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Healthcare

Tribal Premium Rates for the Federal Employees Health Benefits Program

HMO (Regional Plans with Specific Service Areas)

Plan - Option Enrollment Code 2019 Total Monthly Premium 2020 Monthly Premium Rates - Total Premium 2020 Monthly Premium Rates - Tribal Employer Pays 2020 Monthly Premium Rates - Employee Pays 2020 Monthly Premium Rates - Change in Employee Payment
Alabama Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Alabama Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Alabama Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Alabama Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Alabama Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Alabama Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 810.79 829.23 510.84 318.39 6.32
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1848.71 1890.72 1184.02 706.70 -3.82
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1830.40 1872.00 1092.26 779.74 15.93
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 708.44 819.98 510.84 309.14 99.42
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1622.25 1877.61 1184.02 693.59 209.53
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1590.42 1840.78 1092.26 748.52 224.69
Alabama Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Alabama Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Alabama Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 418.71 454.74 341.06 113.68 9.00
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 963.08 1045.92 784.44 261.48 20.71
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 900.25 977.71 733.28 244.43 19.37
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 679.03 713.87 510.84 203.03 22.72
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1697.63 1784.71 1184.02 600.69 41.25
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1459.94 1534.87 1092.26 442.61 49.26
Alabama UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 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 1243.36 932.52 310.84 New Plan
Alabama UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1130.42 847.82 282.60 New Plan
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 506.74 380.06 126.68 New Plan
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 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 1089.38 817.04 272.34 New Plan
Alaska Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Alaska Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Alaska Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Alaska Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Alaska Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Alaska Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 803.99 1073.48 510.84 562.64 257.37
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1835.41 2450.59 1184.02 1266.57 569.35
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1817.25 2426.32 1092.26 1334.06 583.40
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1049.04 1003.99 510.84 493.15 -57.17
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2391.35 2288.65 1184.02 1104.63 -148.53
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2367.69 2265.99 1092.26 1173.73 -127.37
Alaska Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Alaska Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Alaska Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Arizona Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Arizona Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Arizona Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Arizona Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Arizona Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Arizona Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 670.58 712.73 510.84 201.89 30.03
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1535.86 1632.37 1184.02 448.35 50.68
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1505.77 1600.37 1092.26 508.11 68.93
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 785.14 904.50 510.84 393.66 107.24
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1790.88 2063.10 1184.02 879.08 226.39
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1773.18 2042.71 1092.26 950.45 243.86
Arizona Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Arizona Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Arizona Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Arizona Aetna Open Access - High Self WQ1 1125.02 1161.16 510.84 650.32 24.02
Arizona Aetna Open Access - High Self & Family WQ2 2731.52 2819.27 1184.02 1635.25 41.92
Arizona Aetna Open Access - High Self Plus One WQ3 2704.46 2791.34 1092.26 1699.08 61.21
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self R61 678.10 718.79 510.84 207.95 28.57
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family R62 1525.70 1617.27 1184.02 433.25 45.74
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One R63 1457.91 1545.38 1092.26 453.12 61.80
Arizona Humana CoverageFirst and Humana Value Plan - Value Self R64 542.01 574.54 430.91 143.63 8.13
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family R65 1219.51 1292.68 969.51 323.17 18.29
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One R66 1165.32 1235.24 926.43 308.81 17.48
Arizona Humana CoverageFirst and Humana Value Plan - Value Self R94 494.15 523.81 392.86 130.95 7.41
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family R95 1111.85 1178.56 883.92 294.64 16.68
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One R96 1062.45 1126.19 844.64 281.55 15.94
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self R91 620.64 657.89 493.42 164.47 9.31
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family R92 1396.42 1480.20 1110.15 370.05 20.95
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One R93 1334.34 1414.40 1060.80 353.60 20.02
Arizona Humana Health Plan, Inc. - Standard Self C74 726.57 784.10 510.84 273.26 45.41
Arizona Humana Health Plan, Inc. - Standard Self & Family C75 1634.73 1764.19 1184.02 580.17 83.63
Arizona Humana Health Plan, Inc. - Standard Self Plus One C76 1562.06 1685.73 1092.26 593.47 98.00
Arizona Humana Health Plan, Inc. - High Self C71 862.59 1017.88 510.84 507.04 143.17
Arizona Humana Health Plan, Inc. - High Self & Family C72 1940.84 2290.19 1184.02 1106.17 303.52
Arizona Humana Health Plan, Inc. - High Self Plus One C73 1854.58 2188.40 1092.26 1096.14 308.15
Arizona Humana Health Plan, Inc. - High Self BF1 1361.43 1429.50 510.84 918.66 55.95
Arizona Humana Health Plan, Inc. - High Self & Family BF2 3063.15 3216.27 1184.02 2032.25 107.29
Arizona Humana Health Plan, Inc. - High Self Plus One BF3 2926.99 3073.35 1092.26 1981.09 120.69
Arizona Humana Health Plan, Inc. - Standard Self BF4 916.07 1154.25 510.84 643.41 226.06
Arizona Humana Health Plan, Inc. - Standard Self & Family BF5 2061.17 2597.08 1184.02 1413.06 490.08
Arizona Humana Health Plan, Inc. - Standard Self Plus One BF6 1969.57 2481.66 1092.26 1389.40 486.42
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 450.32 443.84 332.88 110.96 -1.62
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1035.73 1020.85 765.64 255.21 -3.72
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 968.20 954.27 715.70 238.57 -3.48
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 679.19 724.77 510.84 213.93 33.46
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 1697.95 1811.90 1184.02 627.88 68.12
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1460.23 1558.25 1092.26 465.99 72.35
Arizona UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self WF1 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 1236.39 927.29 309.10 New Plan
Arizona UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One WF3 New Plan 1124.05 843.04 281.01 New Plan
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self VD1 New Plan 522.02 391.52 130.50 New Plan
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family VD2 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 1122.23 841.67 280.56 New Plan
Arkansas Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Arkansas Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Arkansas Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Arkansas Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Arkansas Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Arkansas Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 810.79 829.23 510.84 318.39 6.32
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1848.71 1890.72 1184.02 706.70 -3.82
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1830.40 1872.00 1092.26 779.74 15.93
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 708.44 819.98 510.84 309.14 99.42
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1622.25 1877.61 1184.02 693.59 209.53
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1590.42 1840.78 1092.26 748.52 224.69
Arkansas Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Arkansas Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Arkansas Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Arkansas QualChoice - High Self DH1 716.37 752.20 510.84 241.36 23.71
Arkansas QualChoice - High Self & Family DH2 1868.49 1961.96 1184.02 777.94 47.64
Arkansas QualChoice - High Self Plus One DH3 1391.56 1461.18 1092.26 368.92 21.03
Arkansas QualChoice - Standard Self DH4 559.30 587.25 440.44 146.81 6.99
Arkansas QualChoice - Standard Self & Family DH5 1458.82 1531.75 1148.81 382.94 18.24
Arkansas QualChoice - Standard Self Plus One DH6 1086.45 1140.77 855.58 285.19 13.58
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 418.71 454.74 341.06 113.68 9.00
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 963.08 1045.92 784.44 261.48 20.71
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 900.25 977.71 733.28 244.43 19.37
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 679.03 713.87 510.84 203.03 22.72
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1697.63 1784.71 1184.02 600.69 41.25
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1459.94 1534.87 1092.26 442.61 49.26
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 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 1243.36 932.52 310.84 New Plan
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1130.42 847.82 282.60 New Plan
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 506.74 380.06 126.68 New Plan
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 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 1089.38 817.04 272.34 New Plan
California Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
California Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
California Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
California Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
California Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
California Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 803.99 1073.48 510.84 562.64 257.37
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1835.41 2450.59 1184.02 1266.57 569.35
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1817.25 2426.32 1092.26 1334.06 583.40
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1049.04 1003.99 510.84 493.15 -57.17
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2391.35 2288.65 1184.02 1104.63 -148.53
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2367.69 2265.99 1092.26 1173.73 -127.37
California Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
California Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
California Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
California Aetna Open Access - High Self 2X1 763.92 880.53 510.84 369.69 104.49
California Aetna Open Access - High Self & Family 2X2 1793.44 2067.24 1184.02 883.22 227.97
California Aetna Open Access - High Self Plus One 2X3 1758.27 2026.70 1092.26 934.44 242.76
California Anthem Blue Cross Select HMO - High Self B31 770.29 774.13 510.84 263.29 -8.28
California Anthem Blue Cross Select HMO - High Self & Family B32 1733.18 1768.91 1184.02 584.89 -10.10
California Anthem Blue Cross Select HMO - High Self Plus One B33 1609.94 1641.16 1092.26 548.90 5.55
California Blue Shield of California - Access + HMO Self SI1 779.29 833.84 510.84 323.00 42.43
California Blue Shield of California - Access + HMO Self & Family SI2 1792.40 1917.85 1184.02 733.83 79.62
California Blue Shield of California - Access + HMO Self Plus One SI3 1714.44 1834.45 1092.26 742.19 94.34
California Blue Shield of California - TRIO HMO Self SI4 705.08 740.33 510.84 229.49 23.13
California Blue Shield of California - TRIO HMO Self & Family SI5 1621.69 1702.76 1184.02 518.74 35.24
California Blue Shield of California - TRIO HMO Self Plus One SI6 1551.18 1628.73 1092.26 536.47 51.88
California Health Net of California - Basic Self P61 332.37 324.37 243.28 81.09 -2.00
California Health Net of California - Basic Self & Family P62 797.70 778.46 583.85 194.61 -4.81
