Healthcare
2019 Plan Information for Arizona
Choose a Location, Employee Type, & Payment Period
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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 | 164.93 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 363.8 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 360.1 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 139.33 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 351.38 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 305.56 |
| Aetna HealthFund CDHP and Aetna Value Plan | G51 | Non-Postal | CDHP Self | Monthly | 286.42 |
| Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 652.69 |
| Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 706.59 |
| Aetna HealthFund CDHP and Aetna Value Plan | G54 | Non-Postal | Value Self | Monthly | 171.86 |
| Aetna HealthFund CDHP and Aetna Value Plan | G55 | Non-Postal | Value Self & Family | Monthly | 397.67 |
| Aetna HealthFund CDHP and Aetna Value Plan | G56 | Non-Postal | Value Self Plus One | Monthly | 439.18 |
| Aetna Open Access | WQ1 | Non-Postal | High Self | Monthly | 626.3 |
| Aetna Open Access | WQ2 | Non-Postal | High Self & Family | Monthly | 1593.33 |
| Aetna Open Access | WQ3 | Non-Postal | High Self Plus One | Monthly | 1637.87 |
| Humana CoverageFirst and Humana Value Plan | R61 | Non-Postal | CDHP Self | Monthly | 179.38 |
| Humana CoverageFirst and Humana Value Plan | R62 | Non-Postal | CDHP Self & Family | Monthly | 387.51 |
| Humana CoverageFirst and Humana Value Plan | R63 | Non-Postal | CDHP Self Plus One | Monthly | 391.32 |
| Humana CoverageFirst and Humana Value Plan | R64 | Non-Postal | Value Self | Monthly | 135.5 |
| Humana CoverageFirst and Humana Value Plan | R65 | Non-Postal | Value Self & Family | Monthly | 304.88 |
| Humana CoverageFirst and Humana Value Plan | R66 | Non-Postal | Value Self Plus One | Monthly | 291.33 |
| Humana CoverageFirst and Humana Value Plan | R91 | Non-Postal | CDHP Self | Monthly | 155.16 |
| Humana CoverageFirst and Humana Value Plan | R92 | Non-Postal | CDHP Self & Family | Monthly | 349.1 |
| Humana CoverageFirst and Humana Value Plan | R93 | Non-Postal | CDHP Self Plus One | Monthly | 333.58 |
| Humana CoverageFirst and Humana Value Plan | R94 | Non-Postal | Value Self | Monthly | 123.54 |
| Humana CoverageFirst and Humana Value Plan | R95 | Non-Postal | Value Self & Family | Monthly | 277.96 |
| Humana CoverageFirst and Humana Value Plan | R96 | Non-Postal | Value Self Plus One | Monthly | 265.61 |
| Humana Health Plan, Inc. | BF1 | Non-Postal | High Self | Monthly | 862.71 |
| Humana Health Plan, Inc. | BF2 | Non-Postal | High Self & Family | Monthly | 1924.96 |
| Humana Health Plan, Inc. | BF3 | Non-Postal | High Self Plus One | Monthly | 1860.4 |
| Humana Health Plan, Inc. | BF4 | Non-Postal | Standard Self | Monthly | 417.35 |
| Humana Health Plan, Inc. | BF5 | Non-Postal | Standard Self & Family | Monthly | 922.98 |
| Humana Health Plan, Inc. | BF6 | Non-Postal | Standard Self Plus One | Monthly | 902.98 |
| Humana Health Plan, Inc. | C71 | Non-Postal | High Self | Monthly | 363.87 |
| Humana Health Plan, Inc. | C72 | Non-Postal | High Self & Family | Monthly | 802.65 |
| Humana Health Plan, Inc. | C73 | Non-Postal | High Self Plus One | Monthly | 787.99 |
| Humana Health Plan, Inc. | C74 | Non-Postal | Standard Self | Monthly | 227.85 |
| Humana Health Plan, Inc. | C75 | Non-Postal | Standard Self & Family | Monthly | 496.54 |
| Humana Health Plan, Inc. | C76 | Non-Postal | Standard Self Plus One | Monthly | 495.47 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU1 | Non-Postal | HDHP Self | Monthly | 112.58 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU2 | Non-Postal | HDHP Self & Family | Monthly | 258.93 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU3 | Non-Postal | HDHP Self Plus One | Monthly | 242.05 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT1 | Non-Postal | High Self | Monthly | 180.47 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT2 | Non-Postal | High Self & Family | Monthly | 559.76 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT3 | Non-Postal | High Self Plus One | Monthly | 393.64 |