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Healthcare

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

HMO (Regional Plans with Specific Service Areas)

Plan - Option Enrollment Code 2020 Total Biweekly Premium 2021 Biweekly Premium Rates - Total Premium 2021 Biweekly Premium Rates - Government Pays 2021 Biweekly Premium Rates - Employee Pays 2021 Biweekly Premium Rates - Change in Employee Payment 2020 Total Monthly Premium 2021 Monthly Premium Rates - Total Premium 2021 Monthly Premium Rates - Government Pays 2021 Monthly Premium Rates - Employee Pays 2021 Monthly Premium Rates - Change in Employee Payment
Alabama Aetna Advantage - Advantage Self Z24 214.08 230.78 173.09 57.69 4.17 463.84 500.02 375.02 125.00 9.04
Alabama Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 458.66 152.88 11.05 1229.17 1325.00 993.75 331.25 23.96
Alabama Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 380.78 126.92 9.18 1020.44 1100.02 825.02 275.00 19.89
Alabama Aetna Direct - CDHP Self N61 282.76 284.23 213.17 71.06 0.37 612.65 615.83 461.87 153.96 0.80
Alabama Aetna Direct - CDHP Self & Family N62 713.08 716.80 537.60 179.20 0.93 1545.01 1553.07 1164.80 388.27 2.02
Alabama Aetna Direct - CDHP Self Plus One N63 620.10 623.33 467.50 155.83 0.81 1343.55 1350.55 1012.91 337.64 1.75
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 382.72 393.11 241.58 151.53 4.58 829.23 851.74 523.42 328.32 9.93
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 872.64 896.32 562.25 334.07 7.90 1890.72 1942.03 1218.21 723.82 17.12
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 864.00 887.45 517.46 369.99 10.11 1872.00 1922.81 1121.16 801.65 21.91
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 378.45 379.30 241.58 137.72 -4.96 819.98 821.82 523.42 298.40 -10.74
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 866.59 868.56 562.25 306.31 -13.81 1877.61 1881.88 1218.21 663.67 -29.92
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 849.59 851.52 517.46 334.06 -11.41 1840.78 1844.96 1121.16 723.80 -24.72
Alabama Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 241.58 121.20 20.60 728.80 786.02 523.42 262.60 44.64
Alabama Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 562.25 237.98 42.48 1607.60 1733.83 1218.21 515.62 92.04
Alabama Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 517.46 267.10 43.79 1576.10 1699.88 1121.16 578.72 94.88
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 242.68 276.68 207.51 69.17 8.50 525.81 599.47 449.60 149.87 18.42
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 573.86 654.35 490.76 163.59 20.13 1243.36 1417.76 1063.32 354.44 43.60
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 521.73 594.87 446.15 148.72 18.29 1130.42 1288.89 966.67 322.22 39.62
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 209.88 224.24 168.18 56.06 3.59 454.74 485.85 364.39 121.46 7.78
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 482.73 515.77 386.83 128.94 8.26 1045.92 1117.50 838.13 279.37 17.89
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 451.25 482.12 361.59 120.53 7.72 977.71 1044.59 783.44 261.15 16.72
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 329.48 354.94 241.58 113.36 19.65 713.87 769.04 523.42 245.62 42.59
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 823.71 887.37 562.25 325.12 47.88 1784.71 1922.64 1218.21 704.43 103.74
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 708.40 763.14 517.46 245.68 41.40 1534.87 1653.47 1121.16 532.31 89.70
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 233.88 266.18 199.64 66.54 8.07 506.74 576.72 432.54 144.18 17.50
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 553.03 629.51 472.13 157.38 19.12 1198.23 1363.94 1022.96 340.98 41.42
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 502.79 572.28 429.21 143.07 17.37 1089.38 1239.94 929.96 309.98 37.64
