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Healthcare Plan Information

2022 Plan Information for Missouri

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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 HA1 Non-Postal High Self Monthly 658.45
Aetna Open Access HA2 Non-Postal High Self & Family Monthly 1564.59
Aetna Open Access HA3 Non-Postal High Self Plus One Monthly 1644.07
Aetna Open Access HA4 Non-Postal Standard Self Monthly 378.84
Aetna Open Access HA5 Non-Postal Standard Self & Family Monthly 902.52
Aetna Open Access HA6 Non-Postal Standard Self Plus One Monthly 988.56
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
Humana CoverageFirst and Humana Value Plan BK1 Non-Postal HDHP Self Monthly 100.78
Humana CoverageFirst and Humana Value Plan BK2 Non-Postal HDHP Self & Family Monthly 250.98
Humana CoverageFirst and Humana Value Plan BK3 Non-Postal HDHP Self Plus One Monthly 220.94
Humana CoverageFirst and Humana Value Plan PH1 Non-Postal CDHP Self Monthly 227.5
Humana CoverageFirst and Humana Value Plan PH2 Non-Postal CDHP Self & Family Monthly 461.65
Humana CoverageFirst and Humana Value Plan PH3 Non-Postal CDHP Self Plus One Monthly 493.09
Humana CoverageFirst and Humana Value Plan PH4 Non-Postal Value Self Monthly 141.79
Humana CoverageFirst and Humana Value Plan PH5 Non-Postal Value Self & Family Monthly 319.04
Humana CoverageFirst and Humana Value Plan PH6 Non-Postal Value Self Plus One Monthly 304.86
Humana Health Plan, Inc. MS4 Non-Postal Standard Self Monthly 760.11
Humana Health Plan, Inc. MS5 Non-Postal Standard Self & Family Monthly 1660.03
Humana Health Plan, Inc. MS6 Non-Postal Standard Self Plus One Monthly 1638.24
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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