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Healthcare

2021 Plan Information for Georgia

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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 F51 Non-Postal CDHP Self Monthly 328.32
Aetna HealthFund CDHP and Aetna Value Plan F52 Non-Postal CDHP Self & Family Monthly 723.82
Aetna HealthFund CDHP and Aetna Value Plan F53 Non-Postal CDHP Self Plus One Monthly 801.65
Aetna HealthFund CDHP and Aetna Value Plan F54 Non-Postal Value Self Monthly 298.4
Aetna HealthFund CDHP and Aetna Value Plan F55 Non-Postal Value Self & Family Monthly 663.67
Aetna HealthFund CDHP and Aetna Value Plan F56 Non-Postal Value Self Plus One Monthly 723.8
Aetna Open Access 2U1 Non-Postal High Self Monthly 1282.43
Aetna Open Access 2U2 Non-Postal High Self & Family Monthly 2941.51
Aetna Open Access 2U3 Non-Postal High Self Plus One Monthly 2997.37
Blue Open Access POS QM1 Non-Postal High Self Monthly 164.1
Blue Open Access POS QM2 Non-Postal High Self & Family Monthly 471.47
Blue Open Access POS QM3 Non-Postal High Self Plus One Monthly 361.65
Humana CoverageFirst and Humana Value Plan AD1 Non-Postal CDHP Self Monthly 566.76
Humana CoverageFirst and Humana Value Plan AD2 Non-Postal CDHP Self & Family Monthly 1234.65
Humana CoverageFirst and Humana Value Plan AD3 Non-Postal CDHP Self Plus One Monthly 1222.7
Humana CoverageFirst and Humana Value Plan AD4 Non-Postal Value Self Monthly 302.62
Humana CoverageFirst and Humana Value Plan AD5 Non-Postal Value Self & Family Monthly 640.31
Humana CoverageFirst and Humana Value Plan AD6 Non-Postal Value Self Plus One Monthly 654.79
Humana CoverageFirst and Humana Value Plan LM1 Non-Postal CDHP Self Monthly 223.71
Humana CoverageFirst and Humana Value Plan LM2 Non-Postal CDHP Self & Family Monthly 462.91
Humana CoverageFirst and Humana Value Plan LM3 Non-Postal CDHP Self Plus One Monthly 485.25
Humana CoverageFirst and Humana Value Plan LM4 Non-Postal Value Self Monthly 183.39
Humana CoverageFirst and Humana Value Plan LM5 Non-Postal Value Self & Family Monthly 397.57
Humana CoverageFirst and Humana Value Plan LM6 Non-Postal Value Self Plus One Monthly 398.48
Humana CoverageFirst and Humana Value Plan S91 Non-Postal CDHP Self Monthly 245.99
Humana CoverageFirst and Humana Value Plan S92 Non-Postal CDHP Self & Family Monthly 512.94
Humana CoverageFirst and Humana Value Plan S93 Non-Postal CDHP Self Plus One Monthly 533.05
Humana CoverageFirst and Humana Value Plan S94 Non-Postal Value Self Monthly 153.15
Humana CoverageFirst and Humana Value Plan S95 Non-Postal Value Self & Family Monthly 344.59
Humana CoverageFirst and Humana Value Plan S96 Non-Postal Value Self Plus One Monthly 329.27
Humana Employers Health Plan of Georgia, Inc. CB1 Non-Postal High Self Monthly 751.47
Humana Employers Health Plan of Georgia, Inc. CB2 Non-Postal High Self & Family Monthly 1650.46
Humana Employers Health Plan of Georgia, Inc. CB3 Non-Postal High Self Plus One Monthly 1620.11
Humana Employers Health Plan of Georgia, Inc. CB4 Non-Postal Standard Self Monthly 614.47
Humana Employers Health Plan of Georgia, Inc. CB5 Non-Postal Standard Self & Family Monthly 1342.1
Humana Employers Health Plan of Georgia, Inc. CB6 Non-Postal Standard Self Plus One Monthly 1325.35
Humana Employers Health Plan of Georgia, Inc. DG1 Non-Postal High Self Monthly 864.61
Humana Employers Health Plan of Georgia, Inc. DG2 Non-Postal High Self & Family Monthly 1904.85
