Click here to skip navigation
#{Settings:VersionLabel}
Skip Navigation

In This Section

Healthcare

Non-Postal Premium Rates for the Federal Employees Health Benefits Program

HMO (Regional Plans with Specific Service Areas)

Plan - Option Enrollment Code 2019 Total Biweekly Premium 2020 Biweekly Premium Rates - Total Premium 2020 Biweekly Premium Rates - Government Pays 2020 Biweekly Premium Rates - Employee Pays 2020 Biweekly Premium Rates - Change in Employee Payment 2019 Total Monthly Premium 2020 Monthly Premium Rates - Total Premium 2020 Monthly Premium Rates - Government Pays 2020 Monthly Premium Rates - Employee Pays 2020 Monthly Premium Rates - Change in Employee Payment
Alabama Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Alabama Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Alabama Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Alabama Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Alabama Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Alabama Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 374.21 382.72 235.77 146.95 2.92 810.79 829.23 510.84 318.39 6.32
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 853.25 872.64 546.47 326.17 -1.76 1848.71 1890.72 1184.02 706.70 -3.82
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 844.80 864.00 504.12 359.88 7.35 1830.40 1872.00 1092.26 779.74 15.93
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 326.97 378.45 235.77 142.68 45.89 708.44 819.98 510.84 309.14 99.42
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 748.73 866.59 546.47 320.12 96.71 1622.25 1877.61 1184.02 693.59 209.53
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 734.04 849.59 504.12 345.47 103.70 1590.42 1840.78 1092.26 748.52 224.69
Alabama Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Alabama Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Alabama Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 193.25 209.88 157.41 52.47 4.16 418.71 454.74 341.06 113.68 9.00
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 444.50 482.73 362.05 120.68 9.56 963.08 1045.92 784.44 261.48 20.71
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 415.50 451.25 338.44 112.81 8.94 900.25 977.71 733.28 244.43 19.37
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 313.40 329.48 235.77 93.71 10.49 679.03 713.87 510.84 203.03 22.72
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 783.52 823.71 546.47 277.24 19.04 1697.63 1784.71 1184.02 600.69 41.25
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 673.82 708.40 504.12 204.28 22.73 1459.94 1534.87 1092.26 442.61 49.26
Alabama UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 242.68 182.01 60.67 New Plan New Plan 525.81 394.36 131.45 New Plan
Alabama UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 573.86 430.40 143.46 New Plan New Plan 1243.36 932.52 310.84 New Plan
Alabama UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 521.73 391.30 130.43 New Plan New Plan 1130.42 847.82 282.60 New Plan
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 233.88 175.41 58.47 New Plan New Plan 506.74 380.06 126.68 New Plan
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 553.03 414.77 138.26 New Plan New Plan 1198.23 898.67 299.56 New Plan
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 502.79 377.09 125.70 New Plan New Plan 1089.38 817.04 272.34 New Plan
Alaska Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Alaska Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Alaska Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Alaska Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Alaska Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Alaska Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 371.07 495.45 235.77 259.68 118.79 803.99 1073.48 510.84 562.64 257.37
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 847.11 1131.04 546.47 584.57 262.78 1835.41 2450.59 1184.02 1266.57 569.35
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 838.73 1119.84 504.12 615.72 269.26 1817.25 2426.32 1092.26 1334.06 583.40
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 484.17 463.38 235.77 227.61 -26.38 1049.04 1003.99 510.84 493.15 -57.17
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1103.70 1056.30 546.47 509.83 -68.55 2391.35 2288.65 1184.02 1104.63 -148.53
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1092.78 1045.84 504.12 541.72 -58.79 2367.69 2265.99 1092.26 1173.73 -127.37
Alaska Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Alaska Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Alaska Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Arizona Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Arizona Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Arizona Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Arizona Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Arizona Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Arizona Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 309.50 328.95 235.77 93.18 13.86 670.58 712.73 510.84 201.89 30.03
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 708.86 753.40 546.47 206.93 23.39 1535.86 1632.37 1184.02 448.35 50.68
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 694.97 738.63 504.12 234.51 31.81 1505.77 1600.37 1092.26 508.11 68.93
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 362.37 417.46 235.77 181.69 49.50 785.14 904.50 510.84 393.66 107.24
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 826.56 952.20 546.47 405.73 104.49 1790.88 2063.10 1184.02 879.08 226.39
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 818.39 942.79 504.12 438.67 112.55 1773.18 2042.71 1092.26 950.45 243.86
Arizona Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Arizona Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Arizona Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Arizona Aetna Open Access - High Self WQ1 519.24 535.92 235.77 300.15 11.09 1125.02 1161.16 510.84 650.32 24.02
Arizona Aetna Open Access - High Self & Family WQ2 1260.70 1301.20 546.47 754.73 19.35 2731.52 2819.27 1184.02 1635.25 41.92
Arizona Aetna Open Access - High Self Plus One WQ3 1248.21 1288.31 504.12 784.19 28.25 2704.46 2791.34 1092.26 1699.08 61.21
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self R61 312.97 331.75 235.77 95.98 13.19 678.10 718.79 510.84 207.95 28.57
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family R62 704.17 746.43 546.47 199.96 21.11 1525.70 1617.27 1184.02 433.25 45.74
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One R63 672.88 713.25 504.12 209.13 28.52 1457.91 1545.38 1092.26 453.12 61.80
Arizona Humana CoverageFirst and Humana Value Plan - Value Self R64 250.16 265.17 198.88 66.29 3.75 542.01 574.54 430.91 143.63 8.13
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family R65 562.85 596.62 447.47 149.15 8.44 1219.51 1292.68 969.51 323.17 18.29
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One R66 537.84 570.11 427.58 142.53 8.07 1165.32 1235.24 926.43 308.81 17.48
Arizona Humana CoverageFirst and Humana Value Plan - Value Self R94 228.07 241.76 181.32 60.44 3.42 494.15 523.81 392.86 130.95 7.41
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family R95 513.16 543.95 407.96 135.99 7.70 1111.85 1178.56 883.92 294.64 16.68
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One R96 490.36 519.78 389.84 129.94 7.35 1062.45 1126.19 844.64 281.55 15.94
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self R91 286.45 303.64 227.73 75.91 4.30 620.64 657.89 493.42 164.47 9.31
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family R92 644.50 683.17 512.38 170.79 9.67 1396.42 1480.20 1110.15 370.05 20.95
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One R93 615.85 652.80 489.60 163.20 9.24 1334.34 1414.40 1060.80 353.60 20.02
Arizona Humana Health Plan, Inc. - Standard Self C74 335.34 361.89 235.77 126.12 20.96 726.57 784.10 510.84 273.26 45.41
Arizona Humana Health Plan, Inc. - Standard Self & Family C75 754.49 814.24 546.47 267.77 38.60 1634.73 1764.19 1184.02 580.17 83.63
Arizona Humana Health Plan, Inc. - Standard Self Plus One C76 720.95 778.03 504.12 273.91 45.23 1562.06 1685.73 1092.26 593.47 98.00
Arizona Humana Health Plan, Inc. - High Self C71 398.12 469.79 235.77 234.02 66.08 862.59 1017.88 510.84 507.04 143.17
Arizona Humana Health Plan, Inc. - High Self & Family C72 895.77 1057.01 546.47 510.54 140.09 1940.84 2290.19 1184.02 1106.17 303.52
Arizona Humana Health Plan, Inc. - High Self Plus One C73 855.96 1010.03 504.12 505.91 142.22 1854.58 2188.40 1092.26 1096.14 308.15
Arizona Humana Health Plan, Inc. - High Self BF1 628.35 659.77 235.77 424.00 25.83 1361.43 1429.50 510.84 918.66 55.95
Arizona Humana Health Plan, Inc. - High Self & Family BF2 1413.76 1484.43 546.47 937.96 49.52 3063.15 3216.27 1184.02 2032.25 107.29
Arizona Humana Health Plan, Inc. - High Self Plus One BF3 1350.92 1418.47 504.12 914.35 55.70 2926.99 3073.35 1092.26 1981.09 120.69
Arizona Humana Health Plan, Inc. - Standard Self BF4 422.80 532.73 235.77 296.96 104.34 916.07 1154.25 510.84 643.41 226.06
Arizona Humana Health Plan, Inc. - Standard Self & Family BF5 951.31 1198.65 546.47 652.18 226.19 2061.17 2597.08 1184.02 1413.06 490.08
Arizona Humana Health Plan, Inc. - Standard Self Plus One BF6 909.03 1145.38 504.12 641.26 224.50 1969.57 2481.66 1092.26 1389.40 486.42
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 207.84 204.85 153.64 51.21 -0.75 450.32 443.84 332.88 110.96 -1.62
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 478.03 471.16 353.37 117.79 -1.72 1035.73 1020.85 765.64 255.21 -3.72
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 446.86 440.43 330.32 110.11 -1.60 968.20 954.27 715.70 238.57 -3.48
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 313.47 334.51 235.77 98.74 15.45 679.19 724.77 510.84 213.93 33.46
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 783.67 836.26 546.47 289.79 31.44 1697.95 1811.90 1184.02 627.88 68.12
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 673.95 719.19 504.12 215.07 33.39 1460.23 1558.25 1092.26 465.99 72.35
Arizona UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self WF1 New Plan 241.32 180.99 60.33 New Plan New Plan 522.86 392.15 130.71 New Plan
Arizona UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family WF2 New Plan 570.64 427.98 142.66 New Plan New Plan 1236.39 927.29 309.10 New Plan
Arizona UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One WF3 New Plan 518.79 389.09 129.70 New Plan New Plan 1124.05 843.04 281.01 New Plan
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self VD1 New Plan 240.93 180.70 60.23 New Plan New Plan 522.02 391.52 130.50 New Plan
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family VD2 New Plan 569.71 427.28 142.43 New Plan New Plan 1234.37 925.78 308.59 New Plan
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One VD3 New Plan 517.95 388.46 129.49 New Plan New Plan 1122.23 841.67 280.56 New Plan
Arkansas Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Arkansas Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Arkansas Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Arkansas Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Arkansas Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Arkansas Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 374.21 382.72 235.77 146.95 2.92 810.79 829.23 510.84 318.39 6.32
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 853.25 872.64 546.47 326.17 -1.76 1848.71 1890.72 1184.02 706.70 -3.82
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 844.80 864.00 504.12 359.88 7.35 1830.40 1872.00 1092.26 779.74 15.93
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 326.97 378.45 235.77 142.68 45.89 708.44 819.98 510.84 309.14 99.42
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 748.73 866.59 546.47 320.12 96.71 1622.25 1877.61 1184.02 693.59 209.53
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 734.04 849.59 504.12 345.47 103.70 1590.42 1840.78 1092.26 748.52 224.69
Arkansas Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Arkansas Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Arkansas Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Arkansas QualChoice - High Self DH1 330.63 347.17 235.77 111.40 10.95 716.37 752.20 510.84 241.36 23.71
Arkansas QualChoice - High Self & Family DH2 862.38 905.52 546.47 359.05 21.99 1868.49 1961.96 1184.02 777.94 47.64
Arkansas QualChoice - High Self Plus One DH3 642.26 674.39 504.12 170.27 9.71 1391.56 1461.18 1092.26 368.92 21.03
Arkansas QualChoice - Standard Self DH4 258.14 271.04 203.28 67.76 3.23 559.30 587.25 440.44 146.81 6.99
Arkansas QualChoice - Standard Self & Family DH5 673.30 706.96 530.22 176.74 8.42 1458.82 1531.75 1148.81 382.94 18.24
Arkansas QualChoice - Standard Self Plus One DH6 501.44 526.51 394.88 131.63 6.27 1086.45 1140.77 855.58 285.19 13.58
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 193.25 209.88 157.41 52.47 4.16 418.71 454.74 341.06 113.68 9.00
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 444.50 482.73 362.05 120.68 9.56 963.08 1045.92 784.44 261.48 20.71
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 415.50 451.25 338.44 112.81 8.94 900.25 977.71 733.28 244.43 19.37
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 313.40 329.48 235.77 93.71 10.49 679.03 713.87 510.84 203.03 22.72
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 783.52 823.71 546.47 277.24 19.04 1697.63 1784.71 1184.02 600.69 41.25
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 673.82 708.40 504.12 204.28 22.73 1459.94 1534.87 1092.26 442.61 49.26
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 242.68 182.01 60.67 New Plan New Plan 525.81 394.36 131.45 New Plan
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 573.86 430.40 143.46 New Plan New Plan 1243.36 932.52 310.84 New Plan
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 521.73 391.30 130.43 New Plan New Plan 1130.42 847.82 282.60 New Plan
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 233.88 175.41 58.47 New Plan New Plan 506.74 380.06 126.68 New Plan
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 553.03 414.77 138.26 New Plan New Plan 1198.23 898.67 299.56 New Plan
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 502.79 377.09 125.70 New Plan New Plan 1089.38 817.04 272.34 New Plan
California Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
California Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
California Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
California Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
California Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
California Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 371.07 495.45 235.77 259.68 118.79 803.99 1073.48 510.84 562.64 257.37
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 847.11 1131.04 546.47 584.57 262.78 1835.41 2450.59 1184.02 1266.57 569.35
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 838.73 1119.84 504.12 615.72 269.26 1817.25 2426.32 1092.26 1334.06 583.40
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 484.17 463.38 235.77 227.61 -26.38 1049.04 1003.99 510.84 493.15 -57.17
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1103.70 1056.30 546.47 509.83 -68.55 2391.35 2288.65 1184.02 1104.63 -148.53
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1092.78 1045.84 504.12 541.72 -58.79 2367.69 2265.99 1092.26 1173.73 -127.37
California Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
California Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
California Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
California Aetna Open Access - High Self 2X1 352.58 406.40 235.77 170.63 48.23 763.92 880.53 510.84 369.69 104.49
California Aetna Open Access - High Self & Family 2X2 827.74 954.11 546.47 407.64 105.22 1793.44 2067.24 1184.02 883.22 227.97
California Aetna Open Access - High Self Plus One 2X3 811.51 935.40 504.12 431.28 112.04 1758.27 2026.70 1092.26 934.44 242.76
California Anthem Blue Cross Select HMO - High Self B31 355.52 357.29 235.77 121.52 -3.82 770.29 774.13 510.84 263.29 -8.28
California Anthem Blue Cross Select HMO - High Self & Family B32 799.93 816.42 546.47 269.95 -4.66 1733.18 1768.91 1184.02 584.89 -10.10
California Anthem Blue Cross Select HMO - High Self Plus One B33 743.05 757.46 504.12 253.34 2.56 1609.94 1641.16 1092.26 548.90 5.55
California Blue Shield of California - Access + HMO Self SI1 359.67 384.85 235.77 149.08 19.59 779.29 833.84 510.84 323.00 42.43
California Blue Shield of California - Access + HMO Self & Family SI2 827.26 885.16 546.47 338.69 36.75 1792.40 1917.85 1184.02 733.83 79.62
California Blue Shield of California - Access + HMO Self Plus One SI3 791.28 846.67 504.12 342.55 43.54 1714.44 1834.45 1092.26 742.19 94.34
California Blue Shield of California - TRIO HMO Self SI4 325.42 341.69 235.77 105.92 10.68 705.08 740.33 510.84 229.49 23.13
California Blue Shield of California - TRIO HMO Self & Family SI5 748.47 785.89 546.47 239.42 16.27 1621.69 1702.76 1184.02 518.74 35.24
California Blue Shield of California - TRIO HMO Self Plus One SI6 715.93 751.72 504.12 247.60 23.94 1551.18 1628.73 1092.26 536.47 51.88
California Health Net of California - Basic Self P61 153.40 149.71 112.28 37.43 -0.92 332.37 324.37 243.28 81.09 -2.00
California Health Net of California - Basic Self & Family P62 368.17 359.29 269.47 89.82 -2.22 797.70 778.46 583.85 194.61 -4.81
California Health Net of California - Basic Self Plus One P63 337.49 329.35 247.01 82.34 -2.03 731.23 713.59 535.19 178.40 -4.41
California Health Net of California - Standard Self LP4 436.45 467.68 235.77 231.91 25.64 945.64 1013.31 510.84 502.47 55.55
California Health Net of California - Standard Self & Family LP5 1047.48 1122.44 546.47 575.97 53.81 2269.54 2431.95 1184.02 1247.93 116.58
California Health Net of California - Standard Self Plus One LP6 960.19 1028.90 504.12 524.78 56.86 2080.41 2229.28 1092.26 1137.02 123.20
California Health Net of California - High Self LP1 458.33 483.86 235.77 248.09 19.94 993.05 1048.36 510.84 537.52 43.19
California Health Net of California - High Self & Family LP2 1100.00 1161.26 546.47 614.79 40.11 2383.33 2516.06 1184.02 1332.04 86.90
California Health Net of California - High Self Plus One LP3 1008.33 1064.49 504.12 560.37 44.31 2184.72 2306.40 1092.26 1214.14 96.01
California Health Net of California - High Self LB1 628.34 697.18 235.77 461.41 63.25 1361.40 1510.56 510.84 999.72 137.04
California Health Net of California - High Self & Family LB2 1508.02 1673.25 546.47 1126.78 144.08 3267.38 3625.38 1184.02 2441.36 312.17
California Health Net of California - High Self Plus One LB3 1382.35 1533.81 504.12 1029.69 139.61 2995.09 3323.26 1092.26 2231.00 302.50
California Health Net of California - Standard Self LB4 595.11 618.71 235.77 382.94 18.01 1289.41 1340.54 510.84 829.70 39.01
California Health Net of California - Standard Self & Family LB5 1428.27 1484.90 546.47 938.43 35.48 3094.59 3217.28 1184.02 2033.26 76.86
California Health Net of California - Standard Self Plus One LB6 1309.25 1361.16 504.12 857.04 40.06 2836.71 2949.18 1092.26 1856.92 86.80
California Health Net of California - Basic Self T41 364.75 407.00 235.77 171.23 36.66 790.29 881.83 510.84 370.99 79.42
California Health Net of California - Basic Self & Family T42 875.40 976.80 546.47 430.33 80.25 1896.70 2116.40 1184.02 932.38 173.87
California Health Net of California - Basic Self Plus One T43 802.44 895.41 504.12 391.29 81.12 1738.62 1940.06 1092.26 847.80 175.77
California Kaiser Foundation Health Plan, Inc. Northern California Region - Basic Self KC1 295.76 300.96 225.72 75.24 1.30 640.81 652.08 489.06 163.02 2.82
California Kaiser Foundation Health Plan, Inc. Northern California Region - Basic Self & Family KC2 692.05 704.24 528.18 176.06 3.05 1499.44 1525.85 1144.39 381.46 6.60
California Kaiser Foundation Health Plan, Inc. Northern California Region - Basic Self Plus One KC3 692.05 704.24 504.12 200.12 0.34 1499.44 1525.85 1092.26 433.59 0.74
California Kaiser Foundation Health Plan, Inc. Northern California Region - High Self 591 458.07 461.75 235.77 225.98 -1.91 992.49 1000.46 510.84 489.62 -4.15
California Kaiser Foundation Health Plan, Inc. Northern California Region - High Self & Family 592 1093.45 1102.25 546.47 555.78 -12.35 2369.14 2388.21 1184.02 1204.19 -26.76
California Kaiser Foundation Health Plan, Inc. Northern California Region - High Self Plus One 593 1093.45 1102.25 504.12 598.13 -3.05 2369.14 2388.21 1092.26 1295.95 -6.60
California Kaiser Foundation Health Plan, Inc. Northern California Region - Standard Self 594 368.11 373.79 235.77 138.02 0.09 797.57 809.88 510.84 299.04 0.19
California Kaiser Foundation Health Plan, Inc. Northern California Region - Standard Self & Family 595 861.36 874.65 546.47 328.18 -7.86 1866.28 1895.08 1184.02 711.06 -17.03
California Kaiser Foundation Health Plan, Inc. Northern California Region - Standard Self Plus One 596 861.36 874.65 504.12 370.53 1.44 1866.28 1895.08 1092.26 802.82 3.13
California Kaiser Foundation Health Plan, Inc. Northern California Region: Fresno - Standard Self NZ4 246.77 261.60 196.20 65.40 3.71 534.67 566.80 425.10 141.70 8.03
California Kaiser Foundation Health Plan, Inc. Northern California Region: Fresno - Standard Self & Family NZ5 570.33 604.59 453.44 151.15 8.57 1235.72 1309.95 982.46 327.49 18.56
California Kaiser Foundation Health Plan, Inc. Northern California Region: Fresno - Standard Self Plus One NZ6 570.33 604.59 453.44 151.15 8.57 1235.72 1309.95 982.46 327.49 18.56
California Kaiser Foundation Health Plan, Inc. Northern California Region: Fresno - High Self NZ1 337.40 358.58 235.77 122.81 15.59 731.03 776.92 510.84 266.08 33.77
California Kaiser Foundation Health Plan, Inc. Northern California Region: Fresno - High Self & Family NZ2 779.79 828.77 546.47 282.30 27.83 1689.55 1795.67 1184.02 611.65 60.29
California Kaiser Foundation Health Plan, Inc. Northern California Region: Fresno - High Self Plus One NZ3 779.79 828.77 504.12 324.65 37.13 1689.55 1795.67 1092.26 703.41 80.45
California Kaiser Foundation Health Plan, Inc. Southern California Region - Standard Self 624 199.09 215.22 161.42 53.80 4.03 431.36 466.31 349.73 116.58 8.74
California Kaiser Foundation Health Plan, Inc. Southern California Region - Standard Self & Family 625 460.12 497.40 373.05 124.35 9.32 996.93 1077.70 808.28 269.42 20.19
California Kaiser Foundation Health Plan, Inc. Southern California Region - Standard Self Plus One 626 460.12 497.40 373.05 124.35 9.32 996.93 1077.70 808.28 269.42 20.19
California Kaiser Foundation Health Plan, Inc. Southern California Region - High Self 621 317.17 339.42 235.77 103.65 16.66 687.20 735.41 510.84 224.57 36.09
California Kaiser Foundation Health Plan, Inc. Southern California Region - High Self & Family 622 733.04 784.46 546.47 237.99 30.27 1588.25 1699.66 1184.02 515.64 65.58
California Kaiser Foundation Health Plan, Inc. Southern California Region - High Self Plus One 623 733.04 784.46 504.12 280.34 39.57 1588.25 1699.66 1092.26 607.40 85.74
Colorado Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Colorado Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Colorado Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Colorado Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Colorado Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Colorado Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 309.50 328.95 235.77 93.18 13.86 670.58 712.73 510.84 201.89 30.03
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 708.86 753.40 546.47 206.93 23.39 1535.86 1632.37 1184.02 448.35 50.68
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 694.97 738.63 504.12 234.51 31.81 1505.77 1600.37 1092.26 508.11 68.93
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 362.37 417.46 235.77 181.69 49.50 785.14 904.50 510.84 393.66 107.24
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 826.56 952.20 546.47 405.73 104.49 1790.88 2063.10 1184.02 879.08 226.39
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 818.39 942.79 504.12 438.67 112.55 1773.18 2042.71 1092.26 950.45 243.86
Colorado Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Colorado Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Colorado Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Colorado BlueAdvantageHMO on the Pathway HMO Network - High Self WW1 274.48 293.70 220.28 73.42 4.80 594.71 636.35 477.26 159.09 10.41
Colorado BlueAdvantageHMO on the Pathway HMO Network - High Self & Family WW2 668.36 715.15 536.36 178.79 11.70 1448.11 1549.49 1162.12 387.37 25.34
Colorado BlueAdvantageHMO on the Pathway HMO Network - High Self Plus One WW3 624.44 668.15 501.11 167.04 10.93 1352.95 1447.66 1085.75 361.91 23.67
Colorado Humana Health Plan, Inc. - High Self NR1 321.33 379.16 235.77 143.39 52.24 696.22 821.51 510.84 310.67 113.17
Colorado Humana Health Plan, Inc. - High Self & Family NR2 722.98 853.11 546.47 306.64 108.98 1566.46 1848.41 1184.02 664.39 236.12
Colorado Humana Health Plan, Inc. - High Self Plus One NR3 690.85 815.20 504.12 311.08 112.50 1496.84 1766.27 1092.26 674.01 243.76
Colorado Humana Health Plan, Inc. - Standard Self NR4 241.06 262.76 197.07 65.69 5.43 522.30 569.31 426.98 142.33 11.76
Colorado Humana Health Plan, Inc. - Standard Self & Family NR5 542.40 591.22 443.42 147.80 12.20 1175.20 1280.98 960.74 320.24 26.44
Colorado Humana Health Plan, Inc. - Standard Self Plus One NR6 518.28 564.93 423.70 141.23 11.66 1122.94 1224.02 918.02 306.00 25.27
Colorado Humana Health Plan, Inc. - Basic Self RZ1 229.36 240.83 180.62 60.21 2.87 496.95 521.80 391.35 130.45 6.21
Colorado Humana Health Plan, Inc. - Basic Self & Family RZ2 516.06 541.86 406.40 135.46 6.45 1118.13 1174.03 880.52 293.51 13.98
Colorado Humana Health Plan, Inc. - Basic Self Plus One RZ3 493.14 517.80 388.35 129.45 6.17 1068.47 1121.90 841.43 280.47 13.35
Colorado Humana Health Plan, Inc. - High Self NT1 289.32 352.97 235.77 117.20 44.87 626.86 764.77 510.84 253.93 97.22
Colorado Humana Health Plan, Inc. - High Self & Family NT2 650.99 794.21 546.47 247.74 84.99 1410.48 1720.79 1184.02 536.77 184.15
Colorado Humana Health Plan, Inc. - High Self Plus One NT3 622.04 758.90 504.12 254.78 99.27 1347.75 1644.28 1092.26 552.02 215.08
Colorado Humana Health Plan, Inc. - Standard Self NT4 231.42 249.93 187.45 62.48 4.63 501.41 541.52 406.14 135.38 10.03
Colorado Humana Health Plan, Inc. - Standard Self & Family NT5 520.71 562.36 421.77 140.59 10.41 1128.21 1218.45 913.84 304.61 22.56
Colorado Humana Health Plan, Inc. - Standard Self Plus One NT6 497.58 537.39 403.04 134.35 9.96 1078.09 1164.35 873.26 291.09 21.57
Colorado Humana Health Plan, Inc. - Basic Self R21 226.97 245.13 183.85 61.28 4.54 491.77 531.12 398.34 132.78 9.84
Colorado Humana Health Plan, Inc. - Basic Self & Family R22 510.69 551.54 413.66 137.88 10.21 1106.50 1195.00 896.25 298.75 22.13
Colorado Humana Health Plan, Inc. - Basic Self Plus One R23 487.99 527.03 395.27 131.76 9.76 1057.31 1141.90 856.43 285.47 21.14
