Healthcare
2020 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 | 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 |