California Health Net of California - Basic Self Plus One P63 731.23 713.59 535.19 178.40 -4.41
California Health Net of California - Standard Self LP4 945.64 1013.31 510.84 502.47 55.55
California Health Net of California - Standard Self & Family LP5 2269.54 2431.95 1184.02 1247.93 116.58
California Health Net of California - Standard Self Plus One LP6 2080.41 2229.28 1092.26 1137.02 123.20
California Health Net of California - High Self LP1 993.05 1048.36 510.84 537.52 43.19
California Health Net of California - High Self & Family LP2 2383.33 2516.06 1184.02 1332.04 86.90
California Health Net of California - High Self Plus One LP3 2184.72 2306.40 1092.26 1214.14 96.01
California Health Net of California - High Self LB1 1361.40 1510.56 510.84 999.72 137.04
California Health Net of California - High Self & Family LB2 3267.38 3625.38 1184.02 2441.36 312.17
California Health Net of California - High Self Plus One LB3 2995.09 3323.26 1092.26 2231.00 302.50
California Health Net of California - Standard Self LB4 1289.41 1340.54 510.84 829.70 39.01
California Health Net of California - Standard Self & Family LB5 3094.59 3217.28 1184.02 2033.26 76.86
California Health Net of California - Standard Self Plus One LB6 2836.71 2949.18 1092.26 1856.92 86.80
California Health Net of California - Basic Self T41 790.29 881.83 510.84 370.99 79.42
California Health Net of California - Basic Self & Family T42 1896.70 2116.40 1184.02 932.38 173.87
California Health Net of California - Basic Self Plus One T43 1738.62 1940.06 1092.26 847.80 175.77
California Kaiser Foundation Health Plan, Inc. Northern California Region - Basic Self KC1 640.81 652.08 489.06 163.02 2.82
California Kaiser Foundation Health Plan, Inc. Northern California Region - Basic Self & Family KC2 1499.44 1525.85 1144.39 381.46 6.60
California Kaiser Foundation Health Plan, Inc. Northern California Region - Basic Self Plus One KC3 1499.44 1525.85 1092.26 433.59 0.74
California Kaiser Foundation Health Plan, Inc. Northern California Region - High Self 591 992.49 1000.46 510.84 489.62 -4.15
California Kaiser Foundation Health Plan, Inc. Northern California Region - High Self & Family 592 2369.14 2388.21 1184.02 1204.19 -26.76
California Kaiser Foundation Health Plan, Inc. Northern California Region - High Self Plus One 593 2369.14 2388.21 1092.26 1295.95 -6.60
California Kaiser Foundation Health Plan, Inc. Northern California Region - Standard Self 594 797.57 809.88 510.84 299.04 0.19
California Kaiser Foundation Health Plan, Inc. Northern California Region - Standard Self & Family 595 1866.28 1895.08 1184.02 711.06 -17.03
California Kaiser Foundation Health Plan, Inc. Northern California Region - Standard Self Plus One 596 1866.28 1895.08 1092.26 802.82 3.13
California Kaiser Foundation Health Plan, Inc. Northern California Region: Fresno - Standard Self NZ4 534.67 566.80 425.10 141.70 8.03
California Kaiser Foundation Health Plan, Inc. Northern California Region: Fresno - Standard Self & Family NZ5 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 1235.72 1309.95 982.46 327.49 18.56
California Kaiser Foundation Health Plan, Inc. Northern California Region: Fresno - High Self NZ1 731.03 776.92 510.84 266.08 33.77
California Kaiser Foundation Health Plan, Inc. Northern California Region: Fresno - High Self & Family NZ2 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 1689.55 1795.67 1092.26 703.41 80.45
California Kaiser Foundation Health Plan, Inc. Southern California Region - Standard Self 624 431.36 466.31 349.73 116.58 8.74
California Kaiser Foundation Health Plan, Inc. Southern California Region - Standard Self & Family 625 996.93 1077.70 808.28 269.42 20.19
California Kaiser Foundation Health Plan, Inc. Southern California Region - Standard Self Plus One 626 996.93 1077.70 808.28 269.42 20.19
California Kaiser Foundation Health Plan, Inc. Southern California Region - High Self 621 687.20 735.41 510.84 224.57 36.09
California Kaiser Foundation Health Plan, Inc. Southern California Region - High Self & Family 622 1588.25 1699.66 1184.02 515.64 65.58
California Kaiser Foundation Health Plan, Inc. Southern California Region - High Self Plus One 623 1588.25 1699.66 1092.26 607.40 85.74
Colorado Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Colorado Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Colorado Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Colorado Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Colorado Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Colorado Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 670.58 712.73 510.84 201.89 30.03
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1535.86 1632.37 1184.02 448.35 50.68
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1505.77 1600.37 1092.26 508.11 68.93
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 785.14 904.50 510.84 393.66 107.24
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1790.88 2063.10 1184.02 879.08 226.39
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1773.18 2042.71 1092.26 950.45 243.86
Colorado Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Colorado Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Colorado Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Colorado BlueAdvantageHMO on the Pathway HMO Network - High Self WW1 594.71 636.35 477.26 159.09 10.41
Colorado BlueAdvantageHMO on the Pathway HMO Network - High Self & Family WW2 1448.11 1549.49 1162.12 387.37 25.34
Colorado BlueAdvantageHMO on the Pathway HMO Network - High Self Plus One WW3 1352.95 1447.66 1085.75 361.91 23.67
Colorado Humana Health Plan, Inc. - High Self NR1 696.22 821.51 510.84 310.67 113.17
Colorado Humana Health Plan, Inc. - High Self & Family NR2 1566.46 1848.41 1184.02 664.39 236.12
Colorado Humana Health Plan, Inc. - High Self Plus One NR3 1496.84 1766.27 1092.26 674.01 243.76
Colorado Humana Health Plan, Inc. - Standard Self NR4 522.30 569.31 426.98 142.33 11.76
Colorado Humana Health Plan, Inc. - Standard Self & Family NR5 1175.20 1280.98 960.74 320.24 26.44
Colorado Humana Health Plan, Inc. - Standard Self Plus One NR6 1122.94 1224.02 918.02 306.00 25.27
Colorado Humana Health Plan, Inc. - Basic Self RZ1 496.95 521.80 391.35 130.45 6.21
Colorado Humana Health Plan, Inc. - Basic Self & Family RZ2 1118.13 1174.03 880.52 293.51 13.98
Colorado Humana Health Plan, Inc. - Basic Self Plus One RZ3 1068.47 1121.90 841.43 280.47 13.35
Colorado Humana Health Plan, Inc. - High Self NT1 626.86 764.77 510.84 253.93 97.22
Colorado Humana Health Plan, Inc. - High Self & Family NT2 1410.48 1720.79 1184.02 536.77 184.15
Colorado Humana Health Plan, Inc. - High Self Plus One NT3 1347.75 1644.28 1092.26 552.02 215.08
Colorado Humana Health Plan, Inc. - Standard Self NT4 501.41 541.52 406.14 135.38 10.03
Colorado Humana Health Plan, Inc. - Standard Self & Family NT5 1128.21 1218.45 913.84 304.61 22.56
Colorado Humana Health Plan, Inc. - Standard Self Plus One NT6 1078.09 1164.35 873.26 291.09 21.57
Colorado Humana Health Plan, Inc. - Basic Self R21 491.77 531.12 398.34 132.78 9.84
Colorado Humana Health Plan, Inc. - Basic Self & Family R22 1106.50 1195.00 896.25 298.75 22.13
Colorado Humana Health Plan, Inc. - Basic Self Plus One R23 1057.31 1141.90 856.43 285.47 21.14
Colorado Kaiser Foundation Health Plan of Colorado - Standard Self 654 586.67 671.30 503.48 167.82 21.15
Colorado Kaiser Foundation Health Plan of Colorado - Standard Self & Family 655 1325.91 1517.12 1137.84 379.28 47.80
Colorado Kaiser Foundation Health Plan of Colorado - Standard Self Plus One 656 1325.91 1517.12 1092.26 424.86 93.38
Colorado Kaiser Foundation Health Plan of Colorado - High Self 651 738.94 789.17 510.84 278.33 38.11
Colorado Kaiser Foundation Health Plan of Colorado - High Self & Family 652 1670.05 1783.51 1184.02 599.49 67.63
Colorado Kaiser Foundation Health Plan of Colorado - High Self Plus One 653 1670.05 1783.51 1092.26 691.25 87.79
Colorado Kaiser Foundation Health Plan of Colorado - Basic Self N41 429.85 484.77 363.58 121.19 13.73
Colorado Kaiser Foundation Health Plan of Colorado - Basic Self & Family N42 971.43 1095.60 821.70 273.90 31.04
Colorado Kaiser Foundation Health Plan of Colorado - Basic Self Plus One N43 971.43 1095.60 821.70 273.90 31.04
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 450.32 443.84 332.88 110.96 -1.62
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1035.73 1020.85 765.64 255.21 -3.72
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 968.20 954.27 715.70 238.57 -3.48
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 679.19 724.77 510.84 213.93 33.46
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 1697.95 1811.90 1184.02 627.88 68.12
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1460.23 1558.25 1092.26 465.99 72.35
Connecticut Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Connecticut Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Connecticut Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Connecticut Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Connecticut Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Connecticut Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 619.08 759.61 510.84 248.77 94.00
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1417.65 1739.51 1184.02 555.49 201.08
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1389.85 1705.38 1092.26 613.12 265.66
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 916.80 1075.75 510.84 564.91 146.83
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2090.83 2453.32 1184.02 1269.30 316.66
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2070.12 2429.03 1092.26 1336.77 333.24
Connecticut Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Connecticut Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Connecticut Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Delaware Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Delaware Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Delaware Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Delaware Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Delaware Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Delaware Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 619.08 759.61 510.84 248.77 94.00
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1417.65 1739.51 1184.02 555.49 201.08
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1389.85 1705.38 1092.26 613.12 265.66
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 916.80 1075.75 510.84 564.91 146.83
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2090.83 2453.32 1184.02 1269.30 316.66
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2070.12 2429.03 1092.26 1336.77 333.24
Delaware Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Delaware Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Delaware Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Delaware Aetna Open Access - Basic Self P34 1298.46 1310.08 510.84 799.24 -0.50
Delaware Aetna Open Access - Basic Self & Family P35 3013.75 3040.68 1184.02 1856.66 -18.90
Delaware Aetna Open Access - Basic Self Plus One P36 2983.89 3010.54 1092.26 1918.28 0.98
Delaware Aetna Open Access - High Self P31 1485.21 1456.61 510.84 945.77 -40.72
Delaware Aetna Open Access - High Self & Family P32 3600.91 3531.54 1184.02 2347.52 -115.20
Delaware Aetna Open Access - High Self Plus One P33 3565.25 3496.55 1092.26 2404.29 -94.37
District Of Columbia Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
District Of Columbia Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
District Of Columbia Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
District Of Columbia Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
District Of Columbia Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
District Of Columbia Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 810.79 829.23 510.84 318.39 6.32
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 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 1830.40 1872.00 1092.26 779.74 15.93
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 708.44 819.98 510.84 309.14 99.42
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 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 1590.42 1840.78 1092.26 748.52 224.69
District Of Columbia Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
District Of Columbia Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
District Of Columbia Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
District Of Columbia Aetna Open Access - High Self JN1 1119.13 1137.57 510.84 626.73 6.32
District Of Columbia Aetna Open Access - High Self & Family JN2 2515.98 2557.43 1184.02 1373.41 -4.38
District Of Columbia Aetna Open Access - High Self Plus One JN3 2491.04 2532.10 1092.26 1439.84 15.39
District Of Columbia Aetna Open Access - Basic Self JN4 680.46 697.10 510.84 186.26 4.52
District Of Columbia Aetna Open Access - Basic Self & Family JN5 1557.25 1595.34 1184.02 411.32 -7.74