Colorado Kaiser Foundation Health Plan of Colorado - Standard Self 654 270.77 309.83 232.37 77.46 9.77 586.67 671.30 503.48 167.82 21.15
Colorado Kaiser Foundation Health Plan of Colorado - Standard Self & Family 655 611.96 700.21 525.16 175.05 22.06 1325.91 1517.12 1137.84 379.28 47.80
Colorado Kaiser Foundation Health Plan of Colorado - Standard Self Plus One 656 611.96 700.21 504.12 196.09 43.10 1325.91 1517.12 1092.26 424.86 93.38
Colorado Kaiser Foundation Health Plan of Colorado - High Self 651 341.05 364.23 235.77 128.46 17.59 738.94 789.17 510.84 278.33 38.11
Colorado Kaiser Foundation Health Plan of Colorado - High Self & Family 652 770.79 823.16 546.47 276.69 31.22 1670.05 1783.51 1184.02 599.49 67.63
Colorado Kaiser Foundation Health Plan of Colorado - High Self Plus One 653 770.79 823.16 504.12 319.04 40.52 1670.05 1783.51 1092.26 691.25 87.79
Colorado Kaiser Foundation Health Plan of Colorado - Basic Self N41 198.39 223.74 167.81 55.93 6.33 429.85 484.77 363.58 121.19 13.73
Colorado Kaiser Foundation Health Plan of Colorado - Basic Self & Family N42 448.35 505.66 379.25 126.41 14.32 971.43 1095.60 821.70 273.90 31.04
Colorado Kaiser Foundation Health Plan of Colorado - Basic Self Plus One N43 448.35 505.66 379.25 126.41 14.32 971.43 1095.60 821.70 273.90 31.04
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 207.84 204.85 153.64 51.21 -0.75 450.32 443.84 332.88 110.96 -1.62
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 478.03 471.16 353.37 117.79 -1.72 1035.73 1020.85 765.64 255.21 -3.72
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 446.86 440.43 330.32 110.11 -1.60 968.20 954.27 715.70 238.57 -3.48
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 313.47 334.51 235.77 98.74 15.45 679.19 724.77 510.84 213.93 33.46
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 783.67 836.26 546.47 289.79 31.44 1697.95 1811.90 1184.02 627.88 68.12
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 673.95 719.19 504.12 215.07 33.39 1460.23 1558.25 1092.26 465.99 72.35
Connecticut Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Connecticut Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Connecticut Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Connecticut Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Connecticut Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Connecticut Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 285.73 350.59 235.77 114.82 43.39 619.08 759.61 510.84 248.77 94.00
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 654.30 802.85 546.47 256.38 92.81 1417.65 1739.51 1184.02 555.49 201.08
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 641.47 787.10 504.12 282.98 122.61 1389.85 1705.38 1092.26 613.12 265.66
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 423.14 496.50 235.77 260.73 67.77 916.80 1075.75 510.84 564.91 146.83
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 965.00 1132.30 546.47 585.83 146.15 2090.83 2453.32 1184.02 1269.30 316.66
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 955.44 1121.09 504.12 616.97 153.80 2070.12 2429.03 1092.26 1336.77 333.24
Connecticut Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Connecticut Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Connecticut Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Delaware Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Delaware Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Delaware Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Delaware Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Delaware Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Delaware Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 285.73 350.59 235.77 114.82 43.39 619.08 759.61 510.84 248.77 94.00
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 654.30 802.85 546.47 256.38 92.81 1417.65 1739.51 1184.02 555.49 201.08
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 641.47 787.10 504.12 282.98 122.61 1389.85 1705.38 1092.26 613.12 265.66
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 423.14 496.50 235.77 260.73 67.77 916.80 1075.75 510.84 564.91 146.83
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 965.00 1132.30 546.47 585.83 146.15 2090.83 2453.32 1184.02 1269.30 316.66
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 955.44 1121.09 504.12 616.97 153.80 2070.12 2429.03 1092.26 1336.77 333.24
Delaware Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Delaware Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Delaware Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Delaware Aetna Open Access - Basic Self P34 599.29 604.65 235.77 368.88 -0.23 1298.46 1310.08 510.84 799.24 -0.50
Delaware Aetna Open Access - Basic Self & Family P35 1390.96 1403.39 546.47 856.92 -8.72 3013.75 3040.68 1184.02 1856.66 -18.90
Delaware Aetna Open Access - Basic Self Plus One P36 1377.18 1389.48 504.12 885.36 0.45 2983.89 3010.54 1092.26 1918.28 0.98
Delaware Aetna Open Access - High Self P31 685.48 672.28 235.77 436.51 -18.79 1485.21 1456.61 510.84 945.77 -40.72
Delaware Aetna Open Access - High Self & Family P32 1661.96 1629.94 546.47 1083.47 -53.17 3600.91 3531.54 1184.02 2347.52 -115.20
Delaware Aetna Open Access - High Self Plus One P33 1645.50 1613.79 504.12 1109.67 -43.56 3565.25 3496.55 1092.26 2404.29 -94.37
District Of Columbia Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
District Of Columbia Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
District Of Columbia Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
District Of Columbia Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
District Of Columbia Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
District Of Columbia Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 374.21 382.72 235.77 146.95 2.92 810.79 829.23 510.84 318.39 6.32
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 853.25 872.64 546.47 326.17 -1.76 1848.71 1890.72 1184.02 706.70 -3.82
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 844.80 864.00 504.12 359.88 7.35 1830.40 1872.00 1092.26 779.74 15.93
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 326.97 378.45 235.77 142.68 45.89 708.44 819.98 510.84 309.14 99.42
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 748.73 866.59 546.47 320.12 96.71 1622.25 1877.61 1184.02 693.59 209.53
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 734.04 849.59 504.12 345.47 103.70 1590.42 1840.78 1092.26 748.52 224.69
District Of Columbia Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
District Of Columbia Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
District Of Columbia Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
District Of Columbia Aetna Open Access - High Self JN1 516.52 525.03 235.77 289.26 2.92 1119.13 1137.57 510.84 626.73 6.32
District Of Columbia Aetna Open Access - High Self & Family JN2 1161.22 1180.35 546.47 633.88 -2.02 2515.98 2557.43 1184.02 1373.41 -4.38
District Of Columbia Aetna Open Access - High Self Plus One JN3 1149.71 1168.66 504.12 664.54 7.10 2491.04 2532.10 1092.26 1439.84 15.39
District Of Columbia Aetna Open Access - Basic Self JN4 314.06 321.74 235.77 85.97 2.09 680.46 697.10 510.84 186.26 4.52
District Of Columbia Aetna Open Access - Basic Self & Family JN5 718.73 736.31 546.47 189.84 -3.57 1557.25 1595.34 1184.02 411.32 -7.74
District Of Columbia Aetna Open Access - Basic Self Plus One JN6 660.00 676.15 504.12 172.03 4.30 1430.00 1464.99 1092.26 372.73 9.32
District Of Columbia Aetna Saver - Saver Self QQ4 New Plan 274.71 206.03 68.68 New Plan New Plan 595.21 446.41 148.80 New Plan
District Of Columbia Aetna Saver - Saver Self & Family QQ5 New Plan 628.68 471.51 157.17 New Plan New Plan 1362.14 1021.61 340.53 New Plan
District Of Columbia Aetna Saver - Saver Self Plus One QQ6 New Plan 577.30 432.98 144.32 New Plan New Plan 1250.82 938.12 312.70 New Plan
District Of Columbia CareFirst BlueChoice - Standard Self 2G4 368.16 390.25 235.77 154.48 16.50 797.68 845.54 510.84 334.70 35.74
District Of Columbia CareFirst BlueChoice - Standard Self & Family 2G5 874.73 927.21 546.47 380.74 31.33 1895.25 2008.96 1184.02 824.94 67.88
District Of Columbia CareFirst BlueChoice - Standard Self Plus One 2G6 736.31 780.49 504.12 276.37 32.33 1595.34 1691.06 1092.26 598.80 70.05
District Of Columbia CareFirst BlueChoice - HDHP Self B61 239.20 263.12 197.34 65.78 5.98 518.27 570.09 427.57 142.52 12.95
District Of Columbia CareFirst BlueChoice - HDHP Self & Family B62 568.33 625.16 468.87 156.29 14.21 1231.38 1354.51 1015.88 338.63 30.79
District Of Columbia CareFirst BlueChoice - HDHP Self Plus One B63 478.39 526.23 394.67 131.56 11.96 1036.51 1140.17 855.13 285.04 25.91
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self B64 New Plan 325.84 235.77 90.07 New Plan New Plan 705.99 510.84 195.15 New Plan
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self & Family B65 New Plan 774.21 546.47 227.74 New Plan New Plan 1677.46 1184.02 493.44 New Plan
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self Plus One B66 New Plan 651.70 488.78 162.92 New Plan New Plan 1412.02 1059.02 353.00 New Plan
District Of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Basic Self T71 193.90 193.90 145.43 48.47 0.00 420.12 420.12 315.09 105.03 0.00
District Of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Basic Self & Family T72 473.61 473.61 355.21 118.40 0.00 1026.16 1026.16 769.62 256.54 0.00
District Of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Basic Self Plus One T73 431.49 431.49 323.62 107.87 0.00 934.90 934.90 701.18 233.72 0.00
District Of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Standard Self E34 240.81 263.79 197.84 65.95 5.75 521.76 571.55 428.66 142.89 12.45
District Of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Standard Self & Family E35 553.84 606.69 455.02 151.67 13.21 1199.99 1314.50 985.88 328.62 28.62
District Of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Standard Self Plus One E36 553.84 606.69 455.02 151.67 13.21 1199.99 1314.50 985.88 328.62 28.62
District Of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - High Self E31 319.70 333.61 235.77 97.84 8.32 692.68 722.82 510.84 211.98 18.02
District Of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - High Self & Family E32 735.30 767.32 546.47 220.85 10.87 1593.15 1662.53 1184.02 478.51 23.55
District Of Columbia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - High Self Plus One E33 735.30 767.32 504.12 263.20 20.17 1593.15 1662.53 1092.26 570.27 43.71
District Of Columbia M.D. IPA - High Self JP1 365.01 404.59 235.77 168.82 33.99 790.86 876.61 510.84 365.77 73.63
District Of Columbia M.D. IPA - High Self & Family JP2 1023.48 1134.48 546.47 588.01 89.85 2217.54 2458.04 1184.02 1274.02 194.67
District Of Columbia M.D. IPA - High Self Plus One JP3 712.86 790.17 504.12 286.05 65.46 1544.53 1712.04 1092.26 619.78 141.84
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 228.78 224.57 168.43 56.14 -1.05 495.69 486.57 364.93 121.64 -2.28
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 526.18 516.51 387.38 129.13 -2.41 1140.06 1119.11 839.33 279.78 -5.23
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 491.87 482.83 362.12 120.71 -2.26 1065.72 1046.13 784.60 261.53 -4.90
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 308.28 329.95 235.77 94.18 16.08 667.94 714.89 510.84 204.05 34.83
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 730.61 781.98 546.47 235.51 30.22 1582.99 1694.29 1184.02 510.27 65.47
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 662.79 709.38 504.12 205.26 34.74 1436.05 1536.99 1092.26 444.73 75.27
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 201.72 240.69 180.52 60.17 9.74 437.06 521.50 391.13 130.37 21.11
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 565.61 674.89 506.17 168.72 27.32 1225.49 1462.26 1096.70 365.56 59.19
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 393.95 470.06 352.55 117.51 19.02 853.56 1018.46 763.85 254.61 41.22
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 242.68 182.01 60.67 New Plan New Plan 525.81 394.36 131.45 New Plan
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 573.86 430.40 143.46 New Plan New Plan 1243.36 932.52 310.84 New Plan
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 521.73 391.30 130.43 New Plan New Plan 1130.42 847.82 282.60 New Plan
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 233.88 175.41 58.47 New Plan New Plan 506.74 380.06 126.68 New Plan
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 553.03 414.77 138.26 New Plan New Plan 1198.23 898.67 299.56 New Plan
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 502.79 377.09 125.70 New Plan New Plan 1089.38 817.04 272.34 New Plan
Florida Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Florida Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Florida Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Florida Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Florida Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Florida Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 374.21 382.72 235.77 146.95 2.92 810.79 829.23 510.84 318.39 6.32
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 853.25 872.64 546.47 326.17 -1.76 1848.71 1890.72 1184.02 706.70 -3.82
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 844.80 864.00 504.12 359.88 7.35 1830.40 1872.00 1092.26 779.74 15.93
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 326.97 378.45 235.77 142.68 45.89 708.44 819.98 510.84 309.14 99.42
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 748.73 866.59 546.47 320.12 96.71 1622.25 1877.61 1184.02 693.59 209.53
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 734.04 849.59 504.12 345.47 103.70 1590.42 1840.78 1092.26 748.52 224.69
Florida Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Florida Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Florida Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Florida AvMed - HDHP Self WZ1 375.37 371.61 235.77 135.84 -9.35 813.30 805.16 510.84 294.32 -20.26
Florida AvMed - HDHP Self & Family WZ2 924.61 863.70 546.47 317.23 -82.06 2003.32 1871.35 1184.02 687.33 -177.80
Florida AvMed - HDHP Self Plus One WZ3 720.74 748.77 504.12 244.65 16.18 1561.60 1622.34 1092.26 530.08 35.07
Florida AvMed - Standard Self ML4 327.33 327.34 235.77 91.57 -5.58 709.22 709.24 510.84 198.40 -12.10
Florida AvMed - Standard Self & Family ML5 847.87 796.99 546.47 250.52 -72.03 1837.05 1726.81 1184.02 542.79 -156.07
Florida AvMed - Standard Self Plus One ML6 654.66 687.40 504.12 183.28 19.62 1418.43 1489.37 1092.26 397.11 42.50
Florida Capital Health Plan - High Self EA1 318.65 314.13 235.60 78.53 -9.94 690.41 680.62 510.47 170.15 -21.54
Florida Capital Health Plan - High Self & Family EA2 796.65 728.00 546.00 182.00 -89.33 1726.08 1577.33 1183.00 394.33 -193.56
Florida Capital Health Plan - High Self Plus One EA3 685.11 686.96 504.12 182.84 -10.00 1484.41 1488.41 1092.26 396.15 -21.67
Florida Humana CoverageFirst and Humana Value Plan - Value Self W94 223.95 237.04 177.78 59.26 3.27 485.23 513.59 385.19 128.40 7.09
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family W95 503.90 533.34 400.01 133.33 7.36 1091.78 1155.57 866.68 288.89 15.95
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One W96 481.50 509.63 382.22 127.41 7.04 1043.25 1104.20 828.15 276.05 15.24
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self W91 264.73 280.20 210.15 70.05 3.87 573.58 607.10 455.33 151.77 8.38
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family W92 595.65 630.44 472.83 157.61 8.70 1290.58 1365.95 1024.46 341.49 18.85
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One W93 569.17 602.43 451.82 150.61 8.32 1233.20 1305.27 978.95 326.32 18.02
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self QP1 315.70 334.64 235.77 98.87 13.35 684.02 725.05 510.84 214.21 28.91
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family QP2 711.27 753.94 546.47 207.47 21.52 1541.09 1633.54 1184.02 449.52 46.62
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One QP3 679.65 720.43 504.12 216.31 28.93 1472.58 1560.93 1092.26 468.67 62.68
Florida Humana CoverageFirst and Humana Value Plan - Value Self QP4 226.13 239.70 179.78 59.92 3.39 489.95 519.35 389.51 129.84 7.35
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family QP5 508.78 539.30 404.48 134.82 7.63 1102.36 1168.48 876.36 292.12 16.53
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One QP6 486.17 515.34 386.51 128.83 7.29 1053.37 1116.57 837.43 279.14 15.80
Florida Humana CoverageFirst and Humana Value Plan - Value Self MJ4 232.84 239.82 179.87 59.95 1.74 504.49 519.61 389.71 129.90 3.78
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family MJ5 523.89 539.60 404.70 134.90 3.93 1135.10 1169.13 876.85 292.28 8.51
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One MJ6 500.60 515.62 386.72 128.90 3.75 1084.63 1117.18 837.89 279.29 8.13
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self MJ1 394.20 437.57 235.77 201.80 37.78 854.10 948.07 510.84 437.23 81.85
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MJ2 886.96 984.53 546.47 438.06 76.42 1921.75 2133.15 1184.02 949.13 165.57
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MJ3 847.55 940.78 504.12 436.66 81.38 1836.36 2038.36 1092.26 946.10 176.33
Florida Humana CoverageFirst and Humana Value Plan - Value Self X24 217.06 227.62 170.72 56.90 2.64 470.30 493.18 369.89 123.29 5.72
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family X25 488.38 512.15 384.11 128.04 5.95 1058.16 1109.66 832.25 277.41 12.87
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One X26 466.68 489.39 367.04 122.35 5.68 1011.14 1060.35 795.26 265.09 12.31
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self X21 256.58 269.07 201.80 67.27 3.13 555.92 582.99 437.24 145.75 6.77
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X22 577.30 605.42 454.07 151.35 7.03 1250.82 1311.74 983.81 327.93 15.23
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X23 551.65 578.51 433.88 144.63 6.72 1195.24 1253.44 940.08 313.36 14.55
Florida Humana Medical Plan, Inc. - Standard Self LL4 400.11 496.13 235.77 260.36 90.43 866.91 1074.95 510.84 564.11 195.92
Florida Humana Medical Plan, Inc. - Standard Self & Family LL5 900.22 1116.28 546.47 569.81 194.91 1950.48 2418.61 1184.02 1234.59 422.30
Florida Humana Medical Plan, Inc. - Standard Self Plus One LL6 860.22 1066.67 504.12 562.55 194.60 1863.81 2311.12 1092.26 1218.86 421.64
Florida Humana Medical Plan, Inc. - High Self LL1 743.45 765.76 235.77 529.99 16.72 1610.81 1659.15 510.84 1148.31 36.22
Florida Humana Medical Plan, Inc. - High Self & Family LL2 1672.76 1722.95 546.47 1176.48 29.04 3624.31 3733.06 1184.02 2549.04 62.92
Florida Humana Medical Plan, Inc. - High Self Plus One LL3 1598.42 1646.37 504.12 1142.25 36.10 3463.24 3567.14 1092.26 2474.88 78.23
Florida Humana Medical Plan, Inc. - High Self EE1 421.87 514.68 235.77 278.91 87.22 914.05 1115.14 510.84 604.30 188.97
Florida Humana Medical Plan, Inc. - High Self & Family EE2 949.21 1158.03 546.47 611.56 187.67 2056.62 2509.07 1184.02 1325.05 406.62
Florida Humana Medical Plan, Inc. - High Self Plus One EE3 907.04 1106.58 504.12 602.46 187.69 1965.25 2397.59 1092.26 1305.33 406.67
Florida Humana Medical Plan, Inc. - Standard Self EE4 377.22 460.21 235.77 224.44 77.40 817.31 997.12 510.84 486.28 167.69
Florida Humana Medical Plan, Inc. - Standard Self & Family EE5 848.73 1035.46 546.47 488.99 165.58 1838.92 2243.50 1184.02 1059.48 358.75
Florida Humana Medical Plan, Inc. - Standard Self Plus One EE6 811.01 989.44 504.12 485.32 166.58 1757.19 2143.79 1092.26 1051.53 360.93
Florida Humana Medical Plan, Inc. - Standard Self E24 292.45 330.47 235.77 94.70 21.59 633.64 716.02 510.84 205.18 46.77
Florida Humana Medical Plan, Inc. - Standard Self & Family E25 658.00 743.54 546.47 197.07 32.57 1425.67 1611.00 1184.02 426.98 70.56
Florida Humana Medical Plan, Inc. - Standard Self Plus One E26 628.75 710.49 504.12 206.37 49.18 1362.29 1539.40 1092.26 447.14 106.57
Florida Humana Medical Plan, Inc. - High Self E21 454.97 555.07 235.77 319.30 94.51 985.77 1202.65 510.84 691.81 204.76
Florida Humana Medical Plan, Inc. - High Self & Family E22 1023.66 1248.86 546.47 702.39 204.05 2217.93 2705.86 1184.02 1521.84 442.10
Florida Humana Medical Plan, Inc. - High Self Plus One E23 978.16 1193.36 504.12 689.24 203.35 2119.35 2585.61 1092.26 1493.35 440.59
Florida Humana Medical Plan, Inc. - High Self EX1 343.62 412.34 235.77 176.57 63.13 744.51 893.40 510.84 382.56 136.77
Florida Humana Medical Plan, Inc. - High Self & Family EX2 773.12 927.74 546.47 381.27 133.47 1675.09 2010.10 1184.02 826.08 289.18
Florida Humana Medical Plan, Inc. - High Self Plus One EX3 738.75 886.51 504.12 382.39 135.91 1600.63 1920.77 1092.26 828.51 294.47
Florida Humana Medical Plan, Inc. - Standard Self EX4 301.74 337.95 235.77 102.18 26.75 653.77 732.23 510.84 221.39 57.95
Florida Humana Medical Plan, Inc. - Standard Self & Family EX5 678.91 760.39 546.47 213.92 44.19 1470.97 1647.51 1184.02 463.49 95.75
Florida Humana Medical Plan, Inc. - Standard Self Plus One EX6 648.74 726.59 504.12 222.47 60.29 1405.60 1574.28 1092.26 482.02 130.62
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 193.25 209.88 157.41 52.47 4.16 418.71 454.74 341.06 113.68 9.00
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 444.50 482.73 362.05 120.68 9.56 963.08 1045.92 784.44 261.48 20.71
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 415.50 451.25 338.44 112.81 8.94 900.25 977.71 733.28 244.43 19.37
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 313.40 329.48 235.77 93.71 10.49 679.03 713.87 510.84 203.03 22.72
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 783.52 823.71 546.47 277.24 19.04 1697.63 1784.71 1184.02 600.69 41.25
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 673.82 708.40 504.12 204.28 22.73 1459.94 1534.87 1092.26 442.61 49.26
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self LV1 305.55 323.74 235.77 87.97 11.58 662.03 701.44 510.84 190.60 25.09
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family LV2 916.66 971.21 546.47 424.74 33.40 1986.10 2104.29 1184.02 920.27 72.36
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One LV3 656.94 696.03 504.12 191.91 27.24 1423.37 1508.07 1092.26 415.81 59.03
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 242.68 182.01 60.67 New Plan New Plan 525.81 394.36 131.45 New Plan
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 573.86 430.40 143.46 New Plan New Plan 1243.36 932.52 310.84 New Plan
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 521.73 391.30 130.43 New Plan New Plan 1130.42 847.82 282.60 New Plan
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 233.88 175.41 58.47 New Plan New Plan 506.74 380.06 126.68 New Plan
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 553.03 414.77 138.26 New Plan New Plan 1198.23 898.67 299.56 New Plan
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 502.79 377.09 125.70 New Plan New Plan 1089.38 817.04 272.34 New Plan
Georgia Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Georgia Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Georgia Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Georgia Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Georgia Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Georgia Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 374.21 382.72 235.77 146.95 2.92 810.79 829.23 510.84 318.39 6.32
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 853.25 872.64 546.47 326.17 -1.76 1848.71 1890.72 1184.02 706.70 -3.82
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 844.80 864.00 504.12 359.88 7.35 1830.40 1872.00 1092.26 779.74 15.93
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 326.97 378.45 235.77 142.68 45.89 708.44 819.98 510.84 309.14 99.42
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 748.73 866.59 546.47 320.12 96.71 1622.25 1877.61 1184.02 693.59 209.53
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 734.04 849.59 504.12 345.47 103.70 1590.42 1840.78 1092.26 748.52 224.69
Georgia Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Georgia Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Georgia Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Georgia Aetna Open Access - High Self 2U1 731.21 800.01 235.77 564.24 63.21 1584.29 1733.36 510.84 1222.52 136.95
Georgia Aetna Open Access - High Self & Family 2U2 1684.32 1842.78 546.47 1296.31 137.31 3649.36 3992.69 1184.02 2808.67 297.50
Georgia Aetna Open Access - High Self Plus One 2U3 1667.64 1824.53 504.12 1320.41 145.04 3613.22 3953.15 1092.26 2860.89 314.26
Georgia Blue Open Access POS - High Self QM1 274.80 288.54 216.41 72.13 3.43 595.40 625.17 468.88 156.29 7.44
Georgia Blue Open Access POS - High Self & Family QM2 728.02 757.14 546.47 210.67 7.97 1577.38 1640.47 1184.02 456.45 17.26
Georgia Blue Open Access POS - High Self Plus One QM3 608.49 635.88 476.91 158.97 6.85 1318.40 1377.74 1033.31 344.43 14.83
Georgia Humana CoverageFirst and Humana Value Plan - Value Self S94 240.30 254.72 191.04 63.68 3.61 520.65 551.89 413.92 137.97 7.81
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family S95 540.68 573.11 429.83 143.28 8.11 1171.47 1241.74 931.31 310.43 17.56
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One S96 516.65 547.65 410.74 136.91 7.75 1119.41 1186.58 889.94 296.64 16.79
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self S91 301.81 319.91 235.77 84.14 8.69 653.92 693.14 510.84 182.30 18.82
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family S92 679.07 719.82 539.87 179.95 10.18 1471.32 1559.61 1169.71 389.90 22.07
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One S93 648.89 687.82 504.12 183.70 21.48 1405.93 1490.28 1092.26 398.02 46.54
Georgia Humana CoverageFirst and Humana Value Plan - Value Self AD4 303.93 340.40 235.77 104.63 28.65 658.52 737.53 510.84 226.69 62.06
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family AD5 683.82 765.88 546.47 219.41 48.46 1481.61 1659.41 1184.02 475.39 104.99
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One AD6 653.43 731.85 504.12 227.73 64.37 1415.77 1585.68 1092.26 493.42 139.48
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self AD1 368.23 449.25 235.77 213.48 75.43 797.83 973.38 510.84 462.54 163.43
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family AD2 828.52 1010.80 546.47 464.33 161.13 1795.13 2190.07 1184.02 1006.05 349.11
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One AD3 791.70 965.88 504.12 461.76 162.33 1715.35 2092.74 1092.26 1000.48 351.72
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self LM1 291.56 313.49 235.12 78.37 5.48 631.71 679.23 509.42 169.81 11.88
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family LM2 656.04 705.37 529.03 176.34 12.33 1421.42 1528.30 1146.23 382.07 26.72