Alabama UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 142.52 47.51 New Plan New Plan 411.73 308.80 102.93 New Plan
Alabama UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 377.68 125.89 New Plan New Plan 1091.07 818.30 272.77 New Plan
Alabama UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 313.55 104.51 New Plan New Plan 905.80 679.35 226.45 New Plan
Alaska Aetna Advantage - Advantage Self Z24 214.08 230.78 173.09 57.69 4.17 463.84 500.02 375.02 125.00 9.04
Alaska Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 458.66 152.88 11.05 1229.17 1325.00 993.75 331.25 23.96
Alaska Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 380.78 126.92 9.18 1020.44 1100.02 825.02 275.00 19.89
Alaska Aetna Direct - CDHP Self N61 282.76 284.23 213.17 71.06 0.37 612.65 615.83 461.87 153.96 0.80
Alaska Aetna Direct - CDHP Self & Family N62 713.08 716.80 537.60 179.20 0.93 1545.01 1553.07 1164.80 388.27 2.02
Alaska Aetna Direct - CDHP Self Plus One N63 620.10 623.33 467.50 155.83 0.81 1343.55 1350.55 1012.91 337.64 1.75
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 495.45 505.19 241.58 263.61 3.93 1073.48 1094.58 523.42 571.16 8.52
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1131.04 1153.29 562.25 591.04 6.47 2450.59 2498.80 1218.21 1280.59 14.02
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1119.84 1141.88 517.46 624.42 8.70 2426.32 2474.07 1121.16 1352.91 18.85
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 463.38 466.12 241.58 224.54 -3.07 1003.99 1009.93 523.42 486.51 -6.64
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1056.30 1062.53 562.25 500.28 -9.55 2288.65 2302.15 1218.21 1083.94 -20.69
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1045.84 1052.00 517.46 534.54 -7.18 2265.99 2279.33 1121.16 1158.17 -15.56
Alaska Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 241.58 121.20 20.60 728.80 786.02 523.42 262.60 44.64
Alaska Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 562.25 237.98 42.48 1607.60 1733.83 1218.21 515.62 92.04
Alaska Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 517.46 267.10 43.79 1576.10 1699.88 1121.16 578.72 94.88
Arizona Aetna Advantage - Advantage Self Z24 214.08 230.78 173.09 57.69 4.17 463.84 500.02 375.02 125.00 9.04
Arizona Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 458.66 152.88 11.05 1229.17 1325.00 993.75 331.25 23.96
Arizona Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 380.78 126.92 9.18 1020.44 1100.02 825.02 275.00 19.89
Arizona Aetna Direct - CDHP Self N61 282.76 284.23 213.17 71.06 0.37 612.65 615.83 461.87 153.96 0.80
Arizona Aetna Direct - CDHP Self & Family N62 713.08 716.80 537.60 179.20 0.93 1545.01 1553.07 1164.80 388.27 2.02
Arizona Aetna Direct - CDHP Self Plus One N63 620.10 623.33 467.50 155.83 0.81 1343.55 1350.55 1012.91 337.64 1.75
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 328.95 330.94 241.58 89.36 -3.82 712.73 717.04 523.42 193.62 -8.27
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 753.40 757.97 562.25 195.72 -11.21 1632.37 1642.27 1218.21 424.06 -24.29
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 738.63 743.12 517.46 225.66 -8.85 1600.37 1610.09 1121.16 488.93 -19.18
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 417.46 488.66 241.58 247.08 65.39 904.50 1058.76 523.42 535.34 141.68
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 952.20 1114.65 562.25 552.40 146.67 2063.10 2415.08 1218.21 1196.87 317.79
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 942.79 1103.63 517.46 586.17 147.50 2042.71 2391.20 1121.16 1270.04 319.59
Arizona Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 241.58 121.20 20.60 728.80 786.02 523.42 262.60 44.64
Arizona Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 562.25 237.98 42.48 1607.60 1733.83 1218.21 515.62 92.04
Arizona Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 517.46 267.10 43.79 1576.10 1699.88 1121.16 578.72 94.88
