Healthcare
2017 Plan Information for Indiana
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 | JS1 | Non-Postal | CDHP Self | Monthly | 485.2 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS2 | Non-Postal | CDHP Self & Family | Monthly | 1106.22 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS3 | Non-Postal | CDHP Self Plus One | Monthly | 1148.2 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS4 | Non-Postal | Value Self | Monthly | 218.24 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS5 | Non-Postal | Value Self & Family | Monthly | 500.05 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS6 | Non-Postal | Value Self Plus One | Monthly | 548.01 |
| Health Alliance HMO/POS | K84 | Non-Postal | Standard Self | Monthly | 151.54 |
| Health Alliance HMO/POS | K85 | Non-Postal | Standard Self & Family | Monthly | 587.45 |
| Health Alliance HMO/POS | K86 | Non-Postal | Standard Self Plus One | Monthly | 318.24 |
| 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 of Ohio, Inc. | A61 | Non-Postal | High Self | Monthly | 504.94 |
| Humana Health Plan of Ohio, Inc. | A62 | Non-Postal | High Self & Family | Monthly | 1122.12 |
| Humana Health Plan of Ohio, Inc. | A63 | Non-Postal | High Self Plus One | Monthly | 1087.36 |
| Humana Health Plan of Ohio, Inc. | A64 | Non-Postal | Standard Self | Monthly | 296.42 |
| Humana Health Plan of Ohio, Inc. | A65 | Non-Postal | Standard Self & Family | Monthly | 652.91 |
| Humana Health Plan of Ohio, Inc. | A66 | Non-Postal | Standard Self Plus One | Monthly | 638.99 |
| 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. | MH1 | Non-Postal | High Self | Monthly | 235.45 |
| Humana Health Plan, Inc. | MH2 | Non-Postal | High Self & Family | Monthly | 515.78 |
| Humana Health Plan, Inc. | MH3 | Non-Postal | High Self Plus One | Monthly | 507.97 |
| Humana Health Plan, Inc. | MH4 | Non-Postal | Standard Self | Monthly | 173.16 |
| Humana Health Plan, Inc. | MH5 | Non-Postal | Standard Self & Family | Monthly | 375.62 |
| Humana Health Plan, Inc. | MH6 | Non-Postal | Standard Self Plus One | Monthly | 374.03 |