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One LM3 626.88 674.01 504.12 169.89 13.17 1358.24 1460.36 1092.26 368.10 28.54
Georgia Humana CoverageFirst and Humana Value Plan - Value Self LM4 237.24 296.56 222.42 74.14 14.83 514.02 642.55 481.91 160.64 32.14
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family LM5 533.80 667.25 500.44 166.81 33.36 1156.57 1445.71 1084.28 361.43 72.29
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One LM6 510.08 637.60 478.20 159.40 31.88 1105.17 1381.47 1036.10 345.37 69.08
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self RM1 274.61 299.32 224.49 74.83 6.18 594.99 648.53 486.40 162.13 13.38
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family RM2 617.88 673.49 505.12 168.37 13.90 1338.74 1459.23 1094.42 364.81 30.13
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One RM3 590.42 643.55 482.66 160.89 13.29 1279.24 1394.36 1045.77 348.59 28.78
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self DN4 316.12 335.09 235.77 99.32 13.38 684.93 726.03 510.84 215.19 28.98
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family DN5 711.26 753.93 546.47 207.46 21.52 1541.06 1633.52 1184.02 449.50 46.63
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One DN6 679.65 720.43 504.12 216.31 28.93 1472.58 1560.93 1092.26 468.67 62.68
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self DN1 339.88 360.28 235.77 124.51 14.81 736.41 780.61 510.84 269.77 32.08
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self & Family DN2 764.74 810.63 546.47 264.16 24.74 1656.94 1756.37 1184.02 572.35 53.60
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self Plus One DN3 730.76 774.60 504.12 270.48 31.99 1583.31 1678.30 1092.26 586.04 69.32
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self RJ1 260.42 276.04 207.03 69.01 3.91 564.24 598.09 448.57 149.52 8.46
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family RJ2 585.95 621.10 465.83 155.27 8.78 1269.56 1345.72 1009.29 336.43 19.04
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One RJ3 559.90 593.50 445.13 148.37 8.40 1213.12 1285.92 964.44 321.48 18.20
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Q71 286.23 352.06 235.77 116.29 44.73 620.17 762.80 510.84 251.96 96.92
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family Q72 644.02 792.15 546.47 245.68 84.68 1395.38 1716.33 1184.02 532.31 183.47
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One Q73 615.39 756.93 504.12 252.81 98.96 1333.35 1640.02 1092.26 547.76 214.42
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self CB4 450.88 577.13 235.77 341.36 120.66 976.91 1250.45 510.84 739.61 261.42
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family CB5 1014.49 1298.54 546.47 752.07 262.90 2198.06 2813.50 1184.02 1629.48 569.61
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One CB6 969.40 1240.83 504.12 736.71 259.58 2100.37 2688.47 1092.26 1596.21 562.43
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self CB1 457.09 530.11 235.77 294.34 67.43 990.36 1148.57 510.84 637.73 146.09
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self & Family CB2 1028.50 1192.80 546.47 646.33 143.15 2228.42 2584.40 1184.02 1400.38 310.15
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self Plus One CB3 982.77 1139.82 504.12 635.70 145.20 2129.34 2469.61 1092.26 1377.35 314.60
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self DG1 592.35 610.12 235.77 374.35 12.18 1283.43 1321.93 510.84 811.09 26.38
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self & Family DG2 1332.79 1372.77 546.47 826.30 18.83 2887.71 2974.34 1184.02 1790.32 40.80
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self Plus One DG3 1273.57 1311.78 504.12 807.66 26.36 2759.40 2842.19 1092.26 1749.93 57.12
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self DG4 432.88 540.85 235.77 305.08 102.38 937.91 1171.84 510.84 661.00 221.81
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family DG5 973.98 1216.94 546.47 670.47 221.81 2110.29 2636.70 1184.02 1452.68 480.58
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One DG6 930.69 1162.88 504.12 658.76 220.34 2016.50 2519.57 1092.26 1427.31 477.40
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - High Self F81 321.27 336.94 235.77 101.17 10.08 696.09 730.04 510.84 219.20 21.83
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - High Self & Family F82 726.07 761.48 546.47 215.01 14.26 1573.15 1649.87 1184.02 465.85 30.89
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - High Self Plus One F83 726.07 761.48 504.12 257.36 23.56 1573.15 1649.87 1092.26 557.61 51.05
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - Standard Self F84 242.86 254.92 191.19 63.73 3.02 526.20 552.33 414.25 138.08 6.53
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - Standard Self & Family F85 548.87 576.12 432.09 144.03 6.81 1189.22 1248.26 936.20 312.06 14.76
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - Standard Self Plus One F86 548.87 576.12 432.09 144.03 6.81 1189.22 1248.26 936.20 312.06 14.76
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - Basic Self LA1 New Plan 181.55 136.16 45.39 New Plan New Plan 393.36 295.02 98.34 New Plan
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - Basic Self & Family LA2 New Plan 410.30 307.73 102.57 New Plan New Plan 888.98 666.74 222.24 New Plan
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - Basic Self Plus One LA3 New Plan 410.30 307.73 102.57 New Plan New Plan 888.98 666.74 222.24 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self LV1 305.55 323.74 235.77 87.97 11.58 662.03 701.44 510.84 190.60 25.09
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family LV2 916.66 971.21 546.47 424.74 33.40 1986.10 2104.29 1184.02 920.27 72.36
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One LV3 656.94 696.03 504.12 191.91 27.24 1423.37 1508.07 1092.26 415.81 59.03
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 242.68 182.01 60.67 New Plan New Plan 525.81 394.36 131.45 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 573.86 430.40 143.46 New Plan New Plan 1243.36 932.52 310.84 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 521.73 391.30 130.43 New Plan New Plan 1130.42 847.82 282.60 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 233.88 175.41 58.47 New Plan New Plan 506.74 380.06 126.68 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 553.03 414.77 138.26 New Plan New Plan 1198.23 898.67 299.56 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 502.79 377.09 125.70 New Plan New Plan 1089.38 817.04 272.34 New Plan
Guam Calvo's SelectCare - Standard Self B44 186.23 183.11 137.33 45.78 -0.78 403.50 396.74 297.56 99.18 -1.69
Guam Calvo's SelectCare - Standard Self & Family B45 541.09 532.03 399.02 133.01 -2.26 1172.36 1152.73 864.55 288.18 -4.91
Guam Calvo's SelectCare - Standard Self Plus One B46 367.12 360.97 270.73 90.24 -1.54 795.43 782.10 586.58 195.52 -3.34
Guam Calvo's SelectCare - High Self B41 239.12 226.87 170.15 56.72 -3.06 518.09 491.55 368.66 122.89 -6.63
Guam Calvo's SelectCare - High Self & Family B42 633.33 600.87 450.65 150.22 -8.11 1372.22 1301.89 976.42 325.47 -17.58
Guam Calvo's SelectCare - High Self Plus One B43 466.63 442.72 332.04 110.68 -5.98 1011.03 959.23 719.42 239.81 -12.95
Guam TakeCare - HDHP Self KX1 47.87 57.34 43.01 14.33 2.36 103.72 124.24 93.18 31.06 5.13
Guam TakeCare - HDHP Self & Family KX2 128.33 156.61 117.46 39.15 7.07 278.05 339.32 254.49 84.83 15.32
Guam TakeCare - HDHP Self Plus One KX3 115.59 141.28 105.96 35.32 6.42 250.45 306.11 229.58 76.53 13.92
Guam TakeCare - Standard Self JK4 179.91 179.65 134.74 44.91 -0.07 389.81 389.24 291.93 97.31 -0.14
Guam TakeCare - Standard Self & Family JK5 509.48 508.76 381.57 127.19 -0.18 1103.87 1102.31 826.73 275.58 -0.39
Guam TakeCare - Standard Self Plus One JK6 354.57 354.07 265.55 88.52 -0.12 768.24 767.15 575.36 191.79 -0.27
Guam TakeCare - High Self JK1 217.78 227.24 170.43 56.81 2.37 471.86 492.35 369.26 123.09 5.13
Guam TakeCare - High Self & Family JK2 519.47 542.03 406.52 135.51 5.64 1125.52 1174.40 880.80 293.60 12.22
Guam TakeCare - High Self Plus One JK3 430.26 448.95 336.71 112.24 4.68 932.23 972.73 729.55 243.18 10.12
Hawaii Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Hawaii Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Hawaii Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Hawaii Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Hawaii Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Hawaii Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 371.07 495.45 235.77 259.68 118.79 803.99 1073.48 510.84 562.64 257.37
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 847.11 1131.04 546.47 584.57 262.78 1835.41 2450.59 1184.02 1266.57 569.35
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 838.73 1119.84 504.12 615.72 269.26 1817.25 2426.32 1092.26 1334.06 583.40
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 484.17 463.38 235.77 227.61 -26.38 1049.04 1003.99 510.84 493.15 -57.17
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1103.70 1056.30 546.47 509.83 -68.55 2391.35 2288.65 1184.02 1104.63 -148.53
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1092.78 1045.84 504.12 541.72 -58.79 2367.69 2265.99 1092.26 1173.73 -127.37
Hawaii Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Hawaii Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Hawaii Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Hawaii HMSA Plan - High Self 871 280.13 291.34 218.51 72.83 2.80 606.95 631.24 473.43 157.81 6.07
Hawaii HMSA Plan - High Self & Family 872 629.74 654.93 491.20 163.73 6.30 1364.44 1419.02 1064.27 354.75 13.64
Hawaii HMSA Plan - High Self Plus One 873 613.79 638.34 478.76 159.58 6.13 1329.88 1383.07 1037.30 345.77 13.30
Hawaii HMSA Plan - Standard Self 874 New Plan 198.91 149.18 49.73 New Plan New Plan 430.97 323.23 107.74 New Plan
Hawaii HMSA Plan - Standard Self & Family 875 New Plan 447.15 335.36 111.79 New Plan New Plan 968.83 726.62 242.21 New Plan
Hawaii HMSA Plan - Standard Self Plus One 876 New Plan 435.80 326.85 108.95 New Plan New Plan 944.23 708.17 236.06 New Plan
Hawaii Kaiser Foundation Health Plan, Inc. Hawaii Region - High Self 631 303.96 311.79 233.84 77.95 1.96 658.58 675.55 506.66 168.89 4.25
Hawaii Kaiser Foundation Health Plan, Inc. Hawaii Region - High Self & Family 632 677.83 695.31 521.48 173.83 4.37 1468.63 1506.51 1129.88 376.63 9.47
Hawaii Kaiser Foundation Health Plan, Inc. Hawaii Region - High Self Plus One 633 677.83 695.31 504.12 191.19 5.63 1468.63 1506.51 1092.26 414.25 12.21
Hawaii Kaiser Foundation Health Plan, Inc. Hawaii Region - Standard Self 634 205.24 222.07 166.55 55.52 4.21 444.69 481.15 360.86 120.29 9.12
Hawaii Kaiser Foundation Health Plan, Inc. Hawaii Region - Standard Self & Family 635 457.68 495.22 371.42 123.80 9.38 991.64 1072.98 804.74 268.24 20.33
Hawaii Kaiser Foundation Health Plan, Inc. Hawaii Region - Standard Self Plus One 636 457.68 495.22 371.42 123.80 9.38 991.64 1072.98 804.74 268.24 20.33
Idaho Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Idaho Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Idaho Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Idaho Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Idaho Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Idaho Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 382.55 382.37 235.77 146.60 -5.77 828.86 828.47 510.84 317.63 -12.51
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 872.02 871.59 546.47 325.12 -21.58 1889.38 1888.45 1184.02 704.43 -46.76
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 863.39 863.04 504.12 358.92 -12.20 1870.68 1869.92 1092.26 777.66 -26.43
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 284.55 372.48 235.77 136.71 65.57 616.53 807.04 510.84 296.20 142.07
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 653.07 854.85 546.47 308.38 145.11 1414.99 1852.18 1184.02 668.16 314.41
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 640.27 838.09 504.12 333.97 173.90 1387.25 1815.86 1092.26 723.60 376.79
Idaho Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Idaho Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Idaho Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Idaho Altius Health Plan - High Self 9K1 431.65 465.72 235.77 229.95 28.48 935.24 1009.06 510.84 498.22 61.70
Idaho Altius Health Plan - High Self & Family 9K2 954.58 1029.93 546.47 483.46 54.20 2068.26 2231.52 1184.02 1047.50 117.43
Idaho Altius Health Plan - High Self Plus One 9K3 945.13 1019.73 504.12 515.61 62.75 2047.78 2209.42 1092.26 1117.16 135.97
Idaho Altius Health Plan - HDHP Self 9K4 233.96 244.26 183.20 61.06 2.57 506.91 529.23 396.92 132.31 5.58
Idaho Altius Health Plan - HDHP Self & Family 9K5 488.96 510.48 382.86 127.62 5.38 1059.41 1106.04 829.53 276.51 11.66
Idaho Altius Health Plan - HDHP Self Plus One 9K6 479.37 500.48 375.36 125.12 5.28 1038.64 1084.37 813.28 271.09 11.43
Idaho Altius Health Plan - Standard Self DK4 328.82 351.37 235.77 115.60 16.96 712.44 761.30 510.84 250.46 36.74
Idaho Altius Health Plan - Standard Self & Family DK5 726.14 775.95 546.47 229.48 28.66 1573.30 1681.23 1184.02 497.21 62.10
Idaho Altius Health Plan - Standard Self Plus One DK6 718.94 768.26 504.12 264.14 37.47 1557.70 1664.56 1092.26 572.30 81.19
Idaho Kaiser Foundation Health Plan of Washington - Standard Self 544 270.08 278.83 209.12 69.71 2.19 585.17 604.13 453.10 151.03 4.74
Idaho Kaiser Foundation Health Plan of Washington - Standard Self & Family 545 621.19 641.32 480.99 160.33 5.03 1345.91 1389.53 1042.15 347.38 10.90
Idaho Kaiser Foundation Health Plan of Washington - Standard Self Plus One 546 621.19 641.32 480.99 160.33 5.03 1345.91 1389.53 1042.15 347.38 10.90
Idaho Kaiser Foundation Health Plan of Washington - High Self 541 376.34 390.34 235.77 154.57 8.41 815.40 845.74 510.84 334.90 18.22
Idaho Kaiser Foundation Health Plan of Washington - High Self & Family 542 827.96 858.76 546.47 312.29 9.65 1793.91 1860.65 1184.02 676.63 20.91
Idaho Kaiser Foundation Health Plan of Washington - High Self Plus One 543 827.96 858.76 504.12 354.64 18.95 1793.91 1860.65 1092.26 768.39 41.07
Illinois Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Illinois Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Illinois Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Illinois Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Illinois Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Illinois Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 382.55 382.37 235.77 146.60 -5.77 828.86 828.47 510.84 317.63 -12.51
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 872.02 871.59 546.47 325.12 -21.58 1889.38 1888.45 1184.02 704.43 -46.76
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 863.39 863.04 504.12 358.92 -12.20 1870.68 1869.92 1092.26 777.66 -26.43
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 284.55 372.48 235.77 136.71 65.57 616.53 807.04 510.84 296.20 142.07
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 653.07 854.85 546.47 308.38 145.11 1414.99 1852.18 1184.02 668.16 314.41
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 640.27 838.09 504.12 333.97 173.90 1387.25 1815.86 1092.26 723.60 376.79
Illinois Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Illinois Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Illinois Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Illinois Blue Preferred - High Self 9G1 361.09 384.56 235.77 148.79 17.88 782.36 833.21 510.84 322.37 38.73
Illinois Blue Preferred - High Self & Family 9G2 775.88 857.94 546.47 311.47 60.91 1681.07 1858.87 1184.02 674.85 131.97
Illinois Blue Preferred - High Self Plus One 9G3 734.68 812.58 504.12 308.46 66.05 1591.81 1760.59 1092.26 668.33 143.11
Illinois Blue Preferred - Standard Self 9G4 257.87 277.21 207.91 69.30 4.83 558.72 600.62 450.47 150.15 10.47
Illinois Blue Preferred - Standard Self & Family 9G5 732.88 787.85 546.47 241.38 33.82 1587.91 1707.01 1184.02 522.99 73.27
Illinois Blue Preferred - Standard Self Plus One 9G6 662.78 712.48 504.12 208.36 37.85 1436.02 1543.71 1092.26 451.45 82.02
Illinois Health Alliance HMO - Standard Self K84 296.51 308.37 231.28 77.09 2.96 642.44 668.14 501.11 167.03 6.42
Illinois Health Alliance HMO - Standard Self & Family K85 800.59 832.61 546.47 286.14 10.87 1734.61 1803.99 1184.02 619.97 23.55
Illinois Health Alliance HMO - Standard Self Plus One K86 686.88 714.36 504.12 210.24 15.63 1488.24 1547.78 1092.26 455.52 33.87
Illinois Humana CoverageFirst and Humana Value Plan - Value Self GB4 284.48 349.91 235.77 114.14 43.02 616.37 758.14 510.84 247.30 93.21
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family GB5 640.07 787.28 546.47 240.81 80.79 1386.82 1705.77 1184.02 521.75 175.05
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One GB6 611.62 752.29 504.12 248.17 95.27 1325.18 1629.96 1092.26 537.70 206.41
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self GB1 432.42 544.86 235.77 309.09 106.85 936.91 1180.53 510.84 669.69 231.50
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family GB2 972.94 1225.91 546.47 679.44 231.82 2108.04 2656.14 1184.02 1472.12 502.27
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One GB3 929.71 1171.44 504.12 667.32 229.88 2014.37 2538.12 1092.26 1445.86 498.08
Illinois Humana CoverageFirst and Humana Value Plan - Value Self MW4 280.99 348.42 235.77 112.65 42.40 608.81 754.91 510.84 244.07 91.87
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family MW5 632.21 783.93 546.47 237.46 79.41 1369.79 1698.52 1184.02 514.50 172.05
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One MW6 604.12 749.10 504.12 244.98 93.95 1308.93 1623.05 1092.26 530.79 203.56
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self MW1 349.41 422.78 235.77 187.01 67.78 757.06 916.02 510.84 405.18 146.84
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MW2 786.19 951.30 546.47 404.83 143.96 1703.41 2061.15 1184.02 877.13 311.91
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MW3 751.23 909.00 504.12 404.88 145.92 1627.67 1969.50 1092.26 877.24 316.16
Illinois Humana Health Plan, Inc. - Standard Self 754 394.92 439.34 235.77 203.57 38.83 855.66 951.90 510.84 441.06 84.12
Illinois Humana Health Plan, Inc. - Standard Self & Family 755 888.57 988.51 546.47 442.04 78.79 1925.24 2141.77 1184.02 957.75 170.70
Illinois Humana Health Plan, Inc. - Standard Self Plus One 756 849.08 944.58 504.12 440.46 83.65 1839.67 2046.59 1092.26 954.33 181.25
Illinois Humana Health Plan, Inc. - High Self 751 559.41 571.82 235.77 336.05 6.82 1212.06 1238.94 510.84 728.10 14.76
Illinois Humana Health Plan, Inc. - High Self & Family 752 1258.68 1286.59 546.47 740.12 6.76 2727.14 2787.61 1184.02 1603.59 14.64
Illinois Humana Health Plan, Inc. - High Self Plus One 753 1202.73 1229.42 504.12 725.30 14.84 2605.92 2663.74 1092.26 1571.48 32.15
Illinois Humana Health Plan, Inc. - High Self 9F1 784.74 894.61 235.77 658.84 104.28 1700.27 1938.32 510.84 1427.48 225.93
Illinois Humana Health Plan, Inc. - High Self & Family 9F2 1765.66 2012.86 546.47 1466.39 226.05 3825.60 4361.20 1184.02 3177.18 489.77
Illinois Humana Health Plan, Inc. - High Self Plus One 9F3 1687.18 1923.39 504.12 1419.27 224.36 3655.56 4167.35 1092.26 3075.09 486.12
Illinois Humana Health Plan, Inc. - Standard Self AB4 505.28 530.55 235.77 294.78 19.68 1094.77 1149.53 510.84 638.69 42.64
Illinois Humana Health Plan, Inc. - Standard Self & Family AB5 1136.90 1193.74 546.47 647.27 35.69 2463.28 2586.44 1184.02 1402.42 77.33
Illinois Humana Health Plan, Inc. - Standard Self Plus One AB6 1086.36 1140.69 504.12 636.57 42.48 2353.78 2471.50 1092.26 1379.24 92.05
Illinois Humana Health Plan, Inc. - Basic Self AB1 283.92 349.22 235.77 113.45 42.47 615.16 756.64 510.84 245.80 92.01
Illinois Humana Health Plan, Inc. - Basic Self & Family AB2 638.84 785.77 546.47 239.30 79.59 1384.15 1702.50 1184.02 518.48 172.44
Illinois Humana Health Plan, Inc. - Basic Self Plus One AB3 610.45 750.85 504.12 246.73 94.12 1322.64 1626.84 1092.26 534.58 203.92
Illinois Humana Health Plan, Inc. - Basic Self RW1 287.79 345.34 235.77 109.57 37.62 623.55 748.24 510.84 237.40 81.51
Illinois Humana Health Plan, Inc. - Basic Self & Family RW2 647.52 777.02 546.47 230.55 68.67 1402.96 1683.54 1184.02 499.52 148.78
Illinois Humana Health Plan, Inc. - Basic Self Plus One RW3 618.75 742.49 504.12 238.37 83.68 1340.63 1608.73 1092.26 516.47 181.31
Illinois MercyCare Health Plans - High Self EY1 352.64 362.73 235.77 126.96 4.50 764.05 785.92 510.84 275.08 9.75
Illinois MercyCare Health Plans - High Self & Family EY2 920.31 946.61 546.47 400.14 5.15 1994.01 2050.99 1184.02 866.97 11.15
Illinois MercyCare Health Plans - High Self Plus One EY3 758.22 779.90 504.12 275.78 9.83 1642.81 1689.78 1092.26 597.52 21.30
Illinois MercyCare Health Plans - Standard Self EY4 New Plan 281.35 211.01 70.34 New Plan New Plan 609.59 457.19 152.40 New Plan
Illinois MercyCare Health Plans - Standard Self & Family EY5 New Plan 734.24 546.47 187.77 New Plan New Plan 1590.85 1184.02 406.83 New Plan
Illinois MercyCare Health Plans - Standard Self Plus One EY6 New Plan 604.93 453.70 151.23 New Plan New Plan 1310.68 983.01 327.67 New Plan
Illinois Union Health Service - High Self 761 314.65 343.42 235.77 107.65 23.18 681.74 744.08 510.84 233.24 50.22
Illinois Union Health Service - High Self & Family 762 790.02 877.68 546.47 331.21 66.51 1711.71 1901.64 1184.02 717.62 144.10
Illinois Union Health Service - High Self Plus One 763 697.49 770.00 504.12 265.88 60.66 1511.23 1668.33 1092.26 576.07 131.43
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 201.72 240.69 180.52 60.17 9.74 437.06 521.50 391.13 130.37 21.11
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 565.61 674.89 506.17 168.72 27.32 1225.49 1462.26 1096.70 365.56 59.19
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 393.95 470.06 352.55 117.51 19.02 853.56 1018.46 763.85 254.61 41.22
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 242.68 182.01 60.67 New Plan New Plan 525.81 394.36 131.45 New Plan
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 573.86 430.40 143.46 New Plan New Plan 1243.36 932.52 310.84 New Plan
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 521.73 391.30 130.43 New Plan New Plan 1130.42 847.82 282.60 New Plan
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 233.88 175.41 58.47 New Plan New Plan 506.74 380.06 126.68 New Plan
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 553.03 414.77 138.26 New Plan New Plan 1198.23 898.67 299.56 New Plan
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 502.79 377.09 125.70 New Plan New Plan 1089.38 817.04 272.34 New Plan
Indiana Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Indiana Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Indiana Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Indiana Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Indiana Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Indiana Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 371.07 495.45 235.77 259.68 118.79 803.99 1073.48 510.84 562.64 257.37
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 847.11 1131.04 546.47 584.57 262.78 1835.41 2450.59 1184.02 1266.57 569.35
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 838.73 1119.84 504.12 615.72 269.26 1817.25 2426.32 1092.26 1334.06 583.40
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 484.17 463.38 235.77 227.61 -26.38 1049.04 1003.99 510.84 493.15 -57.17
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1103.70 1056.30 546.47 509.83 -68.55 2391.35 2288.65 1184.02 1104.63 -148.53
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1092.78 1045.84 504.12 541.72 -58.79 2367.69 2265.99 1092.26 1173.73 -127.37
Indiana Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Indiana Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Indiana Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Indiana Health Alliance HMO - Standard Self K84 296.51 308.37 231.28 77.09 2.96 642.44 668.14 501.11 167.03 6.42
Indiana Health Alliance HMO - Standard Self & Family K85 800.59 832.61 546.47 286.14 10.87 1734.61 1803.99 1184.02 619.97 23.55
Indiana Health Alliance HMO - Standard Self Plus One K86 686.88 714.36 504.12 210.24 15.63 1488.24 1547.78 1092.26 455.52 33.87
Indiana Humana CoverageFirst - CDHP Self TC1 287.13 304.37 228.28 76.09 4.31 622.12 659.47 494.60 164.87 9.34
Indiana Humana CoverageFirst - CDHP Self & Family TC2 646.04 684.80 513.60 171.20 9.69 1399.75 1483.73 1112.80 370.93 20.99
Indiana Humana CoverageFirst - CDHP Self Plus One TC3 617.33 654.38 490.79 163.59 9.26 1337.55 1417.82 1063.37 354.45 20.06
Indiana Humana CoverageFirst and Humana Value Plan - Value Self MW4 280.99 348.42 235.77 112.65 42.40 608.81 754.91 510.84 244.07 91.87
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family MW5 632.21 783.93 546.47 237.46 79.41 1369.79 1698.52 1184.02 514.50 172.05
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One MW6 604.12 749.10 504.12 244.98 93.95 1308.93 1623.05 1092.26 530.79 203.56
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self MW1 349.41 422.78 235.77 187.01 67.78 757.06 916.02 510.84 405.18 146.84
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MW2 786.19 951.30 546.47 404.83 143.96 1703.41 2061.15 1184.02 877.13 311.91
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MW3 751.23 909.00 504.12 404.88 145.92 1627.67 1969.50 1092.26 877.24 316.16
Indiana Humana CoverageFirst and Humana Value Plan - Value Self X34 263.20 283.90 212.93 70.97 5.17 570.27 615.12 461.34 153.78 11.21
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 592.21 638.79 479.09 159.70 11.65 1283.12 1384.05 1038.04 346.01 25.23
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 565.88 610.40 457.80 152.60 11.13 1226.07 1322.53 991.90 330.63 24.11
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self X31 315.99 368.97 235.77 133.20 47.39 684.65 799.44 510.84 288.60 102.67
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 710.99 830.20 546.47 283.73 98.06 1540.48 1798.77 1184.02 614.75 212.46
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 679.39 793.30 504.12 289.18 102.06 1472.01 1718.82 1092.26 626.56 221.14
Indiana Humana Health Plan of Ohio, Inc. - High Self A61 541.22 692.76 235.77 456.99 145.95 1172.64 1500.98 510.84 990.14 316.22
Indiana Humana Health Plan of Ohio, Inc. - High Self & Family A62 1217.76 1558.72 546.47 1012.25 319.81 2638.48 3377.23 1184.02 2193.21 692.92
Indiana Humana Health Plan of Ohio, Inc. - High Self Plus One A63 1163.64 1489.45 504.12 985.33 313.96 2521.22 3227.14 1092.26 2134.88 680.25
Indiana Humana Health Plan of Ohio, Inc. - Standard Self A64 429.36 541.00 235.77 305.23 106.05 930.28 1172.17 510.84 661.33 229.77
Indiana Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 966.08 1217.27 546.47 670.80 230.04 2093.17 2637.42 1184.02 1453.40 498.42
Indiana Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 923.15 1163.17 504.12 659.05 228.17 2000.16 2520.20 1092.26 1427.94 494.37