Arizona Aetna Open Access - High Self WQ1 535.92 621.08 241.58 379.50 79.35 1161.16 1345.67 523.42 822.25 171.93
Arizona Aetna Open Access - High Self & Family WQ2 1301.20 1507.96 562.25 945.71 190.98 2819.27 3267.25 1218.21 2049.04 413.79
Arizona Aetna Open Access - High Self Plus One WQ3 1288.31 1493.01 517.46 975.55 191.36 2791.34 3234.86 1121.16 2113.70 414.62
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self R61 331.75 374.88 241.58 133.30 37.32 718.79 812.24 523.42 288.82 80.87
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family R62 746.43 843.46 562.25 281.21 81.25 1617.27 1827.50 1218.21 609.29 176.04
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One R63 713.25 805.98 517.46 288.52 79.39 1545.38 1746.29 1121.16 625.13 172.01
Arizona Humana CoverageFirst and Humana Value Plan - Value Self R64 265.17 299.64 224.73 74.91 8.62 574.54 649.22 486.92 162.30 18.67
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family R65 596.62 674.18 505.64 168.54 19.39 1292.68 1460.72 1095.54 365.18 42.01
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One R66 570.11 644.22 483.17 161.05 18.52 1235.24 1395.81 1046.86 348.95 40.14
Arizona Humana CoverageFirst and Humana Value Plan - Value Self R94 241.76 263.52 197.64 65.88 5.44 523.81 570.96 428.22 142.74 11.79
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family R95 543.95 592.90 444.68 148.22 12.23 1178.56 1284.62 963.47 321.15 26.51
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One R96 519.78 566.56 424.92 141.64 11.70 1126.19 1227.55 920.66 306.89 25.34
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self R91 303.64 330.96 241.58 89.38 13.47 657.89 717.08 523.42 193.66 29.19
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family R92 683.17 744.65 558.49 186.16 15.37 1480.20 1613.41 1210.06 403.35 33.30
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One R93 652.80 711.55 517.46 194.09 30.89 1414.40 1541.69 1121.16 420.53 66.93
Arizona Humana Health Plan, Inc. - Standard Self C74 361.89 412.55 241.58 170.97 44.85 784.10 893.86 523.42 370.44 97.18
Arizona Humana Health Plan, Inc. - Standard Self & Family C75 814.24 928.23 562.25 365.98 98.21 1764.19 2011.17 1218.21 792.96 212.79
Arizona Humana Health Plan, Inc. - Standard Self Plus One C76 778.03 886.95 517.46 369.49 95.58 1685.73 1921.73 1121.16 800.57 207.10
Arizona Humana Health Plan, Inc. - High Self C71 469.79 535.56 241.58 293.98 59.96 1017.88 1160.38 523.42 636.96 129.92
Arizona Humana Health Plan, Inc. - High Self & Family C72 1057.01 1205.00 562.25 642.75 132.21 2290.19 2610.83 1218.21 1392.62 286.45
Arizona Humana Health Plan, Inc. - High Self Plus One C73 1010.03 1151.44 517.46 633.98 128.07 2188.40 2494.79 1121.16 1373.63 277.49
Arizona Humana Health Plan, Inc. - High Self BF1 659.77 679.56 241.58 437.98 13.98 1429.50 1472.38 523.42 948.96 30.30
Arizona Humana Health Plan, Inc. - High Self & Family BF2 1484.43 1528.97 562.25 966.72 28.76 3216.27 3312.77 1218.21 2094.56 62.31
Arizona Humana Health Plan, Inc. - High Self Plus One BF3 1418.47 1461.01 517.46 943.55 29.20 3073.35 3165.52 1121.16 2044.36 63.27
Arizona Humana Health Plan, Inc. - Standard Self BF4 532.73 575.35 241.58 333.77 36.81 1154.25 1246.59 523.42 723.17 79.76
Arizona Humana Health Plan, Inc. - Standard Self & Family BF5 1198.65 1294.54 562.25 732.29 80.11 2597.08 2804.84 1218.21 1586.63 173.57
Arizona Humana Health Plan, Inc. - Standard Self Plus One BF6 1145.38 1237.02 517.46 719.56 78.30 2481.66 2680.21 1121.16 1559.05 169.65
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self WF1 241.32 287.18 215.39 71.79 11.46 522.86 622.22 466.67 155.55 24.84
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family WF2 570.64 679.17 509.38 169.79 27.13 1236.39 1471.54 1103.66 367.88 58.78
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One WF3 518.79 617.43 463.07 154.36 24.66 1124.05 1337.77 1003.33 334.44 53.43