District Of Columbia Aetna Open Access - Basic Self Plus One JN6 1430.00 1464.99 1092.26 372.73 9.32
District Of Columbia Aetna Saver - Saver Self QQ4 New Plan 595.21 446.41 148.80 New Plan
District Of Columbia Aetna Saver - Saver Self & Family QQ5 New Plan 1362.14 1021.61 340.53 New Plan
District Of Columbia Aetna Saver - Saver Self Plus One QQ6 New Plan 1250.82 938.12 312.70 New Plan
District Of Columbia CareFirst BlueChoice - Standard Self 2G4 797.68 845.54 510.84 334.70 35.74
District Of Columbia CareFirst BlueChoice - Standard Self & Family 2G5 1895.25 2008.96 1184.02 824.94 67.88
District Of Columbia CareFirst BlueChoice - Standard Self Plus One 2G6 1595.34 1691.06 1092.26 598.80 70.05
District Of Columbia CareFirst BlueChoice - HDHP Self B61 518.27 570.09 427.57 142.52 12.95
District Of Columbia CareFirst BlueChoice - HDHP Self & Family B62 1231.38 1354.51 1015.88 338.63 30.79
District Of Columbia CareFirst BlueChoice - HDHP Self Plus One B63 1036.51 1140.17 855.13 285.04 25.91
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self B64 New Plan 705.99 510.84 195.15 New Plan
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self & Family B65 New Plan 1677.46 1184.02 493.44 New Plan
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self Plus One B66 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 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 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 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 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 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 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 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 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 1593.15 1662.53 1092.26 570.27 43.71
District Of Columbia M.D. IPA - High Self JP1 790.86 876.61 510.84 365.77 73.63
District Of Columbia M.D. IPA - High Self & Family JP2 2217.54 2458.04 1184.02 1274.02 194.67
District Of Columbia M.D. IPA - High Self Plus One JP3 1544.53 1712.04 1092.26 619.78 141.84
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 495.69 486.57 364.93 121.64 -2.28
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 1140.06 1119.11 839.33 279.78 -5.23
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 1065.72 1046.13 784.60 261.53 -4.90
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 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 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 1436.05 1536.99 1092.26 444.73 75.27
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 437.06 521.50 391.13 130.37 21.11
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 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 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 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 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 1130.42 847.82 282.60 New Plan
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 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 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 1089.38 817.04 272.34 New Plan
Florida Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Florida Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Florida Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Florida Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Florida Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Florida Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 810.79 829.23 510.84 318.39 6.32
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1848.71 1890.72 1184.02 706.70 -3.82
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1830.40 1872.00 1092.26 779.74 15.93
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 708.44 819.98 510.84 309.14 99.42
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1622.25 1877.61 1184.02 693.59 209.53
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1590.42 1840.78 1092.26 748.52 224.69
Florida Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Florida Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Florida Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Florida AvMed - HDHP Self WZ1 813.30 805.16 510.84 294.32 -20.26
Florida AvMed - HDHP Self & Family WZ2 2003.32 1871.35 1184.02 687.33 -177.80
Florida AvMed - HDHP Self Plus One WZ3 1561.60 1622.34 1092.26 530.08 35.07
Florida AvMed - Standard Self ML4 709.22 709.24 510.84 198.40 -12.10
Florida AvMed - Standard Self & Family ML5 1837.05 1726.81 1184.02 542.79 -156.07
Florida AvMed - Standard Self Plus One ML6 1418.43 1489.37 1092.26 397.11 42.50
Florida Capital Health Plan - High Self EA1 690.41 680.62 510.47 170.15 -21.54
Florida Capital Health Plan - High Self & Family EA2 1726.08 1577.33 1183.00 394.33 -193.56
Florida Capital Health Plan - High Self Plus One EA3 1484.41 1488.41 1092.26 396.15 -21.67
Florida Humana CoverageFirst and Humana Value Plan - Value Self W94 485.23 513.59 385.19 128.40 7.09
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family W95 1091.78 1155.57 866.68 288.89 15.95
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One W96 1043.25 1104.20 828.15 276.05 15.24
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self W91 573.58 607.10 455.33 151.77 8.38
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family W92 1290.58 1365.95 1024.46 341.49 18.85
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One W93 1233.20 1305.27 978.95 326.32 18.02
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self QP1 684.02 725.05 510.84 214.21 28.91
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family QP2 1541.09 1633.54 1184.02 449.52 46.62
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One QP3 1472.58 1560.93 1092.26 468.67 62.68
Florida Humana CoverageFirst and Humana Value Plan - Value Self QP4 489.95 519.35 389.51 129.84 7.35
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family QP5 1102.36 1168.48 876.36 292.12 16.53
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One QP6 1053.37 1116.57 837.43 279.14 15.80
Florida Humana CoverageFirst and Humana Value Plan - Value Self MJ4 504.49 519.61 389.71 129.90 3.78
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family MJ5 1135.10 1169.13 876.85 292.28 8.51
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One MJ6 1084.63 1117.18 837.89 279.29 8.13
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self MJ1 854.10 948.07 510.84 437.23 81.85
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MJ2 1921.75 2133.15 1184.02 949.13 165.57
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MJ3 1836.36 2038.36 1092.26 946.10 176.33
Florida Humana CoverageFirst and Humana Value Plan - Value Self X24 470.30 493.18 369.89 123.29 5.72
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family X25 1058.16 1109.66 832.25 277.41 12.87
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One X26 1011.14 1060.35 795.26 265.09 12.31
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self X21 555.92 582.99 437.24 145.75 6.77
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X22 1250.82 1311.74 983.81 327.93 15.23
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X23 1195.24 1253.44 940.08 313.36 14.55
Florida Humana Medical Plan, Inc. - Standard Self LL4 866.91 1074.95 510.84 564.11 195.92
Florida Humana Medical Plan, Inc. - Standard Self & Family LL5 1950.48 2418.61 1184.02 1234.59 422.30
Florida Humana Medical Plan, Inc. - Standard Self Plus One LL6 1863.81 2311.12 1092.26 1218.86 421.64
Florida Humana Medical Plan, Inc. - High Self LL1 1610.81 1659.15 510.84 1148.31 36.22
Florida Humana Medical Plan, Inc. - High Self & Family LL2 3624.31 3733.06 1184.02 2549.04 62.92
Florida Humana Medical Plan, Inc. - High Self Plus One LL3 3463.24 3567.14 1092.26 2474.88 78.23
Florida Humana Medical Plan, Inc. - High Self EE1 914.05 1115.14 510.84 604.30 188.97
Florida Humana Medical Plan, Inc. - High Self & Family EE2 2056.62 2509.07 1184.02 1325.05 406.62
Florida Humana Medical Plan, Inc. - High Self Plus One EE3 1965.25 2397.59 1092.26 1305.33 406.67
Florida Humana Medical Plan, Inc. - Standard Self EE4 817.31 997.12 510.84 486.28 167.69
Florida Humana Medical Plan, Inc. - Standard Self & Family EE5 1838.92 2243.50 1184.02 1059.48 358.75
Florida Humana Medical Plan, Inc. - Standard Self Plus One EE6 1757.19 2143.79 1092.26 1051.53 360.93
Florida Humana Medical Plan, Inc. - Standard Self E24 633.64 716.02 510.84 205.18 46.77
Florida Humana Medical Plan, Inc. - Standard Self & Family E25 1425.67 1611.00 1184.02 426.98 70.56
Florida Humana Medical Plan, Inc. - Standard Self Plus One E26 1362.29 1539.40 1092.26 447.14 106.57
Florida Humana Medical Plan, Inc. - High Self E21 985.77 1202.65 510.84 691.81 204.76
Florida Humana Medical Plan, Inc. - High Self & Family E22 2217.93 2705.86 1184.02 1521.84 442.10
Florida Humana Medical Plan, Inc. - High Self Plus One E23 2119.35 2585.61 1092.26 1493.35 440.59
Florida Humana Medical Plan, Inc. - High Self EX1 744.51 893.40 510.84 382.56 136.77
Florida Humana Medical Plan, Inc. - High Self & Family EX2 1675.09 2010.10 1184.02 826.08 289.18
Florida Humana Medical Plan, Inc. - High Self Plus One EX3 1600.63 1920.77 1092.26 828.51 294.47
Florida Humana Medical Plan, Inc. - Standard Self EX4 653.77 732.23 510.84 221.39 57.95
Florida Humana Medical Plan, Inc. - Standard Self & Family EX5 1470.97 1647.51 1184.02 463.49 95.75
Florida Humana Medical Plan, Inc. - Standard Self Plus One EX6 1405.60 1574.28 1092.26 482.02 130.62
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 418.71 454.74 341.06 113.68 9.00
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 963.08 1045.92 784.44 261.48 20.71
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 900.25 977.71 733.28 244.43 19.37
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 679.03 713.87 510.84 203.03 22.72
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1697.63 1784.71 1184.02 600.69 41.25
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1459.94 1534.87 1092.26 442.61 49.26
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self LV1 662.03 701.44 510.84 190.60 25.09
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family LV2 1986.10 2104.29 1184.02 920.27 72.36
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One LV3 1423.37 1508.07 1092.26 415.81 59.03
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 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 1243.36 932.52 310.84 New Plan
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1130.42 847.82 282.60 New Plan
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 506.74 380.06 126.68 New Plan
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 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 1089.38 817.04 272.34 New Plan
Georgia Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Georgia Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Georgia Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Georgia Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Georgia Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Georgia Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 810.79 829.23 510.84 318.39 6.32
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1848.71 1890.72 1184.02 706.70 -3.82
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1830.40 1872.00 1092.26 779.74 15.93
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 708.44 819.98 510.84 309.14 99.42
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1622.25 1877.61 1184.02 693.59 209.53
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1590.42 1840.78 1092.26 748.52 224.69
Georgia Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Georgia Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Georgia Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Georgia Aetna Open Access - High Self 2U1 1584.29 1733.36 510.84 1222.52 136.95
Georgia Aetna Open Access - High Self & Family 2U2 3649.36 3992.69 1184.02 2808.67 297.50
Georgia Aetna Open Access - High Self Plus One 2U3 3613.22 3953.15 1092.26 2860.89 314.26
Georgia Blue Open Access POS - High Self QM1 595.40 625.17 468.88 156.29 7.44
Georgia Blue Open Access POS - High Self & Family QM2 1577.38 1640.47 1184.02 456.45 17.26
Georgia Blue Open Access POS - High Self Plus One QM3 1318.40 1377.74 1033.31 344.43 14.83
Georgia Humana CoverageFirst and Humana Value Plan - Value Self S94 520.65 551.89 413.92 137.97 7.81
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family S95 1171.47 1241.74 931.31 310.43 17.56
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One S96 1119.41 1186.58 889.94 296.64 16.79
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self S91 653.92 693.14 510.84 182.30 18.82
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family S92 1471.32 1559.61 1169.71 389.90 22.07
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One S93 1405.93 1490.28 1092.26 398.02 46.54
Georgia Humana CoverageFirst and Humana Value Plan - Value Self AD4 658.52 737.53 510.84 226.69 62.06