Indiana Humana Health Plan, Inc. - Standard Self 754 394.92 439.34 235.77 203.57 38.83 855.66 951.90 510.84 441.06 84.12
Indiana Humana Health Plan, Inc. - Standard Self & Family 755 888.57 988.51 546.47 442.04 78.79 1925.24 2141.77 1184.02 957.75 170.70
Indiana Humana Health Plan, Inc. - Standard Self Plus One 756 849.08 944.58 504.12 440.46 83.65 1839.67 2046.59 1092.26 954.33 181.25
Indiana Humana Health Plan, Inc. - High Self 751 559.41 571.82 235.77 336.05 6.82 1212.06 1238.94 510.84 728.10 14.76
Indiana Humana Health Plan, Inc. - High Self & Family 752 1258.68 1286.59 546.47 740.12 6.76 2727.14 2787.61 1184.02 1603.59 14.64
Indiana Humana Health Plan, Inc. - High Self Plus One 753 1202.73 1229.42 504.12 725.30 14.84 2605.92 2663.74 1092.26 1571.48 32.15
Indiana Humana Health Plan, Inc. - High Self MH1 407.99 509.98 235.77 274.21 96.40 883.98 1104.96 510.84 594.12 208.86
Indiana Humana Health Plan, Inc. - High Self & Family MH2 917.98 1147.47 546.47 601.00 208.34 1988.96 2486.19 1184.02 1302.17 451.40
Indiana Humana Health Plan, Inc. - High Self Plus One MH3 877.18 1096.47 504.12 592.35 207.44 1900.56 2375.69 1092.26 1283.43 449.46
Indiana Humana Health Plan, Inc. - Standard Self MH4 333.41 396.76 235.77 160.99 57.76 722.39 859.65 510.84 348.81 125.14
Indiana Humana Health Plan, Inc. - Standard Self & Family MH5 750.17 892.70 546.47 346.23 121.38 1625.37 1934.18 1184.02 750.16 262.98
Indiana Humana Health Plan, Inc. - Standard Self Plus One MH6 716.83 853.03 504.12 348.91 124.35 1553.13 1848.23 1092.26 755.97 269.43
Iowa Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Iowa Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Iowa Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Iowa Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Iowa Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Iowa Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 382.55 382.37 235.77 146.60 -5.77 828.86 828.47 510.84 317.63 -12.51
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 872.02 871.59 546.47 325.12 -21.58 1889.38 1888.45 1184.02 704.43 -46.76
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 863.39 863.04 504.12 358.92 -12.20 1870.68 1869.92 1092.26 777.66 -26.43
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 284.55 372.48 235.77 136.71 65.57 616.53 807.04 510.84 296.20 142.07
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 653.07 854.85 546.47 308.38 145.11 1414.99 1852.18 1184.02 668.16 314.41
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 640.27 838.09 504.12 333.97 173.90 1387.25 1815.86 1092.26 723.60 376.79
Iowa Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Iowa Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Iowa Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Iowa Health Alliance HMO - Standard Self K84 296.51 308.37 231.28 77.09 2.96 642.44 668.14 501.11 167.03 6.42
Iowa Health Alliance HMO - Standard Self & Family K85 800.59 832.61 546.47 286.14 10.87 1734.61 1803.99 1184.02 619.97 23.55
Iowa Health Alliance HMO - Standard Self Plus One K86 686.88 714.36 504.12 210.24 15.63 1488.24 1547.78 1092.26 455.52 33.87
Iowa HealthPartners - Standard Self V34 197.58 212.27 159.20 53.07 3.68 428.09 459.92 344.94 114.98 7.96
Iowa HealthPartners - Standard Self & Family V35 481.30 517.11 387.83 129.28 8.96 1042.82 1120.41 840.31 280.10 19.40
Iowa HealthPartners - Standard Self Plus One V36 436.65 469.13 351.85 117.28 8.12 946.08 1016.45 762.34 254.11 17.59
Iowa HealthPartners - High Self V31 364.76 328.76 235.77 92.99 -41.59 790.31 712.31 510.84 201.47 -90.12
Iowa HealthPartners - High Self & Family V32 888.56 800.86 546.47 254.39 -108.85 1925.21 1735.20 1184.02 551.18 -235.84
Iowa HealthPartners - High Self Plus One V33 806.11 726.56 504.12 222.44 -91.40 1746.57 1574.21 1092.26 481.95 -198.03
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self N71 245.61 281.73 211.30 70.43 9.03 532.16 610.42 457.82 152.60 19.56
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family N72 564.89 647.99 485.99 162.00 20.78 1223.93 1403.98 1052.99 350.99 45.01
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One N73 528.05 605.73 454.30 151.43 19.42 1144.11 1312.42 984.32 328.10 42.07
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LJ1 310.13 332.39 235.77 96.62 16.67 671.95 720.18 510.84 209.34 36.11
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LJ2 775.32 830.99 546.47 284.52 34.52 1679.86 1800.48 1184.02 616.46 74.79
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LJ3 666.78 714.65 504.12 210.53 36.02 1444.69 1548.41 1092.26 456.15 78.05
Iowa UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 242.68 182.01 60.67 New Plan New Plan 525.81 394.36 131.45 New Plan
Iowa UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 573.86 430.40 143.46 New Plan New Plan 1243.36 932.52 310.84 New Plan
Iowa UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 521.73 391.30 130.43 New Plan New Plan 1130.42 847.82 282.60 New Plan
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 233.88 175.41 58.47 New Plan New Plan 506.74 380.06 126.68 New Plan
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 553.03 414.77 138.26 New Plan New Plan 1198.23 898.67 299.56 New Plan
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 502.79 377.09 125.70 New Plan New Plan 1089.38 817.04 272.34 New Plan
Kansas Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Kansas Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Kansas Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Kansas Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Kansas Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Kansas Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 309.50 328.95 235.77 93.18 13.86 670.58 712.73 510.84 201.89 30.03
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 708.86 753.40 546.47 206.93 23.39 1535.86 1632.37 1184.02 448.35 50.68
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 694.97 738.63 504.12 234.51 31.81 1505.77 1600.37 1092.26 508.11 68.93
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 362.37 417.46 235.77 181.69 49.50 785.14 904.50 510.84 393.66 107.24
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 826.56 952.20 546.47 405.73 104.49 1790.88 2063.10 1184.02 879.08 226.39
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 818.39 942.79 504.12 438.67 112.55 1773.18 2042.71 1092.26 950.45 243.86
Kansas Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Kansas Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Kansas Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Kansas Aetna Open Access - High Self HA1 406.62 507.66 235.77 271.89 95.45 881.01 1099.93 510.84 589.09 206.80
Kansas Aetna Open Access - High Self & Family HA2 960.51 1199.16 546.47 652.69 217.50 2081.11 2598.18 1184.02 1414.16 471.24
Kansas Aetna Open Access - High Self Plus One HA3 951.02 1187.32 504.12 683.20 224.45 2060.54 2572.53 1092.26 1480.27 486.32
Kansas Aetna Open Access - Standard Self HA4 326.70 330.63 235.77 94.86 -1.66 707.85 716.37 510.84 205.53 -3.60
Kansas Aetna Open Access - Standard Self & Family HA5 771.13 780.41 546.47 233.94 -11.87 1670.78 1690.89 1184.02 506.87 -25.72
Kansas Aetna Open Access - Standard Self Plus One HA6 763.50 772.69 504.12 268.57 -2.66 1654.25 1674.16 1092.26 581.90 -5.76
Kansas Humana CoverageFirst and Humana Value Plan - Value Self PH4 197.70 223.40 167.55 55.85 6.43 428.35 484.03 363.02 121.01 13.92
Kansas Humana CoverageFirst and Humana Value Plan - Value Self & Family PH5 444.84 502.66 377.00 125.66 14.45 963.82 1089.10 816.83 272.27 31.32
Kansas Humana CoverageFirst and Humana Value Plan - Value Self Plus One PH6 425.06 480.31 360.23 120.08 13.82 920.96 1040.67 780.50 260.17 29.93
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self PH1 277.36 330.05 235.77 94.28 24.94 600.95 715.11 510.84 204.27 54.03
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family PH2 624.06 742.63 546.47 196.16 40.15 1352.13 1609.03 1184.02 425.01 86.98
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One PH3 596.33 709.62 504.12 205.50 56.42 1292.05 1537.51 1092.26 445.25 122.24
Kansas Humana Health Plan, Inc. - High Self MS1 750.29 795.31 235.77 559.54 39.43 1625.63 1723.17 510.84 1212.33 85.42
Kansas Humana Health Plan, Inc. - High Self & Family MS2 1688.15 1789.44 546.47 1242.97 80.14 3657.66 3877.12 1184.02 2693.10 173.63
Kansas Humana Health Plan, Inc. - High Self Plus One MS3 1613.12 1709.91 504.12 1205.79 84.94 3495.09 3704.81 1092.26 2612.55 184.05
Kansas Humana Health Plan, Inc. - Standard Self MS4 439.74 492.46 235.77 256.69 47.13 952.77 1067.00 510.84 556.16 102.11
Kansas Humana Health Plan, Inc. - Standard Self & Family MS5 989.44 1108.05 546.47 561.58 97.46 2143.79 2400.78 1184.02 1216.76 211.16
Kansas Humana Health Plan, Inc. - Standard Self Plus One MS6 945.46 1058.81 504.12 554.69 101.50 2048.50 2294.09 1092.26 1201.83 219.92
Kentucky Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Kentucky Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Kentucky Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Kentucky Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Kentucky Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Kentucky Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 382.55 382.37 235.77 146.60 -5.77 828.86 828.47 510.84 317.63 -12.51
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 872.02 871.59 546.47 325.12 -21.58 1889.38 1888.45 1184.02 704.43 -46.76
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 863.39 863.04 504.12 358.92 -12.20 1870.68 1869.92 1092.26 777.66 -26.43
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 284.55 372.48 235.77 136.71 65.57 616.53 807.04 510.84 296.20 142.07
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 653.07 854.85 546.47 308.38 145.11 1414.99 1852.18 1184.02 668.16 314.41
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 640.27 838.09 504.12 333.97 173.90 1387.25 1815.86 1092.26 723.60 376.79
Kentucky Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Kentucky Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Kentucky Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Kentucky Humana CoverageFirst - CDHP Self TC1 287.13 304.37 228.28 76.09 4.31 622.12 659.47 494.60 164.87 9.34
Kentucky Humana CoverageFirst - CDHP Self & Family TC2 646.04 684.80 513.60 171.20 9.69 1399.75 1483.73 1112.80 370.93 20.99
Kentucky Humana CoverageFirst - CDHP Self Plus One TC3 617.33 654.38 490.79 163.59 9.26 1337.55 1417.82 1063.37 354.45 20.06
Kentucky Humana CoverageFirst - CDHP Self 6N1 292.45 353.86 235.77 118.09 44.98 633.64 766.70 510.84 255.86 97.45
Kentucky Humana CoverageFirst - CDHP Self & Family 6N2 658.01 796.19 546.47 249.72 85.22 1425.69 1725.08 1184.02 541.06 184.64
Kentucky Humana CoverageFirst - CDHP Self Plus One 6N3 628.76 760.80 504.12 256.68 99.49 1362.31 1648.40 1092.26 556.14 215.56
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self X34 263.20 283.90 212.93 70.97 5.17 570.27 615.12 461.34 153.78 11.21
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 592.21 638.79 479.09 159.70 11.65 1283.12 1384.05 1038.04 346.01 25.23
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 565.88 610.40 457.80 152.60 11.13 1226.07 1322.53 991.90 330.63 24.11
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self X31 315.99 368.97 235.77 133.20 47.39 684.65 799.44 510.84 288.60 102.67
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 710.99 830.20 546.47 283.73 98.06 1540.48 1798.77 1184.02 614.75 212.46
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 679.39 793.30 504.12 289.18 102.06 1472.01 1718.82 1092.26 626.56 221.14
Kentucky Humana Health Plan of Ohio, Inc. - High Self A61 541.22 692.76 235.77 456.99 145.95 1172.64 1500.98 510.84 990.14 316.22
Kentucky Humana Health Plan of Ohio, Inc. - High Self & Family A62 1217.76 1558.72 546.47 1012.25 319.81 2638.48 3377.23 1184.02 2193.21 692.92
Kentucky Humana Health Plan of Ohio, Inc. - High Self Plus One A63 1163.64 1489.45 504.12 985.33 313.96 2521.22 3227.14 1092.26 2134.88 680.25
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self A64 429.36 541.00 235.77 305.23 106.05 930.28 1172.17 510.84 661.33 229.77
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 966.08 1217.27 546.47 670.80 230.04 2093.17 2637.42 1184.02 1453.40 498.42
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 923.15 1163.17 504.12 659.05 228.17 2000.16 2520.20 1092.26 1427.94 494.37
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self W61 270.36 280.90 210.68 70.22 2.63 585.78 608.62 456.47 152.15 5.71
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self & Family W62 608.31 632.05 474.04 158.01 5.93 1318.01 1369.44 1027.08 342.36 12.86
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self Plus One W63 581.27 603.96 452.97 150.99 5.67 1259.42 1308.58 981.44 327.14 12.29
Kentucky Humana Health Plan, Inc. - High Self MI1 518.37 637.59 235.77 401.82 113.63 1123.14 1381.45 510.84 870.61 246.19
Kentucky Humana Health Plan, Inc. - High Self & Family MI2 1166.32 1434.57 546.47 888.10 247.10 2527.03 3108.24 1184.02 1924.22 535.38
Kentucky Humana Health Plan, Inc. - High Self Plus One MI3 1114.48 1370.81 504.12 866.69 244.48 2414.71 2970.09 1092.26 1877.83 529.71
Kentucky Humana Health Plan, Inc. - Standard Self MI4 374.73 408.46 235.77 172.69 28.14 811.92 885.00 510.84 374.16 60.96
Kentucky Humana Health Plan, Inc. - Standard Self & Family MI5 843.14 919.02 546.47 372.55 54.73 1826.80 1991.21 1184.02 807.19 118.58
Kentucky Humana Health Plan, Inc. - Standard Self Plus One MI6 805.67 878.19 504.12 374.07 60.67 1745.62 1902.75 1092.26 810.49 131.46
Kentucky Humana Health Plan, Inc. - High Self MH1 407.99 509.98 235.77 274.21 96.40 883.98 1104.96 510.84 594.12 208.86
Kentucky Humana Health Plan, Inc. - High Self & Family MH2 917.98 1147.47 546.47 601.00 208.34 1988.96 2486.19 1184.02 1302.17 451.40
Kentucky Humana Health Plan, Inc. - High Self Plus One MH3 877.18 1096.47 504.12 592.35 207.44 1900.56 2375.69 1092.26 1283.43 449.46
Kentucky Humana Health Plan, Inc. - Standard Self MH4 333.41 396.76 235.77 160.99 57.76 722.39 859.65 510.84 348.81 125.14
Kentucky Humana Health Plan, Inc. - Standard Self & Family MH5 750.17 892.70 546.47 346.23 121.38 1625.37 1934.18 1184.02 750.16 262.98
Kentucky Humana Health Plan, Inc. - Standard Self Plus One MH6 716.83 853.03 504.12 348.91 124.35 1553.13 1848.23 1092.26 755.97 269.43
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self N71 245.61 281.73 211.30 70.43 9.03 532.16 610.42 457.82 152.60 19.56
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family N72 564.89 647.99 485.99 162.00 20.78 1223.93 1403.98 1052.99 350.99 45.01
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One N73 528.05 605.73 454.30 151.43 19.42 1144.11 1312.42 984.32 328.10 42.07
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LJ1 310.13 332.39 235.77 96.62 16.67 671.95 720.18 510.84 209.34 36.11
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LJ2 775.32 830.99 546.47 284.52 34.52 1679.86 1800.48 1184.02 616.46 74.79
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LJ3 666.78 714.65 504.12 210.53 36.02 1444.69 1548.41 1092.26 456.15 78.05
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 242.68 182.01 60.67 New Plan New Plan 525.81 394.36 131.45 New Plan
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 573.86 430.40 143.46 New Plan New Plan 1243.36 932.52 310.84 New Plan
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 521.73 391.30 130.43 New Plan New Plan 1130.42 847.82 282.60 New Plan
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 233.88 175.41 58.47 New Plan New Plan 506.74 380.06 126.68 New Plan
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 553.03 414.77 138.26 New Plan New Plan 1198.23 898.67 299.56 New Plan
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 502.79 377.09 125.70 New Plan New Plan 1089.38 817.04 272.34 New Plan
Louisiana Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Louisiana Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Louisiana Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Louisiana Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Louisiana Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Louisiana Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 374.21 382.72 235.77 146.95 2.92 810.79 829.23 510.84 318.39 6.32
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 853.25 872.64 546.47 326.17 -1.76 1848.71 1890.72 1184.02 706.70 -3.82
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 844.80 864.00 504.12 359.88 7.35 1830.40 1872.00 1092.26 779.74 15.93
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 326.97 378.45 235.77 142.68 45.89 708.44 819.98 510.84 309.14 99.42
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 748.73 866.59 546.47 320.12 96.71 1622.25 1877.61 1184.02 693.59 209.53
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 734.04 849.59 504.12 345.47 103.70 1590.42 1840.78 1092.26 748.52 224.69
Louisiana Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Louisiana Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Louisiana Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self BC4 275.34 311.14 233.36 77.78 8.95 596.57 674.14 505.61 168.53 19.39
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self & Family BC5 619.52 700.06 525.05 175.01 20.13 1342.29 1516.80 1137.60 379.20 43.63
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self Plus One BC6 591.98 668.94 501.71 167.23 19.24 1282.62 1449.37 1087.03 362.34 41.69
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self BC1 346.66 416.00 235.77 180.23 63.75 751.10 901.33 510.84 390.49 138.11
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self & Family BC2 780.01 936.01 546.47 389.54 134.85 1690.02 2028.02 1184.02 844.00 292.17
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self Plus One BC3 745.34 894.41 504.12 390.29 137.22 1614.90 1937.89 1092.26 845.63 297.32
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self AE1 398.79 494.50 235.77 258.73 90.12 864.05 1071.42 510.84 560.58 195.25
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self & Family AE2 897.26 1112.60 546.47 566.13 194.19 1944.06 2410.63 1184.02 1226.61 420.74
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self Plus One AE3 857.39 1063.16 504.12 559.04 193.92 1857.68 2303.51 1092.26 1211.25 420.16
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self AE4 338.79 372.67 235.77 136.90 28.29 734.05 807.45 510.84 296.61 61.28
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self & Family AE5 762.29 838.52 546.47 292.05 55.08 1651.63 1816.79 1184.02 632.77 119.33
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self Plus One AE6 728.41 801.25 504.12 297.13 60.99 1578.22 1736.04 1092.26 643.78 132.15
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 193.25 209.88 157.41 52.47 4.16 418.71 454.74 341.06 113.68 9.00
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 444.50 482.73 362.05 120.68 9.56 963.08 1045.92 784.44 261.48 20.71
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 415.50 451.25 338.44 112.81 8.94 900.25 977.71 733.28 244.43 19.37
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 313.40 329.48 235.77 93.71 10.49 679.03 713.87 510.84 203.03 22.72
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 783.52 823.71 546.47 277.24 19.04 1697.63 1784.71 1184.02 600.69 41.25
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 673.82 708.40 504.12 204.28 22.73 1459.94 1534.87 1092.26 442.61 49.26
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 242.68 182.01 60.67 New Plan New Plan 525.81 394.36 131.45 New Plan
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 573.86 430.40 143.46 New Plan New Plan 1243.36 932.52 310.84 New Plan
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 521.73 391.30 130.43 New Plan New Plan 1130.42 847.82 282.60 New Plan
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 233.88 175.41 58.47 New Plan New Plan 506.74 380.06 126.68 New Plan
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 553.03 414.77 138.26 New Plan New Plan 1198.23 898.67 299.56 New Plan
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 502.79 377.09 125.70 New Plan New Plan 1089.38 817.04 272.34 New Plan
Maine Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Maine Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Maine Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Maine Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Maine Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Maine Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 285.73 350.59 235.77 114.82 43.39 619.08 759.61 510.84 248.77 94.00
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 654.30 802.85 546.47 256.38 92.81 1417.65 1739.51 1184.02 555.49 201.08
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 641.47 787.10 504.12 282.98 122.61 1389.85 1705.38 1092.26 613.12 265.66
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 423.14 496.50 235.77 260.73 67.77 916.80 1075.75 510.84 564.91 146.83
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 965.00 1132.30 546.47 585.83 146.15 2090.83 2453.32 1184.02 1269.30 316.66
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 955.44 1121.09 504.12 616.97 153.80 2070.12 2429.03 1092.26 1336.77 333.24
Maine Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Maine Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Maine Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Maryland Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Maryland Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Maryland Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Maryland Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Maryland Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Maryland Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 374.21 382.72 235.77 146.95 2.92 810.79 829.23 510.84 318.39 6.32
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 853.25 872.64 546.47 326.17 -1.76 1848.71 1890.72 1184.02 706.70 -3.82
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 844.80 864.00 504.12 359.88 7.35 1830.40 1872.00 1092.26 779.74 15.93
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 326.97 378.45 235.77 142.68 45.89 708.44 819.98 510.84 309.14 99.42
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 748.73 866.59 546.47 320.12 96.71 1622.25 1877.61 1184.02 693.59 209.53
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 734.04 849.59 504.12 345.47 103.70 1590.42 1840.78 1092.26 748.52 224.69
Maryland Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Maryland Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Maryland Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Maryland Aetna Open Access - High Self JN1 516.52 525.03 235.77 289.26 2.92 1119.13 1137.57 510.84 626.73 6.32
Maryland Aetna Open Access - High Self & Family JN2 1161.22 1180.35 546.47 633.88 -2.02 2515.98 2557.43 1184.02 1373.41 -4.38
Maryland Aetna Open Access - High Self Plus One JN3 1149.71 1168.66 504.12 664.54 7.10 2491.04 2532.10 1092.26 1439.84 15.39
Maryland Aetna Open Access - Basic Self JN4 314.06 321.74 235.77 85.97 2.09 680.46 697.10 510.84 186.26 4.52
Maryland Aetna Open Access - Basic Self & Family JN5 718.73 736.31 546.47 189.84 -3.57 1557.25 1595.34 1184.02 411.32 -7.74
Maryland Aetna Open Access - Basic Self Plus One JN6 660.00 676.15 504.12 172.03 4.30 1430.00 1464.99 1092.26 372.73 9.32
Maryland Aetna Saver - Saver Self QQ4 New Plan 274.71 206.03 68.68 New Plan New Plan 595.21 446.41 148.80 New Plan
Maryland Aetna Saver - Saver Self & Family QQ5 New Plan 628.68 471.51 157.17 New Plan New Plan 1362.14 1021.61 340.53 New Plan
Maryland Aetna Saver - Saver Self Plus One QQ6 New Plan 577.30 432.98 144.32 New Plan New Plan 1250.82 938.12 312.70 New Plan
Maryland CareFirst BlueChoice - Standard Self 2G4 368.16 390.25 235.77 154.48 16.50 797.68 845.54 510.84 334.70 35.74
Maryland CareFirst BlueChoice - Standard Self & Family 2G5 874.73 927.21 546.47 380.74 31.33 1895.25 2008.96 1184.02 824.94 67.88
Maryland CareFirst BlueChoice - Standard Self Plus One 2G6 736.31 780.49 504.12 276.37 32.33 1595.34 1691.06 1092.26 598.80 70.05
Maryland CareFirst BlueChoice - HDHP Self B61 239.20 263.12 197.34 65.78 5.98 518.27 570.09 427.57 142.52 12.95
Maryland CareFirst BlueChoice - HDHP Self & Family B62 568.33 625.16 468.87 156.29 14.21 1231.38 1354.51 1015.88 338.63 30.79
Maryland CareFirst BlueChoice - HDHP Self Plus One B63 478.39 526.23 394.67 131.56 11.96 1036.51 1140.17 855.13 285.04 25.91
Maryland CareFirst BlueChoice - Blue Value Plus Self B64 New Plan 325.84 235.77 90.07 New Plan New Plan 705.99 510.84 195.15 New Plan
Maryland CareFirst BlueChoice - Blue Value Plus Self & Family B65 New Plan 774.21 546.47 227.74 New Plan New Plan 1677.46 1184.02 493.44 New Plan
Maryland CareFirst BlueChoice - Blue Value Plus Self Plus One B66 New Plan 651.70 488.78 162.92 New Plan New Plan 1412.02 1059.02 353.00 New Plan
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Basic Self T71 193.90 193.90 145.43 48.47 0.00 420.12 420.12 315.09 105.03 0.00
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Basic Self & Family T72 473.61 473.61 355.21 118.40 0.00 1026.16 1026.16 769.62 256.54 0.00
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Basic Self Plus One T73 431.49 431.49 323.62 107.87 0.00 934.90 934.90 701.18 233.72 0.00
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Standard Self E34 240.81 263.79 197.84 65.95 5.75 521.76 571.55 428.66 142.89 12.45
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Standard Self & Family E35 553.84 606.69 455.02 151.67 13.21 1199.99 1314.50 985.88 328.62 28.62
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Standard Self Plus One E36 553.84 606.69 455.02 151.67 13.21 1199.99 1314.50 985.88 328.62 28.62
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - High Self E31 319.70 333.61 235.77 97.84 8.32 692.68 722.82 510.84 211.98 18.02
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - High Self & Family E32 735.30 767.32 546.47 220.85 10.87 1593.15 1662.53 1184.02 478.51 23.55
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - High Self Plus One E33 735.30 767.32 504.12 263.20 20.17 1593.15 1662.53 1092.26 570.27 43.71
Maryland M.D. IPA - High Self JP1 365.01 404.59 235.77 168.82 33.99 790.86 876.61 510.84 365.77 73.63
Maryland M.D. IPA - High Self & Family JP2 1023.48 1134.48 546.47 588.01 89.85 2217.54 2458.04 1184.02 1274.02 194.67
Maryland M.D. IPA - High Self Plus One JP3 712.86 790.17 504.12 286.05 65.46 1544.53 1712.04 1092.26 619.78 141.84
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 228.78 224.57 168.43 56.14 -1.05 495.69 486.57 364.93 121.64 -2.28
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 526.18 516.51 387.38 129.13 -2.41 1140.06 1119.11 839.33 279.78 -5.23
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 491.87 482.83 362.12 120.71 -2.26 1065.72 1046.13 784.60 261.53 -4.90
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 308.28 329.95 235.77 94.18 16.08 667.94 714.89 510.84 204.05 34.83
