Healthcare
2024 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 | 272.61 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 498.46 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 590.61 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 160.8 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 405.51 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 352.64 |
| 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 | 733.39 |
| Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 1614.27 |
| Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 1713.77 |
| Aetna HealthFund CDHP and Aetna Value Plan | G54 | Non-Postal | Value Self | Monthly | 342.42 |
| Aetna HealthFund CDHP and Aetna Value Plan | G55 | Non-Postal | Value Self & Family | Monthly | 731.12 |
| Aetna HealthFund CDHP and Aetna Value Plan | G56 | Non-Postal | Value Self Plus One | Monthly | 818.68 |
| Aetna Open Access | WQ1 | Non-Postal | High Self | Monthly | 810.79 |
| Aetna Open Access | WQ2 | Non-Postal | High Self & Family | Monthly | 1996.41 |
| Aetna Open Access | WQ3 | Non-Postal | High Self Plus One | Monthly | 2092.09 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU1 | Non-Postal | HDHP Self | Monthly | 195.61 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU2 | Non-Postal | HDHP Self & Family | Monthly | 449.89 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU3 | Non-Postal | HDHP Self Plus One | Monthly | 420.54 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT1 | Non-Postal | High Self | Monthly | 485.18 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT2 | Non-Postal | High Self & Family | Monthly | 1283.16 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT3 | Non-Postal | High Self Plus One | Monthly | 1036.82 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | WF1 | Non-Postal | High Self | Monthly | 203.73 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | WF2 | Non-Postal | High Self & Family | Monthly | 472.61 |
| UnitedHealthcare Insurance Company, Inc. Choice Plus Primary | WF3 | Non-Postal | High Self Plus One | Monthly | 431.67 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | VD1 | Non-Postal | High Self | Monthly | 194.6 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | VD2 | Non-Postal | High Self & Family | Monthly | 460.23 |
| UnitedHealthcare Insurance Company, Inc. Choice Primary | VD3 | Non-Postal | High Self Plus One | Monthly | 418.39 |