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family AD5 1481.61 1659.41 1184.02 475.39 104.99
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One AD6 1415.77 1585.68 1092.26 493.42 139.48
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self AD1 797.83 973.38 510.84 462.54 163.43
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family AD2 1795.13 2190.07 1184.02 1006.05 349.11
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One AD3 1715.35 2092.74 1092.26 1000.48 351.72
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self LM1 631.71 679.23 509.42 169.81 11.88
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family LM2 1421.42 1528.30 1146.23 382.07 26.72
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One LM3 1358.24 1460.36 1092.26 368.10 28.54
Georgia Humana CoverageFirst and Humana Value Plan - Value Self LM4 514.02 642.55 481.91 160.64 32.14
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family LM5 1156.57 1445.71 1084.28 361.43 72.29
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One LM6 1105.17 1381.47 1036.10 345.37 69.08
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self RM1 594.99 648.53 486.40 162.13 13.38
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family RM2 1338.74 1459.23 1094.42 364.81 30.13
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One RM3 1279.24 1394.36 1045.77 348.59 28.78
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self DN4 684.93 726.03 510.84 215.19 28.98
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family DN5 1541.06 1633.52 1184.02 449.50 46.63
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One DN6 1472.58 1560.93 1092.26 468.67 62.68
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self DN1 736.41 780.61 510.84 269.77 32.08
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self & Family DN2 1656.94 1756.37 1184.02 572.35 53.60
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self Plus One DN3 1583.31 1678.30 1092.26 586.04 69.32
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self RJ1 564.24 598.09 448.57 149.52 8.46
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family RJ2 1269.56 1345.72 1009.29 336.43 19.04
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One RJ3 1213.12 1285.92 964.44 321.48 18.20
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Q71 620.17 762.80 510.84 251.96 96.92
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family Q72 1395.38 1716.33 1184.02 532.31 183.47
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One Q73 1333.35 1640.02 1092.26 547.76 214.42
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self CB4 976.91 1250.45 510.84 739.61 261.42
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family CB5 2198.06 2813.50 1184.02 1629.48 569.61
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One CB6 2100.37 2688.47 1092.26 1596.21 562.43
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self CB1 990.36 1148.57 510.84 637.73 146.09
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self & Family CB2 2228.42 2584.40 1184.02 1400.38 310.15
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self Plus One CB3 2129.34 2469.61 1092.26 1377.35 314.60
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self DG1 1283.43 1321.93 510.84 811.09 26.38
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self & Family DG2 2887.71 2974.34 1184.02 1790.32 40.80
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self Plus One DG3 2759.40 2842.19 1092.26 1749.93 57.12
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self DG4 937.91 1171.84 510.84 661.00 221.81
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family DG5 2110.29 2636.70 1184.02 1452.68 480.58
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One DG6 2016.50 2519.57 1092.26 1427.31 477.40
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - High Self F81 696.09 730.04 510.84 219.20 21.83
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - High Self & Family F82 1573.15 1649.87 1184.02 465.85 30.89
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - High Self Plus One F83 1573.15 1649.87 1092.26 557.61 51.05
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - Standard Self F84 526.20 552.33 414.25 138.08 6.53
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - Standard Self & Family F85 1189.22 1248.26 936.20 312.06 14.76
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - Standard Self Plus One F86 1189.22 1248.26 936.20 312.06 14.76
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - Basic Self LA1 New Plan 393.36 295.02 98.34 New Plan
Georgia Kaiser Foundation Health Plan of Georgia, Inc. - Basic Self & Family LA2 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 888.98 666.74 222.24 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self LV1 662.03 701.44 510.84 190.60 25.09
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family LV2 1986.10 2104.29 1184.02 920.27 72.36
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One LV3 1423.37 1508.07 1092.26 415.81 59.03
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 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 1243.36 932.52 310.84 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1130.42 847.82 282.60 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 506.74 380.06 126.68 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 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 1089.38 817.04 272.34 New Plan
Guam Calvo's SelectCare - Standard Self B44 403.50 396.74 297.56 99.18 -1.69
Guam Calvo's SelectCare - Standard Self & Family B45 1172.36 1152.73 864.55 288.18 -4.91
Guam Calvo's SelectCare - Standard Self Plus One B46 795.43 782.10 586.58 195.52 -3.34
Guam Calvo's SelectCare - High Self B41 518.09 491.55 368.66 122.89 -6.63
Guam Calvo's SelectCare - High Self & Family B42 1372.22 1301.89 976.42 325.47 -17.58
Guam Calvo's SelectCare - High Self Plus One B43 1011.03 959.23 719.42 239.81 -12.95
Guam TakeCare - HDHP Self KX1 103.72 124.24 93.18 31.06 5.13
Guam TakeCare - HDHP Self & Family KX2 278.05 339.32 254.49 84.83 15.32
Guam TakeCare - HDHP Self Plus One KX3 250.45 306.11 229.58 76.53 13.92
Guam TakeCare - Standard Self JK4 389.81 389.24 291.93 97.31 -0.14
Guam TakeCare - Standard Self & Family JK5 1103.87 1102.31 826.73 275.58 -0.39
Guam TakeCare - Standard Self Plus One JK6 768.24 767.15 575.36 191.79 -0.27
Guam TakeCare - High Self JK1 471.86 492.35 369.26 123.09 5.13
Guam TakeCare - High Self & Family JK2 1125.52 1174.40 880.80 293.60 12.22
Guam TakeCare - High Self Plus One JK3 932.23 972.73 729.55 243.18 10.12
Hawaii Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Hawaii Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Hawaii Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Hawaii Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Hawaii Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Hawaii Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 803.99 1073.48 510.84 562.64 257.37
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1835.41 2450.59 1184.02 1266.57 569.35
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1817.25 2426.32 1092.26 1334.06 583.40
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1049.04 1003.99 510.84 493.15 -57.17
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2391.35 2288.65 1184.02 1104.63 -148.53
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2367.69 2265.99 1092.26 1173.73 -127.37
Hawaii Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Hawaii Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Hawaii Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Hawaii HMSA Plan - High Self 871 606.95 631.24 473.43 157.81 6.07
Hawaii HMSA Plan - High Self & Family 872 1364.44 1419.02 1064.27 354.75 13.64
Hawaii HMSA Plan - High Self Plus One 873 1329.88 1383.07 1037.30 345.77 13.30
Hawaii HMSA Plan - Standard Self 874 New Plan 430.97 323.23 107.74 New Plan
Hawaii HMSA Plan - Standard Self & Family 875 New Plan 968.83 726.62 242.21 New Plan
Hawaii HMSA Plan - Standard Self Plus One 876 New Plan 944.23 708.17 236.06 New Plan
Hawaii Kaiser Foundation Health Plan, Inc. Hawaii Region - High Self 631 658.58 675.55 506.66 168.89 4.25
Hawaii Kaiser Foundation Health Plan, Inc. Hawaii Region - High Self & Family 632 1468.63 1506.51 1129.88 376.63 9.47
Hawaii Kaiser Foundation Health Plan, Inc. Hawaii Region - High Self Plus One 633 1468.63 1506.51 1092.26 414.25 12.21
Hawaii Kaiser Foundation Health Plan, Inc. Hawaii Region - Standard Self 634 444.69 481.15 360.86 120.29 9.12
Hawaii Kaiser Foundation Health Plan, Inc. Hawaii Region - Standard Self & Family 635 991.64 1072.98 804.74 268.24 20.33
Hawaii Kaiser Foundation Health Plan, Inc. Hawaii Region - Standard Self Plus One 636 991.64 1072.98 804.74 268.24 20.33
Idaho Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Idaho Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Idaho Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Idaho Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Idaho Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Idaho Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 828.86 828.47 510.84 317.63 -12.51
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1889.38 1888.45 1184.02 704.43 -46.76
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1870.68 1869.92 1092.26 777.66 -26.43
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 616.53 807.04 510.84 296.20 142.07
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1414.99 1852.18 1184.02 668.16 314.41
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1387.25 1815.86 1092.26 723.60 376.79
Idaho Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Idaho Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Idaho Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Idaho Altius Health Plan - High Self 9K1 935.24 1009.06 510.84 498.22 61.70
Idaho Altius Health Plan - High Self & Family 9K2 2068.26 2231.52 1184.02 1047.50 117.43
Idaho Altius Health Plan - High Self Plus One 9K3 2047.78 2209.42 1092.26 1117.16 135.97
Idaho Altius Health Plan - HDHP Self 9K4 506.91 529.23 396.92 132.31 5.58
Idaho Altius Health Plan - HDHP Self & Family 9K5 1059.41 1106.04 829.53 276.51 11.66
Idaho Altius Health Plan - HDHP Self Plus One 9K6 1038.64 1084.37 813.28 271.09 11.43
Idaho Altius Health Plan - Standard Self DK4 712.44 761.30 510.84 250.46 36.74
Idaho Altius Health Plan - Standard Self & Family DK5 1573.30 1681.23 1184.02 497.21 62.10
Idaho Altius Health Plan - Standard Self Plus One DK6 1557.70 1664.56 1092.26 572.30 81.19
Idaho Kaiser Foundation Health Plan of Washington - Standard Self 544 585.17 604.13 453.10 151.03 4.74
Idaho Kaiser Foundation Health Plan of Washington - Standard Self & Family 545 1345.91 1389.53 1042.15 347.38 10.90
Idaho Kaiser Foundation Health Plan of Washington - Standard Self Plus One 546 1345.91 1389.53 1042.15 347.38 10.90
Idaho Kaiser Foundation Health Plan of Washington - High Self 541 815.40 845.74 510.84 334.90 18.22
Idaho Kaiser Foundation Health Plan of Washington - High Self & Family 542 1793.91 1860.65 1184.02 676.63 20.91
Idaho Kaiser Foundation Health Plan of Washington - High Self Plus One 543 1793.91 1860.65 1092.26 768.39 41.07
Illinois Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Illinois Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Illinois Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Illinois Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Illinois Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Illinois Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 828.86 828.47 510.84 317.63 -12.51
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1889.38 1888.45 1184.02 704.43 -46.76
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1870.68 1869.92 1092.26 777.66 -26.43
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 616.53 807.04 510.84 296.20 142.07
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1414.99 1852.18 1184.02 668.16 314.41
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1387.25 1815.86 1092.26 723.60 376.79
Illinois Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Illinois Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Illinois Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Illinois Blue Preferred - High Self 9G1 782.36 833.21 510.84 322.37 38.73
Illinois Blue Preferred - High Self & Family 9G2 1681.07 1858.87 1184.02 674.85 131.97
Illinois Blue Preferred - High Self Plus One 9G3 1591.81 1760.59 1092.26 668.33 143.11
Illinois Blue Preferred - Standard Self 9G4 558.72 600.62 450.47 150.15 10.47
Illinois Blue Preferred - Standard Self & Family 9G5 1587.91 1707.01 1184.02 522.99 73.27
Illinois Blue Preferred - Standard Self Plus One 9G6 1436.02 1543.71 1092.26 451.45 82.02
Illinois Health Alliance HMO - Standard Self K84 642.44 668.14 501.11 167.03 6.42
Illinois Health Alliance HMO - Standard Self & Family K85 1734.61 1803.99 1184.02 619.97 23.55