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 204.85 243.77 182.83 60.94 9.73 443.84 528.17 396.13 132.04 21.08
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 471.16 560.66 420.50 140.16 22.37 1020.85 1214.76 911.07 303.69 48.48
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 440.43 524.10 393.08 131.02 20.91 954.27 1135.55 851.66 283.89 45.32
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 334.51 360.98 241.58 119.40 20.66 724.77 782.12 523.42 258.70 44.77
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 836.26 902.47 562.25 340.22 50.43 1811.90 1955.35 1218.21 737.14 109.26
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 719.19 776.11 517.46 258.65 43.58 1558.25 1681.57 1121.16 560.41 94.42
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self VD1 240.93 286.71 215.03 71.68 11.45 522.02 621.21 465.91 155.30 24.80
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family VD2 569.71 678.06 508.55 169.51 27.08 1234.37 1469.13 1101.85 367.28 58.69
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One VD3 517.95 616.42 462.32 154.10 24.61 1122.23 1335.58 1001.69 333.89 53.33
Arizona UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 142.52 47.51 New Plan New Plan 411.73 308.80 102.93 New Plan
Arizona UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 377.68 125.89 New Plan New Plan 1091.07 818.30 272.77 New Plan
Arizona UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 313.55 104.51 New Plan New Plan 905.80 679.35 226.45 New Plan
Arkansas Aetna Advantage - Advantage Self Z24 214.08 230.78 173.09 57.69 4.17 463.84 500.02 375.02 125.00 9.04
Arkansas Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 458.66 152.88 11.05 1229.17 1325.00 993.75 331.25 23.96
Arkansas Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 380.78 126.92 9.18 1020.44 1100.02 825.02 275.00 19.89
Arkansas Aetna Direct - CDHP Self N61 282.76 284.23 213.17 71.06 0.37 612.65 615.83 461.87 153.96 0.80
Arkansas Aetna Direct - CDHP Self & Family N62 713.08 716.80 537.60 179.20 0.93 1545.01 1553.07 1164.80 388.27 2.02
Arkansas Aetna Direct - CDHP Self Plus One N63 620.10 623.33 467.50 155.83 0.81 1343.55 1350.55 1012.91 337.64 1.75
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 382.72 393.11 241.58 151.53 4.58 829.23 851.74 523.42 328.32 9.93
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 872.64 896.32 562.25 334.07 7.90 1890.72 1942.03 1218.21 723.82 17.12
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 864.00 887.45 517.46 369.99 10.11 1872.00 1922.81 1121.16 801.65 21.91
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 378.45 379.30 241.58 137.72 -4.96 819.98 821.82 523.42 298.40 -10.74
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 866.59 868.56 562.25 306.31 -13.81 1877.61 1881.88 1218.21 663.67 -29.92
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 849.59 851.52 517.46 334.06 -11.41 1840.78 1844.96 1121.16 723.80 -24.72
Arkansas Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 241.58 121.20 20.60 728.80 786.02 523.42 262.60 44.64
Arkansas Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 562.25 237.98 42.48 1607.60 1733.83 1218.21 515.62 92.04
Arkansas Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 517.46 267.10 43.79 1576.10 1699.88 1121.16 578.72 94.88
Arkansas QualChoice - High Self DH1 347.17 354.12 241.58 112.54 1.14 752.20 767.26 523.42 243.84 2.48
Arkansas QualChoice - High Self & Family DH2 905.52 923.63 562.25 361.38 2.33 1961.96 2001.20 1218.21 782.99 5.05
Arkansas QualChoice - High Self Plus One DH3 674.39 687.89 515.92 171.97 1.70 1461.18 1490.43 1117.82 372.61 3.69
Arkansas QualChoice - Standard Self DH4 271.04 276.46 207.35 69.11 1.35 587.25 599.00 449.25 149.75 2.94
Arkansas QualChoice - Standard Self & Family DH5 706.96 721.12 540.84 180.28 3.54 1531.75 1562.43 1171.82 390.61 7.67
Arkansas QualChoice - Standard Self Plus One DH6 526.51 537.06 402.80 134.26 2.63 1140.77 1163.63 872.72 290.91 5.72
