Healthcare
2021 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 | 262.6 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 515.62 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 578.72 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 153.96 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 388.27 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 337.64 |
| Aetna Direct | Z24 | Non-Postal | Advantage Self | Monthly | 125 |
| Aetna Direct | Z25 | Non-Postal | Advantage Self & Family | Monthly | 331.25 |
| Aetna Direct | Z26 | Non-Postal | Advantage Self Plus One | Monthly | 275 |
| Aetna HealthFund CDHP and Aetna Value Plan | G51 | Non-Postal | CDHP Self | Monthly | 535.34 |
| Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 1196.87 |
| Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 1270.04 |
| Aetna HealthFund CDHP and Aetna Value Plan | G54 | Non-Postal | Value Self | Monthly | 193.62 |
| Aetna HealthFund CDHP and Aetna Value Plan | G55 | Non-Postal | Value Self & Family | Monthly | 424.06 |
| Aetna HealthFund CDHP and Aetna Value Plan | G56 | Non-Postal | Value Self Plus One | Monthly | 488.93 |
| Aetna Open Access | WQ1 | Non-Postal | High Self | Monthly | 822.25 |
| Aetna Open Access | WQ2 | Non-Postal | High Self & Family | Monthly | 2049.04 |
| Aetna Open Access | WQ3 | Non-Postal | High Self Plus One | Monthly | 2113.7 |
| Humana CoverageFirst and Humana Value Plan | R61 | Non-Postal | CDHP Self | Monthly | 288.82 |
| Humana CoverageFirst and Humana Value Plan | R62 | Non-Postal | CDHP Self & Family | Monthly | 609.29 |
| Humana CoverageFirst and Humana Value Plan | R63 | Non-Postal | CDHP Self Plus One | Monthly | 625.13 |
| Humana CoverageFirst and Humana Value Plan | R64 | Non-Postal | Value Self | Monthly | 162.3 |
| Humana CoverageFirst and Humana Value Plan | R65 | Non-Postal | Value Self & Family | Monthly | 365.18 |
| Humana CoverageFirst and Humana Value Plan | R66 | Non-Postal | Value Self Plus One | Monthly | 348.95 |
| Humana CoverageFirst and Humana Value Plan | R91 | Non-Postal | CDHP Self | Monthly | 193.66 |
| Humana CoverageFirst and Humana Value Plan | R92 | Non-Postal | CDHP Self & Family | Monthly | 403.35 |
| Humana CoverageFirst and Humana Value Plan | R93 | Non-Postal | CDHP Self Plus One | Monthly | 420.53 |
| Humana CoverageFirst and Humana Value Plan | R94 | Non-Postal | Value Self | Monthly | 142.74 |
| Humana CoverageFirst and Humana Value Plan | R95 | Non-Postal | Value Self & Family | Monthly | 321.15 |
| Humana CoverageFirst and Humana Value Plan | R96 | Non-Postal | Value Self Plus One | Monthly | 306.89 |
| Humana Health Plan, Inc. | BF1 | Non-Postal | High Self | Monthly | 948.96 |
| Humana Health Plan, Inc. | BF2 | Non-Postal | High Self & Family | Monthly | 2094.56 |
| Humana Health Plan, Inc. | BF3 | Non-Postal | High Self Plus One | Monthly | 2044.36 |
| Humana Health Plan, Inc. | BF4 | Non-Postal | Standard Self | Monthly | 723.17 |
| Humana Health Plan, Inc. | BF5 | Non-Postal | Standard Self & Family | Monthly | 1586.63 |
| Humana Health Plan, Inc. | BF6 | Non-Postal | Standard Self Plus One | Monthly | 1559.05 |
| Humana Health Plan, Inc. | C71 | Non-Postal | High Self | Monthly | 636.96 |
| Humana Health Plan, Inc. | C72 | Non-Postal | High Self & Family | Monthly | 1392.62 |
| Humana Health Plan, Inc. | C73 | Non-Postal | High Self Plus One | Monthly | 1373.63 |
| Humana Health Plan, Inc. | C74 | Non-Postal | Standard Self | Monthly | 370.44 |
| Humana Health Plan, Inc. | C75 | Non-Postal | Standard Self & Family | Monthly | 792.96 |
| Humana Health Plan, Inc. | C76 | Non-Postal | Standard Self Plus One | Monthly | 800.57 |
| UnitedHealthcare Advantage Plan | Y51 | Non-Postal | High Self | Monthly | 102.93 |
| UnitedHealthcare Advantage Plan | Y52 | Non-Postal | High Self & Family | Monthly | 272.77 |
| UnitedHealthcare Advantage Plan | Y53 | Non-Postal | High Self Plus One | Monthly | 226.45 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU1 | Non-Postal | HDHP Self | Monthly | 132.04 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU2 | Non-Postal | HDHP Self & Family | Monthly | 303.69 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU3 | Non-Postal | HDHP Self Plus One | Monthly | 283.89 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT1 | Non-Postal | High Self | Monthly | 258.7 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT2 | Non-Postal | High Self & Family | Monthly | 737.14 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT3 | Non-Postal | High Self Plus One | Monthly | 560.41 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | WF1 | Non-Postal | High Self | Monthly | 155.55 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | WF2 | Non-Postal | High Self & Family | Monthly | 367.88 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | WF3 | Non-Postal | High Self Plus One | Monthly | 334.44 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | VD1 | Non-Postal | High Self | Monthly | 155.3 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | VD2 | Non-Postal | High Self & Family | Monthly | 367.28 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | VD3 | Non-Postal | High Self Plus One | Monthly | 333.89 |