Healthcare
2021 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 | 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 | JS1 | Non-Postal | CDHP Self | Monthly | 486.51 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS2 | Non-Postal | CDHP Self & Family | Monthly | 1083.94 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS3 | Non-Postal | CDHP Self Plus One | Monthly | 1158.17 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS4 | Non-Postal | Value Self | Monthly | 571.16 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS5 | Non-Postal | Value Self & Family | Monthly | 1280.59 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS6 | Non-Postal | Value Self Plus One | Monthly | 1352.91 |
| Health Alliance HMO/POS | K84 | Non-Postal | Standard Self | Monthly | 170.89 |
| Health Alliance HMO/POS | K85 | Non-Postal | Standard Self & Family | Monthly | 396.09 |
| Health Alliance HMO/POS | K86 | Non-Postal | Standard Self Plus One | Monthly | 365.4 |
| Humana CoverageFirst and Humana Value Plan | MW1 | Non-Postal | CDHP Self | Monthly | 502.54 |
| Humana CoverageFirst and Humana Value Plan | MW2 | Non-Postal | CDHP Self & Family | Monthly | 1090.27 |
| Humana CoverageFirst and Humana Value Plan | MW3 | Non-Postal | CDHP Self Plus One | Monthly | 1084.7 |
| Humana CoverageFirst and Humana Value Plan | MW4 | Non-Postal | Value Self | Monthly | 284.34 |
| Humana CoverageFirst and Humana Value Plan | MW5 | Non-Postal | Value Self & Family | Monthly | 599.19 |
| Humana CoverageFirst and Humana Value Plan | MW6 | Non-Postal | Value Self Plus One | Monthly | 615.51 |
| Humana CoverageFirst and Humana Value Plan | TC1 | Non-Postal | CDHP Self | Monthly | 215.15 |
| Humana CoverageFirst and Humana Value Plan | TC2 | Non-Postal | CDHP Self & Family | Monthly | 443.58 |
| Humana CoverageFirst and Humana Value Plan | TC3 | Non-Postal | CDHP Self Plus One | Monthly | 466.79 |
| Humana CoverageFirst and Humana Value Plan | X31 | Non-Postal | CDHP Self | Monthly | 315.99 |
| Humana CoverageFirst and Humana Value Plan | X32 | Non-Postal | CDHP Self & Family | Monthly | 670.5 |
| Humana CoverageFirst and Humana Value Plan | X33 | Non-Postal | CDHP Self Plus One | Monthly | 683.61 |
| Humana CoverageFirst and Humana Value Plan | X34 | Non-Postal | Value Self | Monthly | 161.47 |
| Humana CoverageFirst and Humana Value Plan | X35 | Non-Postal | Value Self & Family | Monthly | 363.31 |
| Humana CoverageFirst and Humana Value Plan | X36 | Non-Postal | Value Self Plus One | Monthly | 347.16 |
| Humana Health Plan of Ohio, Inc. | A61 | Non-Postal | High Self | Monthly | 1052.61 |
| Humana Health Plan of Ohio, Inc. | A62 | Non-Postal | High Self & Family | Monthly | 2327.89 |
| Humana Health Plan of Ohio, Inc. | A63 | Non-Postal | High Self Plus One | Monthly | 2267.33 |
| Humana Health Plan of Ohio, Inc. | A64 | Non-Postal | Standard Self | Monthly | 707.36 |
| Humana Health Plan of Ohio, Inc. | A65 | Non-Postal | Standard Self & Family | Monthly | 1551.09 |
| Humana Health Plan of Ohio, Inc. | A66 | Non-Postal | Standard Self Plus One | Monthly | 1525.03 |
| Humana Health Plan, Inc. | 751 | Non-Postal | High Self | Monthly | 845.59 |
| Humana Health Plan, Inc. | 752 | Non-Postal | High Self & Family | Monthly | 1862.12 |
| Humana Health Plan, Inc. | 753 | Non-Postal | High Self Plus One | Monthly | 1822.26 |
| Humana Health Plan, Inc. | 754 | Non-Postal | Standard Self | Monthly | 521.93 |
| Humana Health Plan, Inc. | 755 | Non-Postal | Standard Self & Family | Monthly | 1133.82 |
| Humana Health Plan, Inc. | 756 | Non-Postal | Standard Self Plus One | Monthly | 1126.37 |
| Humana Health Plan, Inc. | MH1 | Non-Postal | High Self | Monthly | 692.06 |
| Humana Health Plan, Inc. | MH2 | Non-Postal | High Self & Family | Monthly | 1516.62 |
| Humana Health Plan, Inc. | MH3 | Non-Postal | High Self Plus One | Monthly | 1492.1 |
| Humana Health Plan, Inc. | MH4 | Non-Postal | Standard Self | Monthly | 422.2 |
| Humana Health Plan, Inc. | MH5 | Non-Postal | Standard Self & Family | Monthly | 909.41 |
| Humana Health Plan, Inc. | MH6 | Non-Postal | Standard Self Plus One | Monthly | 911.89 |
| 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 |