Healthcare
2020 Plan Information for Indiana
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 | JS1 | Non-Postal | CDHP Self | Monthly | 493.15 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS2 | Non-Postal | CDHP Self & Family | Monthly | 1104.63 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS3 | Non-Postal | CDHP Self Plus One | Monthly | 1173.73 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS4 | Non-Postal | Value Self | Monthly | 562.64 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS5 | Non-Postal | Value Self & Family | Monthly | 1266.57 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS6 | Non-Postal | Value Self Plus One | Monthly | 1334.06 |
| 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 | 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 CoverageFirst and Humana Value Plan | TC1 | Non-Postal | CDHP Self | Monthly | 164.87 |
| Humana CoverageFirst and Humana Value Plan | TC2 | Non-Postal | CDHP Self & Family | Monthly | 370.93 |
| Humana CoverageFirst and Humana Value Plan | TC3 | Non-Postal | CDHP Self Plus One | Monthly | 354.45 |
| Humana CoverageFirst and Humana Value Plan | X31 | Non-Postal | CDHP Self | Monthly | 288.6 |
| Humana CoverageFirst and Humana Value Plan | X32 | Non-Postal | CDHP Self & Family | Monthly | 614.75 |
| Humana CoverageFirst and Humana Value Plan | X33 | Non-Postal | CDHP Self Plus One | Monthly | 626.56 |
| Humana CoverageFirst and Humana Value Plan | X34 | Non-Postal | Value Self | Monthly | 153.78 |
| Humana CoverageFirst and Humana Value Plan | X35 | Non-Postal | Value Self & Family | Monthly | 346.01 |
| Humana CoverageFirst and Humana Value Plan | X36 | Non-Postal | Value Self Plus One | Monthly | 330.63 |
| Humana Health Plan of Ohio, Inc. | A61 | Non-Postal | High Self | Monthly | 990.14 |
| Humana Health Plan of Ohio, Inc. | A62 | Non-Postal | High Self & Family | Monthly | 2193.21 |
| Humana Health Plan of Ohio, Inc. | A63 | Non-Postal | High Self Plus One | Monthly | 2134.88 |
| Humana Health Plan of Ohio, Inc. | A64 | Non-Postal | Standard Self | Monthly | 661.33 |
| Humana Health Plan of Ohio, Inc. | A65 | Non-Postal | Standard Self & Family | Monthly | 1453.4 |
| Humana Health Plan of Ohio, Inc. | A66 | Non-Postal | Standard Self Plus One | Monthly | 1427.94 |
| 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. | MH1 | Non-Postal | High Self | Monthly | 594.12 |
| Humana Health Plan, Inc. | MH2 | Non-Postal | High Self & Family | Monthly | 1302.17 |
| Humana Health Plan, Inc. | MH3 | Non-Postal | High Self Plus One | Monthly | 1283.43 |
| Humana Health Plan, Inc. | MH4 | Non-Postal | Standard Self | Monthly | 348.81 |
| Humana Health Plan, Inc. | MH5 | Non-Postal | Standard Self & Family | Monthly | 750.16 |
| Humana Health Plan, Inc. | MH6 | Non-Postal | Standard Self Plus One | Monthly | 755.97 |