Illinois Health Alliance HMO - Standard Self Plus One K86 1488.24 1547.78 1092.26 455.52 33.87
Illinois Humana CoverageFirst and Humana Value Plan - Value Self GB4 616.37 758.14 510.84 247.30 93.21
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family GB5 1386.82 1705.77 1184.02 521.75 175.05
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One GB6 1325.18 1629.96 1092.26 537.70 206.41
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self GB1 936.91 1180.53 510.84 669.69 231.50
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family GB2 2108.04 2656.14 1184.02 1472.12 502.27
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One GB3 2014.37 2538.12 1092.26 1445.86 498.08
Illinois Humana CoverageFirst and Humana Value Plan - Value Self MW4 608.81 754.91 510.84 244.07 91.87
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family MW5 1369.79 1698.52 1184.02 514.50 172.05
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One MW6 1308.93 1623.05 1092.26 530.79 203.56
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self MW1 757.06 916.02 510.84 405.18 146.84
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MW2 1703.41 2061.15 1184.02 877.13 311.91
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MW3 1627.67 1969.50 1092.26 877.24 316.16
Illinois Humana Health Plan, Inc. - Standard Self 754 855.66 951.90 510.84 441.06 84.12
Illinois Humana Health Plan, Inc. - Standard Self & Family 755 1925.24 2141.77 1184.02 957.75 170.70
Illinois Humana Health Plan, Inc. - Standard Self Plus One 756 1839.67 2046.59 1092.26 954.33 181.25
Illinois Humana Health Plan, Inc. - High Self 751 1212.06 1238.94 510.84 728.10 14.76
Illinois Humana Health Plan, Inc. - High Self & Family 752 2727.14 2787.61 1184.02 1603.59 14.64
Illinois Humana Health Plan, Inc. - High Self Plus One 753 2605.92 2663.74 1092.26 1571.48 32.15
Illinois Humana Health Plan, Inc. - High Self 9F1 1700.27 1938.32 510.84 1427.48 225.93
Illinois Humana Health Plan, Inc. - High Self & Family 9F2 3825.60 4361.20 1184.02 3177.18 489.77
Illinois Humana Health Plan, Inc. - High Self Plus One 9F3 3655.56 4167.35 1092.26 3075.09 486.12
Illinois Humana Health Plan, Inc. - Standard Self AB4 1094.77 1149.53 510.84 638.69 42.64
Illinois Humana Health Plan, Inc. - Standard Self & Family AB5 2463.28 2586.44 1184.02 1402.42 77.33
Illinois Humana Health Plan, Inc. - Standard Self Plus One AB6 2353.78 2471.50 1092.26 1379.24 92.05
Illinois Humana Health Plan, Inc. - Basic Self AB1 615.16 756.64 510.84 245.80 92.01
Illinois Humana Health Plan, Inc. - Basic Self & Family AB2 1384.15 1702.50 1184.02 518.48 172.44
Illinois Humana Health Plan, Inc. - Basic Self Plus One AB3 1322.64 1626.84 1092.26 534.58 203.92
Illinois Humana Health Plan, Inc. - Basic Self RW1 623.55 748.24 510.84 237.40 81.51
Illinois Humana Health Plan, Inc. - Basic Self & Family RW2 1402.96 1683.54 1184.02 499.52 148.78
Illinois Humana Health Plan, Inc. - Basic Self Plus One RW3 1340.63 1608.73 1092.26 516.47 181.31
Illinois MercyCare Health Plans - High Self EY1 764.05 785.92 510.84 275.08 9.75
Illinois MercyCare Health Plans - High Self & Family EY2 1994.01 2050.99 1184.02 866.97 11.15
Illinois MercyCare Health Plans - High Self Plus One EY3 1642.81 1689.78 1092.26 597.52 21.30
Illinois MercyCare Health Plans - Standard Self EY4 New Plan 609.59 457.19 152.40 New Plan
Illinois MercyCare Health Plans - Standard Self & Family EY5 New Plan 1590.85 1184.02 406.83 New Plan
Illinois MercyCare Health Plans - Standard Self Plus One EY6 New Plan 1310.68 983.01 327.67 New Plan
Illinois Union Health Service - High Self 761 681.74 744.08 510.84 233.24 50.22
Illinois Union Health Service - High Self & Family 762 1711.71 1901.64 1184.02 717.62 144.10
Illinois Union Health Service - High Self Plus One 763 1511.23 1668.33 1092.26 576.07 131.43
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 437.06 521.50 391.13 130.37 21.11
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1225.49 1462.26 1096.70 365.56 59.19
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 853.56 1018.46 763.85 254.61 41.22
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 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 1243.36 932.52 310.84 New Plan
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1130.42 847.82 282.60 New Plan
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 506.74 380.06 126.68 New Plan
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 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 1089.38 817.04 272.34 New Plan
Indiana Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Indiana Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Indiana Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Indiana Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Indiana Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Indiana Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 803.99 1073.48 510.84 562.64 257.37
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1835.41 2450.59 1184.02 1266.57 569.35
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1817.25 2426.32 1092.26 1334.06 583.40
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1049.04 1003.99 510.84 493.15 -57.17
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2391.35 2288.65 1184.02 1104.63 -148.53
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2367.69 2265.99 1092.26 1173.73 -127.37
Indiana Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Indiana Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Indiana Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Indiana Health Alliance HMO - Standard Self K84 642.44 668.14 501.11 167.03 6.42
Indiana Health Alliance HMO - Standard Self & Family K85 1734.61 1803.99 1184.02 619.97 23.55
Indiana Health Alliance HMO - Standard Self Plus One K86 1488.24 1547.78 1092.26 455.52 33.87
Indiana Humana CoverageFirst - CDHP Self TC1 622.12 659.47 494.60 164.87 9.34
Indiana Humana CoverageFirst - CDHP Self & Family TC2 1399.75 1483.73 1112.80 370.93 20.99
Indiana Humana CoverageFirst - CDHP Self Plus One TC3 1337.55 1417.82 1063.37 354.45 20.06
Indiana Humana CoverageFirst and Humana Value Plan - Value Self MW4 608.81 754.91 510.84 244.07 91.87
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family MW5 1369.79 1698.52 1184.02 514.50 172.05
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One MW6 1308.93 1623.05 1092.26 530.79 203.56
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self MW1 757.06 916.02 510.84 405.18 146.84
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MW2 1703.41 2061.15 1184.02 877.13 311.91
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MW3 1627.67 1969.50 1092.26 877.24 316.16
Indiana Humana CoverageFirst and Humana Value Plan - Value Self X34 570.27 615.12 461.34 153.78 11.21
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 1283.12 1384.05 1038.04 346.01 25.23
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 1226.07 1322.53 991.90 330.63 24.11
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self X31 684.65 799.44 510.84 288.60 102.67
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 1540.48 1798.77 1184.02 614.75 212.46
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 1472.01 1718.82 1092.26 626.56 221.14
Indiana Humana Health Plan of Ohio, Inc. - High Self A61 1172.64 1500.98 510.84 990.14 316.22
Indiana Humana Health Plan of Ohio, Inc. - High Self & Family A62 2638.48 3377.23 1184.02 2193.21 692.92
Indiana Humana Health Plan of Ohio, Inc. - High Self Plus One A63 2521.22 3227.14 1092.26 2134.88 680.25
Indiana Humana Health Plan of Ohio, Inc. - Standard Self A64 930.28 1172.17 510.84 661.33 229.77
Indiana Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 2093.17 2637.42 1184.02 1453.40 498.42
Indiana Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 2000.16 2520.20 1092.26 1427.94 494.37
Indiana Humana Health Plan, Inc. - Standard Self 754 855.66 951.90 510.84 441.06 84.12
Indiana Humana Health Plan, Inc. - Standard Self & Family 755 1925.24 2141.77 1184.02 957.75 170.70
Indiana Humana Health Plan, Inc. - Standard Self Plus One 756 1839.67 2046.59 1092.26 954.33 181.25
Indiana Humana Health Plan, Inc. - High Self 751 1212.06 1238.94 510.84 728.10 14.76
Indiana Humana Health Plan, Inc. - High Self & Family 752 2727.14 2787.61 1184.02 1603.59 14.64
Indiana Humana Health Plan, Inc. - High Self Plus One 753 2605.92 2663.74 1092.26 1571.48 32.15
Indiana Humana Health Plan, Inc. - High Self MH1 883.98 1104.96 510.84 594.12 208.86
Indiana Humana Health Plan, Inc. - High Self & Family MH2 1988.96 2486.19 1184.02 1302.17 451.40
Indiana Humana Health Plan, Inc. - High Self Plus One MH3 1900.56 2375.69 1092.26 1283.43 449.46
Indiana Humana Health Plan, Inc. - Standard Self MH4 722.39 859.65 510.84 348.81 125.14
Indiana Humana Health Plan, Inc. - Standard Self & Family MH5 1625.37 1934.18 1184.02 750.16 262.98
Indiana Humana Health Plan, Inc. - Standard Self Plus One MH6 1553.13 1848.23 1092.26 755.97 269.43
Iowa Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Iowa Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Iowa Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Iowa Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Iowa Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Iowa Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 828.86 828.47 510.84 317.63 -12.51
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1889.38 1888.45 1184.02 704.43 -46.76
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1870.68 1869.92 1092.26 777.66 -26.43
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 616.53 807.04 510.84 296.20 142.07
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1414.99 1852.18 1184.02 668.16 314.41
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1387.25 1815.86 1092.26 723.60 376.79
Iowa Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Iowa Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Iowa Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Iowa Health Alliance HMO - Standard Self K84 642.44 668.14 501.11 167.03 6.42
Iowa Health Alliance HMO - Standard Self & Family K85 1734.61 1803.99 1184.02 619.97 23.55
Iowa Health Alliance HMO - Standard Self Plus One K86 1488.24 1547.78 1092.26 455.52 33.87
Iowa HealthPartners - Standard Self V34 428.09 459.92 344.94 114.98 7.96
Iowa HealthPartners - Standard Self & Family V35 1042.82 1120.41 840.31 280.10 19.40
Iowa HealthPartners - Standard Self Plus One V36 946.08 1016.45 762.34 254.11 17.59
Iowa HealthPartners - High Self V31 790.31 712.31 510.84 201.47 -90.12
Iowa HealthPartners - High Self & Family V32 1925.21 1735.20 1184.02 551.18 -235.84
Iowa HealthPartners - High Self Plus One V33 1746.57 1574.21 1092.26 481.95 -198.03
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self N71 532.16 610.42 457.82 152.60 19.56
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family N72 1223.93 1403.98 1052.99 350.99 45.01
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One N73 1144.11 1312.42 984.32 328.10 42.07
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LJ1 671.95 720.18 510.84 209.34 36.11
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LJ2 1679.86 1800.48 1184.02 616.46 74.79
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LJ3 1444.69 1548.41 1092.26 456.15 78.05
Iowa UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 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 1243.36 932.52 310.84 New Plan
Iowa UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1130.42 847.82 282.60 New Plan
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 506.74 380.06 126.68 New Plan
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 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 1089.38 817.04 272.34 New Plan
Kansas Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Kansas Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Kansas Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Kansas Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Kansas Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Kansas Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 670.58 712.73 510.84 201.89 30.03
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1535.86 1632.37 1184.02 448.35 50.68
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1505.77 1600.37 1092.26 508.11 68.93
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 785.14 904.50 510.84 393.66 107.24
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1790.88 2063.10 1184.02 879.08 226.39
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1773.18 2042.71 1092.26 950.45 243.86
Kansas Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Kansas Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Kansas Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Kansas Aetna Open Access - High Self HA1 881.01 1099.93 510.84 589.09 206.80
Kansas Aetna Open Access - High Self & Family HA2 2081.11 2598.18 1184.02 1414.16 471.24
Kansas Aetna Open Access - High Self Plus One HA3 2060.54 2572.53 1092.26 1480.27 486.32