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 242.68 276.68 207.51 69.17 8.50 525.81 599.47 449.60 149.87 18.42
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 573.86 654.35 490.76 163.59 20.13 1243.36 1417.76 1063.32 354.44 43.60
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 521.73 594.87 446.15 148.72 18.29 1130.42 1288.89 966.67 322.22 39.62
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 209.88 224.24 168.18 56.06 3.59 454.74 485.85 364.39 121.46 7.78
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 482.73 515.77 386.83 128.94 8.26 1045.92 1117.50 838.13 279.37 17.89
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 451.25 482.12 361.59 120.53 7.72 977.71 1044.59 783.44 261.15 16.72
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 329.48 354.94 241.58 113.36 19.65 713.87 769.04 523.42 245.62 42.59
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 823.71 887.37 562.25 325.12 47.88 1784.71 1922.64 1218.21 704.43 103.74
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 708.40 763.14 517.46 245.68 41.40 1534.87 1653.47 1121.16 532.31 89.70
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 233.88 266.18 199.64 66.54 8.07 506.74 576.72 432.54 144.18 17.50
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 553.03 629.51 472.13 157.38 19.12 1198.23 1363.94 1022.96 340.98 41.42
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 502.79 572.28 429.21 143.07 17.37 1089.38 1239.94 929.96 309.98 37.64
Arkansas UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 142.52 47.51 New Plan New Plan 411.73 308.80 102.93 New Plan
Arkansas UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 377.68 125.89 New Plan New Plan 1091.07 818.30 272.77 New Plan
Arkansas UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 313.55 104.51 New Plan New Plan 905.80 679.35 226.45 New Plan
California Aetna Advantage - Advantage Self Z24 214.08 230.78 173.09 57.69 4.17 463.84 500.02 375.02 125.00 9.04
California Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 458.66 152.88 11.05 1229.17 1325.00 993.75 331.25 23.96
California Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 380.78 126.92 9.18 1020.44 1100.02 825.02 275.00 19.89
California Aetna Direct - CDHP Self N61 282.76 284.23 213.17 71.06 0.37 612.65 615.83 461.87 153.96 0.80
California Aetna Direct - CDHP Self & Family N62 713.08 716.80 537.60 179.20 0.93 1545.01 1553.07 1164.80 388.27 2.02
California Aetna Direct - CDHP Self Plus One N63 620.10 623.33 467.50 155.83 0.81 1343.55 1350.55 1012.91 337.64 1.75
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 495.45 505.19 241.58 263.61 3.93 1073.48 1094.58 523.42 571.16 8.52
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1131.04 1153.29 562.25 591.04 6.47 2450.59 2498.80 1218.21 1280.59 14.02
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1119.84 1141.88 517.46 624.42 8.70 2426.32 2474.07 1121.16 1352.91 18.85
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 463.38 466.12 241.58 224.54 -3.07 1003.99 1009.93 523.42 486.51 -6.64
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1056.30 1062.53 562.25 500.28 -9.55 2288.65 2302.15 1218.21 1083.94 -20.69
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1045.84 1052.00 517.46 534.54 -7.18 2265.99 2279.33 1121.16 1158.17 -15.56
California Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 241.58 121.20 20.60 728.80 786.02 523.42 262.60 44.64
California Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 562.25 237.98 42.48 1607.60 1733.83 1218.21 515.62 92.04
California Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 517.46 267.10 43.79 1576.10 1699.88 1121.16 578.72 94.88
California Aetna Open Access - High Self 2X1 406.40 432.31 241.58 190.73 20.10 880.53 936.67 523.42 413.25 43.56
California Aetna Open Access - High Self & Family 2X2 954.11 1014.93 562.25 452.68 45.04 2067.24 2199.02 1218.21 980.81 97.59
