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Healthcare Plan Information

2017 Plan Information for Tennessee

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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 F51 Non-Postal CDHP Self Monthly 236.68
Aetna HealthFund CDHP and Aetna Value Plan F52 Non-Postal CDHP Self & Family Monthly 540.15
Aetna HealthFund CDHP and Aetna Value Plan F53 Non-Postal CDHP Self Plus One Monthly 587.71
Aetna HealthFund CDHP and Aetna Value Plan F54 Non-Postal Value Self Monthly 139.84
Aetna HealthFund CDHP and Aetna Value Plan F55 Non-Postal Value Self & Family Monthly 320.21
Aetna HealthFund CDHP and Aetna Value Plan F56 Non-Postal Value Self Plus One Monthly 313.93
Aetna Open Access UB1 Non-Postal High Self Monthly 382.17
Aetna Open Access UB2 Non-Postal High Self & Family Monthly 1115.45
Aetna Open Access UB3 Non-Postal High Self Plus One Monthly 1157.32
Humana Health Plan, Inc. GJ1 Non-Postal High Self Monthly 243.66
Humana Health Plan, Inc. GJ2 Non-Postal High Self & Family Monthly 534.3
Humana Health Plan, Inc. GJ3 Non-Postal High Self Plus One Monthly 525.65
Humana Health Plan, Inc. GJ4 Non-Postal Standard Self Monthly 237.07
Humana Health Plan, Inc. GJ5 Non-Postal Standard Self & Family Monthly 519.42
Humana Health Plan, Inc. GJ6 Non-Postal Standard Self Plus One Monthly 511.46
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) LS1 Non-Postal HDHP Self Monthly 115.28
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) LS2 Non-Postal HDHP Self & Family Monthly 288.2
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) LS3 Non-Postal HDHP Self Plus One Monthly 247.85
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) KK1 Non-Postal High Self Monthly 139.64
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) KK2 Non-Postal High Self & Family Monthly 349.1
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) KK3 Non-Postal High Self Plus One Monthly 300.22
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