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Healthcare Plan Information

2021 Plan Information for Washington

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 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
Kaiser Permanente - Northwest 571 Non-Postal High Self Monthly 228.26
Kaiser Permanente - Northwest 572 Non-Postal High Self & Family Monthly 479.61
Kaiser Permanente - Northwest 573 Non-Postal High Self Plus One Monthly 576.66
Kaiser Permanente - Northwest 574 Non-Postal Standard Self Monthly 172.09
Kaiser Permanente - Northwest 575 Non-Postal Standard Self & Family Monthly 395.33
Kaiser Permanente - Northwest 576 Non-Postal Standard Self Plus One Monthly 460.18
Kaiser Permanente - Northwest AM1 Non-Postal Prosper Self Monthly 97.94
Kaiser Permanente - Northwest AM2 Non-Postal Prosper Self & Family Monthly 231.62
Kaiser Permanente - Northwest AM3 Non-Postal Prosper Self Plus One Monthly 210.57
Kaiser Permanente - Washington Core 541 Non-Postal High Self Monthly 340.34
Kaiser Permanente - Washington Core 542 Non-Postal High Self & Family Monthly 682.04
Kaiser Permanente - Washington Core 543 Non-Postal High Self Plus One Monthly 779.09
Kaiser Permanente - Washington Core 544 Non-Postal Standard Self Monthly 154.5
Kaiser Permanente - Washington Core 545 Non-Postal Standard Self & Family Monthly 355.36
Kaiser Permanente - Washington Core 546 Non-Postal Standard Self Plus One Monthly 355.36
Kaiser Permanente - Washington Core PT4 Non-Postal Prosper Self Monthly 97.5
Kaiser Permanente - Washington Core PT5 Non-Postal Prosper Self & Family Monthly 272.99
Kaiser Permanente - Washington Core PT6 Non-Postal Prosper Self Plus One Monthly 236.17
Kaiser Permanente Washington Options Federal L11 Non-Postal Standard Self Monthly 219.75
Kaiser Permanente Washington Options Federal L12 Non-Postal Standard Self & Family Monthly 431.62
Kaiser Permanente Washington Options Federal L13 Non-Postal Standard Self Plus One Monthly 528.67
Kaiser Permanente Washington Options Federal L14 Non-Postal HDHP Self Monthly 165.43
Kaiser Permanente Washington Options Federal L15 Non-Postal HDHP Self & Family Monthly 367.24
Kaiser Permanente Washington Options Federal L16 Non-Postal HDHP Self Plus One Monthly 367.24
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. (A HDHP with a Health Savings Account (HSA)) LU1 Non-Postal HDHP Self Monthly 132.04
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) LU2 Non-Postal HDHP Self & Family Monthly 303.69
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) LU3 Non-Postal HDHP Self Plus One Monthly 283.89
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) KT1 Non-Postal High Self Monthly 258.7
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) KT2 Non-Postal High Self & Family Monthly 737.14
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) KT3 Non-Postal High Self Plus One Monthly 560.41
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary WF1 Non-Postal High Self Monthly 155.55
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary WF2 Non-Postal High Self & Family Monthly 367.88
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary WF3 Non-Postal High Self Plus One Monthly 334.44
UnitedHealthcare Insurance Company, Inc. Choice Primary VD1 Non-Postal High Self Monthly 155.3
UnitedHealthcare Insurance Company, Inc. Choice Primary VD2 Non-Postal High Self & Family Monthly 367.28
UnitedHealthcare Insurance Company, Inc. Choice Primary VD3 Non-Postal High Self Plus One Monthly 333.89
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