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 730.61 781.98 546.47 235.51 30.22 1582.99 1694.29 1184.02 510.27 65.47
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 662.79 709.38 504.12 205.26 34.74 1436.05 1536.99 1092.26 444.73 75.27
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 201.72 240.69 180.52 60.17 9.74 437.06 521.50 391.13 130.37 21.11
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 565.61 674.89 506.17 168.72 27.32 1225.49 1462.26 1096.70 365.56 59.19
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 393.95 470.06 352.55 117.51 19.02 853.56 1018.46 763.85 254.61 41.22
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 242.68 182.01 60.67 New Plan New Plan 525.81 394.36 131.45 New Plan
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 573.86 430.40 143.46 New Plan New Plan 1243.36 932.52 310.84 New Plan
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 521.73 391.30 130.43 New Plan New Plan 1130.42 847.82 282.60 New Plan
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 233.88 175.41 58.47 New Plan New Plan 506.74 380.06 126.68 New Plan
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 553.03 414.77 138.26 New Plan New Plan 1198.23 898.67 299.56 New Plan
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 502.79 377.09 125.70 New Plan New Plan 1089.38 817.04 272.34 New Plan
Massachusetts Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Massachusetts Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Massachusetts Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Massachusetts Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Massachusetts Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Massachusetts Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 285.73 350.59 235.77 114.82 43.39 619.08 759.61 510.84 248.77 94.00
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 654.30 802.85 546.47 256.38 92.81 1417.65 1739.51 1184.02 555.49 201.08
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 641.47 787.10 504.12 282.98 122.61 1389.85 1705.38 1092.26 613.12 265.66
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 423.14 496.50 235.77 260.73 67.77 916.80 1075.75 510.84 564.91 146.83
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 965.00 1132.30 546.47 585.83 146.15 2090.83 2453.32 1184.02 1269.30 316.66
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 955.44 1121.09 504.12 616.97 153.80 2070.12 2429.03 1092.26 1336.77 333.24
Massachusetts Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Massachusetts Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Massachusetts Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Michigan Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Michigan Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Michigan Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Michigan Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Michigan Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Michigan Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 309.50 328.95 235.77 93.18 13.86 670.58 712.73 510.84 201.89 30.03
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 708.86 753.40 546.47 206.93 23.39 1535.86 1632.37 1184.02 448.35 50.68
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 694.97 738.63 504.12 234.51 31.81 1505.77 1600.37 1092.26 508.11 68.93
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 362.37 417.46 235.77 181.69 49.50 785.14 904.50 510.84 393.66 107.24
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 826.56 952.20 546.47 405.73 104.49 1790.88 2063.10 1184.02 879.08 226.39
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 818.39 942.79 504.12 438.67 112.55 1773.18 2042.71 1092.26 950.45 243.86
Michigan Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Michigan Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Michigan Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Michigan Blue Care Network of Michigan - High Self LX1 339.10 342.86 235.77 107.09 -1.83 734.72 742.86 510.84 232.02 -3.98
Michigan Blue Care Network of Michigan - High Self & Family LX2 827.37 836.58 546.47 290.11 -11.94 1792.64 1812.59 1184.02 628.57 -25.88
Michigan Blue Care Network of Michigan - High Self Plus One LX3 779.91 788.57 504.12 284.45 -3.19 1689.81 1708.57 1092.26 616.31 -6.91
Michigan Blue Care Network of Michigan - High Self K51 435.44 442.03 235.77 206.26 1.00 943.45 957.73 510.84 446.89 2.16
Michigan Blue Care Network of Michigan - High Self & Family K52 1062.44 1078.53 546.47 532.06 -5.06 2301.95 2336.82 1184.02 1152.80 -10.96
Michigan Blue Care Network of Michigan - High Self Plus One K53 1001.49 1016.64 504.12 512.52 3.30 2169.90 2202.72 1092.26 1110.46 7.15
Michigan Health Alliance Plan - High Self 521 352.54 363.64 235.77 127.87 5.51 763.84 787.89 510.84 277.05 11.93
Michigan Health Alliance Plan - High Self & Family 522 860.18 887.28 546.47 340.81 5.95 1863.72 1922.44 1184.02 738.42 12.89
Michigan Health Alliance Plan - High Self Plus One 523 810.84 836.37 504.12 332.25 13.68 1756.82 1812.14 1092.26 719.88 29.65
Michigan Health Alliance Plan - Standard Self GY4 276.16 283.49 212.62 70.87 1.83 598.35 614.23 460.67 153.56 3.97
Michigan Health Alliance Plan - Standard Self & Family GY5 673.85 691.74 518.81 172.93 4.47 1460.01 1498.77 1124.08 374.69 9.69
Michigan Health Alliance Plan - Standard Self Plus One GY6 635.18 652.05 489.04 163.01 4.22 1376.22 1412.78 1059.59 353.19 9.14
Michigan Priority Health - High Self LE1 420.97 424.42 235.77 188.65 -2.14 912.10 919.58 510.84 408.74 -4.64
Michigan Priority Health - High Self & Family LE2 989.28 997.39 546.47 450.92 -13.04 2143.44 2161.01 1184.02 976.99 -28.26
Michigan Priority Health - High Self Plus One LE3 926.14 933.72 504.12 429.60 -4.27 2006.64 2023.06 1092.26 930.80 -9.25
Michigan Priority Health - Standard Self LE4 232.82 248.92 186.69 62.23 4.03 504.44 539.33 404.50 134.83 8.72
Michigan Priority Health - Standard Self & Family LE5 547.13 584.97 438.73 146.24 9.46 1185.45 1267.44 950.58 316.86 20.50
Michigan Priority Health - Standard Self Plus One LE6 512.21 547.63 410.72 136.91 8.86 1109.79 1186.53 889.90 296.63 19.18
Michigan Priority Health - Value Self Y41 New Plan 218.42 163.82 54.60 New Plan New Plan 473.24 354.93 118.31 New Plan
Michigan Priority Health - Value Self & Family Y42 New Plan 513.29 384.97 128.32 New Plan New Plan 1112.13 834.10 278.03 New Plan
Michigan Priority Health - Value Self Plus One Y43 New Plan 480.52 360.39 120.13 New Plan New Plan 1041.13 780.85 260.28 New Plan
Minnesota Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Minnesota Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Minnesota Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Minnesota Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Minnesota Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Minnesota Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 382.55 382.37 235.77 146.60 -5.77 828.86 828.47 510.84 317.63 -12.51
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 872.02 871.59 546.47 325.12 -21.58 1889.38 1888.45 1184.02 704.43 -46.76
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 863.39 863.04 504.12 358.92 -12.20 1870.68 1869.92 1092.26 777.66 -26.43
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 284.55 372.48 235.77 136.71 65.57 616.53 807.04 510.84 296.20 142.07
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 653.07 854.85 546.47 308.38 145.11 1414.99 1852.18 1184.02 668.16 314.41
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 640.27 838.09 504.12 333.97 173.90 1387.25 1815.86 1092.26 723.60 376.79
Minnesota Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Minnesota Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Minnesota Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Minnesota HealthPartners - Standard Self V34 197.58 212.27 159.20 53.07 3.68 428.09 459.92 344.94 114.98 7.96
Minnesota HealthPartners - Standard Self & Family V35 481.30 517.11 387.83 129.28 8.96 1042.82 1120.41 840.31 280.10 19.40
Minnesota HealthPartners - Standard Self Plus One V36 436.65 469.13 351.85 117.28 8.12 946.08 1016.45 762.34 254.11 17.59
Minnesota HealthPartners - High Self V31 364.76 328.76 235.77 92.99 -41.59 790.31 712.31 510.84 201.47 -90.12
Minnesota HealthPartners - High Self & Family V32 888.56 800.86 546.47 254.39 -108.85 1925.21 1735.20 1184.02 551.18 -235.84
Minnesota HealthPartners - High Self Plus One V33 806.11 726.56 504.12 222.44 -91.40 1746.57 1574.21 1092.26 481.95 -198.03
Mississippi Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Mississippi Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Mississippi Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Mississippi Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Mississippi Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Mississippi Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 382.55 382.37 235.77 146.60 -5.77 828.86 828.47 510.84 317.63 -12.51
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 872.02 871.59 546.47 325.12 -21.58 1889.38 1888.45 1184.02 704.43 -46.76
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 863.39 863.04 504.12 358.92 -12.20 1870.68 1869.92 1092.26 777.66 -26.43
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 284.55 372.48 235.77 136.71 65.57 616.53 807.04 510.84 296.20 142.07
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 653.07 854.85 546.47 308.38 145.11 1414.99 1852.18 1184.02 668.16 314.41
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 640.27 838.09 504.12 333.97 173.90 1387.25 1815.86 1092.26 723.60 376.79
Mississippi Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Mississippi Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Mississippi Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 193.25 209.88 157.41 52.47 4.16 418.71 454.74 341.06 113.68 9.00
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 444.50 482.73 362.05 120.68 9.56 963.08 1045.92 784.44 261.48 20.71
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 415.50 451.25 338.44 112.81 8.94 900.25 977.71 733.28 244.43 19.37
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 313.40 329.48 235.77 93.71 10.49 679.03 713.87 510.84 203.03 22.72
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 783.52 823.71 546.47 277.24 19.04 1697.63 1784.71 1184.02 600.69 41.25
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 673.82 708.40 504.12 204.28 22.73 1459.94 1534.87 1092.26 442.61 49.26
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 242.68 182.01 60.67 New Plan New Plan 525.81 394.36 131.45 New Plan
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 573.86 430.40 143.46 New Plan New Plan 1243.36 932.52 310.84 New Plan
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 521.73 391.30 130.43 New Plan New Plan 1130.42 847.82 282.60 New Plan
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 233.88 175.41 58.47 New Plan New Plan 506.74 380.06 126.68 New Plan
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 553.03 414.77 138.26 New Plan New Plan 1198.23 898.67 299.56 New Plan
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 502.79 377.09 125.70 New Plan New Plan 1089.38 817.04 272.34 New Plan
Missouri Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Missouri Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Missouri Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Missouri Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Missouri Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Missouri Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 309.50 328.95 235.77 93.18 13.86 670.58 712.73 510.84 201.89 30.03
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 708.86 753.40 546.47 206.93 23.39 1535.86 1632.37 1184.02 448.35 50.68
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 694.97 738.63 504.12 234.51 31.81 1505.77 1600.37 1092.26 508.11 68.93
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 362.37 417.46 235.77 181.69 49.50 785.14 904.50 510.84 393.66 107.24
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 826.56 952.20 546.47 405.73 104.49 1790.88 2063.10 1184.02 879.08 226.39
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 818.39 942.79 504.12 438.67 112.55 1773.18 2042.71 1092.26 950.45 243.86
Missouri Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Missouri Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Missouri Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Missouri Aetna Open Access - High Self HA1 406.62 507.66 235.77 271.89 95.45 881.01 1099.93 510.84 589.09 206.80
Missouri Aetna Open Access - High Self & Family HA2 960.51 1199.16 546.47 652.69 217.50 2081.11 2598.18 1184.02 1414.16 471.24
Missouri Aetna Open Access - High Self Plus One HA3 951.02 1187.32 504.12 683.20 224.45 2060.54 2572.53 1092.26 1480.27 486.32
Missouri Aetna Open Access - Standard Self HA4 326.70 330.63 235.77 94.86 -1.66 707.85 716.37 510.84 205.53 -3.60
Missouri Aetna Open Access - Standard Self & Family HA5 771.13 780.41 546.47 233.94 -11.87 1670.78 1690.89 1184.02 506.87 -25.72
Missouri Aetna Open Access - Standard Self Plus One HA6 763.50 772.69 504.12 268.57 -2.66 1654.25 1674.16 1092.26 581.90 -5.76
Missouri Blue Preferred - High Self 9G1 361.09 384.56 235.77 148.79 17.88 782.36 833.21 510.84 322.37 38.73
Missouri Blue Preferred - High Self & Family 9G2 775.88 857.94 546.47 311.47 60.91 1681.07 1858.87 1184.02 674.85 131.97
Missouri Blue Preferred - High Self Plus One 9G3 734.68 812.58 504.12 308.46 66.05 1591.81 1760.59 1092.26 668.33 143.11
Missouri Blue Preferred - Standard Self 9G4 257.87 277.21 207.91 69.30 4.83 558.72 600.62 450.47 150.15 10.47
Missouri Blue Preferred - Standard Self & Family 9G5 732.88 787.85 546.47 241.38 33.82 1587.91 1707.01 1184.02 522.99 73.27
Missouri Blue Preferred - Standard Self Plus One 9G6 662.78 712.48 504.12 208.36 37.85 1436.02 1543.71 1092.26 451.45 82.02
Missouri Humana CoverageFirst and Humana Value Plan - Value Self PH4 197.70 223.40 167.55 55.85 6.43 428.35 484.03 363.02 121.01 13.92
Missouri Humana CoverageFirst and Humana Value Plan - Value Self & Family PH5 444.84 502.66 377.00 125.66 14.45 963.82 1089.10 816.83 272.27 31.32
Missouri Humana CoverageFirst and Humana Value Plan - Value Self Plus One PH6 425.06 480.31 360.23 120.08 13.82 920.96 1040.67 780.50 260.17 29.93
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self PH1 277.36 330.05 235.77 94.28 24.94 600.95 715.11 510.84 204.27 54.03
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self & Family PH2 624.06 742.63 546.47 196.16 40.15 1352.13 1609.03 1184.02 425.01 86.98
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One PH3 596.33 709.62 504.12 205.50 56.42 1292.05 1537.51 1092.26 445.25 122.24
Missouri Humana Health Plan, Inc. - High Self MS1 750.29 795.31 235.77 559.54 39.43 1625.63 1723.17 510.84 1212.33 85.42
Missouri Humana Health Plan, Inc. - High Self & Family MS2 1688.15 1789.44 546.47 1242.97 80.14 3657.66 3877.12 1184.02 2693.10 173.63
Missouri Humana Health Plan, Inc. - High Self Plus One MS3 1613.12 1709.91 504.12 1205.79 84.94 3495.09 3704.81 1092.26 2612.55 184.05
Missouri Humana Health Plan, Inc. - Standard Self MS4 439.74 492.46 235.77 256.69 47.13 952.77 1067.00 510.84 556.16 102.11
Missouri Humana Health Plan, Inc. - Standard Self & Family MS5 989.44 1108.05 546.47 561.58 97.46 2143.79 2400.78 1184.02 1216.76 211.16
Missouri Humana Health Plan, Inc. - Standard Self Plus One MS6 945.46 1058.81 504.12 554.69 101.50 2048.50 2294.09 1092.26 1201.83 219.92
Missouri UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 242.68 182.01 60.67 New Plan New Plan 525.81 394.36 131.45 New Plan
Missouri UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 573.86 430.40 143.46 New Plan New Plan 1243.36 932.52 310.84 New Plan
Missouri UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 521.73 391.30 130.43 New Plan New Plan 1130.42 847.82 282.60 New Plan
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 233.88 175.41 58.47 New Plan New Plan 506.74 380.06 126.68 New Plan
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 553.03 414.77 138.26 New Plan New Plan 1198.23 898.67 299.56 New Plan
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 502.79 377.09 125.70 New Plan New Plan 1089.38 817.04 272.34 New Plan
Montana Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Montana Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Montana Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Montana Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Montana Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Montana Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 382.55 382.37 235.77 146.60 -5.77 828.86 828.47 510.84 317.63 -12.51
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 872.02 871.59 546.47 325.12 -21.58 1889.38 1888.45 1184.02 704.43 -46.76
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 863.39 863.04 504.12 358.92 -12.20 1870.68 1869.92 1092.26 777.66 -26.43
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 284.55 372.48 235.77 136.71 65.57 616.53 807.04 510.84 296.20 142.07
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 653.07 854.85 546.47 308.38 145.11 1414.99 1852.18 1184.02 668.16 314.41
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 640.27 838.09 504.12 333.97 173.90 1387.25 1815.86 1092.26 723.60 376.79
Montana Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Montana Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Montana Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Nebraska Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Nebraska Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Nebraska Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Nebraska Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Nebraska Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Nebraska Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 382.55 382.37 235.77 146.60 -5.77 828.86 828.47 510.84 317.63 -12.51
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 872.02 871.59 546.47 325.12 -21.58 1889.38 1888.45 1184.02 704.43 -46.76
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 863.39 863.04 504.12 358.92 -12.20 1870.68 1869.92 1092.26 777.66 -26.43
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 284.55 372.48 235.77 136.71 65.57 616.53 807.04 510.84 296.20 142.07
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 653.07 854.85 546.47 308.38 145.11 1414.99 1852.18 1184.02 668.16 314.41
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 640.27 838.09 504.12 333.97 173.90 1387.25 1815.86 1092.26 723.60 376.79
Nebraska Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Nebraska Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Nebraska Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Nevada Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Nevada Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Nevada Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Nevada Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Nevada Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Nevada Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 309.50 328.95 235.77 93.18 13.86 670.58 712.73 510.84 201.89 30.03
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 708.86 753.40 546.47 206.93 23.39 1535.86 1632.37 1184.02 448.35 50.68
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 694.97 738.63 504.12 234.51 31.81 1505.77 1600.37 1092.26 508.11 68.93
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 362.37 417.46 235.77 181.69 49.50 785.14 904.50 510.84 393.66 107.24
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 826.56 952.20 546.47 405.73 104.49 1790.88 2063.10 1184.02 879.08 226.39
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 818.39 942.79 504.12 438.67 112.55 1773.18 2042.71 1092.26 950.45 243.86
Nevada Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Nevada Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Nevada Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Nevada Health Plan of Nevada, Inc. - High Self NM1 303.94 326.30 235.77 90.53 14.55 658.54 706.98 510.84 196.14 31.51
Nevada Health Plan of Nevada, Inc. - High Self & Family NM2 720.31 773.30 546.47 226.83 31.84 1560.67 1675.48 1184.02 491.46 68.98
Nevada Health Plan of Nevada, Inc. - High Self Plus One NM3 577.50 619.98 464.99 154.99 10.62 1251.25 1343.29 1007.47 335.82 23.01
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 207.84 204.85 153.64 51.21 -0.75 450.32 443.84 332.88 110.96 -1.62
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 478.03 471.16 353.37 117.79 -1.72 1035.73 1020.85 765.64 255.21 -3.72
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 446.86 440.43 330.32 110.11 -1.60 968.20 954.27 715.70 238.57 -3.48
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 313.47 334.51 235.77 98.74 15.45 679.19 724.77 510.84 213.93 33.46
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 783.67 836.26 546.47 289.79 31.44 1697.95 1811.90 1184.02 627.88 68.12
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 673.95 719.19 504.12 215.07 33.39 1460.23 1558.25 1092.26 465.99 72.35
Nevada UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self WF1 New Plan 241.32 180.99 60.33 New Plan New Plan 522.86 392.15 130.71 New Plan
Nevada UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family WF2 New Plan 570.64 427.98 142.66 New Plan New Plan 1236.39 927.29 309.10 New Plan
Nevada UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One WF3 New Plan 518.79 389.09 129.70 New Plan New Plan 1124.05 843.04 281.01 New Plan
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self VD1 New Plan 240.93 180.70 60.23 New Plan New Plan 522.02 391.52 130.50 New Plan
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family VD2 New Plan 569.71 427.28 142.43 New Plan New Plan 1234.37 925.78 308.59 New Plan
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One VD3 New Plan 517.95 388.46 129.49 New Plan New Plan 1122.23 841.67 280.56 New Plan
New Hampshire Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
New Hampshire Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
New Hampshire Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
New Hampshire Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
New Hampshire Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
New Hampshire Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 285.73 350.59 235.77 114.82 43.39 619.08 759.61 510.84 248.77 94.00
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 654.30 802.85 546.47 256.38 92.81 1417.65 1739.51 1184.02 555.49 201.08
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 641.47 787.10 504.12 282.98 122.61 1389.85 1705.38 1092.26 613.12 265.66
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 423.14 496.50 235.77 260.73 67.77 916.80 1075.75 510.84 564.91 146.83
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 965.00 1132.30 546.47 585.83 146.15 2090.83 2453.32 1184.02 1269.30 316.66
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 955.44 1121.09 504.12 616.97 153.80 2070.12 2429.03 1092.26 1336.77 333.24
New Hampshire Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
New Hampshire Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
New Hampshire Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
New Jersey Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
New Jersey Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
New Jersey Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
New Jersey Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
New Jersey Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
New Jersey Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 285.73 350.59 235.77 114.82 43.39 619.08 759.61 510.84 248.77 94.00
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 654.30 802.85 546.47 256.38 92.81 1417.65 1739.51 1184.02 555.49 201.08
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 641.47 787.10 504.12 282.98 122.61 1389.85 1705.38 1092.26 613.12 265.66
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 423.14 496.50 235.77 260.73 67.77 916.80 1075.75 510.84 564.91 146.83
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 965.00 1132.30 546.47 585.83 146.15 2090.83 2453.32 1184.02 1269.30 316.66
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 955.44 1121.09 504.12 616.97 153.80 2070.12 2429.03 1092.26 1336.77 333.24
New Jersey Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
New Jersey Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
New Jersey Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
New Jersey Aetna Open Access - High Self JR1 650.67 712.96 235.77 477.19 56.70 1409.79 1544.75 510.84 1033.91 122.84
New Jersey Aetna Open Access - High Self & Family JR2 1502.98 1646.86 546.47 1100.39 122.73 3256.46 3568.20 1184.02 2384.18 265.91
New Jersey Aetna Open Access - High Self Plus One JR3 1488.09 1630.54 504.12 1126.42 130.60 3224.20 3532.84 1092.26 2440.58 282.97
New Jersey Aetna Open Access - Basic Self JR4 536.96 633.82 235.77 398.05 91.27 1163.41 1373.28 510.84 862.44 197.75
New Jersey Aetna Open Access - Basic Self & Family JR5 1244.46 1468.93 546.47 922.46 203.32 2696.33 3182.68 1184.02 1998.66 440.52
New Jersey Aetna Open Access - Basic Self Plus One JR6 1232.13 1454.38 504.12 950.26 210.40 2669.62 3151.16 1092.26 2058.90 455.87
New Jersey Aetna Open Access - Basic Self P34 599.29 604.65 235.77 368.88 -0.23 1298.46 1310.08 510.84 799.24 -0.50
New Jersey Aetna Open Access - Basic Self & Family P35 1390.96 1403.39 546.47 856.92 -8.72 3013.75 3040.68 1184.02 1856.66 -18.90
New Jersey Aetna Open Access - Basic Self Plus One P36 1377.18 1389.48 504.12 885.36 0.45 2983.89 3010.54 1092.26 1918.28 0.98
New Jersey Aetna Open Access - High Self P31 685.48 672.28 235.77 436.51 -18.79 1485.21 1456.61 510.84 945.77 -40.72
New Jersey Aetna Open Access - High Self & Family P32 1661.96 1629.94 546.47 1083.47 -53.17 3600.91 3531.54 1184.02 2347.52 -115.20
New Jersey Aetna Open Access - High Self Plus One P33 1645.50 1613.79 504.12 1109.67 -43.56 3565.25 3496.55 1092.26 2404.29 -94.37
New Jersey GHI Health Plan - Standard Self 804 427.37 463.69 235.77 227.92 30.73 925.97 1004.66 510.84 493.82 66.57
New Jersey GHI Health Plan - Standard Self & Family 805 1036.83 1124.96 546.47 578.49 66.98 2246.47 2437.41 1184.02 1253.39 145.11
New Jersey GHI Health Plan - Standard Self Plus One 806 994.08 1078.58 504.12 574.46 72.65 2153.84 2336.92 1092.26 1244.66 157.41
New Jersey GHI Health Plan - HDHP Self 811 New Plan 312.16 234.12 78.04 New Plan New Plan 676.35 507.26 169.09 New Plan
New Jersey GHI Health Plan - HDHP Self & Family 812 New Plan 682.48 511.86 170.62 New Plan New Plan 1478.71 1109.03 369.68 New Plan
New Jersey GHI Health Plan - HDHP Self Plus One 813 New Plan 669.27 501.95 167.32 New Plan New Plan 1450.09 1087.57 362.52 New Plan
New Mexico Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
New Mexico Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
New Mexico Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
