageFirst and Humana Value Plan GB2 Non-Postal CDHP Self & Family Monthly 524.06
Humana CoverageFirst and Humana Value Plan GB3 Non-Postal CDHP Self Plus One Monthly 515.88
Humana CoverageFirst and Humana Value Plan GB4 Non-Postal Value Self Monthly 116.33
Humana CoverageFirst and Humana Value Plan GB5 Non-Postal Value Self & Family Monthly 261.73
Humana CoverageFirst and Humana Value Plan GB6 Non-Postal Value Self Plus One Monthly 250.1
Humana CoverageFirst and Humana Value Plan MW1 Non-Postal CDHP Self Monthly 217.94
Humana CoverageFirst and Humana Value Plan MW2 Non-Postal CDHP Self & Family Monthly 476.39
Humana CoverageFirst and Humana Value Plan MW3 Non-Postal CDHP Self Plus One Monthly 470.32
Humana CoverageFirst and Humana Value Plan MW4 Non-Postal Value Self Monthly 122.14
Humana CoverageFirst and Humana Value Plan MW5 Non-Postal Value Self & Family Monthly 274.82
Humana CoverageFirst and Humana Value Plan MW6 Non-Postal Value Self Plus One Monthly 262.61
Humana Health Plan, Inc. 751 Non-Postal High Self Monthly 777.53
Humana Health Plan, Inc. 752 Non-Postal High Self & Family Monthly 1735.42
Humana Health Plan, Inc. 753 Non-Postal High Self Plus One Monthly 1673.38
Humana Health Plan, Inc. 754 Non-Postal Standard Self Monthly 399.4
Humana Health Plan, Inc. 755 Non-Postal Standard Self & Family Monthly 884.65
Humana Health Plan, Inc. 756 Non-Postal Standard Self Plus One Monthly 860.43
Humana Health Plan, Inc. 9F1 Non-Postal High Self Monthly 1059.3
Humana Health Plan, Inc. 9F2 Non-Postal High Self & Family Monthly 2369.45
Humana Health Plan, Inc. 9F3 Non-Postal High Self Plus One Monthly 2279.25
Humana Health Plan, Inc. AB4 Non-Postal Standard Self Monthly 464.79
Humana Health Plan, Inc. AB5 Non-Postal Standard Self & Family Monthly 1031.73
Humana Health Plan, Inc. AB6 Non-Postal Standard Self Plus One Monthly 1001
MercyCare Health Plans EY1 Non-Postal High Self Monthly 247.39
MercyCare Health Plans EY2 Non-Postal High Self & Family Monthly 797.36
MercyCare Health Plans EY3 Non-Postal High Self Plus One Monthly 533.63
Union Health Service 761 Non-Postal High Self Monthly 156.46
Union Health Service 762 Non-Postal High Self & Family Monthly 460.68
Union Health Service 763 Non-Postal High Self Plus One Monthly 342.17
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L91 Non-Postal Value Self Monthly 108.27
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L92 Non-Postal Value Self & Family Monthly 303.59
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L93 Non-Postal Value Self Plus One Monthly 211.44
UnitedHealthcare Plan of the River Valley Inc. YH1 Non-Postal High Self Monthly 162.3
UnitedHealthcare Plan of the River Valley Inc. YH2 Non-Postal High Self & Family Monthly 707.14
UnitedHealthcare Plan of the River Valley Inc. YH3 Non-Postal High Self Plus One Monthly 313.74
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