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Healthcare Plan Information

2022 Plan Information for Arizona

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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
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