Humana Employers Health Plan of Georgia, Inc. DG3 Non-Postal High Self Plus One Monthly 1863.14
Humana Employers Health Plan of Georgia, Inc. DG4 Non-Postal Standard Self Monthly 777.34
Humana Employers Health Plan of Georgia, Inc. DG5 Non-Postal Standard Self & Family Monthly 1708.5
Humana Employers Health Plan of Georgia, Inc. DG6 Non-Postal Standard Self Plus One Monthly 1675.55
Humana Employers Health Plan of Georgia, Inc. DN1 Non-Postal High Self Monthly 350.85
Humana Employers Health Plan of Georgia, Inc. DN2 Non-Postal High Self & Family Monthly 748.91
Humana Employers Health Plan of Georgia, Inc. DN3 Non-Postal High Self Plus One Monthly 758.55
Humana Employers Health Plan of Georgia, Inc. DN4 Non-Postal Standard Self Monthly 289.73
Humana Employers Health Plan of Georgia, Inc. DN5 Non-Postal Standard Self & Family Monthly 611.32
Humana Employers Health Plan of Georgia, Inc. DN6 Non-Postal Standard Self Plus One Monthly 627.08
Humana Employers Health Plan of Georgia, Inc. Q71 Non-Postal Basic Self Monthly 323.29
Humana Employers Health Plan of Georgia, Inc. Q72 Non-Postal Basic Self & Family Monthly 686.9
Humana Employers Health Plan of Georgia, Inc. Q73 Non-Postal Basic Self Plus One Monthly 699.27
Humana Employers Health Plan of Georgia, Inc. RJ1 Non-Postal Basic Self Monthly 167.46
Humana Employers Health Plan of Georgia, Inc. RJ2 Non-Postal Basic Self & Family Monthly 376.8
Humana Employers Health Plan of Georgia, Inc. RJ3 Non-Postal Basic Self Plus One Monthly 360.06
Humana Employers Health Plan of Georgia, Inc. RM1 Non-Postal Basic Self Monthly 196.46
Humana Employers Health Plan of Georgia, Inc. RM2 Non-Postal Basic Self & Family Monthly 404.93
Humana Employers Health Plan of Georgia, Inc. RM3 Non-Postal Basic Self Plus One Monthly 426.58
Kaiser Permanente - Georgia F81 Non-Postal High Self Monthly 227.68
Kaiser Permanente - Georgia F82 Non-Postal High Self & Family Monthly 479.29
Kaiser Permanente - Georgia F83 Non-Postal High Self Plus One Monthly 576.34
Kaiser Permanente - Georgia F84 Non-Postal Standard Self Monthly 145.27
Kaiser Permanente - Georgia F85 Non-Postal Standard Self & Family Monthly 328.31
Kaiser Permanente - Georgia F86 Non-Postal Standard Self Plus One Monthly 328.31
Kaiser Permanente - Georgia LA1 Non-Postal Basic Self Monthly 104.72
Kaiser Permanente - Georgia LA2 Non-Postal Basic Self & Family Monthly 236.66
Kaiser Permanente - Georgia LA3 Non-Postal Basic Self Plus One Monthly 236.66
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. (Choice Plus Advanced) LV1 Non-Postal Value Self Monthly 227.2
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) LV2 Non-Postal Value Self & Family Monthly 1033.69
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) LV3 Non-Postal Value Self Plus One Monthly 492.73
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS1 Non-Postal High Self Monthly 149.87
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS2 Non-Postal High Self & Family Monthly 354.44
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS3 Non-Postal High Self Plus One Monthly 322.22
UnitedHealthcare Insurance Company, Inc. Choice Primary Y81 Non-Postal High Self Monthly 144.18
UnitedHealthcare Insurance Company, Inc. Choice Primary Y82 Non-Postal High Self & Family Monthly 340.98
UnitedHealthcare Insurance Company, Inc. Choice Primary Y83 Non-Postal High Self Plus One Monthly 309.98
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