New Mexico Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
New Mexico Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
New Mexico Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 309.50 328.95 235.77 93.18 13.86 670.58 712.73 510.84 201.89 30.03
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 708.86 753.40 546.47 206.93 23.39 1535.86 1632.37 1184.02 448.35 50.68
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 694.97 738.63 504.12 234.51 31.81 1505.77 1600.37 1092.26 508.11 68.93
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 362.37 417.46 235.77 181.69 49.50 785.14 904.50 510.84 393.66 107.24
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 826.56 952.20 546.47 405.73 104.49 1790.88 2063.10 1184.02 879.08 226.39
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 818.39 942.79 504.12 438.67 112.55 1773.18 2042.71 1092.26 950.45 243.86
New Mexico Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
New Mexico Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
New Mexico Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
New Mexico Presbyterian Health Plan - High Self P21 341.68 388.15 235.77 152.38 40.88 740.31 840.99 510.84 330.15 88.56
New Mexico Presbyterian Health Plan - High Self & Family P22 802.96 912.14 546.47 365.67 88.03 1739.75 1976.30 1184.02 792.28 190.72
New Mexico Presbyterian Health Plan - High Self Plus One P23 775.63 881.09 504.12 376.97 93.61 1680.53 1909.03 1092.26 816.77 202.83
New Mexico Presbyterian Health Plan - Standard Self PS4 287.38 327.82 235.77 92.05 20.21 622.66 710.28 510.84 199.44 43.78
New Mexico Presbyterian Health Plan - Standard Self & Family PS5 675.36 770.38 546.47 223.91 55.07 1463.28 1669.16 1184.02 485.14 119.32
New Mexico Presbyterian Health Plan - Standard Self Plus One PS6 652.36 744.16 504.12 240.04 76.95 1413.45 1612.35 1092.26 520.09 166.73
New Mexico Presbyterian Health Plan - Wellness Self PS1 New Plan 286.10 214.58 71.52 New Plan New Plan 619.88 464.91 154.97 New Plan
New Mexico Presbyterian Health Plan - Wellness Self & Family PS2 New Plan 672.35 504.26 168.09 New Plan New Plan 1456.76 1092.57 364.19 New Plan
New Mexico Presbyterian Health Plan - Wellness Self Plus One PS3 New Plan 649.47 487.10 162.37 New Plan New Plan 1407.19 1055.39 351.80 New Plan
New Mexico True Health New Mexico - High Self EL1 New Plan 286.23 214.67 71.56 New Plan New Plan 620.17 465.13 155.04 New Plan
New Mexico True Health New Mexico - High Self & Family EL2 New Plan 675.91 506.93 168.98 New Plan New Plan 1464.47 1098.35 366.12 New Plan
New Mexico True Health New Mexico - High Self Plus One EL3 New Plan 640.63 480.47 160.16 New Plan New Plan 1388.03 1041.02 347.01 New Plan
New York Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
New York Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
New York Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
New York Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
New York Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
New York Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
New York Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 285.73 350.59 235.77 114.82 43.39 619.08 759.61 510.84 248.77 94.00
New York Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 654.30 802.85 546.47 256.38 92.81 1417.65 1739.51 1184.02 555.49 201.08
New York Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 641.47 787.10 504.12 282.98 122.61 1389.85 1705.38 1092.26 613.12 265.66
New York Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 423.14 496.50 235.77 260.73 67.77 916.80 1075.75 510.84 564.91 146.83
New York Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 965.00 1132.30 546.47 585.83 146.15 2090.83 2453.32 1184.02 1269.30 316.66
New York Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 955.44 1121.09 504.12 616.97 153.80 2070.12 2429.03 1092.26 1336.77 333.24
New York Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
New York Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
New York Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
New York Aetna Open Access - High Self JC1 601.41 609.40 235.77 373.63 2.40 1303.06 1320.37 510.84 809.53 5.19
New York Aetna Open Access - High Self & Family JC2 1486.08 1505.80 546.47 959.33 -1.43 3219.84 3262.57 1184.02 2078.55 -3.10
New York Aetna Open Access - High Self Plus One JC3 1471.38 1490.89 504.12 986.77 7.66 3187.99 3230.26 1092.26 2138.00 16.60
New York Aetna Open Access - Basic Self JC4 490.71 508.81 235.77 273.04 12.51 1063.21 1102.42 510.84 591.58 27.09
New York Aetna Open Access - Basic Self & Family JC5 1196.94 1241.09 546.47 694.62 23.00 2593.37 2689.03 1184.02 1505.01 49.83
New York Aetna Open Access - Basic Self Plus One JC6 1185.10 1228.82 504.12 724.70 31.87 2567.72 2662.44 1092.26 1570.18 69.05
New York CDPHP - Standard Self SG4 266.57 290.59 217.94 72.65 6.01 577.57 629.61 472.21 157.40 13.01
New York CDPHP - Standard Self & Family SG5 799.69 827.37 546.47 280.90 6.53 1732.66 1792.64 1184.02 608.62 14.15
New York CDPHP - Standard Self Plus One SG6 533.14 601.50 451.13 150.37 17.09 1155.14 1303.25 977.44 325.81 37.03
New York CDPHP - High Self SG1 401.67 457.50 235.77 221.73 50.24 870.29 991.25 510.84 480.41 108.84
New York CDPHP - High Self & Family SG2 1204.87 1303.87 546.47 757.40 77.85 2610.55 2825.05 1184.02 1641.03 168.67
New York CDPHP - High Self Plus One SG3 803.33 947.02 504.12 442.90 131.84 1740.55 2051.88 1092.26 959.62 285.66
New York GHI Health Plan - Standard Self 804 427.37 463.69 235.77 227.92 30.73 925.97 1004.66 510.84 493.82 66.57
New York GHI Health Plan - Standard Self & Family 805 1036.83 1124.96 546.47 578.49 66.98 2246.47 2437.41 1184.02 1253.39 145.11
New York GHI Health Plan - Standard Self Plus One 806 994.08 1078.58 504.12 574.46 72.65 2153.84 2336.92 1092.26 1244.66 157.41
New York GHI Health Plan - HDHP Self 811 New Plan 312.16 234.12 78.04 New Plan New Plan 676.35 507.26 169.09 New Plan
New York GHI Health Plan - HDHP Self & Family 812 New Plan 682.48 511.86 170.62 New Plan New Plan 1478.71 1109.03 369.68 New Plan
New York GHI Health Plan - HDHP Self Plus One 813 New Plan 669.27 501.95 167.32 New Plan New Plan 1450.09 1087.57 362.52 New Plan
New York HIP of Greater NY - Standard Self YL4 303.97 375.63 235.77 139.86 63.87 658.60 813.87 510.84 303.03 138.38
New York HIP of Greater NY - Standard Self & Family YL5 869.85 1079.99 546.47 533.52 188.99 1884.68 2339.98 1184.02 1155.96 409.47
New York HIP of Greater NY - Standard Self Plus One YL6 539.64 683.19 504.12 179.07 44.16 1169.22 1480.25 1092.26 387.99 95.69
New York HIP of Greater NY - High Self 511 454.78 494.33 235.77 258.56 33.96 985.36 1071.05 510.84 560.21 73.57
New York HIP of Greater NY - High Self & Family 512 1302.18 1422.45 546.47 875.98 99.12 2821.39 3081.98 1184.02 1897.96 214.76
New York HIP of Greater NY - High Self Plus One 513 810.21 899.33 504.12 395.21 77.27 1755.46 1948.55 1092.26 856.29 167.42
New York Independent Health - Standard Self C54 323.92 328.44 235.77 92.67 -1.07 701.83 711.62 510.84 200.78 -2.33
New York Independent Health - Standard Self & Family C55 874.59 886.79 546.47 340.32 -8.95 1894.95 1921.38 1184.02 737.36 -19.40
New York Independent Health - Standard Self Plus One C56 825.99 837.51 504.12 333.39 -0.33 1789.65 1814.61 1092.26 722.35 -0.71
New York Independent Health - High Self QA1 335.83 352.00 235.77 116.23 10.58 727.63 762.67 510.84 251.83 22.92
New York Independent Health - High Self & Family QA2 906.72 950.39 546.47 403.92 22.52 1964.56 2059.18 1184.02 875.16 48.79
New York Independent Health - High Self Plus One QA3 856.35 897.60 504.12 393.48 29.40 1855.43 1944.80 1092.26 852.54 63.70
New York Independent Health - HDHP Self QA4 272.57 273.63 205.22 68.41 0.27 590.57 592.87 444.65 148.22 0.58
New York Independent Health - HDHP Self & Family QA5 703.77 707.60 530.70 176.90 -1.55 1524.84 1533.13 1149.85 383.28 -3.37
New York Independent Health - HDHP Self Plus One QA6 655.94 659.82 494.87 164.95 0.97 1421.20 1429.61 1072.21 357.40 2.10
North Carolina Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
North Carolina Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
North Carolina Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
North Carolina Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
North Carolina Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
North Carolina Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 374.21 382.72 235.77 146.95 2.92 810.79 829.23 510.84 318.39 6.32
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 853.25 872.64 546.47 326.17 -1.76 1848.71 1890.72 1184.02 706.70 -3.82
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 844.80 864.00 504.12 359.88 7.35 1830.40 1872.00 1092.26 779.74 15.93
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 326.97 378.45 235.77 142.68 45.89 708.44 819.98 510.84 309.14 99.42
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 748.73 866.59 546.47 320.12 96.71 1622.25 1877.61 1184.02 693.59 209.53
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 734.04 849.59 504.12 345.47 103.70 1590.42 1840.78 1092.26 748.52 224.69
North Carolina Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
North Carolina Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
North Carolina Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
North Carolina UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 193.25 209.88 157.41 52.47 4.16 418.71 454.74 341.06 113.68 9.00
North Carolina UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 444.50 482.73 362.05 120.68 9.56 963.08 1045.92 784.44 261.48 20.71
North Carolina UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 415.50 451.25 338.44 112.81 8.94 900.25 977.71 733.28 244.43 19.37
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 313.40 329.48 235.77 93.71 10.49 679.03 713.87 510.84 203.03 22.72
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 783.52 823.71 546.47 277.24 19.04 1697.63 1784.71 1184.02 600.69 41.25
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 673.82 708.40 504.12 204.28 22.73 1459.94 1534.87 1092.26 442.61 49.26
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 242.68 182.01 60.67 New Plan New Plan 525.81 394.36 131.45 New Plan
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 573.86 430.40 143.46 New Plan New Plan 1243.36 932.52 310.84 New Plan
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 521.73 391.30 130.43 New Plan New Plan 1130.42 847.82 282.60 New Plan
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 233.88 175.41 58.47 New Plan New Plan 506.74 380.06 126.68 New Plan
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 553.03 414.77 138.26 New Plan New Plan 1198.23 898.67 299.56 New Plan
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 502.79 377.09 125.70 New Plan New Plan 1089.38 817.04 272.34 New Plan
North Dakota Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
North Dakota Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
North Dakota Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
North Dakota Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
North Dakota Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
North Dakota Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 382.55 382.37 235.77 146.60 -5.77 828.86 828.47 510.84 317.63 -12.51
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 872.02 871.59 546.47 325.12 -21.58 1889.38 1888.45 1184.02 704.43 -46.76
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 863.39 863.04 504.12 358.92 -12.20 1870.68 1869.92 1092.26 777.66 -26.43
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 284.55 372.48 235.77 136.71 65.57 616.53 807.04 510.84 296.20 142.07
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 653.07 854.85 546.47 308.38 145.11 1414.99 1852.18 1184.02 668.16 314.41
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 640.27 838.09 504.12 333.97 173.90 1387.25 1815.86 1092.26 723.60 376.79
North Dakota Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
North Dakota Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
North Dakota Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
North Dakota HealthPartners - Standard Self V34 197.58 212.27 159.20 53.07 3.68 428.09 459.92 344.94 114.98 7.96
North Dakota HealthPartners - Standard Self & Family V35 481.30 517.11 387.83 129.28 8.96 1042.82 1120.41 840.31 280.10 19.40
North Dakota HealthPartners - Standard Self Plus One V36 436.65 469.13 351.85 117.28 8.12 946.08 1016.45 762.34 254.11 17.59
North Dakota HealthPartners - High Self V31 364.76 328.76 235.77 92.99 -41.59 790.31 712.31 510.84 201.47 -90.12
North Dakota HealthPartners - High Self & Family V32 888.56 800.86 546.47 254.39 -108.85 1925.21 1735.20 1184.02 551.18 -235.84
North Dakota HealthPartners - High Self Plus One V33 806.11 726.56 504.12 222.44 -91.40 1746.57 1574.21 1092.26 481.95 -198.03
Ohio Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Ohio Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Ohio Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Ohio Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Ohio Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Ohio Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Ohio Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 371.07 495.45 235.77 259.68 118.79 803.99 1073.48 510.84 562.64 257.37
Ohio Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 847.11 1131.04 546.47 584.57 262.78 1835.41 2450.59 1184.02 1266.57 569.35
Ohio Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 838.73 1119.84 504.12 615.72 269.26 1817.25 2426.32 1092.26 1334.06 583.40
Ohio Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 484.17 463.38 235.77 227.61 -26.38 1049.04 1003.99 510.84 493.15 -57.17
Ohio Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1103.70 1056.30 546.47 509.83 -68.55 2391.35 2288.65 1184.02 1104.63 -148.53
Ohio Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1092.78 1045.84 504.12 541.72 -58.79 2367.69 2265.99 1092.26 1173.73 -127.37
Ohio Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Ohio Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Ohio Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Ohio AultCare Insurance Company - High Self 3A1 355.15 388.63 235.77 152.86 27.89 769.49 842.03 510.84 331.19 60.42
Ohio AultCare Insurance Company - High Self & Family 3A2 877.23 959.90 546.47 413.43 61.52 1900.67 2079.78 1184.02 895.76 133.28
Ohio AultCare Insurance Company - High Self Plus One 3A3 745.82 816.11 504.12 311.99 58.44 1615.94 1768.24 1092.26 675.98 126.63
Ohio AultCare Insurance Company - HDHP Self 3A4 172.27 201.98 151.49 50.49 7.42 373.25 437.62 328.22 109.40 16.09
Ohio AultCare Insurance Company - HDHP Self & Family 3A5 551.23 646.73 485.05 161.68 23.87 1194.33 1401.25 1050.94 350.31 51.73
Ohio AultCare Insurance Company - HDHP Self Plus One 3A6 327.29 383.98 287.99 95.99 14.17 709.13 831.96 623.97 207.99 30.71
Ohio Humana CoverageFirst and Humana Value Plan - Value Self X34 263.20 283.90 212.93 70.97 5.17 570.27 615.12 461.34 153.78 11.21
Ohio Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 592.21 638.79 479.09 159.70 11.65 1283.12 1384.05 1038.04 346.01 25.23
Ohio Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 565.88 610.40 457.80 152.60 11.13 1226.07 1322.53 991.90 330.63 24.11
Ohio Humana CoverageFirst and Humana Value Plan - CDHP Self X31 315.99 368.97 235.77 133.20 47.39 684.65 799.44 510.84 288.60 102.67
Ohio Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 710.99 830.20 546.47 283.73 98.06 1540.48 1798.77 1184.02 614.75 212.46
Ohio Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 679.39 793.30 504.12 289.18 102.06 1472.01 1718.82 1092.26 626.56 221.14
Ohio Humana Health Plan of Ohio, Inc. - High Self A61 541.22 692.76 235.77 456.99 145.95 1172.64 1500.98 510.84 990.14 316.22
Ohio Humana Health Plan of Ohio, Inc. - High Self & Family A62 1217.76 1558.72 546.47 1012.25 319.81 2638.48 3377.23 1184.02 2193.21 692.92
Ohio Humana Health Plan of Ohio, Inc. - High Self Plus One A63 1163.64 1489.45 504.12 985.33 313.96 2521.22 3227.14 1092.26 2134.88 680.25
Ohio Humana Health Plan of Ohio, Inc. - Standard Self A64 429.36 541.00 235.77 305.23 106.05 930.28 1172.17 510.84 661.33 229.77
Ohio Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 966.08 1217.27 546.47 670.80 230.04 2093.17 2637.42 1184.02 1453.40 498.42
Ohio Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 923.15 1163.17 504.12 659.05 228.17 2000.16 2520.20 1092.26 1427.94 494.37
Ohio Humana Health Plan of Ohio, Inc. - Basic Self W61 270.36 280.90 210.68 70.22 2.63 585.78 608.62 456.47 152.15 5.71
Ohio Humana Health Plan of Ohio, Inc. - Basic Self & Family W62 608.31 632.05 474.04 158.01 5.93 1318.01 1369.44 1027.08 342.36 12.86
Ohio Humana Health Plan of Ohio, Inc. - Basic Self Plus One W63 581.27 603.96 452.97 150.99 5.67 1259.42 1308.58 981.44 327.14 12.29
Ohio Medical Mutual of Ohio - Standard Self 644 395.89 474.36 235.77 238.59 72.88 857.76 1027.78 510.84 516.94 157.90
Ohio Medical Mutual of Ohio - Standard Self & Family 645 950.13 1138.48 546.47 592.01 167.20 2058.62 2466.71 1184.02 1282.69 362.26
Ohio Medical Mutual of Ohio - Standard Self Plus One 646 870.94 1043.61 504.12 539.49 160.82 1887.04 2261.16 1092.26 1168.90 348.45
Ohio Medical Mutual of Ohio - Standard Self X64 371.98 392.04 235.77 156.27 14.47 805.96 849.42 510.84 338.58 31.34
Ohio Medical Mutual of Ohio - Standard Self & Family X65 892.75 940.89 546.47 394.42 26.99 1934.29 2038.60 1184.02 854.58 58.48
Ohio Medical Mutual of Ohio - Standard Self Plus One X66 818.34 862.48 504.12 358.36 32.29 1773.07 1868.71 1092.26 776.45 69.97
Ohio Medical Mutual of Ohio - Basic Self X61 213.10 203.07 152.30 50.77 -2.50 461.72 439.99 329.99 110.00 -5.43
Ohio Medical Mutual of Ohio - Basic Self & Family X62 511.44 487.36 365.52 121.84 -6.02 1108.12 1055.95 791.96 263.99 -13.04
Ohio Medical Mutual of Ohio - Basic Self Plus One X63 468.82 446.75 335.06 111.69 -5.51 1015.78 967.96 725.97 241.99 -11.95
Ohio Medical Mutual of Ohio - Basic Self UX1 222.72 203.14 152.36 50.78 -4.90 482.56 440.14 330.11 110.03 -10.61
Ohio Medical Mutual of Ohio - Basic Self & Family UX2 534.53 487.54 365.66 121.88 -11.75 1158.15 1056.34 792.26 264.08 -25.46
Ohio Medical Mutual of Ohio - Basic Self Plus One UX3 489.99 446.92 335.19 111.73 -10.77 1061.65 968.33 726.25 242.08 -23.33
Ohio Medical Mutual of Ohio - Basic Self YF1 226.41 203.14 152.36 50.78 -5.82 490.56 440.14 330.11 110.03 -12.61
Ohio Medical Mutual of Ohio - Basic Self & Family YF2 543.40 487.54 365.66 121.88 -13.97 1177.37 1056.34 792.26 264.08 -30.26
Ohio Medical Mutual of Ohio - Basic Self Plus One YF3 498.12 446.92 335.19 111.73 -12.80 1079.26 968.33 726.25 242.08 -27.73
Ohio Medical Mutual of Ohio - Standard Self YF4 424.54 447.22 235.77 211.45 17.09 919.84 968.98 510.84 458.14 37.02
Ohio Medical Mutual of Ohio - Standard Self & Family YF5 1018.89 1073.33 546.47 526.86 33.29 2207.60 2325.55 1184.02 1141.53 72.12
Ohio Medical Mutual of Ohio - Standard Self Plus One YF6 933.97 983.88 504.12 479.76 38.06 2023.60 2131.74 1092.26 1039.48 82.47
Oklahoma Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Oklahoma Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Oklahoma Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Oklahoma Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Oklahoma Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Oklahoma Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 371.07 495.45 235.77 259.68 118.79 803.99 1073.48 510.84 562.64 257.37
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 847.11 1131.04 546.47 584.57 262.78 1835.41 2450.59 1184.02 1266.57 569.35
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 838.73 1119.84 504.12 615.72 269.26 1817.25 2426.32 1092.26 1334.06 583.40
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 484.17 463.38 235.77 227.61 -26.38 1049.04 1003.99 510.84 493.15 -57.17
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1103.70 1056.30 546.47 509.83 -68.55 2391.35 2288.65 1184.02 1104.63 -148.53
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1092.78 1045.84 504.12 541.72 -58.79 2367.69 2265.99 1092.26 1173.73 -127.37
Oklahoma Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Oklahoma Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Oklahoma Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Oklahoma GlobalHealth - Standard Self IM4 277.92 287.51 215.63 71.88 2.40 602.16 622.94 467.21 155.73 5.19
Oklahoma GlobalHealth - Standard Self & Family IM5 694.80 718.79 539.09 179.70 6.00 1505.40 1557.38 1168.04 389.34 12.99
Oklahoma GlobalHealth - Standard Self Plus One IM6 555.84 575.03 431.27 143.76 4.80 1204.32 1245.90 934.43 311.47 10.39
Oklahoma GlobalHealth - High Self IM1 285.69 304.28 228.21 76.07 4.65 619.00 659.27 494.45 164.82 10.07
Oklahoma GlobalHealth - High Self & Family IM2 714.24 760.69 546.47 214.22 25.30 1547.52 1648.16 1184.02 464.14 54.81
Oklahoma GlobalHealth - High Self Plus One IM3 571.39 608.55 456.41 152.14 9.29 1238.01 1318.53 988.90 329.63 20.13
Oregon Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Oregon Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Oregon Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Oregon Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Oregon Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Oregon Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Oregon Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 382.55 382.37 235.77 146.60 -5.77 828.86 828.47 510.84 317.63 -12.51
Oregon Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 872.02 871.59 546.47 325.12 -21.58 1889.38 1888.45 1184.02 704.43 -46.76
Oregon Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 863.39 863.04 504.12 358.92 -12.20 1870.68 1869.92 1092.26 777.66 -26.43
Oregon Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 284.55 372.48 235.77 136.71 65.57 616.53 807.04 510.84 296.20 142.07
Oregon Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 653.07 854.85 546.47 308.38 145.11 1414.99 1852.18 1184.02 668.16 314.41
Oregon Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 640.27 838.09 504.12 333.97 173.90 1387.25 1815.86 1092.26 723.60 376.79
Oregon Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Oregon Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Oregon Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Oregon Kaiser Foundation Health Plan of the Northwest - Standard Self 574 286.29 299.06 224.30 74.76 3.19 620.30 647.96 485.97 161.99 6.92
Oregon Kaiser Foundation Health Plan of the Northwest - Standard Self & Family 575 657.69 687.02 515.27 171.75 7.33 1425.00 1488.54 1116.41 372.13 15.88
Oregon Kaiser Foundation Health Plan of the Northwest - Standard Self Plus One 576 657.69 687.02 504.12 182.90 17.48 1425.00 1488.54 1092.26 396.28 37.87
Oregon Kaiser Foundation Health Plan of the Northwest - High Self 571 326.16 336.89 235.77 101.12 5.14 706.68 729.93 510.84 219.09 11.13
Oregon Kaiser Foundation Health Plan of the Northwest - High Self & Family 572 736.69 760.94 546.47 214.47 3.10 1596.16 1648.70 1184.02 464.68 6.71
Oregon Kaiser Foundation Health Plan of the Northwest - High Self Plus One 573 736.69 760.94 504.12 256.82 12.40 1596.16 1648.70 1092.26 556.44 26.87
Oregon UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 207.84 204.85 153.64 51.21 -0.75 450.32 443.84 332.88 110.96 -1.62
Oregon UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 478.03 471.16 353.37 117.79 -1.72 1035.73 1020.85 765.64 255.21 -3.72
Oregon UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 446.86 440.43 330.32 110.11 -1.60 968.20 954.27 715.70 238.57 -3.48
Oregon UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 313.47 334.51 235.77 98.74 15.45 679.19 724.77 510.84 213.93 33.46
Oregon UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 783.67 836.26 546.47 289.79 31.44 1697.95 1811.90 1184.02 627.88 68.12
Oregon UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 673.95 719.19 504.12 215.07 33.39 1460.23 1558.25 1092.26 465.99 72.35
Oregon UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self WF1 New Plan 241.32 180.99 60.33 New Plan New Plan 522.86 392.15 130.71 New Plan
Oregon UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family WF2 New Plan 570.64 427.98 142.66 New Plan New Plan 1236.39 927.29 309.10 New Plan
Oregon UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One WF3 New Plan 518.79 389.09 129.70 New Plan New Plan 1124.05 843.04 281.01 New Plan
Oregon UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self VD1 New Plan 240.93 180.70 60.23 New Plan New Plan 522.02 391.52 130.50 New Plan
Oregon UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family VD2 New Plan 569.71 427.28 142.43 New Plan New Plan 1234.37 925.78 308.59 New Plan
Oregon UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One VD3 New Plan 517.95 388.46 129.49 New Plan New Plan 1122.23 841.67 280.56 New Plan
Pennsylvania Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Pennsylvania Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Pennsylvania Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Pennsylvania Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Pennsylvania Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Pennsylvania Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 382.55 382.37 235.77 146.60 -5.77 828.86 828.47 510.84 317.63 -12.51
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 872.02 871.59 546.47 325.12 -21.58 1889.38 1888.45 1184.02 704.43 -46.76
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 863.39 863.04 504.12 358.92 -12.20 1870.68 1869.92 1092.26 777.66 -26.43
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 284.55 372.48 235.77 136.71 65.57 616.53 807.04 510.84 296.20 142.07
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 653.07 854.85 546.47 308.38 145.11 1414.99 1852.18 1184.02 668.16 314.41
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 640.27 838.09 504.12 333.97 173.90 1387.25 1815.86 1092.26 723.60 376.79
Pennsylvania Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Pennsylvania Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Pennsylvania Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Pennsylvania Aetna Open Access - High Self YE1 432.98 560.83 235.77 325.06 122.26 938.12 1215.13 510.84 704.29 264.89
Pennsylvania Aetna Open Access - High Self & Family YE2 1087.21 1408.24 546.47 861.77 299.88 2355.62 3051.19 1184.02 1867.17 649.74
Pennsylvania Aetna Open Access - High Self Plus One YE3 1076.44 1394.30 504.12 890.18 306.01 2332.29 3020.98 1092.26 1928.72 663.02
Pennsylvania Aetna Open Access - Basic Self P34 599.29 604.65 235.77 368.88 -0.23 1298.46 1310.08 510.84 799.24 -0.50
Pennsylvania Aetna Open Access - Basic Self & Family P35 1390.96 1403.39 546.47 856.92 -8.72 3013.75 3040.68 1184.02 1856.66 -18.90
Pennsylvania Aetna Open Access - Basic Self Plus One P36 1377.18 1389.48 504.12 885.36 0.45 2983.89 3010.54 1092.26 1918.28 0.98