Kansas Aetna Open Access - Standard Self HA4 707.85 716.37 510.84 205.53 -3.60
Kansas Aetna Open Access - Standard Self & Family HA5 1670.78 1690.89 1184.02 506.87 -25.72
Kansas Aetna Open Access - Standard Self Plus One HA6 1654.25 1674.16 1092.26 581.90 -5.76
Kansas Humana CoverageFirst and Humana Value Plan - Value Self PH4 428.35 484.03 363.02 121.01 13.92
Kansas Humana CoverageFirst and Humana Value Plan - Value Self & Family PH5 963.82 1089.10 816.83 272.27 31.32
Kansas Humana CoverageFirst and Humana Value Plan - Value Self Plus One PH6 920.96 1040.67 780.50 260.17 29.93
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self PH1 600.95 715.11 510.84 204.27 54.03
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family PH2 1352.13 1609.03 1184.02 425.01 86.98
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One PH3 1292.05 1537.51 1092.26 445.25 122.24
Kansas Humana Health Plan, Inc. - High Self MS1 1625.63 1723.17 510.84 1212.33 85.42
Kansas Humana Health Plan, Inc. - High Self & Family MS2 3657.66 3877.12 1184.02 2693.10 173.63
Kansas Humana Health Plan, Inc. - High Self Plus One MS3 3495.09 3704.81 1092.26 2612.55 184.05
Kansas Humana Health Plan, Inc. - Standard Self MS4 952.77 1067.00 510.84 556.16 102.11
Kansas Humana Health Plan, Inc. - Standard Self & Family MS5 2143.79 2400.78 1184.02 1216.76 211.16
Kansas Humana Health Plan, Inc. - Standard Self Plus One MS6 2048.50 2294.09 1092.26 1201.83 219.92
Kentucky Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Kentucky Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Kentucky Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Kentucky Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Kentucky Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Kentucky Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 828.86 828.47 510.84 317.63 -12.51
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1889.38 1888.45 1184.02 704.43 -46.76
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1870.68 1869.92 1092.26 777.66 -26.43
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 616.53 807.04 510.84 296.20 142.07
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1414.99 1852.18 1184.02 668.16 314.41
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1387.25 1815.86 1092.26 723.60 376.79
Kentucky Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Kentucky Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Kentucky Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Kentucky Humana CoverageFirst - CDHP Self TC1 622.12 659.47 494.60 164.87 9.34
Kentucky Humana CoverageFirst - CDHP Self & Family TC2 1399.75 1483.73 1112.80 370.93 20.99
Kentucky Humana CoverageFirst - CDHP Self Plus One TC3 1337.55 1417.82 1063.37 354.45 20.06
Kentucky Humana CoverageFirst - CDHP Self 6N1 633.64 766.70 510.84 255.86 97.45
Kentucky Humana CoverageFirst - CDHP Self & Family 6N2 1425.69 1725.08 1184.02 541.06 184.64
Kentucky Humana CoverageFirst - CDHP Self Plus One 6N3 1362.31 1648.40 1092.26 556.14 215.56
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self X34 570.27 615.12 461.34 153.78 11.21
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 1283.12 1384.05 1038.04 346.01 25.23
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 1226.07 1322.53 991.90 330.63 24.11
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self X31 684.65 799.44 510.84 288.60 102.67
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 1540.48 1798.77 1184.02 614.75 212.46
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 1472.01 1718.82 1092.26 626.56 221.14
Kentucky Humana Health Plan of Ohio, Inc. - High Self A61 1172.64 1500.98 510.84 990.14 316.22
Kentucky Humana Health Plan of Ohio, Inc. - High Self & Family A62 2638.48 3377.23 1184.02 2193.21 692.92
Kentucky Humana Health Plan of Ohio, Inc. - High Self Plus One A63 2521.22 3227.14 1092.26 2134.88 680.25
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self A64 930.28 1172.17 510.84 661.33 229.77
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 2093.17 2637.42 1184.02 1453.40 498.42
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 2000.16 2520.20 1092.26 1427.94 494.37
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self W61 585.78 608.62 456.47 152.15 5.71
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self & Family W62 1318.01 1369.44 1027.08 342.36 12.86
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self Plus One W63 1259.42 1308.58 981.44 327.14 12.29
Kentucky Humana Health Plan, Inc. - High Self MI1 1123.14 1381.45 510.84 870.61 246.19
Kentucky Humana Health Plan, Inc. - High Self & Family MI2 2527.03 3108.24 1184.02 1924.22 535.38
Kentucky Humana Health Plan, Inc. - High Self Plus One MI3 2414.71 2970.09 1092.26 1877.83 529.71
Kentucky Humana Health Plan, Inc. - Standard Self MI4 811.92 885.00 510.84 374.16 60.96
Kentucky Humana Health Plan, Inc. - Standard Self & Family MI5 1826.80 1991.21 1184.02 807.19 118.58
Kentucky Humana Health Plan, Inc. - Standard Self Plus One MI6 1745.62 1902.75 1092.26 810.49 131.46
Kentucky Humana Health Plan, Inc. - High Self MH1 883.98 1104.96 510.84 594.12 208.86
Kentucky Humana Health Plan, Inc. - High Self & Family MH2 1988.96 2486.19 1184.02 1302.17 451.40
Kentucky Humana Health Plan, Inc. - High Self Plus One MH3 1900.56 2375.69 1092.26 1283.43 449.46
Kentucky Humana Health Plan, Inc. - Standard Self MH4 722.39 859.65 510.84 348.81 125.14
Kentucky Humana Health Plan, Inc. - Standard Self & Family MH5 1625.37 1934.18 1184.02 750.16 262.98
Kentucky Humana Health Plan, Inc. - Standard Self Plus One MH6 1553.13 1848.23 1092.26 755.97 269.43
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self N71 532.16 610.42 457.82 152.60 19.56
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family N72 1223.93 1403.98 1052.99 350.99 45.01
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One N73 1144.11 1312.42 984.32 328.10 42.07
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LJ1 671.95 720.18 510.84 209.34 36.11
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LJ2 1679.86 1800.48 1184.02 616.46 74.79
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LJ3 1444.69 1548.41 1092.26 456.15 78.05
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 525.81 394.36 131.45 New Plan
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1243.36 932.52 310.84 New Plan
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1130.42 847.82 282.60 New Plan
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 506.74 380.06 126.68 New Plan
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1198.23 898.67 299.56 New Plan
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1089.38 817.04 272.34 New Plan
Louisiana Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Louisiana Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Louisiana Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Louisiana Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Louisiana Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Louisiana Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 810.79 829.23 510.84 318.39 6.32
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1848.71 1890.72 1184.02 706.70 -3.82
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1830.40 1872.00 1092.26 779.74 15.93
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 708.44 819.98 510.84 309.14 99.42
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1622.25 1877.61 1184.02 693.59 209.53
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1590.42 1840.78 1092.26 748.52 224.69
Louisiana Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Louisiana Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Louisiana Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self BC4 596.57 674.14 505.61 168.53 19.39
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self & Family BC5 1342.29 1516.80 1137.60 379.20 43.63
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self Plus One BC6 1282.62 1449.37 1087.03 362.34 41.69
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self BC1 751.10 901.33 510.84 390.49 138.11
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self & Family BC2 1690.02 2028.02 1184.02 844.00 292.17
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self Plus One BC3 1614.90 1937.89 1092.26 845.63 297.32
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self AE1 864.05 1071.42 510.84 560.58 195.25
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self & Family AE2 1944.06 2410.63 1184.02 1226.61 420.74
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self Plus One AE3 1857.68 2303.51 1092.26 1211.25 420.16
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self AE4 734.05 807.45 510.84 296.61 61.28
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self & Family AE5 1651.63 1816.79 1184.02 632.77 119.33
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self Plus One AE6 1578.22 1736.04 1092.26 643.78 132.15
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 418.71 454.74 341.06 113.68 9.00
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 963.08 1045.92 784.44 261.48 20.71
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 900.25 977.71 733.28 244.43 19.37
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 679.03 713.87 510.84 203.03 22.72
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1697.63 1784.71 1184.02 600.69 41.25
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1459.94 1534.87 1092.26 442.61 49.26
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 525.81 394.36 131.45 New Plan
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1243.36 932.52 310.84 New Plan
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1130.42 847.82 282.60 New Plan
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 506.74 380.06 126.68 New Plan
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1198.23 898.67 299.56 New Plan
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1089.38 817.04 272.34 New Plan
Maine Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Maine Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Maine Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Maine Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Maine Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Maine Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 619.08 759.61 510.84 248.77 94.00
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1417.65 1739.51 1184.02 555.49 201.08
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1389.85 1705.38 1092.26 613.12 265.66
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 916.80 1075.75 510.84 564.91 146.83
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2090.83 2453.32 1184.02 1269.30 316.66
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2070.12 2429.03 1092.26 1336.77 333.24
Maine Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Maine Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Maine Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Maryland Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Maryland Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Maryland Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Maryland Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Maryland Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Maryland Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 810.79 829.23 510.84 318.39 6.32
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1848.71 1890.72 1184.02 706.70 -3.82
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1830.40 1872.00 1092.26 779.74 15.93
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 708.44 819.98 510.84 309.14 99.42
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1622.25 1877.61 1184.02 693.59 209.53
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1590.42 1840.78 1092.26 748.52 224.69
Maryland Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Maryland Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Maryland Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Maryland Aetna Open Access - High Self JN1 1119.13 1137.57 510.84 626.73 6.32
Maryland Aetna Open Access - High Self & Family JN2 2515.98 2557.43 1184.02 1373.41 -4.38
Maryland Aetna Open Access - High Self Plus One JN3 2491.04 2532.10 1092.26 1439.84 15.39
Maryland Aetna Open Access - Basic Self JN4 680.46 697.10 510.84 186.26 4.52
Maryland Aetna Open Access - Basic Self & Family JN5 1557.25 1595.34 1184.02 411.32 -7.74
Maryland Aetna Open Access - Basic Self Plus One JN6 1430.00 1464.99 1092.26 372.73 9.32
Maryland Aetna Saver - Saver Self QQ4 New Plan 595.21 446.41 148.80 New Plan
Maryland Aetna Saver - Saver Self & Family QQ5 New Plan 1362.14 1021.61 340.53 New Plan
Maryland Aetna Saver - Saver Self Plus One QQ6 New Plan 1250.82 938.12 312.70 New Plan
Maryland CareFirst BlueChoice - Standard Self 2G4 797.68 845.54 510.84 334.70 35.74
Maryland CareFirst BlueChoice - Standard Self & Family 2G5 1895.25 2008.96 1184.02 824.94 67.88
