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    Healthcare Plan Information

    2018 Plan Information for Georgia

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    State Specific Rates
    Contract Enrollment Code Employee Type Option/Enrollment Type Payment Period Employee Payment
    Blue Open Access POS QM1 Non-Postal High Self Monthly $143.12
    Blue Open Access POS QM2 Non-Postal High Self & Family Monthly $401.35
    Blue Open Access POS QM3 Non-Postal High Self Plus One Monthly $318.45
    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 F51 Non-Postal CDHP Self Monthly $309.25
    Aetna HealthFund CDHP and Aetna Value Plan F52 Non-Postal CDHP Self & Family Monthly $707.57
    Aetna HealthFund CDHP and Aetna Value Plan F53 Non-Postal CDHP Self Plus One Monthly $755.63
    Aetna HealthFund CDHP and Aetna Value Plan F54 Non-Postal Value Self Monthly $145.75
    Aetna HealthFund CDHP and Aetna Value Plan F55 Non-Postal Value Self & Family Monthly $333.75
    Aetna HealthFund CDHP and Aetna Value Plan F56 Non-Postal Value Self Plus One Monthly $327.20
    Aetna HealthFund HDHP 224 Non-Postal HDHP Self Monthly $151.86
    Aetna HealthFund HDHP 225 Non-Postal HDHP Self & Family Monthly $334.98
    Aetna HealthFund HDHP 226 Non-Postal HDHP Self Plus One Monthly $328.41
    Aetna Open Access 2U1 Non-Postal High Self Monthly $714.72
    Aetna Open Access 2U2 Non-Postal High Self & Family Monthly $1660.40
    Aetna Open Access 2U3 Non-Postal High Self Plus One Monthly $1699.02
    Humana CoverageFirst/Value Plan AD1 Non-Postal CDHP Self Monthly $220.05
    Humana CoverageFirst/Value Plan AD2 Non-Postal CDHP Self & Family Monthly $482.63
    Humana CoverageFirst/Value Plan AD3 Non-Postal CDHP Self Plus One Monthly $477.23
    Humana CoverageFirst/Value Plan AD4 Non-Postal Value Self Monthly $136.80
    Humana CoverageFirst/Value Plan AD5 Non-Postal Value Self & Family Monthly $307.81
    Humana CoverageFirst/Value Plan AD6 Non-Postal Value Self Plus One Monthly $294.12
    Humana CoverageFirst/Value Plan LM1 Non-Postal CDHP Self Monthly $149.99
    Humana CoverageFirst/Value Plan LM2 Non-Postal CDHP Self & Family Monthly $337.48
    Humana CoverageFirst/Value Plan LM3 Non-Postal CDHP Self Plus One Monthly $322.49
    Humana CoverageFirst/Value Plan LM4 Non-Postal Value Self Monthly $118.66
    Humana CoverageFirst/Value Plan LM5 Non-Postal Value Self & Family Monthly $266.98
    Humana CoverageFirst/Value Plan LM6 Non-Postal Value Self Plus One Monthly $255.11
    Humana CoverageFirst/Value Plan S91 Non-Postal CDHP Self Monthly $158.27
    Humana CoverageFirst/Value Plan S92 Non-Postal CDHP Self & Family Monthly $356.12
    Humana CoverageFirst/Value Plan S93 Non-Postal CDHP Self Plus One Monthly $340.28
    Humana CoverageFirst/Value Plan S94 Non-Postal Value Self Monthly $126.02
    Humana CoverageFirst/Value Plan S95 Non-Postal Value Self & Family Monthly $283.54
    Humana CoverageFirst/Value Plan S96 Non-Postal Value Self Plus One Monthly $270.94
    Humana Employers Health Plan of Georgia, Inc CB1 Non-Postal High Self Monthly $408.68
    Humana Employers Health Plan of Georgia, Inc CB2 Non-Postal High Self & Family Monthly $907.05
    Humana Employers Health Plan of Georgia, Inc CB3 Non-Postal High Self Plus One Monthly $882.79