Pennsylvania Aetna Open Access - High Self P31 685.48 672.28 235.77 436.51 -18.79 1485.21 1456.61 510.84 945.77 -40.72
Pennsylvania Aetna Open Access - High Self & Family P32 1661.96 1629.94 546.47 1083.47 -53.17 3600.91 3531.54 1184.02 2347.52 -115.20
Pennsylvania Aetna Open Access - High Self Plus One P33 1645.50 1613.79 504.12 1109.67 -43.56 3565.25 3496.55 1092.26 2404.29 -94.37
Pennsylvania Geisinger Health Plan - Standard Self GG4 336.54 379.72 235.77 143.95 37.59 729.17 822.73 510.84 311.89 81.44
Pennsylvania Geisinger Health Plan - Standard Self & Family GG5 770.52 869.39 546.47 322.92 77.72 1669.46 1883.68 1184.02 699.66 168.39
Pennsylvania Geisinger Health Plan - Standard Self Plus One GG6 727.17 820.48 504.12 316.36 81.46 1575.54 1777.71 1092.26 685.45 176.50
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 228.78 224.57 168.43 56.14 -1.05 495.69 486.57 364.93 121.64 -2.28
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 526.18 516.51 387.38 129.13 -2.41 1140.06 1119.11 839.33 279.78 -5.23
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 491.87 482.83 362.12 120.71 -2.26 1065.72 1046.13 784.60 261.53 -4.90
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 308.28 329.95 235.77 94.18 16.08 667.94 714.89 510.84 204.05 34.83
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 730.61 781.98 546.47 235.51 30.22 1582.99 1694.29 1184.02 510.27 65.47
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 662.79 709.38 504.12 205.26 34.74 1436.05 1536.99 1092.26 444.73 75.27
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 242.68 182.01 60.67 New Plan New Plan 525.81 394.36 131.45 New Plan
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 573.86 430.40 143.46 New Plan New Plan 1243.36 932.52 310.84 New Plan
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 521.73 391.30 130.43 New Plan New Plan 1130.42 847.82 282.60 New Plan
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 233.88 175.41 58.47 New Plan New Plan 506.74 380.06 126.68 New Plan
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 553.03 414.77 138.26 New Plan New Plan 1198.23 898.67 299.56 New Plan
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 502.79 377.09 125.70 New Plan New Plan 1089.38 817.04 272.34 New Plan
Pennsylvania UPMC Health Plan - Standard Self YT4 New Plan 417.27 235.77 181.50 New Plan New Plan 904.09 510.84 393.25 New Plan
Pennsylvania UPMC Health Plan - Standard Self & Family YT5 New Plan 979.37 546.47 432.90 New Plan New Plan 2121.97 1184.02 937.95 New Plan
Pennsylvania UPMC Health Plan - Standard Self Plus One YT6 New Plan 938.06 504.12 433.94 New Plan New Plan 2032.46 1092.26 940.20 New Plan
Pennsylvania UPMC Health Plan - HDHP Self YS4 New Plan 358.06 235.77 122.29 New Plan New Plan 775.80 510.84 264.96 New Plan
Pennsylvania UPMC Health Plan - HDHP Self & Family YS5 New Plan 826.64 546.47 280.17 New Plan New Plan 1791.05 1184.02 607.03 New Plan
Pennsylvania UPMC Health Plan - HDHP Self Plus One YS6 New Plan 794.64 504.12 290.52 New Plan New Plan 1721.72 1092.26 629.46 New Plan
Pennsylvania UPMC Health Plan - High Self YS1 New Plan 527.24 235.77 291.47 New Plan New Plan 1142.35 510.84 631.51 New Plan
Pennsylvania UPMC Health Plan - High Self & Family YS2 New Plan 1239.17 546.47 692.70 New Plan New Plan 2684.87 1184.02 1500.85 New Plan
Pennsylvania UPMC Health Plan - High Self Plus One YS3 New Plan 1186.47 504.12 682.35 New Plan New Plan 2570.69 1092.26 1478.43 New Plan
Pennsylvania UPMC Health Plan - HDHP Self 8W4 264.73 281.83 211.37 70.46 4.28 573.58 610.63 457.97 152.66 9.27
Pennsylvania UPMC Health Plan - HDHP Self & Family 8W5 608.12 648.46 486.35 162.11 10.08 1317.59 1405.00 1053.75 351.25 21.85
Pennsylvania UPMC Health Plan - HDHP Self Plus One 8W6 585.25 623.83 467.87 155.96 9.65 1268.04 1351.63 1013.72 337.91 20.90
Pennsylvania UPMC Health Plan - High Self 8W1 402.82 432.18 235.77 196.41 23.77 872.78 936.39 510.84 425.55 51.49
Pennsylvania UPMC Health Plan - High Self & Family 8W2 946.76 1015.77 546.47 469.30 47.86 2051.31 2200.84 1184.02 1016.82 103.70
Pennsylvania UPMC Health Plan - High Self Plus One 8W3 906.52 972.59 504.12 468.47 54.22 1964.13 2107.28 1092.26 1015.02 117.48
Pennsylvania UPMC Health Plan - Standard Self UW4 300.86 310.93 233.20 77.73 2.52 651.86 673.68 505.26 168.42 5.46
Pennsylvania UPMC Health Plan - Standard Self & Family UW5 703.29 729.57 546.47 183.10 5.13 1523.80 1580.74 1184.02 396.72 11.11
Pennsylvania UPMC Health Plan - Standard Self Plus One UW6 673.51 698.86 504.12 194.74 13.50 1459.27 1514.20 1092.26 421.94 29.26
Puerto Rico Humana Health Plans of Puerto Rico, Inc. - High Self ZJ1 168.51 180.11 135.08 45.03 2.90 365.11 390.24 292.68 97.56 6.28
Puerto Rico Humana Health Plans of Puerto Rico, Inc. - High Self & Family ZJ2 379.15 405.26 303.95 101.31 6.52 821.49 878.06 658.55 219.51 14.14
Puerto Rico Humana Health Plans of Puerto Rico, Inc. - High Self Plus One ZJ3 362.30 387.24 290.43 96.81 6.24 784.98 839.02 629.27 209.75 13.51
Puerto Rico Triple-S Salud Inc. Puerto Rico - High Self 891 188.02 180.02 135.02 45.00 -2.00 407.38 390.04 292.53 97.51 -4.33
Puerto Rico Triple-S Salud Inc. Puerto Rico - High Self & Family 892 430.56 412.25 309.19 103.06 -4.58 932.88 893.21 669.91 223.30 -9.92
Puerto Rico Triple-S Salud Inc. Puerto Rico - High Self Plus One 893 422.17 404.21 303.16 101.05 -4.49 914.70 875.79 656.84 218.95 -9.72
Rhode Island Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Rhode Island Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Rhode Island Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Rhode Island Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Rhode Island Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Rhode Island Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 285.73 350.59 235.77 114.82 43.39 619.08 759.61 510.84 248.77 94.00
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 654.30 802.85 546.47 256.38 92.81 1417.65 1739.51 1184.02 555.49 201.08
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 641.47 787.10 504.12 282.98 122.61 1389.85 1705.38 1092.26 613.12 265.66
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 423.14 496.50 235.77 260.73 67.77 916.80 1075.75 510.84 564.91 146.83
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 965.00 1132.30 546.47 585.83 146.15 2090.83 2453.32 1184.02 1269.30 316.66
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 955.44 1121.09 504.12 616.97 153.80 2070.12 2429.03 1092.26 1336.77 333.24
Rhode Island Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Rhode Island Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Rhode Island Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
South Carolina Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
South Carolina Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
South Carolina Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
South Carolina Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
South Carolina Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
South Carolina Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 371.07 495.45 235.77 259.68 118.79 803.99 1073.48 510.84 562.64 257.37
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 847.11 1131.04 546.47 584.57 262.78 1835.41 2450.59 1184.02 1266.57 569.35
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 838.73 1119.84 504.12 615.72 269.26 1817.25 2426.32 1092.26 1334.06 583.40
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 484.17 463.38 235.77 227.61 -26.38 1049.04 1003.99 510.84 493.15 -57.17
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1103.70 1056.30 546.47 509.83 -68.55 2391.35 2288.65 1184.02 1104.63 -148.53
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1092.78 1045.84 504.12 541.72 -58.79 2367.69 2265.99 1092.26 1173.73 -127.37
South Carolina Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
South Carolina Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
South Carolina Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
South Dakota Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
South Dakota Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
South Dakota Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
South Dakota Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
South Dakota Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
South Dakota Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 309.50 328.95 235.77 93.18 13.86 670.58 712.73 510.84 201.89 30.03
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 708.86 753.40 546.47 206.93 23.39 1535.86 1632.37 1184.02 448.35 50.68
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 694.97 738.63 504.12 234.51 31.81 1505.77 1600.37 1092.26 508.11 68.93
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 362.37 417.46 235.77 181.69 49.50 785.14 904.50 510.84 393.66 107.24
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 826.56 952.20 546.47 405.73 104.49 1790.88 2063.10 1184.02 879.08 226.39
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 818.39 942.79 504.12 438.67 112.55 1773.18 2042.71 1092.26 950.45 243.86
South Dakota Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
South Dakota Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
South Dakota Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
South Dakota HealthPartners - Standard Self V34 197.58 212.27 159.20 53.07 3.68 428.09 459.92 344.94 114.98 7.96
South Dakota HealthPartners - Standard Self & Family V35 481.30 517.11 387.83 129.28 8.96 1042.82 1120.41 840.31 280.10 19.40
South Dakota HealthPartners - Standard Self Plus One V36 436.65 469.13 351.85 117.28 8.12 946.08 1016.45 762.34 254.11 17.59
South Dakota HealthPartners - High Self V31 364.76 328.76 235.77 92.99 -41.59 790.31 712.31 510.84 201.47 -90.12
South Dakota HealthPartners - High Self & Family V32 888.56 800.86 546.47 254.39 -108.85 1925.21 1735.20 1184.02 551.18 -235.84
South Dakota HealthPartners - High Self Plus One V33 806.11 726.56 504.12 222.44 -91.40 1746.57 1574.21 1092.26 481.95 -198.03
Tennessee Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Tennessee Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Tennessee Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Tennessee Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Tennessee Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Tennessee Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 374.21 382.72 235.77 146.95 2.92 810.79 829.23 510.84 318.39 6.32
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 853.25 872.64 546.47 326.17 -1.76 1848.71 1890.72 1184.02 706.70 -3.82
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 844.80 864.00 504.12 359.88 7.35 1830.40 1872.00 1092.26 779.74 15.93
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 326.97 378.45 235.77 142.68 45.89 708.44 819.98 510.84 309.14 99.42
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 748.73 866.59 546.47 320.12 96.71 1622.25 1877.61 1184.02 693.59 209.53
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 734.04 849.59 504.12 345.47 103.70 1590.42 1840.78 1092.26 748.52 224.69
Tennessee Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Tennessee Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Tennessee Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Tennessee Aetna Open Access - High Self UB1 459.15 489.78 235.77 254.01 25.04 994.83 1061.19 510.84 550.35 54.24
Tennessee Aetna Open Access - High Self & Family UB2 1176.58 1255.06 546.47 708.59 57.33 2549.26 2719.30 1184.02 1535.28 124.21
Tennessee Aetna Open Access - High Self Plus One UB3 1164.95 1242.65 504.12 738.53 65.85 2524.06 2692.41 1092.26 1600.15 142.68
Tennessee Humana CoverageFirst and Humana Value Plan - CDHP Self TT1 307.13 343.99 235.77 108.22 31.27 665.45 745.31 510.84 234.47 67.74
Tennessee Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TT2 691.06 773.99 546.47 227.52 54.76 1497.30 1676.98 1184.02 492.96 118.64
Tennessee Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TT3 660.35 739.59 504.12 235.47 67.39 1430.76 1602.45 1092.26 510.19 146.02
Tennessee Humana CoverageFirst and Humana Value Plan - Value Self TT4 248.20 315.21 235.77 79.44 17.39 537.77 682.96 510.84 172.12 37.68
Tennessee Humana CoverageFirst and Humana Value Plan - Value Self & Family TT5 558.43 709.21 531.91 177.30 37.69 1209.93 1536.62 1152.47 384.15 81.67
Tennessee Humana CoverageFirst and Humana Value Plan - Value Self Plus One TT6 533.61 677.68 504.12 173.56 40.16 1156.16 1468.31 1092.26 376.05 87.01
Tennessee Humana Health Plan, Inc. - High Self GJ1 444.81 542.67 235.77 306.90 92.27 963.76 1175.79 510.84 664.95 199.91
Tennessee Humana Health Plan, Inc. - High Self & Family GJ2 1000.79 1220.97 546.47 674.50 199.03 2168.38 2645.44 1184.02 1461.42 431.23
Tennessee Humana Health Plan, Inc. - High Self Plus One GJ3 956.31 1166.70 504.12 662.58 198.54 2072.01 2527.85 1092.26 1435.59 430.17
Tennessee Humana Health Plan, Inc. - Standard Self GJ4 376.44 401.60 235.77 165.83 19.57 815.62 870.13 510.84 359.29 42.39
Tennessee Humana Health Plan, Inc. - Standard Self & Family GJ5 846.98 903.59 546.47 357.12 35.46 1835.12 1957.78 1184.02 773.76 76.83
Tennessee Humana Health Plan, Inc. - Standard Self Plus One GJ6 809.33 863.43 504.12 359.31 42.25 1753.55 1870.77 1092.26 778.51 91.55
Tennessee UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 193.25 209.88 157.41 52.47 4.16 418.71 454.74 341.06 113.68 9.00
Tennessee UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 444.50 482.73 362.05 120.68 9.56 963.08 1045.92 784.44 261.48 20.71
Tennessee UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 415.50 451.25 338.44 112.81 8.94 900.25 977.71 733.28 244.43 19.37
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 313.40 329.48 235.77 93.71 10.49 679.03 713.87 510.84 203.03 22.72
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 783.52 823.71 546.47 277.24 19.04 1697.63 1784.71 1184.02 600.69 41.25
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 673.82 708.40 504.12 204.28 22.73 1459.94 1534.87 1092.26 442.61 49.26
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 242.68 182.01 60.67 New Plan New Plan 525.81 394.36 131.45 New Plan
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 573.86 430.40 143.46 New Plan New Plan 1243.36 932.52 310.84 New Plan
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 521.73 391.30 130.43 New Plan New Plan 1130.42 847.82 282.60 New Plan
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 233.88 175.41 58.47 New Plan New Plan 506.74 380.06 126.68 New Plan
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 553.03 414.77 138.26 New Plan New Plan 1198.23 898.67 299.56 New Plan
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 502.79 377.09 125.70 New Plan New Plan 1089.38 817.04 272.34 New Plan
Texas Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Texas Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Texas Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Texas Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Texas Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Texas Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Texas Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 371.07 495.45 235.77 259.68 118.79 803.99 1073.48 510.84 562.64 257.37
Texas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 847.11 1131.04 546.47 584.57 262.78 1835.41 2450.59 1184.02 1266.57 569.35
Texas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 838.73 1119.84 504.12 615.72 269.26 1817.25 2426.32 1092.26 1334.06 583.40
Texas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 484.17 463.38 235.77 227.61 -26.38 1049.04 1003.99 510.84 493.15 -57.17
Texas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1103.70 1056.30 546.47 509.83 -68.55 2391.35 2288.65 1184.02 1104.63 -148.53
Texas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1092.78 1045.84 504.12 541.72 -58.79 2367.69 2265.99 1092.26 1173.73 -127.37
Texas Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Texas Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Texas Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Texas Humana CoverageFirst and Humana Value Plan - Value Self T34 229.96 243.77 182.83 60.94 3.45 498.25 528.17 396.13 132.04 7.48
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family T35 517.42 548.46 411.35 137.11 7.76 1121.08 1188.33 891.25 297.08 16.81
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One T36 494.43 524.09 393.07 131.02 7.41 1071.27 1135.53 851.65 283.88 16.06
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self T31 301.89 350.19 235.77 114.42 38.95 654.10 758.75 510.84 247.91 84.39
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family T32 679.24 787.92 546.47 241.45 71.64 1471.69 1707.16 1184.02 523.14 155.22
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One T33 649.06 752.92 504.12 248.80 86.54 1406.30 1631.33 1092.26 539.07 187.50
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self TV1 326.58 388.63 235.77 152.86 56.46 707.59 842.03 510.84 331.19 122.32
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TV2 734.81 874.43 546.47 327.96 118.47 1592.09 1894.60 1184.02 710.58 256.68
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TV3 702.16 835.57 504.12 331.45 121.56 1521.35 1810.40 1092.26 718.14 263.38
Texas Humana CoverageFirst and Humana Value Plan - Value Self TV4 267.29 307.38 230.54 76.84 10.02 579.13 665.99 499.49 166.50 21.72
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family TV5 601.41 691.62 518.72 172.90 22.55 1303.06 1498.51 1123.88 374.63 48.87
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One TV6 574.68 660.89 495.67 165.22 21.55 1245.14 1431.93 1073.95 357.98 46.70
Texas Humana CoverageFirst and Humana Value Plan - Value Self TU4 234.75 243.56 182.67 60.89 2.20 508.63 527.71 395.78 131.93 4.77
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family TU5 528.18 548.02 411.02 137.00 4.96 1144.39 1187.38 890.54 296.84 10.74
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One TU6 504.72 523.67 392.75 130.92 4.74 1093.56 1134.62 850.97 283.65 10.26
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self TU1 295.10 298.05 223.54 74.51 0.74 639.38 645.78 484.34 161.44 1.60
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TU2 663.99 670.62 502.97 167.65 1.65 1438.65 1453.01 1089.76 363.25 3.59
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TU3 634.47 640.82 480.62 160.20 1.58 1374.69 1388.44 1041.33 347.11 3.44
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self TP1 272.99 333.05 235.77 97.28 29.03 591.48 721.61 510.84 210.77 62.90
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TP2 614.23 749.36 546.47 202.89 49.33 1330.83 1623.61 1184.02 439.59 106.88
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TP3 586.94 716.07 504.12 211.95 65.22 1271.70 1551.49 1092.26 459.23 141.31
Texas Humana CoverageFirst and Humana Value Plan - Value Self TP4 184.12 195.17 146.38 48.79 2.76 398.93 422.87 317.15 105.72 5.99
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family TP5 414.27 439.13 329.35 109.78 6.21 897.59 951.45 713.59 237.86 13.46
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One TP6 395.87 419.62 314.72 104.90 5.93 857.72 909.18 681.89 227.29 12.86
Texas Humana Health Plan of Texas - Standard Self UC4 369.17 387.63 235.77 151.86 12.87 799.87 839.87 510.84 329.03 27.88
Texas Humana Health Plan of Texas - Standard Self & Family UC5 830.63 872.15 546.47 325.68 20.37 1799.70 1889.66 1184.02 705.64 44.13
Texas Humana Health Plan of Texas - Standard Self Plus One UC6 793.71 833.39 504.12 329.27 27.83 1719.71 1805.68 1092.26 713.42 60.30
Texas Humana Health Plan of Texas - High Self UC1 451.35 505.51 235.77 269.74 48.57 977.93 1095.27 510.84 584.43 105.22
Texas Humana Health Plan of Texas - High Self & Family UC2 1015.55 1137.42 546.47 590.95 100.72 2200.36 2464.41 1184.02 1280.39 218.22
Texas Humana Health Plan of Texas - High Self Plus One UC3 970.41 1086.86 504.12 582.74 104.60 2102.56 2354.86 1092.26 1262.60 226.63
Texas Humana Health Plan of Texas - Basic Self QX1 285.79 345.81 235.77 110.04 38.59 619.21 749.26 510.84 238.42 83.62
Texas Humana Health Plan of Texas - Basic Self & Family QX2 643.02 778.08 546.47 231.61 70.86 1393.21 1685.84 1184.02 501.82 153.52
Texas Humana Health Plan of Texas - Basic Self Plus One QX3 614.44 743.50 504.12 239.38 85.77 1331.29 1610.92 1092.26 518.66 185.84
Texas Humana Health Plan of Texas - Standard Self EW4 357.23 385.81 235.77 150.04 22.99 774.00 835.92 510.84 325.08 49.80
Texas Humana Health Plan of Texas - Standard Self & Family EW5 803.76 868.07 546.47 321.60 43.16 1741.48 1880.82 1184.02 696.80 93.51
Texas Humana Health Plan of Texas - Standard Self Plus One EW6 768.04 829.48 504.12 325.36 49.59 1664.09 1797.21 1092.26 704.95 107.45
Texas Humana Health Plan of Texas - High Self EW1 474.95 522.44 235.77 286.67 41.90 1029.06 1131.95 510.84 621.11 90.77
Texas Humana Health Plan of Texas - High Self & Family EW2 1068.65 1175.51 546.47 629.04 85.71 2315.41 2546.94 1184.02 1362.92 185.70
Texas Humana Health Plan of Texas - High Self Plus One EW3 1021.16 1123.27 504.12 619.15 90.26 2212.51 2433.75 1092.26 1341.49 195.57
Texas Humana Health Plan of Texas - Basic Self QY1 283.23 351.21 235.77 115.44 44.63 613.67 760.96 510.84 250.12 96.70
Texas Humana Health Plan of Texas - Basic Self & Family QY2 637.27 790.21 546.47 243.74 84.42 1380.75 1712.12 1184.02 528.10 182.91
Texas Humana Health Plan of Texas - Basic Self Plus One QY3 608.95 755.10 504.12 250.98 98.74 1319.39 1636.05 1092.26 543.79 213.94
Texas Humana Health Plan of Texas - Basic Self Q21 275.77 339.20 235.77 103.43 34.49 597.50 734.93 510.84 224.09 74.72
Texas Humana Health Plan of Texas - Basic Self & Family Q22 620.47 763.18 546.47 216.71 61.59 1344.35 1653.56 1184.02 469.54 133.45
Texas Humana Health Plan of Texas - Basic Self Plus One Q23 592.88 729.25 504.12 225.13 76.91 1284.57 1580.04 1092.26 487.78 166.64
Texas Humana Health Plan of Texas - Basic Self Q61 271.81 288.12 216.09 72.03 4.08 588.92 624.26 468.20 156.06 8.83
Texas Humana Health Plan of Texas - Basic Self & Family Q62 611.59 648.28 486.21 162.07 9.17 1325.11 1404.61 1053.46 351.15 19.87
Texas Humana Health Plan of Texas - Basic Self Plus One Q63 584.40 619.47 464.60 154.87 8.77 1266.20 1342.19 1006.64 335.55 19.00
Texas Humana Health Plan of Texas - Standard Self UU4 598.83 766.51 235.77 530.74 162.09 1297.47 1660.77 510.84 1149.93 351.18
Texas Humana Health Plan of Texas - Standard Self & Family UU5 1347.38 1724.64 546.47 1178.17 356.11 2919.32 3736.72 1184.02 2552.70 771.57
Texas Humana Health Plan of Texas - Standard Self Plus One UU6 1287.49 1647.98 504.12 1143.86 348.64 2789.56 3570.62 1092.26 2478.36 755.39
Texas Humana Health Plan of Texas - High Self UU1 679.02 712.96 235.77 477.19 28.35 1471.21 1544.75 510.84 1033.91 61.42
Texas Humana Health Plan of Texas - High Self & Family UU2 1527.76 1604.15 546.47 1057.68 55.24 3310.15 3475.66 1184.02 2291.64 119.68
Texas Humana Health Plan of Texas - High Self Plus One UU3 1459.87 1532.86 504.12 1028.74 61.14 3163.05 3321.20 1092.26 2228.94 132.48
Texas Humana Health Plan of Texas - Standard Self UR4 411.18 452.31 235.77 216.54 35.54 890.89 980.01 510.84 469.17 77.00
Texas Humana Health Plan of Texas - Standard Self & Family UR5 925.17 1017.69 546.47 471.22 71.37 2004.54 2205.00 1184.02 1020.98 154.63
Texas Humana Health Plan of Texas - Standard Self Plus One UR6 884.05 972.46 504.12 468.34 76.56 1915.44 2107.00 1092.26 1014.74 165.89
Texas Humana Health Plan of Texas - High Self UR1 596.23 637.98 235.77 402.21 36.16 1291.83 1382.29 510.84 871.45 78.34
Texas Humana Health Plan of Texas - High Self & Family UR2 1341.53 1435.44 546.47 888.97 72.76 2906.65 3110.12 1184.02 1926.10 157.64
Texas Humana Health Plan of Texas - High Self Plus One UR3 1281.90 1371.65 504.12 867.53 77.90 2777.45 2971.91 1092.26 1879.65 168.79
Texas Scott and White Health Plan - Basic Self A81 279.64 303.74 227.81 75.93 6.02 605.89 658.10 493.58 164.52 13.05
Texas Scott and White Health Plan - Basic Self & Family A82 656.09 712.71 534.53 178.18 14.16 1421.53 1544.21 1158.16 386.05 30.67
Texas Scott and White Health Plan - Basic Self Plus One A83 619.85 673.33 504.12 169.21 14.25 1343.01 1458.88 1092.26 366.62 30.87
Texas Scott and White Health Plan - Standard Self A84 340.93 362.50 235.77 126.73 15.98 738.68 785.42 510.84 274.58 34.62
Texas Scott and White Health Plan - Standard Self & Family A85 800.14 850.84 546.47 304.37 29.55 1733.64 1843.49 1184.02 659.47 64.02
Texas Scott and White Health Plan - Standard Self Plus One A86 755.92 803.81 504.12 299.69 36.04 1637.83 1741.59 1092.26 649.33 78.09
Texas Scott and White Health Plan - Basic Self P81 313.82 313.09 234.82 78.27 -5.37 679.94 678.36 508.77 169.59 -11.63
Texas Scott and White Health Plan - Basic Self & Family P82 736.43 734.72 546.47 188.25 -22.86 1595.60 1591.89 1184.02 407.87 -49.54
Texas Scott and White Health Plan - Basic Self Plus One P83 695.73 694.12 504.12 190.00 -13.46 1507.42 1503.93 1092.26 411.67 -29.16
Texas Scott and White Health Plan - Standard Self P84 381.63 380.74 235.77 144.97 -6.48 826.87 824.94 510.84 314.10 -14.05
Texas Scott and White Health Plan - Standard Self & Family P85 895.77 893.68 546.47 347.21 -23.24 1940.84 1936.31 1184.02 752.29 -50.36
Texas Scott and White Health Plan - Standard Self Plus One P86 846.27 844.29 504.12 340.17 -13.83 1833.59 1829.30 1092.26 737.04 -29.96
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 201.72 240.69 180.52 60.17 9.74 437.06 521.50 391.13 130.37 21.11
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 565.61 674.89 506.17 168.72 27.32 1225.49 1462.26 1096.70 365.56 59.19
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 393.95 470.06 352.55 117.51 19.02 853.56 1018.46 763.85 254.61 41.22
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 242.68 182.01 60.67 New Plan New Plan 525.81 394.36 131.45 New Plan
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 573.86 430.40 143.46 New Plan New Plan 1243.36 932.52 310.84 New Plan
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 521.73 391.30 130.43 New Plan New Plan 1130.42 847.82 282.60 New Plan
Texas UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 233.88 175.41 58.47 New Plan New Plan 506.74 380.06 126.68 New Plan
Texas UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 553.03 414.77 138.26 New Plan New Plan 1198.23 898.67 299.56 New Plan
Texas UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 502.79 377.09 125.70 New Plan New Plan 1089.38 817.04 272.34 New Plan
Utah Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Utah Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Utah Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Utah Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Utah Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Utah Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Utah Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 309.50 328.95 235.77 93.18 13.86 670.58 712.73 510.84 201.89 30.03