Maryland CareFirst BlueChoice - Standard Self Plus One 2G6 1595.34 1691.06 1092.26 598.80 70.05
Maryland CareFirst BlueChoice - HDHP Self B61 518.27 570.09 427.57 142.52 12.95
Maryland CareFirst BlueChoice - HDHP Self & Family B62 1231.38 1354.51 1015.88 338.63 30.79
Maryland CareFirst BlueChoice - HDHP Self Plus One B63 1036.51 1140.17 855.13 285.04 25.91
Maryland CareFirst BlueChoice - Blue Value Plus Self B64 New Plan 705.99 510.84 195.15 New Plan
Maryland CareFirst BlueChoice - Blue Value Plus Self & Family B65 New Plan 1677.46 1184.02 493.44 New Plan
Maryland CareFirst BlueChoice - Blue Value Plus Self Plus One B66 New Plan 1412.02 1059.02 353.00 New Plan
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Basic Self T71 420.12 420.12 315.09 105.03 0.00
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Basic Self & Family T72 1026.16 1026.16 769.62 256.54 0.00
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Basic Self Plus One T73 934.90 934.90 701.18 233.72 0.00
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Standard Self E34 521.76 571.55 428.66 142.89 12.45
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Standard Self & Family E35 1199.99 1314.50 985.88 328.62 28.62
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - Standard Self Plus One E36 1199.99 1314.50 985.88 328.62 28.62
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - High Self E31 692.68 722.82 510.84 211.98 18.02
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - High Self & Family E32 1593.15 1662.53 1184.02 478.51 23.55
Maryland Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. - High Self Plus One E33 1593.15 1662.53 1092.26 570.27 43.71
Maryland M.D. IPA - High Self JP1 790.86 876.61 510.84 365.77 73.63
Maryland M.D. IPA - High Self & Family JP2 2217.54 2458.04 1184.02 1274.02 194.67
Maryland M.D. IPA - High Self Plus One JP3 1544.53 1712.04 1092.26 619.78 141.84
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 495.69 486.57 364.93 121.64 -2.28
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 1140.06 1119.11 839.33 279.78 -5.23
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 1065.72 1046.13 784.60 261.53 -4.90
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 667.94 714.89 510.84 204.05 34.83
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 1582.99 1694.29 1184.02 510.27 65.47
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 1436.05 1536.99 1092.26 444.73 75.27
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 437.06 521.50 391.13 130.37 21.11
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1225.49 1462.26 1096.70 365.56 59.19
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 853.56 1018.46 763.85 254.61 41.22
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 525.81 394.36 131.45 New Plan
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1243.36 932.52 310.84 New Plan
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1130.42 847.82 282.60 New Plan
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 506.74 380.06 126.68 New Plan
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1198.23 898.67 299.56 New Plan
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1089.38 817.04 272.34 New Plan
Massachusetts Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Massachusetts Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Massachusetts Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Massachusetts Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Massachusetts Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Massachusetts Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 619.08 759.61 510.84 248.77 94.00
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1417.65 1739.51 1184.02 555.49 201.08
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1389.85 1705.38 1092.26 613.12 265.66
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 916.80 1075.75 510.84 564.91 146.83
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2090.83 2453.32 1184.02 1269.30 316.66
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2070.12 2429.03 1092.26 1336.77 333.24
Massachusetts Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Massachusetts Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Massachusetts Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Michigan Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Michigan Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Michigan Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Michigan Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Michigan Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Michigan Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 670.58 712.73 510.84 201.89 30.03
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1535.86 1632.37 1184.02 448.35 50.68
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1505.77 1600.37 1092.26 508.11 68.93
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 785.14 904.50 510.84 393.66 107.24
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1790.88 2063.10 1184.02 879.08 226.39
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1773.18 2042.71 1092.26 950.45 243.86
Michigan Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Michigan Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Michigan Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Michigan Blue Care Network of Michigan - High Self LX1 734.72 742.86 510.84 232.02 -3.98
Michigan Blue Care Network of Michigan - High Self & Family LX2 1792.64 1812.59 1184.02 628.57 -25.88
Michigan Blue Care Network of Michigan - High Self Plus One LX3 1689.81 1708.57 1092.26 616.31 -6.91
Michigan Blue Care Network of Michigan - High Self K51 943.45 957.73 510.84 446.89 2.16
Michigan Blue Care Network of Michigan - High Self & Family K52 2301.95 2336.82 1184.02 1152.80 -10.96
Michigan Blue Care Network of Michigan - High Self Plus One K53 2169.90 2202.72 1092.26 1110.46 7.15
Michigan Health Alliance Plan - High Self 521 763.84 787.89 510.84 277.05 11.93
Michigan Health Alliance Plan - High Self & Family 522 1863.72 1922.44 1184.02 738.42 12.89
Michigan Health Alliance Plan - High Self Plus One 523 1756.82 1812.14 1092.26 719.88 29.65
Michigan Health Alliance Plan - Standard Self GY4 598.35 614.23 460.67 153.56 3.97
Michigan Health Alliance Plan - Standard Self & Family GY5 1460.01 1498.77 1124.08 374.69 9.69
Michigan Health Alliance Plan - Standard Self Plus One GY6 1376.22 1412.78 1059.59 353.19 9.14
Michigan Priority Health - High Self LE1 912.10 919.58 510.84 408.74 -4.64
Michigan Priority Health - High Self & Family LE2 2143.44 2161.01 1184.02 976.99 -28.26
Michigan Priority Health - High Self Plus One LE3 2006.64 2023.06 1092.26 930.80 -9.25
Michigan Priority Health - Standard Self LE4 504.44 539.33 404.50 134.83 8.72
Michigan Priority Health - Standard Self & Family LE5 1185.45 1267.44 950.58 316.86 20.50
Michigan Priority Health - Standard Self Plus One LE6 1109.79 1186.53 889.90 296.63 19.18
Michigan Priority Health - Value Self Y41 New Plan 473.24 354.93 118.31 New Plan
Michigan Priority Health - Value Self & Family Y42 New Plan 1112.13 834.10 278.03 New Plan
Michigan Priority Health - Value Self Plus One Y43 New Plan 1041.13 780.85 260.28 New Plan
Minnesota Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Minnesota Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Minnesota Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Minnesota Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Minnesota Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Minnesota Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 828.86 828.47 510.84 317.63 -12.51
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1889.38 1888.45 1184.02 704.43 -46.76
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1870.68 1869.92 1092.26 777.66 -26.43
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 616.53 807.04 510.84 296.20 142.07
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1414.99 1852.18 1184.02 668.16 314.41
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1387.25 1815.86 1092.26 723.60 376.79
Minnesota Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Minnesota Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Minnesota Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Minnesota HealthPartners - Standard Self V34 428.09 459.92 344.94 114.98 7.96
Minnesota HealthPartners - Standard Self & Family V35 1042.82 1120.41 840.31 280.10 19.40
Minnesota HealthPartners - Standard Self Plus One V36 946.08 1016.45 762.34 254.11 17.59
Minnesota HealthPartners - High Self V31 790.31 712.31 510.84 201.47 -90.12
Minnesota HealthPartners - High Self & Family V32 1925.21 1735.20 1184.02 551.18 -235.84
Minnesota HealthPartners - High Self Plus One V33 1746.57 1574.21 1092.26 481.95 -198.03
Mississippi Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Mississippi Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Mississippi Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Mississippi Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Mississippi Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Mississippi Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 828.86 828.47 510.84 317.63 -12.51
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1889.38 1888.45 1184.02 704.43 -46.76
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1870.68 1869.92 1092.26 777.66 -26.43
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 616.53 807.04 510.84 296.20 142.07
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1414.99 1852.18 1184.02 668.16 314.41
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1387.25 1815.86 1092.26 723.60 376.79
Mississippi Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Mississippi Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Mississippi Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 418.71 454.74 341.06 113.68 9.00
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 963.08 1045.92 784.44 261.48 20.71
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 900.25 977.71 733.28 244.43 19.37
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 679.03 713.87 510.84 203.03 22.72
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1697.63 1784.71 1184.02 600.69 41.25
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1459.94 1534.87 1092.26 442.61 49.26
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 525.81 394.36 131.45 New Plan
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1243.36 932.52 310.84 New Plan
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1130.42 847.82 282.60 New Plan
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 506.74 380.06 126.68 New Plan
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1198.23 898.67 299.56 New Plan
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1089.38 817.04 272.34 New Plan
Missouri Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Missouri Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Missouri Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Missouri Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Missouri Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Missouri Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 670.58 712.73 510.84 201.89 30.03
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1535.86 1632.37 1184.02 448.35 50.68
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1505.77 1600.37 1092.26 508.11 68.93
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 785.14 904.50 510.84 393.66 107.24
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1790.88 2063.10 1184.02 879.08 226.39
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1773.18 2042.71 1092.26 950.45 243.86
Missouri Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Missouri Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Missouri Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Missouri Aetna Open Access - High Self HA1 881.01 1099.93 510.84 589.09 206.80
Missouri Aetna Open Access - High Self & Family HA2 2081.11 2598.18 1184.02 1414.16 471.24
Missouri Aetna Open Access - High Self Plus One HA3 2060.54 2572.53 1092.26 1480.27 486.32
Missouri Aetna Open Access - Standard Self HA4 707.85 716.37 510.84 205.53 -3.60
Missouri Aetna Open Access - Standard Self & Family HA5 1670.78 1690.89 1184.02 506.87 -25.72
Missouri Aetna Open Access - Standard Self Plus One HA6 1654.25 1674.16 1092.26 581.90 -5.76
Missouri Blue Preferred - High Self 9G1 782.36 833.21 510.84 322.37 38.73
Missouri Blue Preferred - High Self & Family 9G2 1681.07 1858.87 1184.02 674.85 131.97
Missouri Blue Preferred - High Self Plus One 9G3 1591.81 1760.59 1092.26 668.33 143.11
Missouri Blue Preferred - Standard Self 9G4 558.72 600.62 450.47 150.15 10.47
Missouri Blue Preferred - Standard Self & Family 9G5 1587.91 1707.01 1184.02 522.99 73.27
Missouri Blue Preferred - Standard Self Plus One 9G6 1436.02 1543.71 1092.26 451.45 82.02
Missouri Humana CoverageFirst and Humana Value Plan - Value Self PH4 428.35 484.03 363.02 121.01 13.92
