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Healthcare Plan Information

2018 Plan Information for Arizona

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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 151.86
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 334.98
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 328.41
Aetna Direct N61 Non-Postal CDHP Self Monthly 131.92
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 332.67
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 289.29
Aetna HealthFund CDHP and Aetna Value Plan G51 Non-Postal CDHP Self Monthly 253.56
Aetna HealthFund CDHP and Aetna Value Plan G52 Non-Postal CDHP Self & Family Monthly 581.25
Aetna HealthFund CDHP and Aetna Value Plan G53 Non-Postal CDHP Self Plus One Monthly 630.59
Aetna HealthFund CDHP and Aetna Value Plan G54 Non-Postal Value Self Monthly 137.4
Aetna HealthFund CDHP and Aetna Value Plan G55 Non-Postal Value Self & Family Monthly 314.68
Aetna HealthFund CDHP and Aetna Value Plan G56 Non-Postal Value Self Plus One Monthly 308.52
Aetna Open Access WQ1 Non-Postal High Self Monthly 635.89
Aetna Open Access WQ2 Non-Postal High Self & Family Monthly 1619.78
Aetna Open Access WQ3 Non-Postal High Self Plus One Monthly 1658.8
Health Net of Arizona, Inc. A74 Non-Postal Standard Self Monthly 283.53
Health Net of Arizona, Inc. A75 Non-Postal Standard Self & Family Monthly 845.5
Health Net of Arizona, Inc. A76 Non-Postal Standard Self Plus One Monthly 911.76
Humana CoverageFirst and Humana Value Plan R61 Non-Postal CDHP Self Monthly 159.48
Humana CoverageFirst and Humana Value Plan R62 Non-Postal CDHP Self & Family Monthly 358.84
Humana CoverageFirst and Humana Value Plan R63 Non-Postal CDHP Self Plus One Monthly 342.9
Humana CoverageFirst and Humana Value Plan R64 Non-Postal Value Self Monthly 129.92
Humana CoverageFirst and Humana Value Plan R65 Non-Postal Value Self & Family Monthly 292.33
Humana CoverageFirst and Humana Value Plan R66 Non-Postal Value Self Plus One Monthly 279.33
Humana CoverageFirst and Humana Value Plan R91 Non-Postal CDHP Self Monthly 154.72
Humana CoverageFirst and Humana Value Plan R92 Non-Postal CDHP Self & Family Monthly 348.12
Humana CoverageFirst and Humana Value Plan R93 Non-Postal CDHP Self Plus One Monthly 332.65
Humana CoverageFirst and Humana Value Plan R94 Non-Postal Value Self Monthly 123.19
Humana CoverageFirst and Humana Value Plan R95 Non-Postal Value Self & Family Monthly 277.18
Humana CoverageFirst and Humana Value Plan R96 Non-Postal Value Self Plus One Monthly 264.86
Humana Health Plan, Inc. BF1 Non-Postal High Self Monthly 634.96
Humana Health Plan, Inc. BF2 Non-Postal High Self & Family Monthly 1416.16
Humana Health Plan, Inc. BF3 Non-Postal High Self Plus One Monthly 1369.25
Humana Health Plan, Inc. BF4 Non-Postal Standard Self Monthly 297.42
Humana Health Plan, Inc. BF5 Non-Postal Standard Self & Family Monthly 656.7
Humana Health Plan, Inc. BF6 Non-Postal Standard Self Plus One Monthly 643.53
Humana Health Plan, Inc. C71 Non-Postal High Self Monthly 322.77
Humana Health Plan, Inc. C72 Non-Postal High Self & Family Monthly 713.72
Humana Health Plan, Inc. C73 Non-Postal High Self Plus One Monthly 698.04
Humana Health Plan, Inc. C74 Non-Postal Standard Self Monthly 180.22
Humana Health Plan, Inc. C75 Non-Postal Standard Self & Family Monthly 392.97
Humana Health Plan, Inc. C76 Non-Postal Standard Self Plus One Monthly 391.52
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) LU1 Non-Postal HDHP Self Monthly 120.73
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) LU2 Non-Postal HDHP Self & Family Monthly 301.81
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) LU3 Non-Postal HDHP Self Plus One Monthly 259.56
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) KT1 Non-Postal High Self Monthly 152.67
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) KT2 Non-Postal High Self & Family Monthly 396.61
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) KT3 Non-Postal High Self Plus One Monthly 328.24
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