Healthcare
2023 Plan Information for Indiana
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 | JS1 | Non-Postal | CDHP Self | Monthly | 603.67 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS2 | Non-Postal | CDHP Self & Family | Monthly | 1334.15 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS3 | Non-Postal | CDHP Self Plus One | Monthly | 1418.08 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS4 | Non-Postal | Value Self | Monthly | 544.24 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS5 | Non-Postal | Value Self & Family | Monthly | 1202.31 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS6 | Non-Postal | Value Self Plus One | Monthly | 1287.61 |
| Health Alliance HMO/POS | K84 | Non-Postal | Standard Self | Monthly | 225.85 |
| Health Alliance HMO/POS | K85 | Non-Postal | Standard Self & Family | Monthly | 524.23 |
| Health Alliance HMO/POS | K86 | Non-Postal | Standard Self Plus One | Monthly | 475.09 |
| Humana CoverageFirst and Humana Value Plan | BB1 | Non-Postal | HDHP Self | Monthly | 114.66 |
| Humana CoverageFirst and Humana Value Plan | BB2 | Non-Postal | HDHP Self & Family | Monthly | 285.65 |
| Humana CoverageFirst and Humana Value Plan | BB3 | Non-Postal | HDHP Self Plus One | Monthly | 251.45 |
| Humana CoverageFirst and Humana Value Plan | DT1 | Non-Postal | HDHP Self | Monthly | 127.65 |
| Humana CoverageFirst and Humana Value Plan | DT2 | Non-Postal | HDHP Self & Family | Monthly | 318.12 |
| Humana CoverageFirst and Humana Value Plan | DT3 | Non-Postal | HDHP Self Plus One | Monthly | 280.02 |
| Humana CoverageFirst and Humana Value Plan | FZ1 | Non-Postal | HDHP Self | Monthly | 103.42 |
| Humana CoverageFirst and Humana Value Plan | FZ2 | Non-Postal | HDHP Self & Family | Monthly | 257.54 |
| Humana CoverageFirst and Humana Value Plan | FZ3 | Non-Postal | HDHP Self Plus One | Monthly | 226.71 |
| Humana CoverageFirst and Humana Value Plan | MW1 | Non-Postal | CDHP Self | Monthly | 534.77 |
| Humana CoverageFirst and Humana Value Plan | MW2 | Non-Postal | CDHP Self & Family | Monthly | 1144.81 |
| Humana CoverageFirst and Humana Value Plan | MW3 | Non-Postal | CDHP Self Plus One | Monthly | 1145.28 |
| Humana CoverageFirst and Humana Value Plan | MW4 | Non-Postal | Value Self | Monthly | 252.96 |
| Humana CoverageFirst and Humana Value Plan | MW5 | Non-Postal | Value Self & Family | Monthly | 510.54 |
| Humana CoverageFirst and Humana Value Plan | MW6 | Non-Postal | Value Self Plus One | Monthly | 539.28 |
| Humana CoverageFirst and Humana Value Plan | TC1 | Non-Postal | CDHP Self | Monthly | 243.53 |
| Humana CoverageFirst and Humana Value Plan | TC2 | Non-Postal | CDHP Self & Family | Monthly | 489.28 |
| Humana CoverageFirst and Humana Value Plan | TC3 | Non-Postal | CDHP Self Plus One | Monthly | 518.98 |
| Humana CoverageFirst and Humana Value Plan | TC4 | Non-Postal | Value Self | Monthly | 156.52 |
| Humana CoverageFirst and Humana Value Plan | TC5 | Non-Postal | Value Self & Family | Monthly | 352.19 |
| Humana CoverageFirst and Humana Value Plan | TC6 | Non-Postal | Value Self Plus One | Monthly | 336.54 |
| Humana CoverageFirst and Humana Value Plan | X31 | Non-Postal | CDHP Self | Monthly | 389.28 |
| Humana CoverageFirst and Humana Value Plan | X32 | Non-Postal | CDHP Self & Family | Monthly | 817.27 |
| Humana CoverageFirst and Humana Value Plan | X33 | Non-Postal | CDHP Self Plus One | Monthly | 832.37 |
| Humana CoverageFirst and Humana Value Plan | X34 | Non-Postal | Value Self | Monthly | 183.13 |
| Humana CoverageFirst and Humana Value Plan | X35 | Non-Postal | Value Self & Family | Monthly | 412.04 |
| Humana CoverageFirst and Humana Value Plan | X36 | Non-Postal | Value Self Plus One | Monthly | 393.73 |
| Humana Health Plan of Ohio, Inc. | A64 | Non-Postal | Standard Self | Monthly | 741.73 |
| Humana Health Plan of Ohio, Inc. | A65 | Non-Postal | Standard Self & Family | Monthly | 1610.31 |
| Humana Health Plan of Ohio, Inc. | A66 | Non-Postal | Standard Self Plus One | Monthly | 1590.16 |
| Humana Health Plan, Inc. | 751 | Non-Postal | High Self | Monthly | 882.61 |
| Humana Health Plan, Inc. | 752 | Non-Postal | High Self & Family | Monthly | 1927.25 |
| Humana Health Plan, Inc. | 753 | Non-Postal | High Self Plus One | Monthly | 1893 |
| Humana Health Plan, Inc. | 754 | Non-Postal | Standard Self | Monthly | 597.69 |
| Humana Health Plan, Inc. | 755 | Non-Postal | Standard Self & Family | Monthly | 1286.25 |
| Humana Health Plan, Inc. | 756 | Non-Postal | Standard Self Plus One | Monthly | 1280.48 |
| Humana Health Plan, Inc. | MH4 | Non-Postal | Standard Self | Monthly | 535.99 |
| Humana Health Plan, Inc. | MH5 | Non-Postal | Standard Self & Family | Monthly | 1147.36 |
| Humana Health Plan, Inc. | MH6 | Non-Postal | Standard Self Plus One | Monthly | 1147.75 |
| Indiana University Health Plans, Inc | FS1 | Non-Postal | High Self | Monthly | 151.56 |
| Indiana University Health Plans, Inc | FS2 | Non-Postal | High Self & Family | Monthly | 424.36 |
| Indiana University Health Plans, Inc | FS3 | Non-Postal | High Self Plus One | Monthly | 333.43 |