Missouri Humana CoverageFirst and Humana Value Plan - Value Self & Family PH5 963.82 1089.10 816.83 272.27 31.32
Missouri Humana CoverageFirst and Humana Value Plan - Value Self Plus One PH6 920.96 1040.67 780.50 260.17 29.93
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self PH1 600.95 715.11 510.84 204.27 54.03
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self & Family PH2 1352.13 1609.03 1184.02 425.01 86.98
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One PH3 1292.05 1537.51 1092.26 445.25 122.24
Missouri Humana Health Plan, Inc. - High Self MS1 1625.63 1723.17 510.84 1212.33 85.42
Missouri Humana Health Plan, Inc. - High Self & Family MS2 3657.66 3877.12 1184.02 2693.10 173.63
Missouri Humana Health Plan, Inc. - High Self Plus One MS3 3495.09 3704.81 1092.26 2612.55 184.05
Missouri Humana Health Plan, Inc. - Standard Self MS4 952.77 1067.00 510.84 556.16 102.11
Missouri Humana Health Plan, Inc. - Standard Self & Family MS5 2143.79 2400.78 1184.02 1216.76 211.16
Missouri Humana Health Plan, Inc. - Standard Self Plus One MS6 2048.50 2294.09 1092.26 1201.83 219.92
Missouri UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self AS1 New Plan 525.81 394.36 131.45 New Plan
Missouri UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family AS2 New Plan 1243.36 932.52 310.84 New Plan
Missouri UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One AS3 New Plan 1130.42 847.82 282.60 New Plan
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Y81 New Plan 506.74 380.06 126.68 New Plan
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family Y82 New Plan 1198.23 898.67 299.56 New Plan
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One Y83 New Plan 1089.38 817.04 272.34 New Plan
Montana Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Montana Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Montana Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Montana Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Montana Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Montana Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 828.86 828.47 510.84 317.63 -12.51
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1889.38 1888.45 1184.02 704.43 -46.76
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1870.68 1869.92 1092.26 777.66 -26.43
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 616.53 807.04 510.84 296.20 142.07
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1414.99 1852.18 1184.02 668.16 314.41
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1387.25 1815.86 1092.26 723.60 376.79
Montana Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Montana Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Montana Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Nebraska Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Nebraska Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Nebraska Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Nebraska Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Nebraska Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Nebraska Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 828.86 828.47 510.84 317.63 -12.51
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1889.38 1888.45 1184.02 704.43 -46.76
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1870.68 1869.92 1092.26 777.66 -26.43
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 616.53 807.04 510.84 296.20 142.07
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1414.99 1852.18 1184.02 668.16 314.41
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1387.25 1815.86 1092.26 723.60 376.79
Nebraska Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Nebraska Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Nebraska Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Nevada Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
Nevada Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
Nevada Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
Nevada Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
Nevada Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
Nevada Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 670.58 712.73 510.84 201.89 30.03
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1535.86 1632.37 1184.02 448.35 50.68
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1505.77 1600.37 1092.26 508.11 68.93
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 785.14 904.50 510.84 393.66 107.24
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1790.88 2063.10 1184.02 879.08 226.39
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1773.18 2042.71 1092.26 950.45 243.86
Nevada Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
Nevada Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
Nevada Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
Nevada Health Plan of Nevada, Inc. - High Self NM1 658.54 706.98 510.84 196.14 31.51
Nevada Health Plan of Nevada, Inc. - High Self & Family NM2 1560.67 1675.48 1184.02 491.46 68.98
Nevada Health Plan of Nevada, Inc. - High Self Plus One NM3 1251.25 1343.29 1007.47 335.82 23.01
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 450.32 443.84 332.88 110.96 -1.62
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1035.73 1020.85 765.64 255.21 -3.72
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 968.20 954.27 715.70 238.57 -3.48
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 679.19 724.77 510.84 213.93 33.46
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 1697.95 1811.90 1184.02 627.88 68.12
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1460.23 1558.25 1092.26 465.99 72.35
Nevada UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self WF1 New Plan 522.86 392.15 130.71 New Plan
Nevada UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self & Family WF2 New Plan 1236.39 927.29 309.10 New Plan
Nevada UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage - High Self Plus One WF3 New Plan 1124.05 843.04 281.01 New Plan
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self VD1 New Plan 522.02 391.52 130.50 New Plan
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self & Family VD2 New Plan 1234.37 925.78 308.59 New Plan
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage - High Self Plus One VD3 New Plan 1122.23 841.67 280.56 New Plan
New Hampshire Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
New Hampshire Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
New Hampshire Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
New Hampshire Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
New Hampshire Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
New Hampshire Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 619.08 759.61 510.84 248.77 94.00
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1417.65 1739.51 1184.02 555.49 201.08
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1389.85 1705.38 1092.26 613.12 265.66
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 916.80 1075.75 510.84 564.91 146.83
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2090.83 2453.32 1184.02 1269.30 316.66
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2070.12 2429.03 1092.26 1336.77 333.24
New Hampshire Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
New Hampshire Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
New Hampshire Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
New Jersey Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
New Jersey Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
New Jersey Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
New Jersey Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
New Jersey Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
New Jersey Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 619.08 759.61 510.84 248.77 94.00
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1417.65 1739.51 1184.02 555.49 201.08
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1389.85 1705.38 1092.26 613.12 265.66
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 916.80 1075.75 510.84 564.91 146.83
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2090.83 2453.32 1184.02 1269.30 316.66
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2070.12 2429.03 1092.26 1336.77 333.24
New Jersey Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
New Jersey Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
New Jersey Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
New Jersey Aetna Open Access - High Self JR1 1409.79 1544.75 510.84 1033.91 122.84
New Jersey Aetna Open Access - High Self & Family JR2 3256.46 3568.20 1184.02 2384.18 265.91
New Jersey Aetna Open Access - High Self Plus One JR3 3224.20 3532.84 1092.26 2440.58 282.97
New Jersey Aetna Open Access - Basic Self JR4 1163.41 1373.28 510.84 862.44 197.75
New Jersey Aetna Open Access - Basic Self & Family JR5 2696.33 3182.68 1184.02 1998.66 440.52
New Jersey Aetna Open Access - Basic Self Plus One JR6 2669.62 3151.16 1092.26 2058.90 455.87
New Jersey Aetna Open Access - Basic Self P34 1298.46 1310.08 510.84 799.24 -0.50
New Jersey Aetna Open Access - Basic Self & Family P35 3013.75 3040.68 1184.02 1856.66 -18.90
New Jersey Aetna Open Access - Basic Self Plus One P36 2983.89 3010.54 1092.26 1918.28 0.98
New Jersey Aetna Open Access - High Self P31 1485.21 1456.61 510.84 945.77 -40.72
New Jersey Aetna Open Access - High Self & Family P32 3600.91 3531.54 1184.02 2347.52 -115.20
New Jersey Aetna Open Access - High Self Plus One P33 3565.25 3496.55 1092.26 2404.29 -94.37
New Jersey GHI Health Plan - Standard Self 804 925.97 1004.66 510.84 493.82 66.57
New Jersey GHI Health Plan - Standard Self & Family 805 2246.47 2437.41 1184.02 1253.39 145.11
New Jersey GHI Health Plan - Standard Self Plus One 806 2153.84 2336.92 1092.26 1244.66 157.41
New Jersey GHI Health Plan - HDHP Self 811 New Plan 676.35 507.26 169.09 New Plan
New Jersey GHI Health Plan - HDHP Self & Family 812 New Plan 1478.71 1109.03 369.68 New Plan
New Jersey GHI Health Plan - HDHP Self Plus One 813 New Plan 1450.09 1087.57 362.52 New Plan
New Mexico Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
New Mexico Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
New Mexico Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
New Mexico Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
New Mexico Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
New Mexico Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 670.58 712.73 510.84 201.89 30.03
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1535.86 1632.37 1184.02 448.35 50.68
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1505.77 1600.37 1092.26 508.11 68.93
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 785.14 904.50 510.84 393.66 107.24
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1790.88 2063.10 1184.02 879.08 226.39
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1773.18 2042.71 1092.26 950.45 243.86
New Mexico Aetna HealthFund HDHP - HDHP Self 224 659.71 728.80 510.84 217.96 53.03
New Mexico Aetna HealthFund HDHP - HDHP Self & Family 225 1455.20 1607.60 1184.02 423.58 59.78
New Mexico Aetna HealthFund HDHP - HDHP Self Plus One 226 1426.69 1576.10 1092.26 483.84 123.74
New Mexico Presbyterian Health Plan - High Self P21 740.31 840.99 510.84 330.15 88.56
New Mexico Presbyterian Health Plan - High Self & Family P22 1739.75 1976.30 1184.02 792.28 190.72
New Mexico Presbyterian Health Plan - High Self Plus One P23 1680.53 1909.03 1092.26 816.77 202.83
New Mexico Presbyterian Health Plan - Standard Self PS4 622.66 710.28 510.84 199.44 43.78
New Mexico Presbyterian Health Plan - Standard Self & Family PS5 1463.28 1669.16 1184.02 485.14 119.32
New Mexico Presbyterian Health Plan - Standard Self Plus One PS6 1413.45 1612.35 1092.26 520.09 166.73
New Mexico Presbyterian Health Plan - Wellness Self PS1 New Plan 619.88 464.91 154.97 New Plan
New Mexico Presbyterian Health Plan - Wellness Self & Family PS2 New Plan 1456.76 1092.57 364.19 New Plan
New Mexico Presbyterian Health Plan - Wellness Self Plus One PS3 New Plan 1407.19 1055.39 351.80 New Plan
New Mexico True Health New Mexico - High Self EL1 New Plan 620.17 465.13 155.04 New Plan
New Mexico True Health New Mexico - High Self & Family EL2 New Plan 1464.47 1098.35 366.12 New Plan
New Mexico True Health New Mexico - High Self Plus One EL3 New Plan 1388.03 1041.02 347.01 New Plan
New York Aetna Advantage - Advantage Self Z24 New Plan 463.84 347.88 115.96 New Plan
New York Aetna Advantage - Advantage Self & Family Z25 New Plan 1229.17 921.88 307.29 New Plan
New York Aetna Advantage - Advantage Self Plus One Z26 New Plan 1020.44 765.33 255.11 New Plan
New York Aetna Direct - CDHP Self N61 557.33 612.65 459.49 153.16 13.83
New York Aetna Direct - CDHP Self & Family N62 1405.54 1545.01 1158.76 386.25 34.87
New York Aetna Direct - CDHP Self Plus One N63 1222.26 1343.55 1007.66 335.89 30.33