Healthcare
2020 Plan Information for Georgia
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 | F51 | Non-Postal | CDHP Self | Monthly | 318.39 |
| Aetna HealthFund CDHP and Aetna Value Plan | F52 | Non-Postal | CDHP Self & Family | Monthly | 706.7 |
| Aetna HealthFund CDHP and Aetna Value Plan | F53 | Non-Postal | CDHP Self Plus One | Monthly | 779.74 |
| Aetna HealthFund CDHP and Aetna Value Plan | F54 | Non-Postal | Value Self | Monthly | 309.14 |
| Aetna HealthFund CDHP and Aetna Value Plan | F55 | Non-Postal | Value Self & Family | Monthly | 693.59 |
| Aetna HealthFund CDHP and Aetna Value Plan | F56 | Non-Postal | Value Self Plus One | Monthly | 748.52 |
| Aetna Open Access | 2U1 | Non-Postal | High Self | Monthly | 1222.52 |
| Aetna Open Access | 2U2 | Non-Postal | High Self & Family | Monthly | 2808.67 |
| Aetna Open Access | 2U3 | Non-Postal | High Self Plus One | Monthly | 2860.89 |
| Blue Open Access POS | QM1 | Non-Postal | High Self | Monthly | 156.29 |
| Blue Open Access POS | QM2 | Non-Postal | High Self & Family | Monthly | 456.45 |
| Blue Open Access POS | QM3 | Non-Postal | High Self Plus One | Monthly | 344.43 |
| Humana CoverageFirst and Humana Value Plan | AD1 | Non-Postal | CDHP Self | Monthly | 462.54 |
| Humana CoverageFirst and Humana Value Plan | AD2 | Non-Postal | CDHP Self & Family | Monthly | 1006.05 |
| Humana CoverageFirst and Humana Value Plan | AD3 | Non-Postal | CDHP Self Plus One | Monthly | 1000.48 |
| Humana CoverageFirst and Humana Value Plan | AD4 | Non-Postal | Value Self | Monthly | 226.69 |
| Humana CoverageFirst and Humana Value Plan | AD5 | Non-Postal | Value Self & Family | Monthly | 475.39 |
| Humana CoverageFirst and Humana Value Plan | AD6 | Non-Postal | Value Self Plus One | Monthly | 493.42 |
| Humana CoverageFirst and Humana Value Plan | LM1 | Non-Postal | CDHP Self | Monthly | 169.81 |
| Humana CoverageFirst and Humana Value Plan | LM2 | Non-Postal | CDHP Self & Family | Monthly | 382.07 |
| Humana CoverageFirst and Humana Value Plan | LM3 | Non-Postal | CDHP Self Plus One | Monthly | 368.1 |
| Humana CoverageFirst and Humana Value Plan | LM4 | Non-Postal | Value Self | Monthly | 160.64 |
| Humana CoverageFirst and Humana Value Plan | LM5 | Non-Postal | Value Self & Family | Monthly | 361.43 |
| Humana CoverageFirst and Humana Value Plan | LM6 | Non-Postal | Value Self Plus One | Monthly | 345.37 |
| Humana CoverageFirst and Humana Value Plan | S91 | Non-Postal | CDHP Self | Monthly | 182.3 |
| Humana CoverageFirst and Humana Value Plan | S92 | Non-Postal | CDHP Self & Family | Monthly | 389.9 |
| Humana CoverageFirst and Humana Value Plan | S93 | Non-Postal | CDHP Self Plus One | Monthly | 398.02 |
| Humana CoverageFirst and Humana Value Plan | S94 | Non-Postal | Value Self | Monthly | 137.97 |
| Humana CoverageFirst and Humana Value Plan | S95 | Non-Postal | Value Self & Family | Monthly | 310.43 |
| Humana CoverageFirst and Humana Value Plan | S96 | Non-Postal | Value Self Plus One | Monthly | 296.64 |
| Humana Employers Health Plan of Georgia, Inc. | CB1 | Non-Postal | High Self | Monthly | 637.73 |
| Humana Employers Health Plan of Georgia, Inc. | CB2 | Non-Postal | High Self & Family | Monthly | 1400.38 |
| Humana Employers Health Plan of Georgia, Inc. | CB3 | Non-Postal | High Self Plus One | Monthly | 1377.35 |
| Humana Employers Health Plan of Georgia, Inc. | CB4 | Non-Postal | Standard Self | Monthly | 739.61 |
| Humana Employers Health Plan of Georgia, Inc. | CB5 | Non-Postal | Standard Self & Family | Monthly | 1629.48 |
| Humana Employers Health Plan of Georgia, Inc. | CB6 | Non-Postal | Standard Self Plus One | Monthly | 1596.21 |
| Humana Employers Health Plan of Georgia, Inc. | DG1 | Non-Postal | High Self | Monthly | 811.09 |
| Humana Employers Health Plan of Georgia, Inc. | DG2 | Non-Postal | High Self & Family | Monthly | 1790.32 |
