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Healthcare Plan Information

2020 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 217.96
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 423.58
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 483.84
Aetna Direct N61 Non-Postal CDHP Self Monthly 153.16
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 386.25
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 335.89
Aetna Direct Z24 Non-Postal Advantage Self Monthly 115.96
Aetna Direct Z25 Non-Postal Advantage Self & Family Monthly 307.29
Aetna Direct Z26 Non-Postal Advantage Self Plus One Monthly 255.11
Aetna HealthFund CDHP and Aetna Value Plan G51 Non-Postal CDHP Self Monthly 393.66
Aetna HealthFund CDHP and Aetna Value Plan G52 Non-Postal CDHP Self & Family Monthly 879.08
Aetna HealthFund CDHP and Aetna Value Plan G53 Non-Postal CDHP Self Plus One Monthly 950.45
Aetna HealthFund CDHP and Aetna Value Plan G54 Non-Postal Value Self Monthly 201.89
Aetna HealthFund CDHP and Aetna Value Plan G55 Non-Postal Value Self & Family Monthly 448.35
Aetna HealthFund CDHP and Aetna Value Plan G56 Non-Postal Value Self Plus One Monthly 508.11
Aetna Open Access WQ1 Non-Postal High Self Monthly 650.32
Aetna Open Access WQ2 Non-Postal High Self & Family Monthly 1635.25
Aetna Open Access WQ3 Non-Postal High Self Plus One Monthly 1699.08
Humana CoverageFirst and Humana Value Plan R61 Non-Postal CDHP Self Monthly 207.95
Humana CoverageFirst and Humana Value Plan R62 Non-Postal CDHP Self & Family Monthly 433.25
Humana CoverageFirst and Humana Value Plan R63 Non-Postal CDHP Self Plus One Monthly 453.12
Humana CoverageFirst and Humana Value Plan R64 Non-Postal Value Self Monthly 143.63
Humana CoverageFirst and Humana Value Plan R65 Non-Postal Value Self & Family Monthly 323.17
Humana CoverageFirst and Humana Value Plan R66 Non-Postal Value Self Plus One Monthly 308.81
Humana CoverageFirst and Humana Value Plan R91 Non-Postal CDHP Self Monthly 164.47
Humana CoverageFirst and Humana Value Plan R92 Non-Postal CDHP Self & Family Monthly 370.05
Humana CoverageFirst and Humana Value Plan R93 Non-Postal CDHP Self Plus One Monthly 353.6
Humana CoverageFirst and Humana Value Plan R94 Non-Postal Value Self Monthly 130.95
Humana CoverageFirst and Humana Value Plan R95 Non-Postal Value Self & Family Monthly 294.64
Humana CoverageFirst and Humana Value Plan R96 Non-Postal Value Self Plus One Monthly 281.55
Humana Health Plan, Inc. BF1 Non-Postal High Self Monthly 918.66
Humana Health Plan, Inc. BF2 Non-Postal High Self & Family Monthly 2032.25
Humana Health Plan, Inc. BF3 Non-Postal High Self Plus One Monthly 1981.09
Humana Health Plan, Inc. BF4 Non-Postal Standard Self Monthly 643.41
Humana Health Plan, Inc. BF5 Non-Postal Standard Self & Family Monthly 1413.06
Humana Health Plan, Inc. BF6 Non-Postal Standard Self Plus One Monthly 1389.4
Humana Health Plan, Inc. C71 Non-Postal High Self Monthly 507.04
Humana Health Plan, Inc. C72 Non-Postal High Self & Family Monthly 1106.17
Humana Health Plan, Inc. C73 Non-Postal High Self Plus One Monthly 1096.14
Humana Health Plan, Inc. C74 Non-Postal Standard Self Monthly 273.26
Humana Health Plan, Inc. C75 Non-Postal Standard Self & Family Monthly 580.17
Humana Health Plan, Inc. C76 Non-Postal Standard Self Plus One Monthly 593.47
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) LU1 Non-Postal HDHP Self Monthly 110.96
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) LU2 Non-Postal HDHP Self & Family Monthly 255.21
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) LU3 Non-Postal HDHP Self Plus One Monthly 238.57
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) KT1 Non-Postal High Self Monthly 213.93
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) KT2 Non-Postal High Self & Family Monthly 627.88
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) KT3 Non-Postal High Self Plus One Monthly 465.99
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary WF1 Non-Postal High Self Monthly 130.71
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary WF2 Non-Postal High Self & Family Monthly 309.1
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary WF3 Non-Postal High Self Plus One Monthly 281.01
UnitedHealthcare Insurance Company, Inc. Choice Primary VD1 Non-Postal High Self Monthly 130.5
UnitedHealthcare Insurance Company, Inc. Choice Primary VD2 Non-Postal High Self & Family Monthly 308.59
UnitedHealthcare Insurance Company, Inc. Choice Primary VD3 Non-Postal High Self Plus One Monthly 280.56
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