California Aetna Open Access - High Self Plus One 2X3 935.40 995.03 517.46 477.57 46.29 2026.70 2155.90 1121.16 1034.74 100.30
California Anthem Blue Cross Select HMO - High Self B31 357.29 357.29 241.58 115.71 -5.81 774.13 774.13 523.42 250.71 -12.58
California Anthem Blue Cross Select HMO - High Self & Family B32 816.42 816.42 562.25 254.17 -15.78 1768.91 1768.91 1218.21 550.70 -34.19
California Anthem Blue Cross Select HMO - High Self Plus One B33 757.46 757.46 517.46 240.00 -13.34 1641.16 1641.16 1121.16 520.00 -28.90
California Blue Shield of California - Access + HMO Self SI1 384.85 396.40 241.58 154.82 5.74 833.84 858.87 523.42 335.45 12.45
California Blue Shield of California - Access + HMO Self & Family SI2 885.16 911.72 562.25 349.47 10.78 1917.85 1975.39 1218.21 757.18 23.35
California Blue Shield of California - Access + HMO Self Plus One SI3 846.67 872.07 517.46 354.61 12.06 1834.45 1889.49 1121.16 768.33 26.14
California Health Net of California - Basic Self P61 149.71 168.02 126.02 42.00 4.57 324.37 364.04 273.03 91.01 9.92
California Health Net of California - Basic Self & Family P62 359.29 403.26 302.45 100.81 10.99 778.46 873.73 655.30 218.43 23.82
California Health Net of California - Basic Self Plus One P63 329.35 369.66 277.25 92.41 10.07 713.59 800.93 600.70 200.23 21.83
California Health Net of California - High Self LP1 483.86 467.53 241.58 225.95 -22.14 1048.36 1012.98 523.42 489.56 -47.96
California Health Net of California - High Self & Family LP2 1161.26 1122.08 562.25 559.83 -54.96 2516.06 2431.17 1218.21 1212.96 -119.08
California Health Net of California - High Self Plus One LP3 1064.49 1028.57 517.46 511.11 -49.26 2306.40 2228.57 1121.16 1107.41 -106.73
California Health Net of California - High Self LB1 697.18 715.68 241.58 474.10 12.69 1510.56 1550.64 523.42 1027.22 27.50
California Health Net of California - High Self & Family LB2 1673.25 1717.61 562.25 1155.36 28.58 3625.38 3721.49 1218.21 2503.28 61.92
California Health Net of California - High Self Plus One LB3 1533.81 1574.47 517.46 1057.01 27.32 3323.26 3411.35 1121.16 2290.19 59.19
California Health Net of California - Standard Self LB4 618.71 676.68 241.58 435.10 52.16 1340.54 1466.14 523.42 942.72 113.02
California Health Net of California - Standard Self & Family LB5 1484.90 1624.02 562.25 1061.77 123.34 3217.28 3518.71 1218.21 2300.50 267.24
California Health Net of California - Standard Self Plus One LB6 1361.16 1488.69 517.46 971.23 114.19 2949.18 3225.50 1121.16 2104.34 247.42
California Health Net of California - Basic Self T41 407.00 412.70 241.58 171.12 -0.11 881.83 894.18 523.42 370.76 -0.23
California Health Net of California - Basic Self & Family T42 976.80 990.48 562.25 428.23 -2.10 2116.40 2146.04 1218.21 927.83 -4.55
California Health Net of California - Basic Self Plus One T43 895.41 907.94 517.46 390.48 -0.81 1940.06 1967.20 1121.16 846.04 -1.76
California Kaiser Permanente - Fresno California - Standard Self NZ4 261.60 272.36 204.27 68.09 2.69 566.80 590.11 442.58 147.53 5.83
California Kaiser Permanente - Fresno California - Standard Self & Family NZ5 604.59 629.48 472.11 157.37 6.22 1309.95 1363.87 1022.90 340.97 13.48
California Kaiser Permanente - Fresno California - Standard Self Plus One NZ6 604.59 629.48 472.11 157.37 6.22 1309.95 1363.87 1022.90 340.97 13.48
California Kaiser Permanente - Fresno California - High Self NZ1 358.58 370.61 241.58 129.03 6.22 776.92 802.99 523.42 279.57 13.49
California Kaiser Permanente - Fresno California - High Self & Family NZ2 828.77 856.55 562.25 294.30 12.00 1795.67 1855.86 1218.21 637.65 26.00
California Kaiser Permanente - Fresno California - High Self Plus One NZ3 828.77 856.55 517.46 339.09 14.44 1795.67 1855.86 1121.16 734.70 31.29
California Kaiser Permanente - Northern California - Basic Self KC1 300.96 300.96 225.72 75.24 0.00 652.08 652.08 489.06 163.02 0.00