| Humana Employers Health Plan of Georgia, Inc. | DG3 | Non-Postal | High Self Plus One | Monthly | 1749.93 |
| Humana Employers Health Plan of Georgia, Inc. | DG4 | Non-Postal | Standard Self | Monthly | 661 |
| Humana Employers Health Plan of Georgia, Inc. | DG5 | Non-Postal | Standard Self & Family | Monthly | 1452.68 |
| Humana Employers Health Plan of Georgia, Inc. | DG6 | Non-Postal | Standard Self Plus One | Monthly | 1427.31 |
| Humana Employers Health Plan of Georgia, Inc. | DN1 | Non-Postal | High Self | Monthly | 269.77 |
| Humana Employers Health Plan of Georgia, Inc. | DN2 | Non-Postal | High Self & Family | Monthly | 572.35 |
| Humana Employers Health Plan of Georgia, Inc. | DN3 | Non-Postal | High Self Plus One | Monthly | 586.04 |
| Humana Employers Health Plan of Georgia, Inc. | DN4 | Non-Postal | Standard Self | Monthly | 215.19 |
| Humana Employers Health Plan of Georgia, Inc. | DN5 | Non-Postal | Standard Self & Family | Monthly | 449.5 |
| Humana Employers Health Plan of Georgia, Inc. | DN6 | Non-Postal | Standard Self Plus One | Monthly | 468.67 |
| Humana Employers Health Plan of Georgia, Inc. | Q71 | Non-Postal | Basic Self | Monthly | 251.96 |
| Humana Employers Health Plan of Georgia, Inc. | Q72 | Non-Postal | Basic Self & Family | Monthly | 532.31 |
| Humana Employers Health Plan of Georgia, Inc. | Q73 | Non-Postal | Basic Self Plus One | Monthly | 547.76 |
| Humana Employers Health Plan of Georgia, Inc. | RJ1 | Non-Postal | Basic Self | Monthly | 149.52 |
| Humana Employers Health Plan of Georgia, Inc. | RJ2 | Non-Postal | Basic Self & Family | Monthly | 336.43 |
| Humana Employers Health Plan of Georgia, Inc. | RJ3 | Non-Postal | Basic Self Plus One | Monthly | 321.48 |
| Humana Employers Health Plan of Georgia, Inc. | RM1 | Non-Postal | Basic Self | Monthly | 162.13 |
| Humana Employers Health Plan of Georgia, Inc. | RM2 | Non-Postal | Basic Self & Family | Monthly | 364.81 |
| Humana Employers Health Plan of Georgia, Inc. | RM3 | Non-Postal | Basic Self Plus One | Monthly | 348.59 |
| Kaiser Permanente - Georgia | F81 | Non-Postal | High Self | Monthly | 219.2 |
| Kaiser Permanente - Georgia | F82 | Non-Postal | High Self & Family | Monthly | 465.85 |
| Kaiser Permanente - Georgia | F83 | Non-Postal | High Self Plus One | Monthly | 557.61 |
| Kaiser Permanente - Georgia | F84 | Non-Postal | Standard Self | Monthly | 138.08 |
| Kaiser Permanente - Georgia | F85 | Non-Postal | Standard Self & Family | Monthly | 312.06 |
| Kaiser Permanente - Georgia | F86 | Non-Postal | Standard Self Plus One | Monthly | 312.06 |
| Kaiser Permanente - Georgia | LA1 | Non-Postal | Basic Self | Monthly | 98.34 |
| Kaiser Permanente - Georgia | LA2 | Non-Postal | Basic Self & Family | Monthly | 222.24 |
| Kaiser Permanente - Georgia | LA3 | Non-Postal | Basic Self Plus One | Monthly | 222.24 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) | LV1 | Non-Postal | Value Self | Monthly | 190.6 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) | LV2 | Non-Postal | Value Self & Family | Monthly | 920.27 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) | LV3 | Non-Postal | Value Self Plus One | Monthly | 415.81 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS1 | Non-Postal | High Self | Monthly | 131.45 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS2 | Non-Postal | High Self & Family | Monthly | 310.84 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS3 | Non-Postal | High Self Plus One | Monthly | 282.6 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y81 | Non-Postal | High Self | Monthly | 126.68 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y82 | Non-Postal | High Self & Family | Monthly | 299.56 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y83 | Non-Postal | High Self Plus One | Monthly | 272.34 |