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Healthcare Plan Information

2022 Plan Information for Kentucky

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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
Humana CoverageFirst and Humana Value Plan 6N1 Non-Postal CDHP Self Monthly 318.22
Humana CoverageFirst and Humana Value Plan 6N2 Non-Postal CDHP Self & Family Monthly 665.73
Humana CoverageFirst and Humana Value Plan 6N3 Non-Postal CDHP Self Plus One Monthly 688.11
Humana CoverageFirst and Humana Value Plan 6N4 Non-Postal Value Self Monthly 158.45
Humana CoverageFirst and Humana Value Plan 6N5 Non-Postal Value Self & Family Monthly 356.51
Humana CoverageFirst and Humana Value Plan 6N6 Non-Postal Value Self Plus One Monthly 340.67
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 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 of Ohio, Inc. W61 Non-Postal Basic Self Monthly 167.75
Humana Health Plan of Ohio, Inc. W62 Non-Postal Basic Self & Family Monthly 377.45
Humana Health Plan of Ohio, Inc. W63 Non-Postal Basic Self Plus One Monthly 360.68
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
Humana Health Plan, Inc. MI4 Non-Postal Standard Self Monthly 399.06
Humana Health Plan, Inc. MI5 Non-Postal Standard Self & Family Monthly 847.6
Humana Health Plan, Inc. MI6 Non-Postal Standard Self Plus One Monthly 861.92
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) N71 Non-Postal HDHP Self Monthly 214.02
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) N72 Non-Postal HDHP Self & Family Monthly 468.5
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) N73 Non-Postal HDHP Self Plus One Monthly 464.06
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LJ1 Non-Postal High Self Monthly 343.42
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LJ2 Non-Postal High Self & Family Monthly 940.98
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LJ3 Non-Postal High Self Plus One Monthly 742.34
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
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