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Healthcare Plan Information

2019 Plan Information for Ohio

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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 JS1 Non-Postal CDHP Self Monthly 550.32
Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly 1253.16
Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly 1301.1
Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Value Self Monthly 305.27
Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Value Self & Family Monthly 697.22
Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Value Self Plus One Monthly 750.66
AultCare Insurance Company 3A1 Non-Postal High Self Monthly 270.77
AultCare Insurance Company 3A2 Non-Postal High Self & Family Monthly 762.48
AultCare Insurance Company 3A3 Non-Postal High Self Plus One Monthly 549.35
AultCare Insurance Company 3A4 Non-Postal HDHP Self Monthly 93.31
AultCare Insurance Company 3A5 Non-Postal HDHP Self & Family Monthly 298.58
AultCare Insurance Company 3A6 Non-Postal HDHP Self Plus One Monthly 177.28
Humana CoverageFirst and Humana Value Plan X31 Non-Postal CDHP Self Monthly 185.93
Humana CoverageFirst and Humana Value Plan X32 Non-Postal CDHP Self & Family Monthly 402.29
Humana CoverageFirst and Humana Value Plan X33 Non-Postal CDHP Self Plus One Monthly 405.42
Humana CoverageFirst and Humana Value Plan X34 Non-Postal Value Self Monthly 142.57
Humana CoverageFirst and Humana Value Plan X35 Non-Postal Value Self & Family Monthly 320.78
Humana CoverageFirst and Humana Value Plan X36 Non-Postal Value Self Plus One Monthly 306.52
Humana Health Plan of Ohio, Inc. A61 Non-Postal High Self Monthly 673.92
Humana Health Plan of Ohio, Inc. A62 Non-Postal High Self & Family Monthly 1500.29
Humana Health Plan of Ohio, Inc. A63 Non-Postal High Self Plus One Monthly 1454.63
Humana Health Plan of Ohio, Inc. A64 Non-Postal Standard Self Monthly 431.56
Humana Health Plan of Ohio, Inc. A65 Non-Postal Standard Self & Family Monthly 954.98
Humana Health Plan of Ohio, Inc. A66 Non-Postal Standard Self Plus One Monthly 933.57
Humana Health Plan of Ohio, Inc. W61 Non-Postal Basic Self Monthly 146.44
Humana Health Plan of Ohio, Inc. W62 Non-Postal Basic Self & Family Monthly 329.5
Humana Health Plan of Ohio, Inc. W63 Non-Postal Basic Self Plus One Monthly 314.85
Medical Mutual of Ohio 644 Non-Postal Standard Self Monthly 359.04
Medical Mutual of Ohio 645 Non-Postal Standard Self & Family Monthly 920.43
Medical Mutual of Ohio 646 Non-Postal Standard Self Plus One Monthly 820.45
Medical Mutual of Ohio UX1 Non-Postal Basic Self Monthly 120.64
Medical Mutual of Ohio UX2 Non-Postal Basic Self & Family Monthly 289.54
Medical Mutual of Ohio UX3 Non-Postal Basic Self Plus One Monthly 265.41
Medical Mutual of Ohio X61 Non-Postal Basic Self Monthly 115.43
Medical Mutual of Ohio X62 Non-Postal Basic Self & Family Monthly 277.03
Medical Mutual of Ohio X63 Non-Postal Basic Self Plus One Monthly 253.94
Medical Mutual of Ohio X64 Non-Postal Standard Self Monthly 307.24
Medical Mutual of Ohio X65 Non-Postal Standard Self & Family Monthly 796.1
Medical Mutual of Ohio X66 Non-Postal Standard Self Plus One Monthly 706.48
Medical Mutual of Ohio YF1 Non-Postal Basic Self Monthly 122.64
Medical Mutual of Ohio YF2 Non-Postal Basic Self & Family Monthly 294.34
Medical Mutual of Ohio YF3 Non-Postal Basic Self Plus One Monthly 269.81
Medical Mutual of Ohio YF4 Non-Postal Standard Self Monthly 421.12
Medical Mutual of Ohio YF5 Non-Postal Standard Self & Family Monthly 1069.41
Medical Mutual of Ohio YF6 Non-Postal Standard Self Plus One Monthly 957.01
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