Healthcare
2022 Plan Information for Georgia
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 | F51 | Non-Postal | CDHP Self | Monthly | 340.12 |
| Aetna HealthFund CDHP and Aetna Value Plan | F52 | Non-Postal | CDHP Self & Family | Monthly | 741.15 |
| Aetna HealthFund CDHP and Aetna Value Plan | F53 | Non-Postal | CDHP Self Plus One | Monthly | 828.75 |
| Aetna HealthFund CDHP and Aetna Value Plan | F54 | Non-Postal | Value Self | Monthly | 365 |
| Aetna HealthFund CDHP and Aetna Value Plan | F55 | Non-Postal | Value Self & Family | Monthly | 806.69 |
| Aetna HealthFund CDHP and Aetna Value Plan | F56 | Non-Postal | Value Self Plus One | Monthly | 873.75 |
| Aetna Open Access | 2U1 | Non-Postal | High Self | Monthly | 1199.1 |
| Aetna Open Access | 2U2 | Non-Postal | High Self & Family | Monthly | 2740.18 |
| Aetna Open Access | 2U3 | Non-Postal | High Self Plus One | Monthly | 2807.98 |
| Blue Open Access POS | QM1 | Non-Postal | High Self | Monthly | 175.43 |
| Blue Open Access POS | QM2 | Non-Postal | High Self & Family | Monthly | 599.49 |
| Blue Open Access POS | QM3 | Non-Postal | High Self Plus One | Monthly | 448.78 |
| Humana CoverageFirst and Humana Value Plan | AD1 | Non-Postal | CDHP Self | Monthly | 635.98 |
| Humana CoverageFirst and Humana Value Plan | AD2 | Non-Postal | CDHP Self & Family | Monthly | 1380.66 |
| Humana CoverageFirst and Humana Value Plan | AD3 | Non-Postal | CDHP Self Plus One | Monthly | 1371.28 |
| Humana CoverageFirst and Humana Value Plan | AD4 | Non-Postal | Value Self | Monthly | 295.51 |
| Humana CoverageFirst and Humana Value Plan | AD5 | Non-Postal | Value Self & Family | Monthly | 614.55 |
| Humana CoverageFirst and Humana Value Plan | AD6 | Non-Postal | Value Self Plus One | Monthly | 639.23 |
| Humana CoverageFirst and Humana Value Plan | AR1 | Non-Postal | HDHP Self | Monthly | 119.36 |
| Humana CoverageFirst and Humana Value Plan | AR2 | Non-Postal | HDHP Self & Family | Monthly | 297.43 |
| Humana CoverageFirst and Humana Value Plan | AR3 | Non-Postal | HDHP Self Plus One | Monthly | 261.81 |
| Humana CoverageFirst and Humana Value Plan | AZ1 | Non-Postal | HDHP Self | Monthly | 118.1 |
| Humana CoverageFirst and Humana Value Plan | AZ2 | Non-Postal | HDHP Self & Family | Monthly | 294.26 |
| Humana CoverageFirst and Humana Value Plan | AZ3 | Non-Postal | HDHP Self Plus One | Monthly | 259.03 |
| Humana CoverageFirst and Humana Value Plan | B21 | Non-Postal | HDHP Self | Monthly | 121.75 |
| Humana CoverageFirst and Humana Value Plan | B22 | Non-Postal | HDHP Self & Family | Monthly | 303.4 |
| Humana CoverageFirst and Humana Value Plan | B23 | Non-Postal | HDHP Self Plus One | Monthly | 267.07 |
| Humana CoverageFirst and Humana Value Plan | LM1 | Non-Postal | CDHP Self | Monthly | 253.98 |
| Humana CoverageFirst and Humana Value Plan | LM2 | Non-Postal | CDHP Self & Family | Monthly | 521.19 |
| Humana CoverageFirst and Humana Value Plan | LM3 | Non-Postal | CDHP Self Plus One | Monthly | 549.99 |
| Humana CoverageFirst and Humana Value Plan | LM4 | Non-Postal | Value Self | Monthly | 211.6 |
| Humana CoverageFirst and Humana Value Plan | LM5 | Non-Postal | Value Self & Family | Monthly | 425.86 |
| Humana CoverageFirst and Humana Value Plan | LM6 | Non-Postal | Value Self Plus One | Monthly | 458.9 |
| Humana CoverageFirst and Humana Value Plan | S91 | Non-Postal | CDHP Self | Monthly | 296.57 |
| Humana CoverageFirst and Humana Value Plan | S92 | Non-Postal | CDHP Self & Family | Monthly | 617.04 |
| Humana CoverageFirst and Humana Value Plan | S93 | Non-Postal | CDHP Self Plus One | Monthly | 641.59 |
| Humana CoverageFirst and Humana Value Plan | S94 | Non-Postal | Value Self | Monthly | 164.64 |
| Humana CoverageFirst and Humana Value Plan | S95 | Non-Postal | Value Self & Family | Monthly | 370.43 |
