Healthcare
2022 Plan Information for Indiana
Choose a Location, Employee Type, & Payment Period
Click to view Plan Information for this state
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 | JS1 | Non-Postal | CDHP Self | Monthly | 506.81 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS2 | Non-Postal | CDHP Self & Family | Monthly | 1120.71 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS3 | Non-Postal | CDHP Self Plus One | Monthly | 1204.54 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS4 | Non-Postal | Value Self | Monthly | 563.98 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS5 | Non-Postal | Value Self & Family | Monthly | 1254.69 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS6 | Non-Postal | Value Self Plus One | Monthly | 1337.24 |
| 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 | 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 | DT1 | Non-Postal | HDHP Self | Monthly | 123.93 |
| Humana CoverageFirst and Humana Value Plan | DT2 | Non-Postal | HDHP Self & Family | Monthly | 308.85 |
| Humana CoverageFirst and Humana Value Plan | DT3 | Non-Postal | HDHP Self Plus One | Monthly | 271.87 |
| 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 CoverageFirst and Humana Value Plan | TC1 | Non-Postal | CDHP Self | Monthly | 226.53 |
| Humana CoverageFirst and Humana Value Plan | TC2 | Non-Postal | CDHP Self & Family | Monthly | 459.38 |
| Humana CoverageFirst and Humana Value Plan | TC3 | Non-Postal | CDHP Self Plus One | Monthly | 490.94 |
| Humana CoverageFirst and Humana Value Plan | TC4 | Non-Postal | Value Self | Monthly | 144.93 |
| Humana CoverageFirst and Humana Value Plan | TC5 | Non-Postal | Value Self & Family | Monthly | 326.1 |
| Humana CoverageFirst and Humana Value Plan | TC6 | Non-Postal | Value Self Plus One | Monthly | 311.61 |
| Humana CoverageFirst and Humana Value Plan | X31 | Non-Postal | CDHP Self | Monthly | 371.84 |
| Humana CoverageFirst and Humana Value Plan | X32 | Non-Postal | CDHP Self & Family | Monthly | 786.39 |
| Humana CoverageFirst and Humana Value Plan | X33 | Non-Postal | CDHP Self Plus One | Monthly | 803.42 |
| Humana CoverageFirst and Humana Value Plan | X34 | Non-Postal | Value Self | Monthly | 173.58 |
| Humana CoverageFirst and Humana Value Plan | X35 | Non-Postal | Value Self & Family | Monthly | 390.56 |
| Humana CoverageFirst and Humana Value Plan | X36 | Non-Postal | Value Self Plus One | Monthly | 373.2 |
| Humana Health Plan of Ohio, Inc. | A64 | Non-Postal | Standard Self | Monthly | 712.55 |
| Humana Health Plan of Ohio, Inc. | A65 | Non-Postal | Standard Self & Family | Monthly | 1553 |
| Humana Health Plan of Ohio, Inc. | A66 | Non-Postal | Standard Self Plus One | Monthly | 1535.93 |
| 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. | MH4 | Non-Postal | Standard Self | Monthly | 462.37 |
| Humana Health Plan, Inc. | MH5 | Non-Postal | Standard Self & Family | Monthly | 990.01 |
| Humana Health Plan, Inc. | MH6 | Non-Postal | Standard Self Plus One | Monthly | 997.97 |