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Healthcare Plan Information

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