| Humana CoverageFirst and Humana Value Plan | S96 | Non-Postal | Value Self Plus One | Monthly | 353.97 |
| Humana Employers Health Plan of Georgia, Inc. | CB4 | Non-Postal | Standard Self | Monthly | 721.15 |
| Humana Employers Health Plan of Georgia, Inc. | CB5 | Non-Postal | Standard Self & Family | Monthly | 1572.35 |
| Humana Employers Health Plan of Georgia, Inc. | CB6 | Non-Postal | Standard Self Plus One | Monthly | 1554.43 |
| Humana Employers Health Plan of Georgia, Inc. | DG4 | Non-Postal | Standard Self | Monthly | 900.32 |
| Humana Employers Health Plan of Georgia, Inc. | DG5 | Non-Postal | Standard Self & Family | Monthly | 1975.48 |
| Humana Employers Health Plan of Georgia, Inc. | DG6 | Non-Postal | Standard Self Plus One | Monthly | 1939.71 |
| Humana Employers Health Plan of Georgia, Inc. | DN4 | Non-Postal | Standard Self | Monthly | 343.63 |
| Humana Employers Health Plan of Georgia, Inc. | DN5 | Non-Postal | Standard Self & Family | Monthly | 722.82 |
| Humana Employers Health Plan of Georgia, Inc. | DN6 | Non-Postal | Standard Self Plus One | Monthly | 742.69 |
| Humana Employers Health Plan of Georgia, Inc. | Q71 | Non-Postal | Basic Self | Monthly | 341.58 |
| Humana Employers Health Plan of Georgia, Inc. | Q72 | Non-Postal | Basic Self & Family | Monthly | 718.31 |
| Humana Employers Health Plan of Georgia, Inc. | Q73 | Non-Postal | Basic Self Plus One | Monthly | 738.33 |
| Humana Employers Health Plan of Georgia, Inc. | RJ1 | Non-Postal | Basic Self | Monthly | 175.83 |
| Humana Employers Health Plan of Georgia, Inc. | RJ2 | Non-Postal | Basic Self & Family | Monthly | 395.63 |
| Humana Employers Health Plan of Georgia, Inc. | RJ3 | Non-Postal | Basic Self Plus One | Monthly | 378.04 |
| Humana Employers Health Plan of Georgia, Inc. | RM1 | Non-Postal | Basic Self | Monthly | 261.34 |
| Humana Employers Health Plan of Georgia, Inc. | RM2 | Non-Postal | Basic Self & Family | Monthly | 537.77 |
| Humana Employers Health Plan of Georgia, Inc. | RM3 | Non-Postal | Basic Self Plus One | Monthly | 565.82 |
| Kaiser Permanente - Georgia | F81 | Non-Postal | High Self | Monthly | 239.18 |
| Kaiser Permanente - Georgia | F82 | Non-Postal | High Self & Family | Monthly | 495.62 |
| Kaiser Permanente - Georgia | F83 | Non-Postal | High Self Plus One | Monthly | 602.87 |
| Kaiser Permanente - Georgia | F84 | Non-Postal | Standard Self | Monthly | 150.18 |
| Kaiser Permanente - Georgia | F85 | Non-Postal | Standard Self & Family | Monthly | 339.4 |
| Kaiser Permanente - Georgia | F86 | Non-Postal | Standard Self Plus One | Monthly | 339.4 |
| Kaiser Permanente - Georgia | LA1 | Non-Postal | Prosper Self | Monthly | 99.66 |
| Kaiser Permanente - Georgia | LA2 | Non-Postal | Prosper Self & Family | Monthly | 258.74 |
| Kaiser Permanente - Georgia | LA3 | Non-Postal | Prosper Self Plus One | Monthly | 225.23 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) | LV1 | Non-Postal | Value Self | Monthly | 367.36 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) | LV2 | Non-Postal | Value Self & Family | Monthly | 1449.69 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) | LV3 | Non-Postal | Value Self Plus One | Monthly | 793.76 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS1 | Non-Postal | High Self | Monthly | 162.73 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS2 | Non-Postal | High Self & Family | Monthly | 384.86 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | AS3 | Non-Postal | High Self Plus One | Monthly | 349.87 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y81 | Non-Postal | High Self | Monthly | 145.31 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y82 | Non-Postal | High Self & Family | Monthly | 343.67 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | Y83 | Non-Postal | High Self Plus One | Monthly | 312.43 |