Healthcare
2023 Plan Information for Arizona
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 | 269.92 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 511.92 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 586.26 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 160.35 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 404.39 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 351.67 |
| 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 | 589.68 |
| Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 1303.9 |
| Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 1388.18 |
| Aetna HealthFund CDHP and Aetna Value Plan | G54 | Non-Postal | Value Self | Monthly | 311.33 |
| Aetna HealthFund CDHP and Aetna Value Plan | G55 | Non-Postal | Value Self & Family | Monthly | 677.2 |
| Aetna HealthFund CDHP and Aetna Value Plan | G56 | Non-Postal | Value Self Plus One | Monthly | 748.24 |
| Aetna Open Access | WQ1 | Non-Postal | High Self | Monthly | 883.09 |
| Aetna Open Access | WQ2 | Non-Postal | High Self & Family | Monthly | 2185.65 |
| Aetna Open Access | WQ3 | Non-Postal | High Self Plus One | Monthly | 2261.18 |
| Humana CoverageFirst and Humana Value Plan | BV1 | Non-Postal | HDHP Self | Monthly | 116.69 |
| Humana CoverageFirst and Humana Value Plan | BV2 | Non-Postal | HDHP Self & Family | Monthly | 290.72 |
| Humana CoverageFirst and Humana Value Plan | BV3 | Non-Postal | HDHP Self Plus One | Monthly | 255.91 |
| Humana CoverageFirst and Humana Value Plan | BY1 | Non-Postal | HDHP Self | Monthly | 102.43 |
| Humana CoverageFirst and Humana Value Plan | BY2 | Non-Postal | HDHP Self & Family | Monthly | 255.06 |
| Humana CoverageFirst and Humana Value Plan | BY3 | Non-Postal | HDHP Self Plus One | Monthly | 224.53 |
| Humana CoverageFirst and Humana Value Plan | R61 | Non-Postal | CDHP Self | Monthly | 331.65 |
| Humana CoverageFirst and Humana Value Plan | R62 | Non-Postal | CDHP Self & Family | Monthly | 687.57 |
| Humana CoverageFirst and Humana Value Plan | R63 | Non-Postal | CDHP Self Plus One | Monthly | 708.41 |
| Humana CoverageFirst and Humana Value Plan | R64 | Non-Postal | Value Self | Monthly | 171.22 |
| Humana CoverageFirst and Humana Value Plan | R65 | Non-Postal | Value Self & Family | Monthly | 385.22 |
| Humana CoverageFirst and Humana Value Plan | R66 | Non-Postal | Value Self Plus One | Monthly | 368.12 |
| Humana CoverageFirst and Humana Value Plan | R91 | Non-Postal | CDHP Self | Monthly | 239.15 |
| Humana CoverageFirst and Humana Value Plan | R92 | Non-Postal | CDHP Self & Family | Monthly | 479.47 |
| Humana CoverageFirst and Humana Value Plan | R93 | Non-Postal | CDHP Self Plus One | Monthly | 509.51 |
| Humana CoverageFirst and Humana Value Plan | R94 | Non-Postal | Value Self | Monthly | 152.15 |
| Humana CoverageFirst and Humana Value Plan | R95 | Non-Postal | Value Self & Family | Monthly | 342.35 |
| Humana CoverageFirst and Humana Value Plan | R96 | Non-Postal | Value Self Plus One | Monthly | 327.14 |
| Humana Health Plan, Inc. | BF4 | Non-Postal | Standard Self | Monthly | 721.26 |
| Humana Health Plan, Inc. | BF5 | Non-Postal | Standard Self & Family | Monthly | 1564.25 |
| Humana Health Plan, Inc. | BF6 | Non-Postal | Standard Self Plus One | Monthly | 1546.18 |
| Humana Health Plan, Inc. | C74 | Non-Postal | Standard Self | Monthly | 433.85 |
| Humana Health Plan, Inc. | C75 | Non-Postal | Standard Self & Family | Monthly | 917.54 |
| Humana Health Plan, Inc. | C76 | Non-Postal | Standard Self Plus One | Monthly | 928.14 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU1 | Non-Postal | HDHP Self | Monthly | 177.16 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU2 | Non-Postal | HDHP Self & Family | Monthly | 407.44 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU3 | Non-Postal | HDHP Self Plus One | Monthly | 380.88 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT1 | Non-Postal | High Self | Monthly | 400.72 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT2 | Non-Postal | High Self & Family | Monthly | 1083.88 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT3 | Non-Postal | High Self Plus One | Monthly | 856.94 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | WF1 | Non-Postal | High Self | Monthly | 177.43 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | WF2 | Non-Postal | High Self & Family | Monthly | 419.62 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | WF3 | Non-Postal | High Self Plus One | Monthly | 381.47 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | VD1 | Non-Postal | High Self | Monthly | 158.58 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | VD2 | Non-Postal | High Self & Family | Monthly | 375.04 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | VD3 | Non-Postal | High Self Plus One | Monthly | 340.95 |