Healthcare
2022 Plan Information for Illinois
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 | H41 | Non-Postal | CDHP Self | Monthly | 295.66 |
| Aetna HealthFund CDHP and Aetna Value Plan | H42 | Non-Postal | CDHP Self & Family | Monthly | 639.27 |
| Aetna HealthFund CDHP and Aetna Value Plan | H43 | Non-Postal | CDHP Self Plus One | Monthly | 728.26 |
| Aetna HealthFund CDHP and Aetna Value Plan | H44 | Non-Postal | Value Self | Monthly | 303.2 |
| Aetna HealthFund CDHP and Aetna Value Plan | H45 | Non-Postal | Value Self & Family | Monthly | 669.5 |
| Aetna HealthFund CDHP and Aetna Value Plan | H46 | Non-Postal | Value Self Plus One | Monthly | 739.24 |
| Blue Preferred | 9G1 | Non-Postal | High Self | Monthly | 375.18 |
| Blue Preferred | 9G2 | Non-Postal | High Self & Family | Monthly | 895.37 |
| Blue Preferred | 9G3 | Non-Postal | High Self Plus One | Monthly | 868.81 |
| Blue Preferred | 9G4 | Non-Postal | Standard Self | Monthly | 153.5 |
| Blue Preferred | 9G5 | Non-Postal | Standard Self & Family | Monthly | 547.67 |
| Blue Preferred | 9G6 | Non-Postal | Standard Self Plus One | Monthly | 461.5 |
| Health Alliance HMO/POS | K84 | Non-Postal | Standard Self | Monthly | 176.02 |
| Health Alliance HMO/POS | K85 | Non-Postal | Standard Self & Family | Monthly | 407.97 |
| Health Alliance HMO/POS | K86 | Non-Postal | Standard Self Plus One | Monthly | 376.36 |
| Humana CoverageFirst and Humana Value Plan | AW1 | Non-Postal | HDHP Self | Monthly | 105.17 |
| Humana CoverageFirst and Humana Value Plan | AW2 | Non-Postal | HDHP Self & Family | Monthly | 261.95 |
| Humana CoverageFirst and Humana Value Plan | AW3 | Non-Postal | HDHP Self Plus One | Monthly | 230.6 |
| Humana CoverageFirst and Humana Value Plan | BB1 | Non-Postal | HDHP Self | Monthly | 111.32 |
| Humana CoverageFirst and Humana Value Plan | BB2 | Non-Postal | HDHP Self & Family | Monthly | 277.33 |
| Humana CoverageFirst and Humana Value Plan | BB3 | Non-Postal | HDHP Self Plus One | Monthly | 244.13 |
| Humana CoverageFirst and Humana Value Plan | GB1 | Non-Postal | CDHP Self | Monthly | 789.3 |
| Humana CoverageFirst and Humana Value Plan | GB2 | Non-Postal | CDHP Self & Family | Monthly | 1725.6 |
| Humana CoverageFirst and Humana Value Plan | GB3 | Non-Postal | CDHP Self Plus One | Monthly | 1700.92 |
| Humana CoverageFirst and Humana Value Plan | GB4 | Non-Postal | Value Self | Monthly | 297.38 |
| Humana CoverageFirst and Humana Value Plan | GB5 | Non-Postal | Value Self & Family | Monthly | 618.76 |
| Humana CoverageFirst and Humana Value Plan | GB6 | Non-Postal | Value Self Plus One | Monthly | 643.22 |
| Humana CoverageFirst and Humana Value Plan | MW1 | Non-Postal | CDHP Self | Monthly | 526.22 |
| Humana CoverageFirst and Humana Value Plan | MW2 | Non-Postal | CDHP Self & Family | Monthly | 1133.86 |
| Humana CoverageFirst and Humana Value Plan | MW3 | Non-Postal | CDHP Self Plus One | Monthly | 1135.38 |
| Humana CoverageFirst and Humana Value Plan | MW4 | Non-Postal | Value Self | Monthly | 269.17 |
| Humana CoverageFirst and Humana Value Plan | MW5 | Non-Postal | Value Self & Family | Monthly | 555.32 |
| Humana CoverageFirst and Humana Value Plan | MW6 | Non-Postal | Value Self Plus One | Monthly | 582.62 |
| Humana Health Plan, Inc. | 751 | Non-Postal | High Self | Monthly | 872.71 |
| Humana Health Plan, Inc. | 752 | Non-Postal | High Self & Family | Monthly | 1913.34 |
| Humana Health Plan, Inc. | 753 | Non-Postal | High Self Plus One | Monthly | 1880.28 |
| Humana Health Plan, Inc. | 754 | Non-Postal | Standard Self | Monthly | 525.27 |
| Humana Health Plan, Inc. | 755 | Non-Postal | Standard Self & Family | Monthly | 1131.61 |
| Humana Health Plan, Inc. | 756 | Non-Postal | Standard Self Plus One | Monthly | 1133.3 |
| Humana Health Plan, Inc. | 9F1 | Non-Postal | High Self | Monthly | 1586.11 |
| Humana Health Plan, Inc. | 9F2 | Non-Postal | High Self & Family | Monthly | 3518.49 |
| Humana Health Plan, Inc. | 9F3 | Non-Postal | High Self Plus One | Monthly | 3414.04 |
| Humana Health Plan, Inc. | AB1 | Non-Postal | Basic Self | Monthly | 315.4 |
| Humana Health Plan, Inc. | AB2 | Non-Postal | Basic Self & Family | Monthly | 659.45 |
| Humana Health Plan, Inc. | AB3 | Non-Postal | Basic Self Plus One | Monthly | 682.11 |
| Humana Health Plan, Inc. | AB4 | Non-Postal | Standard Self | Monthly | 916.93 |
| Humana Health Plan, Inc. | AB5 | Non-Postal | Standard Self & Family | Monthly | 2012.9 |
| Humana Health Plan, Inc. | AB6 | Non-Postal | Standard Self Plus One | Monthly | 1975.41 |
| Humana Health Plan, Inc. | RW1 | Non-Postal | Basic Self | Monthly | 308.97 |
| Humana Health Plan, Inc. | RW2 | Non-Postal | Basic Self & Family | Monthly | 644.93 |
| Humana Health Plan, Inc. | RW3 | Non-Postal | Basic Self Plus One | Monthly | 668.22 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) | L91 | Non-Postal | Value Self | Monthly | 165.94 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) | L92 | Non-Postal | Value Self & Family | Monthly | 396.6 |
| UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) | L93 | Non-Postal | Value Self Plus One | Monthly | 331.88 |
| 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 |