Utah Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 708.86 753.40 546.47 206.93 23.39 1535.86 1632.37 1184.02 448.35 50.68
Utah Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 694.97 738.63 504.12 234.51 31.81 1505.77 1600.37 1092.26 508.11 68.93
Utah Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 362.37 417.46 235.77 181.69 49.50 785.14 904.50 510.84 393.66 107.24
Utah Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 826.56 952.20 546.47 405.73 104.49 1790.88 2063.10 1184.02 879.08 226.39
Utah Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 818.39 942.79 504.12 438.67 112.55 1773.18 2042.71 1092.26 950.45 243.86
Utah Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Utah Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Utah Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Utah Altius Health Plan - High Self 9K1 431.65 465.72 235.77 229.95 28.48 935.24 1009.06 510.84 498.22 61.70
Utah Altius Health Plan - High Self & Family 9K2 954.58 1029.93 546.47 483.46 54.20 2068.26 2231.52 1184.02 1047.50 117.43
Utah Altius Health Plan - High Self Plus One 9K3 945.13 1019.73 504.12 515.61 62.75 2047.78 2209.42 1092.26 1117.16 135.97
Utah Altius Health Plan - HDHP Self 9K4 233.96 244.26 183.20 61.06 2.57 506.91 529.23 396.92 132.31 5.58
Utah Altius Health Plan - HDHP Self & Family 9K5 488.96 510.48 382.86 127.62 5.38 1059.41 1106.04 829.53 276.51 11.66
Utah Altius Health Plan - HDHP Self Plus One 9K6 479.37 500.48 375.36 125.12 5.28 1038.64 1084.37 813.28 271.09 11.43
Utah Altius Health Plan - Standard Self DK4 328.82 351.37 235.77 115.60 16.96 712.44 761.30 510.84 250.46 36.74
Utah Altius Health Plan - Standard Self & Family DK5 726.14 775.95 546.47 229.48 28.66 1573.30 1681.23 1184.02 497.21 62.10
Utah Altius Health Plan - Standard Self Plus One DK6 718.94 768.26 504.12 264.14 37.47 1557.70 1664.56 1092.26 572.30 81.19
Utah SelectHealth Plan - Standard Self SF4 285.79 279.23 209.42 69.81 -1.64 619.21 605.00 453.75 151.25 -3.55
Utah SelectHealth Plan - Standard Self & Family SF5 651.35 636.40 477.30 159.10 -3.74 1411.26 1378.87 1034.15 344.72 -8.09
Utah SelectHealth Plan - Standard Self Plus One SF6 651.35 636.40 477.30 159.10 -3.74 1411.26 1378.87 1034.15 344.72 -8.09
Utah SelectHealth Plan - HDHP Self WX1 233.96 243.32 182.49 60.83 2.34 506.91 527.19 395.39 131.80 5.07
Utah SelectHealth Plan - HDHP Self & Family WX2 533.22 554.55 415.91 138.64 5.34 1155.31 1201.53 901.15 300.38 11.55
Utah SelectHealth Plan - HDHP Self Plus One WX3 533.22 554.55 415.91 138.64 5.34 1155.31 1201.53 901.15 300.38 11.55
Vermont Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Vermont Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Vermont Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Vermont Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Vermont Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Vermont Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Vermont Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 285.73 350.59 235.77 114.82 43.39 619.08 759.61 510.84 248.77 94.00
Vermont Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 654.30 802.85 546.47 256.38 92.81 1417.65 1739.51 1184.02 555.49 201.08
Vermont Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 641.47 787.10 504.12 282.98 122.61 1389.85 1705.38 1092.26 613.12 265.66
Vermont Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 423.14 496.50 235.77 260.73 67.77 916.80 1075.75 510.84 564.91 146.83
Vermont Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 965.00 1132.30 546.47 585.83 146.15 2090.83 2453.32 1184.02 1269.30 316.66
Vermont Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 955.44 1121.09 504.12 616.97 153.80 2070.12 2429.03 1092.26 1336.77 333.24
Vermont Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Vermont Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Vermont Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Virgin Islands Triple-S Salud Inc. U.S. Virgin Islands - High Self 851 304.27 313.40 235.05 78.35 2.28 659.25 679.03 509.27 169.76 4.95
Virgin Islands Triple-S Salud Inc. U.S. Virgin Islands - High Self & Family 852 696.79 717.70 538.28 179.42 5.22 1509.71 1555.02 1166.27 388.75 11.32
Virgin Islands Triple-S Salud Inc. U.S. Virgin Islands - High Self Plus One 853 683.20 703.70 504.12 199.58 8.65 1480.27 1524.68 1092.26 432.42 18.74
Virginia Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Virginia Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Virginia Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Virginia Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Virginia Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Virginia Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 374.21 382.72 235.77 146.95 2.92 810.79 829.23 510.84 318.39 6.32
Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 853.25 872.64 546.47 326.17 -1.76 1848.71 1890.72 1184.02 706.70 -3.82
Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 844.80 864.00 504.12 359.88 7.35 1830.40 1872.00 1092.26 779.74 15.93
Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 326.97 378.45 235.77 142.68 45.89 708.44 819.98 510.84 309.14 99.42
Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 748.73 866.59 546.47 320.12 96.71 1622.25 1877.61 1184.02 693.59 209.53
Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 734.04 849.59 504.12 345.47 103.70 1590.42 1840.78 1092.26 748.52 224.69
Virginia Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Virginia Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Virginia Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Virginia Aetna Open Access - High Self JN1 516.52 525.03 235.77 289.26 2.92 1119.13 1137.57 510.84 626.73 6.32
Virginia Aetna Open Access - High Self & Family JN2 1161.22 1180.35 546.47 633.88 -2.02 2515.98 2557.43 1184.02 1373.41 -4.38
Virginia Aetna Open Access - High Self Plus One JN3 1149.71 1168.66 504.12 664.54 7.10 2491.04 2532.10 1092.26 1439.84 15.39
Virginia Aetna Open Access - Basic Self JN4 314.06 321.74 235.77 85.97 2.09 680.46 697.10 510.84 186.26 4.52
Virginia Aetna Open Access - Basic Self & Family JN5 718.73 736.31 546.47 189.84 -3.57 1557.25 1595.34 1184.02 411.32 -7.74
Virginia Aetna Open Access - Basic Self Plus One JN6 660.00 676.15 504.12 172.03 4.30 1430.00 1464.99 1092.26 372.73 9.32
Virginia Aetna Saver - Saver Self QQ4 New Plan 274.71 206.03 68.68 New Plan New Plan 595.21 446.41 148.80 New Plan
Virginia Aetna Saver - Saver Self & Family QQ5 New Plan 628.68 471.51 157.17 New Plan New Plan 1362.14 1021.61 340.53 New Plan
Virginia Aetna Saver - Saver Self Plus One QQ6 New Plan 577.30 432.98 144.32 New Plan New Plan 1250.82 938.12 312.70 New Plan
Virginia CareFirst BlueChoice - Standard Self 2G4 368.16 390.25 235.77 154.48 16.50 797.68 845.54 510.84 334.70 35.74
Virginia CareFirst BlueChoice - Standard Self & Family 2G5 874.73 927.21 546.47 380.74 31.33 1895.25 2008.96 1184.02 824.94 67.88
Virginia CareFirst BlueChoice - Standard Self Plus One 2G6 736.31 780.49 504.12 276.37 32.33 1595.34 1691.06 1092.26 598.80 70.05
Virginia CareFirst BlueChoice - HDHP Self B61 239.20 263.12 197.34 65.78 5.98 518.27 570.09 427.57 142.52 12.95
Virginia CareFirst BlueChoice - HDHP Self & Family B62 568.33 625.16 468.87 156.29 14.21 1231.38 1354.51 1015.88 338.63 30.79
Virginia CareFirst BlueChoice - HDHP Self Plus One B63 478.39 526.23 394.67 131.56 11.96 1036.51 1140.17 855.13 285.04 25.91
Virginia CareFirst BlueChoice - Blue Value Plus Self B64 New Plan 325.84 235.77 90.07 New Plan New Plan 705.99 510.84 195.15 New Plan
Virginia CareFirst BlueChoice - Blue Value Plus Self & Family B65 New Plan 774.21 546.47 227.74 New Plan New Plan 1677.46 1184.02 493.44 New Plan
Virginia CareFirst BlueChoice - Blue Value Plus Self Plus One B66 New Plan 651.70 488.78 162.92 New Plan New Plan 1412.02 1059.02 353.00 New Plan
Virginia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Basic Self T71 193.90 193.90 145.43 48.47 0.00 420.12 420.12 315.09 105.03 0.00
Virginia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Basic Self & Family T72 473.61 473.61 355.21 118.40 0.00 1026.16 1026.16 769.62 256.54 0.00
Virginia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Basic Self Plus One T73 431.49 431.49 323.62 107.87 0.00 934.90 934.90 701.18 233.72 0.00
Virginia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Standard Self E34 240.81 263.79 197.84 65.95 5.75 521.76 571.55 428.66 142.89 12.45
Virginia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Standard Self & Family E35 553.84 606.69 455.02 151.67 13.21 1199.99 1314.50 985.88 328.62 28.62
Virginia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Standard Self Plus One E36 553.84 606.69 455.02 151.67 13.21 1199.99 1314.50 985.88 328.62 28.62
Virginia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - High Self E31 319.70 333.61 235.77 97.84 8.32 692.68 722.82 510.84 211.98 18.02
Virginia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - High Self & Family E32 735.30 767.32 546.47 220.85 10.87 1593.15 1662.53 1184.02 478.51 23.55
Virginia Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - High Self Plus One E33 735.30 767.32 504.12 263.20 20.17 1593.15 1662.53 1092.26 570.27 43.71
Virginia M.D. IPA - High Self JP1 365.01 404.59 235.77 168.82 33.99 790.86 876.61 510.84 365.77 73.63
Virginia M.D. IPA - High Self & Family JP2 1023.48 1134.48 546.47 588.01 89.85 2217.54 2458.04 1184.02 1274.02 194.67
Virginia M.D. IPA - High Self Plus One JP3 712.86 790.17 504.12 286.05 65.46 1544.53 1712.04 1092.26 619.78 141.84
Virginia Optima Health - HDHP Self PG4 279.32 297.42 223.07 74.35 4.52 605.19 644.41 483.31 161.10 9.80
Virginia Optima Health - HDHP Self & Family PG5 616.15 656.07 492.05 164.02 9.98 1334.99 1421.49 1066.12 355.37 21.62
Virginia Optima Health - HDHP Self Plus One PG6 604.06 643.21 482.41 160.80 9.79 1308.80 1393.62 1045.22 348.40 21.20
Virginia Optima Health - High Self PG1 313.14 319.43 235.77 83.66 0.70 678.47 692.10 510.84 181.26 1.51
Virginia Optima Health - High Self & Family PG2 756.68 771.86 546.47 225.39 -5.97 1639.47 1672.36 1184.02 488.34 -12.94
Virginia Optima Health - High Self Plus One PG3 756.63 771.80 504.12 267.68 3.32 1639.37 1672.23 1092.26 579.97 7.19
Virginia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 228.78 224.57 168.43 56.14 -1.05 495.69 486.57 364.93 121.64 -2.28
Virginia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 526.18 516.51 387.38 129.13 -2.41 1140.06 1119.11 839.33 279.78 -5.23
Virginia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 491.87 482.83 362.12 120.71 -2.26 1065.72 1046.13 784.60 261.53 -4.90
Virginia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 308.28 329.95 235.77 94.18 16.08 667.94 714.89 510.84 204.05 34.83
Virginia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 730.61 781.98 546.47 235.51 30.22 1582.99 1694.29 1184.02 510.27 65.47
Virginia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 662.79 709.38 504.12 205.26 34.74 1436.05 1536.99 1092.26 444.73 75.27
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 201.72 240.69 180.52 60.17 9.74 437.06 521.50 391.13 130.37 21.11
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 565.61 674.89 506.17 168.72 27.32 1225.49 1462.26 1096.70 365.56 59.19
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 393.95 470.06 352.55 117.51 19.02 853.56 1018.46 763.85 254.61 41.22
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 242.68 182.01 60.67 New Plan New Plan 525.81 394.36 131.45 New Plan
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 573.86 430.40 143.46 New Plan New Plan 1243.36 932.52 310.84 New Plan
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 521.73 391.30 130.43 New Plan New Plan 1130.42 847.82 282.60 New Plan
Virginia UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 233.88 175.41 58.47 New Plan New Plan 506.74 380.06 126.68 New Plan
Virginia UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 553.03 414.77 138.26 New Plan New Plan 1198.23 898.67 299.56 New Plan
Virginia UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 502.79 377.09 125.70 New Plan New Plan 1089.38 817.04 272.34 New Plan
Washington Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Washington Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Washington Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Washington Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Washington Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Washington Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Washington Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 309.50 328.95 235.77 93.18 13.86 670.58 712.73 510.84 201.89 30.03
Washington Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 708.86 753.40 546.47 206.93 23.39 1535.86 1632.37 1184.02 448.35 50.68
Washington Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 694.97 738.63 504.12 234.51 31.81 1505.77 1600.37 1092.26 508.11 68.93
Washington Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 362.37 417.46 235.77 181.69 49.50 785.14 904.50 510.84 393.66 107.24
Washington Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 826.56 952.20 546.47 405.73 104.49 1790.88 2063.10 1184.02 879.08 226.39
Washington Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 818.39 942.79 504.12 438.67 112.55 1773.18 2042.71 1092.26 950.45 243.86
Washington Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Washington Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Washington Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Washington Kaiser Foundation Health Plan of the Northwest - Standard Self 574 286.29 299.06 224.30 74.76 3.19 620.30 647.96 485.97 161.99 6.92
Washington Kaiser Foundation Health Plan of the Northwest - Standard Self & Family 575 657.69 687.02 515.27 171.75 7.33 1425.00 1488.54 1116.41 372.13 15.88
Washington Kaiser Foundation Health Plan of the Northwest - Standard Self Plus One 576 657.69 687.02 504.12 182.90 17.48 1425.00 1488.54 1092.26 396.28 37.87
Washington Kaiser Foundation Health Plan of the Northwest - High Self 571 326.16 336.89 235.77 101.12 5.14 706.68 729.93 510.84 219.09 11.13
Washington Kaiser Foundation Health Plan of the Northwest - High Self & Family 572 736.69 760.94 546.47 214.47 3.10 1596.16 1648.70 1184.02 464.68 6.71
Washington Kaiser Foundation Health Plan of the Northwest - High Self Plus One 573 736.69 760.94 504.12 256.82 12.40 1596.16 1648.70 1092.26 556.44 26.87
Washington Kaiser Foundation Health Plan of Washington - Standard Self 544 270.08 278.83 209.12 69.71 2.19 585.17 604.13 453.10 151.03 4.74
Washington Kaiser Foundation Health Plan of Washington - Standard Self & Family 545 621.19 641.32 480.99 160.33 5.03 1345.91 1389.53 1042.15 347.38 10.90
Washington Kaiser Foundation Health Plan of Washington - Standard Self Plus One 546 621.19 641.32 480.99 160.33 5.03 1345.91 1389.53 1042.15 347.38 10.90
Washington Kaiser Foundation Health Plan of Washington - High Self 541 376.34 390.34 235.77 154.57 8.41 815.40 845.74 510.84 334.90 18.22
Washington Kaiser Foundation Health Plan of Washington - High Self & Family 542 827.96 858.76 546.47 312.29 9.65 1793.91 1860.65 1184.02 676.63 20.91
Washington Kaiser Foundation Health Plan of Washington - High Self Plus One 543 827.96 858.76 504.12 354.64 18.95 1793.91 1860.65 1092.26 768.39 41.07
Washington Kaiser Permanente Washington Options Federal - Standard Self L11 322.07 335.95 235.77 100.18 8.29 697.82 727.89 510.84 217.05 17.95
Washington Kaiser Permanente Washington Options Federal - Standard Self & Family L12 714.98 745.80 546.47 199.33 9.67 1549.12 1615.90 1184.02 431.88 20.95
Washington Kaiser Permanente Washington Options Federal - Standard Self Plus One L13 714.98 745.80 504.12 241.68 18.97 1549.12 1615.90 1092.26 523.64 41.11
Washington Kaiser Permanente Washington Options Federal - HDHP Self L14 271.00 297.96 223.47 74.49 6.74 587.17 645.58 484.19 161.39 14.60
Washington Kaiser Permanente Washington Options Federal - HDHP Self & Family L15 601.61 661.45 496.09 165.36 14.96 1303.49 1433.14 1074.86 358.28 32.41
Washington Kaiser Permanente Washington Options Federal - HDHP Self Plus One L16 601.61 661.45 496.09 165.36 14.96 1303.49 1433.14 1074.86 358.28 32.41
Washington UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 207.84 204.85 153.64 51.21 -0.75 450.32 443.84 332.88 110.96 -1.62
Washington UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 478.03 471.16 353.37 117.79 -1.72 1035.73 1020.85 765.64 255.21 -3.72
Washington UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 446.86 440.43 330.32 110.11 -1.60 968.20 954.27 715.70 238.57 -3.48
Washington UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 313.47 334.51 235.77 98.74 15.45 679.19 724.77 510.84 213.93 33.46
Washington UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 783.67 836.26 546.47 289.79 31.44 1697.95 1811.90 1184.02 627.88 68.12
Washington UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 673.95 719.19 504.12 215.07 33.39 1460.23 1558.25 1092.26 465.99 72.35
Washington UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self WF1 New Plan 241.32 180.99 60.33 New Plan New Plan 522.86 392.15 130.71 New Plan
Washington UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family WF2 New Plan 570.64 427.98 142.66 New Plan New Plan 1236.39 927.29 309.10 New Plan
Washington UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One WF3 New Plan 518.79 389.09 129.70 New Plan New Plan 1124.05 843.04 281.01 New Plan
Washington UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self VD1 New Plan 240.93 180.70 60.23 New Plan New Plan 522.02 391.52 130.50 New Plan
Washington UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family VD2 New Plan 569.71 427.28 142.43 New Plan New Plan 1234.37 925.78 308.59 New Plan
Washington UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One VD3 New Plan 517.95 388.46 129.49 New Plan New Plan 1122.23 841.67 280.56 New Plan
West Virginia Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
West Virginia Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
West Virginia Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
West Virginia Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
West Virginia Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
West Virginia Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 374.21 382.72 235.77 146.95 2.92 810.79 829.23 510.84 318.39 6.32
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 853.25 872.64 546.47 326.17 -1.76 1848.71 1890.72 1184.02 706.70 -3.82
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 844.80 864.00 504.12 359.88 7.35 1830.40 1872.00 1092.26 779.74 15.93
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 326.97 378.45 235.77 142.68 45.89 708.44 819.98 510.84 309.14 99.42
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 748.73 866.59 546.47 320.12 96.71 1622.25 1877.61 1184.02 693.59 209.53
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 734.04 849.59 504.12 345.47 103.70 1590.42 1840.78 1092.26 748.52 224.69
West Virginia Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
West Virginia Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
West Virginia Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Wisconsin Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Wisconsin Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Wisconsin Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Wisconsin Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Wisconsin Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Wisconsin Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 371.07 495.45 235.77 259.68 118.79 803.99 1073.48 510.84 562.64 257.37
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 847.11 1131.04 546.47 584.57 262.78 1835.41 2450.59 1184.02 1266.57 569.35
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 838.73 1119.84 504.12 615.72 269.26 1817.25 2426.32 1092.26 1334.06 583.40
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 484.17 463.38 235.77 227.61 -26.38 1049.04 1003.99 510.84 493.15 -57.17
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1103.70 1056.30 546.47 509.83 -68.55 2391.35 2288.65 1184.02 1104.63 -148.53
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1092.78 1045.84 504.12 541.72 -58.79 2367.69 2265.99 1092.26 1173.73 -127.37
Wisconsin Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Wisconsin Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Wisconsin Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Wisconsin Dean Health Plan, Inc. - High Self WD1 506.37 529.42 235.77 293.65 17.46 1097.14 1147.08 510.84 636.24 37.82
Wisconsin Dean Health Plan, Inc. - High Self & Family WD2 1164.64 1217.66 546.47 671.19 31.87 2523.39 2638.26 1184.02 1454.24 69.04
Wisconsin Dean Health Plan, Inc. - High Self Plus One WD3 1063.37 1111.78 504.12 607.66 36.56 2303.97 2408.86 1092.26 1316.60 79.22
Wisconsin Dean Health Plan, Inc. - Standard Self WD4 298.00 314.57 235.77 78.80 4.30 645.67 681.57 510.84 170.73 9.31
Wisconsin Dean Health Plan, Inc. - Standard Self & Family WD5 715.21 754.97 546.47 208.50 18.61 1549.62 1635.77 1184.02 451.75 40.32
Wisconsin Dean Health Plan, Inc. - Standard Self Plus One WD6 655.62 692.06 504.12 187.94 24.04 1420.51 1499.46 1092.26 407.20 52.07
Wisconsin Group Health Cooperative of South Central Wisconsin - High Self WJ1 337.40 395.98 235.77 160.21 52.99 731.03 857.96 510.84 347.12 114.81
Wisconsin Group Health Cooperative of South Central Wisconsin - High Self & Family WJ2 877.24 1029.58 546.47 483.11 131.19 1900.69 2230.76 1184.02 1046.74 284.24
Wisconsin Group Health Cooperative of South Central Wisconsin - High Self Plus One WJ3 742.28 871.18 504.12 367.06 117.05 1608.27 1887.56 1092.26 795.30 253.62
Wisconsin HealthPartners - Standard Self V34 197.58 212.27 159.20 53.07 3.68 428.09 459.92 344.94 114.98 7.96
Wisconsin HealthPartners - Standard Self & Family V35 481.30 517.11 387.83 129.28 8.96 1042.82 1120.41 840.31 280.10 19.40
Wisconsin HealthPartners - Standard Self Plus One V36 436.65 469.13 351.85 117.28 8.12 946.08 1016.45 762.34 254.11 17.59
Wisconsin HealthPartners - High Self V31 364.76 328.76 235.77 92.99 -41.59 790.31 712.31 510.84 201.47 -90.12
Wisconsin HealthPartners - High Self & Family V32 888.56 800.86 546.47 254.39 -108.85 1925.21 1735.20 1184.02 551.18 -235.84
Wisconsin HealthPartners - High Self Plus One V33 806.11 726.56 504.12 222.44 -91.40 1746.57 1574.21 1092.26 481.95 -198.03
Wisconsin MercyCare Health Plans - High Self EY1 352.64 362.73 235.77 126.96 4.50 764.05 785.92 510.84 275.08 9.75
Wisconsin MercyCare Health Plans - High Self & Family EY2 920.31 946.61 546.47 400.14 5.15 1994.01 2050.99 1184.02 866.97 11.15
Wisconsin MercyCare Health Plans - High Self Plus One EY3 758.22 779.90 504.12 275.78 9.83 1642.81 1689.78 1092.26 597.52 21.30
Wisconsin MercyCare Health Plans - Standard Self EY4 New Plan 281.35 211.01 70.34 New Plan New Plan 609.59 457.19 152.40 New Plan
Wisconsin MercyCare Health Plans - Standard Self & Family EY5 New Plan 734.24 546.47 187.77 New Plan New Plan 1590.85 1184.02 406.83 New Plan
Wisconsin MercyCare Health Plans - Standard Self Plus One EY6 New Plan 604.93 453.70 151.23 New Plan New Plan 1310.68 983.01 327.67 New Plan
Wisconsin Quartz Health Benefit Plans Corporation - High Self TF1 New Plan 466.32 235.77 230.55 New Plan New Plan 1010.36 510.84 499.52 New Plan
Wisconsin Quartz Health Benefit Plans Corporation - High Self & Family TF2 New Plan 1119.18 546.47 572.71 New Plan New Plan 2424.89 1184.02 1240.87 New Plan
Wisconsin Quartz Health Benefit Plans Corporation - High Self Plus One TF3 New Plan 1049.24 504.12 545.12 New Plan New Plan 2273.35 1092.26 1181.09 New Plan
Wisconsin Quartz Health Benefit Plans Corporation - Standard Self TF4 New Plan 283.51 212.63 70.88 New Plan New Plan 614.27 460.70 153.57 New Plan
Wisconsin Quartz Health Benefit Plans Corporation - Standard Self & Family TF5 New Plan 680.44 510.33 170.11 New Plan New Plan 1474.29 1105.72 368.57 New Plan
Wisconsin Quartz Health Benefit Plans Corporation - Standard Self Plus One TF6 New Plan 623.74 467.81 155.93 New Plan New Plan 1351.44 1013.58 337.86 New Plan
Wyoming Aetna Advantage - Advantage Self Z24 New Plan 214.08 160.56 53.52 New Plan New Plan 463.84 347.88 115.96 New Plan
Wyoming Aetna Advantage - Advantage Self & Family Z25 New Plan 567.31 425.48 141.83 New Plan New Plan 1229.17 921.88 307.29 New Plan
Wyoming Aetna Advantage - Advantage Self Plus One Z26 New Plan 470.97 353.23 117.74 New Plan New Plan 1020.44 765.33 255.11 New Plan
Wyoming Aetna Direct - CDHP Self N61 257.23 282.76 212.07 70.69 6.38 557.33 612.65 459.49 153.16 13.83
Wyoming Aetna Direct - CDHP Self & Family N62 648.71 713.08 534.81 178.27 16.09 1405.54 1545.01 1158.76 386.25 34.87
Wyoming Aetna Direct - CDHP Self Plus One N63 564.12 620.10 465.08 155.02 13.99 1222.26 1343.55 1007.66 335.89 30.33
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 382.55 382.37 235.77 146.60 -5.77 828.86 828.47 510.84 317.63 -12.51
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 872.02 871.59 546.47 325.12 -21.58 1889.38 1888.45 1184.02 704.43 -46.76
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 863.39 863.04 504.12 358.92 -12.20 1870.68 1869.92 1092.26 777.66 -26.43
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 284.55 372.48 235.77 136.71 65.57 616.53 807.04 510.84 296.20 142.07
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 653.07 854.85 546.47 308.38 145.11 1414.99 1852.18 1184.02 668.16 314.41
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 640.27 838.09 504.12 333.97 173.90 1387.25 1815.86 1092.26 723.60 376.79
Wyoming Aetna HealthFund HDHP - HDHP Self 224 304.48 336.37 235.77 100.60 24.48 659.71 728.80 510.84 217.96 53.03
Wyoming Aetna HealthFund HDHP - HDHP Self & Family 225 671.63 741.97 546.47 195.50 27.59 1455.20 1607.60 1184.02 423.58 59.78
Wyoming Aetna HealthFund HDHP - HDHP Self Plus One 226 658.47 727.43 504.12 223.31 57.11 1426.69 1576.10 1092.26 483.84 123.74
Wyoming Altius Health Plan - High Self 9K1 431.65 465.72 235.77 229.95 28.48 935.24 1009.06 510.84 498.22 61.70
Wyoming Altius Health Plan - High Self & Family 9K2 954.58 1029.93 546.47 483.46 54.20 2068.26 2231.52 1184.02 1047.50 117.43
Wyoming Altius Health Plan - High Self Plus One 9K3 945.13 1019.73 504.12 515.61 62.75 2047.78 2209.42 1092.26 1117.16 135.97
Wyoming Altius Health Plan - HDHP Self 9K4 233.96 244.26 183.20 61.06 2.57 506.91 529.23 396.92 132.31 5.58
Wyoming Altius Health Plan - HDHP Self & Family 9K5 488.96 510.48 382.86 127.62 5.38 1059.41 1106.04 829.53 276.51 11.66
Wyoming Altius Health Plan - HDHP Self Plus One 9K6 479.37 500.48 375.36 125.12 5.28 1038.64 1084.37 813.28 271.09 11.43
Wyoming Altius Health Plan - Standard Self DK4 328.82 351.37 235.77 115.60 16.96 712.44 761.30 510.84 250.46 36.74
Wyoming Altius Health Plan - Standard Self & Family DK5 726.14 775.95 546.47 229.48 28.66 1573.30 1681.23 1184.02 497.21 62.10
Wyoming Altius Health Plan - Standard Self Plus One DK6 718.94 768.26 504.12 264.14 37.47 1557.70 1664.56 1092.26 572.30 81.19
Control Panel