Healthcare
2019 Plan Information for Ohio
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 | 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 |