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Healthcare Plan Information

2023 Plan Information for Indiana

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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 K84 Non-Postal Standard Self Monthly 225.85
Health Alliance HMO K85 Non-Postal Standard Self & Family Monthly 524.23
Health Alliance HMO 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
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