Healthcare

2018 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	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	JS1	Non-Postal	CDHP Self	Monthly	546.24
Aetna HealthFund CDHP and Aetna Value Plan	JS2	Non-Postal	CDHP Self & Family	Monthly	1247.37
Aetna HealthFund CDHP and Aetna Value Plan	JS3	Non-Postal	CDHP Self Plus One	Monthly	1290.12
Aetna HealthFund CDHP and Aetna Value Plan	JS4	Non-Postal	Value Self	Monthly	267.63
Aetna HealthFund CDHP and Aetna Value Plan	JS5	Non-Postal	Value Self & Family	Monthly	614.79
Aetna HealthFund CDHP and Aetna Value Plan	JS6	Non-Postal	Value Self Plus One	Monthly	663.78
Health Alliance HMO/POS	K84	Non-Postal	Standard Self	Monthly	156.7
Health Alliance HMO/POS	K85	Non-Postal	Standard Self & Family	Monthly	788.52
Health Alliance HMO/POS	K86	Non-Postal	Standard Self Plus One	Monthly	388.1
Humana CoverageFirst and Humana Value Plan	MW1	Non-Postal	CDHP Self	Monthly	215.5
Humana CoverageFirst and Humana Value Plan	MW2	Non-Postal	CDHP Self & Family	Monthly	472.42
Humana CoverageFirst and Humana Value Plan	MW3	Non-Postal	CDHP Self Plus One	Monthly	467.44
Humana CoverageFirst and Humana Value Plan	MW4	Non-Postal	Value Self	Monthly	139.25
Humana CoverageFirst and Humana Value Plan	MW5	Non-Postal	Value Self & Family	Monthly	313.29
Humana CoverageFirst and Humana Value Plan	MW6	Non-Postal	Value Self Plus One	Monthly	299.37
Humana CoverageFirst and Humana Value Plan	TC1	Non-Postal	CDHP Self	Monthly	150.58
Humana CoverageFirst and Humana Value Plan	TC2	Non-Postal	CDHP Self & Family	Monthly	338.81
Humana CoverageFirst and Humana Value Plan	TC3	Non-Postal	CDHP Self Plus One	Monthly	323.75
Humana Health Plan of Ohio, Inc.	A61	Non-Postal	High Self	Monthly	547.69
Humana Health Plan of Ohio, Inc.	A62	Non-Postal	High Self & Family	Monthly	1219.81
Humana Health Plan of Ohio, Inc.	A63	Non-Postal	High Self Plus One	Monthly	1181.64
Humana Health Plan of Ohio, Inc.	A64	Non-Postal	Standard Self	Monthly	339.17
Humana Health Plan of Ohio, Inc.	A65	Non-Postal	Standard Self & Family	Monthly	750.64
Humana Health Plan of Ohio, Inc.	A66	Non-Postal	Standard Self Plus One	Monthly	733.31
Humana Health Plan, Inc.	751	Non-Postal	High Self	Monthly	764.96
Humana Health Plan, Inc.	752	Non-Postal	High Self & Family	Monthly	1708.63
Humana Health Plan, Inc.	753	Non-Postal	High Self Plus One	Monthly	1648.73
Humana Health Plan, Inc.	754	Non-Postal	Standard Self	Monthly	384.78
Humana Health Plan, Inc.	755	Non-Postal	Standard Self & Family	Monthly	853.26
Humana Health Plan, Inc.	756	Non-Postal	Standard Self Plus One	Monthly	831.33
Humana Health Plan, Inc.	MH1	Non-Postal	High Self	Monthly	304.91
Humana Health Plan, Inc.	MH2	Non-Postal	High Self & Family	Monthly	673.55
Humana Health Plan, Inc.	MH3	Non-Postal	High Self Plus One	Monthly	659.62
Humana Health Plan, Inc.	MH4	Non-Postal	Standard Self	Monthly	176.34
Humana Health Plan, Inc.	MH5	Non-Postal	Standard Self & Family	Monthly	384.26
Humana Health Plan, Inc.	MH6	Non-Postal	Standard Self Plus One	Monthly	383.22