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Healthcare

2021 Plan Information for Indiana

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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 K84 Non-Postal Standard Self Monthly 170.89
Health Alliance HMO K85 Non-Postal Standard Self & Family Monthly 396.09
Health Alliance HMO 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
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