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Healthcare Plan Information

2019 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 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
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