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Healthcare Plan Information

2017 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 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 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 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
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