Healthcare
2022 Plan Information for Arizona
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 | 293.78 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 574.3 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 645.93 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 157.07 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 396.12 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 344.47 |
| 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 | 604.57 |
| Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 1345.26 |
| Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 1426.9 |
| Aetna HealthFund CDHP and Aetna Value Plan | G54 | Non-Postal | Value Self | Monthly | 303.85 |
| Aetna HealthFund CDHP and Aetna Value Plan | G55 | Non-Postal | Value Self & Family | Monthly | 667.12 |
| Aetna HealthFund CDHP and Aetna Value Plan | G56 | Non-Postal | Value Self Plus One | Monthly | 736.93 |
| Aetna Open Access | WQ1 | Non-Postal | High Self | Monthly | 908.14 |
| Aetna Open Access | WQ2 | Non-Postal | High Self & Family | Monthly | 2249.11 |
| Aetna Open Access | WQ3 | Non-Postal | High Self Plus One | Monthly | 2321.73 |
| Humana CoverageFirst and Humana Value Plan | BV1 | Non-Postal | HDHP Self | Monthly | 113.29 |
| Humana CoverageFirst and Humana Value Plan | BV2 | Non-Postal | HDHP Self & Family | Monthly | 282.25 |
| Humana CoverageFirst and Humana Value Plan | BV3 | Non-Postal | HDHP Self Plus One | Monthly | 248.46 |
| Humana CoverageFirst and Humana Value Plan | BY1 | Non-Postal | HDHP Self | Monthly | 99.44 |
| Humana CoverageFirst and Humana Value Plan | BY2 | Non-Postal | HDHP Self & Family | Monthly | 247.63 |
| Humana CoverageFirst and Humana Value Plan | BY3 | Non-Postal | HDHP Self Plus One | Monthly | 217.99 |
| Humana CoverageFirst and Humana Value Plan | R61 | Non-Postal | CDHP Self | Monthly | 342.62 |
| Humana CoverageFirst and Humana Value Plan | R62 | Non-Postal | CDHP Self & Family | Monthly | 720.61 |
| Humana CoverageFirst and Humana Value Plan | R63 | Non-Postal | CDHP Self Plus One | Monthly | 740.54 |
| Humana CoverageFirst and Humana Value Plan | R64 | Non-Postal | Value Self | Monthly | 166.36 |
| Humana CoverageFirst and Humana Value Plan | R65 | Non-Postal | Value Self & Family | Monthly | 374.31 |
| Humana CoverageFirst and Humana Value Plan | R66 | Non-Postal | Value Self Plus One | Monthly | 357.68 |
| Humana CoverageFirst and Humana Value Plan | R91 | Non-Postal | CDHP Self | Monthly | 233.18 |
| Humana CoverageFirst and Humana Value Plan | R92 | Non-Postal | CDHP Self & Family | Monthly | 474.33 |
| Humana CoverageFirst and Humana Value Plan | R93 | Non-Postal | CDHP Self Plus One | Monthly | 505.2 |
| Humana CoverageFirst and Humana Value Plan | R94 | Non-Postal | Value Self | Monthly | 146.3 |
| Humana CoverageFirst and Humana Value Plan | R95 | Non-Postal | Value Self & Family | Monthly | 329.18 |
| Humana CoverageFirst and Humana Value Plan | R96 | Non-Postal | Value Self Plus One | Monthly | 314.56 |
| Humana Health Plan, Inc. | BF4 | Non-Postal | Standard Self | Monthly | 716.06 |
| Humana Health Plan, Inc. | BF5 | Non-Postal | Standard Self & Family | Monthly | 1560.91 |
| Humana Health Plan, Inc. | BF6 | Non-Postal | Standard Self Plus One | Monthly | 1543.51 |
| Humana Health Plan, Inc. | C74 | Non-Postal | Standard Self | Monthly | 385.67 |
| Humana Health Plan, Inc. | C75 | Non-Postal | Standard Self & Family | Monthly | 817.5 |
| Humana Health Plan, Inc. | C76 | Non-Postal | Standard Self Plus One | Monthly | 833.13 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU1 | Non-Postal | HDHP Self | Monthly | 168.02 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU2 | Non-Postal | HDHP Self & Family | Monthly | 386.46 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU3 | Non-Postal | HDHP Self Plus One | Monthly | 361.26 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT1 | Non-Postal | High Self | Monthly | 334.34 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT2 | Non-Postal | High Self & Family | Monthly | 918.21 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT3 | Non-Postal | High Self Plus One | Monthly | 722.76 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | WF1 | Non-Postal | High Self | Monthly | 167.11 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | WF2 | Non-Postal | High Self & Family | Monthly | 395.23 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | WF3 | Non-Postal | High Self Plus One | Monthly | 359.29 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | VD1 | Non-Postal | High Self | Monthly | 164.41 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | VD2 | Non-Postal | High Self & Family | Monthly | 388.85 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | VD3 | Non-Postal | High Self Plus One | Monthly | 353.49 |