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Healthcare

2020 Plan Information for Illinois

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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 H41 Non-Postal CDHP Self Monthly 317.63
Aetna HealthFund CDHP and Aetna Value Plan H42 Non-Postal CDHP Self & Family Monthly 704.43
Aetna HealthFund CDHP and Aetna Value Plan H43 Non-Postal CDHP Self Plus One Monthly 777.66
Aetna HealthFund CDHP and Aetna Value Plan H44 Non-Postal Value Self Monthly 296.2
Aetna HealthFund CDHP and Aetna Value Plan H45 Non-Postal Value Self & Family Monthly 668.16
Aetna HealthFund CDHP and Aetna Value Plan H46 Non-Postal Value Self Plus One Monthly 723.6
Blue Preferred 9G1 Non-Postal High Self Monthly 322.37
Blue Preferred 9G2 Non-Postal High Self & Family Monthly 674.85
Blue Preferred 9G3 Non-Postal High Self Plus One Monthly 668.33
Blue Preferred 9G4 Non-Postal Standard Self Monthly 150.15
Blue Preferred 9G5 Non-Postal Standard Self & Family Monthly 522.99
Blue Preferred 9G6 Non-Postal Standard Self Plus One Monthly 451.45
Health Alliance HMO/POS K84 Non-Postal Standard Self Monthly 167.03
Health Alliance HMO/POS K85 Non-Postal Standard Self & Family Monthly 619.97
Health Alliance HMO/POS K86 Non-Postal Standard Self Plus One Monthly 455.52
Humana CoverageFirst and Humana Value Plan GB1 Non-Postal CDHP Self Monthly 669.69
Humana CoverageFirst and Humana Value Plan GB2 Non-Postal CDHP Self & Family Monthly 1472.12
Humana CoverageFirst and Humana Value Plan GB3 Non-Postal CDHP Self Plus One Monthly 1445.86
Humana CoverageFirst and Humana Value Plan GB4 Non-Postal Value Self Monthly 247.3
Humana CoverageFirst and Humana Value Plan GB5 Non-Postal Value Self & Family Monthly 521.75
Humana CoverageFirst and Humana Value Plan GB6 Non-Postal Value Self Plus One Monthly 537.7
Humana CoverageFirst and Humana Value Plan MW1 Non-Postal CDHP Self Monthly 405.18
Humana CoverageFirst and Humana Value Plan MW2 Non-Postal CDHP Self & Family Monthly 877.13
Humana CoverageFirst and Humana Value Plan MW3 Non-Postal CDHP Self Plus One Monthly 877.24
Humana CoverageFirst and Humana Value Plan MW4 Non-Postal Value Self Monthly 244.07
Humana CoverageFirst and Humana Value Plan MW5 Non-Postal Value Self & Family Monthly 514.5
Humana CoverageFirst and Humana Value Plan MW6 Non-Postal Value Self Plus One Monthly 530.79
Humana Health Plan, Inc. 751 Non-Postal High Self Monthly 728.1
Humana Health Plan, Inc. 752 Non-Postal High Self & Family Monthly 1603.59
Humana Health Plan, Inc. 753 Non-Postal High Self Plus One Monthly 1571.48
Humana Health Plan, Inc. 754 Non-Postal Standard Self Monthly 441.06
Humana Health Plan, Inc. 755 Non-Postal Standard Self & Family Monthly 957.75
Humana Health Plan, Inc. 756 Non-Postal Standard Self Plus One Monthly 954.33
Humana Health Plan, Inc. 9F1 Non-Postal High Self Monthly 1427.48
Humana Health Plan, Inc. 9F2 Non-Postal High Self & Family Monthly 3177.18
Humana Health Plan, Inc. 9F3 Non-Postal High Self Plus One Monthly 3075.09
Humana Health Plan, Inc. AB1 Non-Postal Basic Self Monthly 245.8
Humana Health Plan, Inc. AB2 Non-Postal Basic Self & Family Monthly 518.48
Humana Health Plan, Inc. AB3 Non-Postal Basic Self Plus One Monthly 534.58
Humana Health Plan, Inc. AB4 Non-Postal Standard Self Monthly 638.69
Humana Health Plan, Inc. AB5 Non-Postal Standard Self & Family Monthly 1402.42
Humana Health Plan, Inc. AB6 Non-Postal Standard Self Plus One Monthly 1379.24
Humana Health Plan, Inc. RW1 Non-Postal Basic Self Monthly 237.4
Humana Health Plan, Inc. RW2 Non-Postal Basic Self & Family Monthly 499.52
Humana Health Plan, Inc. RW3 Non-Postal Basic Self Plus One Monthly 516.47
MercyCare Health Plans EY1 Non-Postal High Self Monthly 275.08
MercyCare Health Plans EY2 Non-Postal High Self & Family Monthly 866.97
MercyCare Health Plans EY3 Non-Postal High Self Plus One Monthly 597.52
MercyCare Health Plans EY4 Non-Postal Standard Self Monthly 152.4
MercyCare Health Plans EY5 Non-Postal Standard Self & Family Monthly 406.83
MercyCare Health Plans EY6 Non-Postal Standard Self Plus One Monthly 327.67
Union Health Service 761 Non-Postal High Self Monthly 233.24
Union Health Service 762 Non-Postal High Self & Family Monthly 717.62
Union Health Service 763 Non-Postal High Self Plus One Monthly 576.07
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L91 Non-Postal Value Self Monthly 130.37
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L92 Non-Postal Value Self & Family Monthly 365.56
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L93 Non-Postal Value Self Plus One Monthly 254.61
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
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