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Healthcare Plan Information

2021 Plan Information for Michigan

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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
Bluecare Network of MI K51 Non-Postal High Self Monthly 473.07
Bluecare Network of MI K52 Non-Postal High Self & Family Monthly 1213.25
Bluecare Network of MI K53 Non-Postal High Self Plus One Monthly 1170.81
Bluecare Network of MI LX1 Non-Postal High Self Monthly 242.39
Bluecare Network of MI LX2 Non-Postal High Self & Family Monthly 650.37
Bluecare Network of MI LX3 Non-Postal High Self Plus One Monthly 640.23
Health Alliance Plan 521 Non-Postal High Self Monthly 318.76
Health Alliance Plan 522 Non-Postal High Self & Family Monthly 836.72
Health Alliance Plan 523 Non-Postal High Self Plus One Monthly 815.84
Health Alliance Plan GY4 Non-Postal Standard Self Monthly 139.39
Health Alliance Plan GY5 Non-Postal Standard Self & Family Monthly 340.1
Health Alliance Plan GY6 Non-Postal Standard Self Plus One Monthly 320.58
Priority Health LE1 Non-Postal High Self Monthly 513.87
Priority Health LE2 Non-Postal High Self & Family Monthly 1219.42
Priority Health LE3 Non-Postal High Self Plus One Monthly 1160.88
Priority Health LE4 Non-Postal Standard Self Monthly 146.84
Priority Health LE5 Non-Postal Standard Self & Family Monthly 345.08
Priority Health LE6 Non-Postal Standard Self Plus One Monthly 323.05
Priority Health Y41 Non-Postal Value Self Monthly 118.31
Priority Health Y42 Non-Postal Value Self & Family Monthly 278.03
Priority Health Y43 Non-Postal Value Self Plus One Monthly 260.28
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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