Healthcare
2021 Plan Information for Ohio
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 |
| AultCare Insurance Company | 3A1 | Non-Postal | High Self | Monthly | 352.46 |
| AultCare Insurance Company | 3A2 | Non-Postal | High Self & Family | Monthly | 945.08 |
| AultCare Insurance Company | 3A3 | Non-Postal | High Self Plus One | Monthly | 718.08 |
| AultCare Insurance Company | 3A4 | Non-Postal | HDHP Self | Monthly | 116.47 |
| AultCare Insurance Company | 3A5 | Non-Postal | HDHP Self & Family | Monthly | 372.94 |
| AultCare Insurance Company | 3A6 | Non-Postal | HDHP Self Plus One | Monthly | 221.42 |
| 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 of Ohio, Inc. | W61 | Non-Postal | Basic Self | Monthly | 159.76 |
| Humana Health Plan of Ohio, Inc. | W62 | Non-Postal | Basic Self & Family | Monthly | 359.48 |
| Humana Health Plan of Ohio, Inc. | W63 | Non-Postal | Basic Self Plus One | Monthly | 343.5 |
| Medical Mutual of Ohio | 644 | Non-Postal | Standard Self | Monthly | 417.54 |
| Medical Mutual of Ohio | 645 | Non-Postal | Standard Self & Family | Monthly | 1040.11 |
| Medical Mutual of Ohio | 646 | Non-Postal | Standard Self Plus One | Monthly | 948.96 |
| Medical Mutual of Ohio | UX1 | Non-Postal | Basic Self | Monthly | 102.8 |
| Medical Mutual of Ohio | UX2 | Non-Postal | Basic Self & Family | Monthly | 246.73 |
| Medical Mutual of Ohio | UX3 | Non-Postal | Basic Self Plus One | Monthly | 226.17 |
| Medical Mutual of Ohio | X61 | Non-Postal | Basic Self | Monthly | 101.32 |
| Medical Mutual of Ohio | X62 | Non-Postal | Basic Self & Family | Monthly | 243.17 |
| Medical Mutual of Ohio | X63 | Non-Postal | Basic Self Plus One | Monthly | 222.91 |
| Medical Mutual of Ohio | X64 | Non-Postal | Standard Self | Monthly | 337.92 |
| Medical Mutual of Ohio | X65 | Non-Postal | Standard Self & Family | Monthly | 849.01 |
| Medical Mutual of Ohio | X66 | Non-Postal | Standard Self Plus One | Monthly | 773.79 |
| Medical Mutual of Ohio | YF1 | Non-Postal | Basic Self | Monthly | 103.76 |
| Medical Mutual of Ohio | YF2 | Non-Postal | Basic Self & Family | Monthly | 249.02 |
| Medical Mutual of Ohio | YF3 | Non-Postal | Basic Self Plus One | Monthly | 228.27 |
| Medical Mutual of Ohio | YF4 | Non-Postal | Standard Self | Monthly | 462.44 |
| Medical Mutual of Ohio | YF5 | Non-Postal | Standard Self & Family | Monthly | 1147.83 |
| Medical Mutual of Ohio | YF6 | Non-Postal | Standard Self Plus One | Monthly | 1047.72 |
| 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 |