    Humana Employers Health Plan of Georgia, Inc CB4 Non-Postal Standard Self Monthly $337.76
    Humana Employers Health Plan of Georgia, Inc CB5 Non-Postal Standard Self & Family Monthly $747.48
    Humana Employers Health Plan of Georgia, Inc CB6 Non-Postal Standard Self Plus One Monthly $730.30
    Humana Employers Health Plan of Georgia, Inc DG1 Non-Postal High Self Monthly $711.06
    Humana Employers Health Plan of Georgia, Inc DG2 Non-Postal High Self & Family Monthly $1587.37
    Humana Employers Health Plan of Georgia, Inc DG3 Non-Postal High Self Plus One Monthly $1532.88
    Humana Employers Health Plan of Georgia, Inc DG4 Non-Postal Standard Self Monthly $337.50
    Humana Employers Health Plan of Georgia, Inc DG5 Non-Postal Standard Self & Family Monthly $746.83
    Humana Employers Health Plan of Georgia, Inc DG6 Non-Postal Standard Self Plus One Monthly $729.67
    Humana Employers Health Plan of Georgia, Inc DN1 Non-Postal High Self Monthly $216.47
    Humana Employers Health Plan of Georgia, Inc DN2 Non-Postal High Self & Family Monthly $474.54
    Humana Employers Health Plan of Georgia, Inc DN3 Non-Postal High Self Plus One Monthly $469.50
    Humana Employers Health Plan of Georgia, Inc DN4 Non-Postal Standard Self Monthly $186.09
    Humana Employers Health Plan of Georgia, Inc DN5 Non-Postal Standard Self & Family Monthly $406.23
    Humana Employers Health Plan of Georgia, Inc DN6 Non-Postal Standard Self Plus One Monthly $404.20
    Humana Employers Health Plan of Georgia, Inc Q71 Non-Postal Basic Self Monthly $147.20
    Humana Employers Health Plan of Georgia, Inc Q72 Non-Postal Basic Self & Family Monthly $331.21
    Humana Employers Health Plan of Georgia, Inc Q73 Non-Postal Basic Self Plus One Monthly $316.49
    Humana Employers Health Plan of Georgia, Inc RJ1 Non-Postal Basic Self Monthly $136.53
    Humana Employers Health Plan of Georgia, Inc RJ2 Non-Postal Basic Self & Family Monthly $307.19
    Humana Employers Health Plan of Georgia, Inc RJ3 Non-Postal Basic Self Plus One Monthly $293.53
    Humana Employers Health Plan of Georgia, Inc RM1 Non-Postal Basic Self Monthly $142.59
    Humana Employers Health Plan of Georgia, Inc RM2 Non-Postal Basic Self & Family Monthly $320.83
    Humana Employers Health Plan of Georgia, Inc RM3 Non-Postal Basic Self Plus One Monthly $306.57
    Kaiser Foundation Health Plan of Georgia F81 Non-Postal High Self Monthly $185.40
    Kaiser Foundation Health Plan of Georgia F82 Non-Postal High Self & Family Monthly $411.52
    Kaiser Foundation Health Plan of Georgia F83 Non-Postal High Self Plus One Monthly $477.78
    Kaiser Foundation Health Plan of Georgia F84 Non-Postal Standard Self Monthly $128.24
    Kaiser Foundation Health Plan of Georgia F85 Non-Postal Standard Self & Family Monthly $289.83
    Kaiser Foundation Health Plan of Georgia F86 Non-Postal Standard Self Plus One Monthly $289.83
    UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced LV1 Non-Postal Value Self Monthly $157.51
    UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced LV2 Non-Postal Value Self & Family Monthly $636.63
    UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced LV3 Non-Postal Value Self Plus One Monthly $307.63
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