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    Healthcare Plan Information

    2018 Plan Information for New York

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    State Specific Rates
    Contract Enrollment Code Employee Type Option/Enrollment Type Payment Period Employee Payment
    MVP Health Care GA1 Non-Postal High Self Monthly $398.32
    MVP Health Care GA2 Non-Postal High Self & Family Monthly $1062.75
    MVP Health Care GA3 Non-Postal High Self Plus One Monthly $994.74
    MVP Health Care GA4 Non-Postal Standard Self Monthly $254.13
    MVP Health Care GA5 Non-Postal Standard Self & Family Monthly $709.41
    MVP Health Care GA6 Non-Postal Standard Self Plus One Monthly $663.05
    MVP Health Care GV1 Non-Postal High Self Monthly $295.81
    MVP Health Care GV2 Non-Postal High Self & Family Monthly $811.57
    MVP Health Care GV3 Non-Postal High Self Plus One Monthly $758.97
    MVP Health Care GV4 Non-Postal Standard Self Monthly $206.94
    MVP Health Care GV5 Non-Postal Standard Self & Family Monthly $593.80
    MVP Health Care GV6 Non-Postal Standard Self Plus One Monthly $554.52
    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 EP1 Non-Postal CDHP Self Monthly $401.89
    Aetna HealthFund CDHP and Aetna Value Plan EP2 Non-Postal CDHP Self & Family Monthly $919.23
    Aetna HealthFund CDHP and Aetna Value Plan EP3 Non-Postal CDHP Self Plus One Monthly $965.21
    Aetna HealthFund CDHP and Aetna Value Plan EP4 Non-Postal Value Self Monthly $141.35
    Aetna HealthFund CDHP and Aetna Value Plan EP5 Non-Postal Value Self & Family Monthly $323.68
    Aetna HealthFund CDHP and Aetna Value Plan EP6 Non-Postal Value Self Plus One Monthly $317.33
    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 JC1 Non-Postal High Self Monthly $668.31
    Aetna Open Access JC2 Non-Postal High Self & Family Monthly $1748.63
    Aetna Open Access JC3 Non-Postal High Self Plus One Monthly $1786.44
    Aetna Open Access JC4 Non-Postal Basic Self Monthly $387.79
    Aetna Open Access JC5 Non-Postal Basic Self & Family Monthly $1027.37
    Aetna Open Access JC6 Non-Postal Basic Self Plus One Monthly $1072.29
    CDPHP Universal Benefits, Inc. SG1 Non-Postal High Self Monthly $309.07
    CDPHP Universal Benefits, Inc. SG2 Non-Postal High Self & Family Monthly $1287.17
    CDPHP Universal Benefits, Inc. SG3 Non-Postal High Self Plus One Monthly $547.78
    CDPHP Universal Benefits, Inc. SG4 Non-Postal Standard Self Monthly $144.39
    CDPHP Universal Benefits, Inc. SG5 Non-Postal Standard Self & Family Monthly $602.57
    CDPHP Universal Benefits, Inc. SG6 Non-Postal Standard Self Plus One Monthly $288.78
    GHI Health Plan - 801 Non-Postal High Self Monthly $530.62
    GHI Health Plan - 802 Non-Postal High Self & Family Monthly $1656.81
    GHI Health Plan - 803 Non-Postal High Self Plus One Monthly $1437.85
    GHI Health Plan - 804 Non-Postal Standard Self Monthly $214.28
    GHI Health Plan - 805 Non-Postal Standard Self & Family Monthly $977.19
    GHI Health Plan - 806 Non-Postal Standard Self Plus One Monthly $610.14
    Highmark Choice Company NP1 Non-Postal High Self Monthly $193.05
    Highmark Choice Company NP2 Non-Postal High Self & Family Monthly $438.10
    Highmark Choice Company NP3 Non-Postal High Self Plus One Monthly $347.29
    HIP of Greater New York 511 Non-Postal High Self Monthly $266.04
    HIP of Greater New York 512 Non-Postal High Self & Family Monthly $1018.16
    HIP of Greater New York 513 Non-Postal High Self Plus One Monthly $339.82
    Independent Health Assoc C54 Non-Postal Standard Self Monthly $179.38
    Independent Health Assoc C55 Non-Postal Standard Self & Family Monthly $695.33
    Independent Health Assoc C56 Non-Postal Standard Self Plus One Monthly $660.17
    Independent Health Assoc QA1 Non-Postal High Self Monthly $213.20
    Independent Health Assoc QA2 Non-Postal High Self & Family Monthly $786.70
    Independent Health Assoc QA3 Non-Postal High Self Plus One Monthly $746.46
    Independent Health Assoc QA4 Non-Postal HDHP Self Monthly $130.97
    Independent Health Assoc QA5 Non-Postal HDHP Self & Family Monthly $336.17
    Independent Health Assoc QA6 Non-Postal HDHP Self Plus One Monthly $312.77
    MVP Health Care M91 Non-Postal High Self Monthly $356.85
    MVP Health Care M92 Non-Postal High Self & Family Monthly $961.13
    MVP Health Care M93 Non-Postal High Self Plus One Monthly $899.37
    MVP Health Care M94 Non-Postal Standard Self Monthly $206.68
    MVP Health Care M95 Non-Postal Standard Self & Family Monthly $593.21
    MVP Health Care M96 Non-Postal Standard Self Plus One Monthly $553.96
    MVP Health Care MF1 Non-Postal High Self Monthly $561.25
    MVP Health Care MF2 Non-Postal High Self & Family Monthly $1461.92
    MVP Health Care MF3 Non-Postal High Self Plus One Monthly $1369.47
    MVP Health Care MF4 Non-Postal Standard Self Monthly $470.12
    MVP Health Care MF5 Non-Postal Standard Self & Family Monthly $1238.64
    MVP Health Care MF6 Non-Postal Standard Self Plus One Monthly $1159.86
    MVP Health Care MX1 Non-Postal High Self Monthly $589.48
    MVP Health Care MX2 Non-Postal High Self & Family Monthly $1531.10
    MVP Health Care MX3 Non-Postal High Self Plus One Monthly $1434.45
    MVP Health Care MX4 Non-Postal Standard Self Monthly $352.26
    MVP Health Care MX5 Non-Postal Standard Self & Family Monthly $949.89
    MVP Health Care MX6 Non-Postal Standard Self Plus One Monthly $888.81
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