California Kaiser Permanente - Northern California - Basic Self & Family KC2 704.24 704.24 528.18 176.06 0.00 1525.85 1525.85 1144.39 381.46 0.00
California Kaiser Permanente - Northern California - Basic Self Plus One KC3 704.24 704.24 517.46 186.78 -13.34 1525.85 1525.85 1121.16 404.69 -28.90
California Kaiser Permanente - Northern California - High Self 591 461.75 468.25 241.58 226.67 0.69 1000.46 1014.54 523.42 491.12 1.50
California Kaiser Permanente - Northern California - High Self & Family 592 1102.25 1117.78 562.25 555.53 -0.25 2388.21 2421.86 1218.21 1203.65 -0.54
California Kaiser Permanente - Northern California - High Self Plus One 593 1102.25 1117.78 517.46 600.32 2.19 2388.21 2421.86 1121.16 1300.70 4.75
California Kaiser Permanente - Northern California - Standard Self 594 373.79 379.70 241.58 138.12 0.10 809.88 822.68 523.42 299.26 0.22
California Kaiser Permanente - Northern California - Standard Self & Family 595 874.65 888.51 562.25 326.26 -1.92 1895.08 1925.11 1218.21 706.90 -4.16
California Kaiser Permanente - Northern California - Standard Self Plus One 596 874.65 888.51 517.46 371.05 0.52 1895.08 1925.11 1121.16 803.95 1.13
California Kaiser Permanente - Southern California - Standard Self 624 215.22 218.51 163.88 54.63 0.83 466.31 473.44 355.08 118.36 1.78
California Kaiser Permanente - Southern California - Standard Self & Family 625 497.40 505.02 378.77 126.25 1.90 1077.70 1094.21 820.66 273.55 4.13
California Kaiser Permanente - Southern California - Standard Self Plus One 626 497.40 505.02 378.77 126.25 1.90 1077.70 1094.21 820.66 273.55 4.13
California Kaiser Permanente - Southern California - High Self 621 339.42 346.24 241.58 104.66 1.01 735.41 750.19 523.42 226.77 2.20
California Kaiser Permanente - Southern California - High Self & Family 622 784.46 800.23 562.25 237.98 -0.01 1699.66 1733.83 1218.21 515.62 -0.02
California Kaiser Permanente - Southern California - High Self Plus One 623 784.46 800.23 517.46 282.77 2.43 1699.66 1733.83 1121.16 612.67 5.27
California UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 142.52 47.51 New Plan New Plan 411.73 308.80 102.93 New Plan
California UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 377.68 125.89 New Plan New Plan 1091.07 818.30 272.77 New Plan
California UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 313.55 104.51 New Plan New Plan 905.80 679.35 226.45 New Plan
Colorado Aetna Advantage - Advantage Self Z24 214.08 230.78 173.09 57.69 4.17 463.84 500.02 375.02 125.00 9.04
Colorado Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 458.66 152.88 11.05 1229.17 1325.00 993.75 331.25 23.96
Colorado Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 380.78 126.92 9.18 1020.44 1100.02 825.02 275.00 19.89
Colorado Aetna Direct - CDHP Self N61 282.76 284.23 213.17 71.06 0.37 612.65 615.83 461.87 153.96 0.80
Colorado Aetna Direct - CDHP Self & Family N62 713.08 716.80 537.60 179.20 0.93 1545.01 1553.07 1164.80 388.27 2.02
Colorado Aetna Direct - CDHP Self Plus One N63 620.10 623.33 467.50 155.83 0.81 1343.55 1350.55 1012.91 337.64 1.75
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 328.95 330.94 241.58 89.36 -3.82 712.73 717.04 523.42 193.62 -8.27
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 753.40 757.97 562.25 195.72 -11.21 1632.37 1642.27 1218.21 424.06 -24.29
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 738.63 743.12 517.46 225.66 -8.85 1600.37 1610.09 1121.16 488.93 -19.18
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 417.46 488.66 241.58 247.08 65.39 904.50 1058.76 523.42 535.34 141.68
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 952.20 1114.65 562.25 552.40 146.67 2063.10 2415.08 1218.21 1196.87 317.79
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 942.79 1103.63 517.46 586.17 147.50 2042.71 2391.20 1121.16 1270.04 319.59
Colorado Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 241.58 121.20 20.60 728.80 786.02 523.42 262.60 44.64
Colorado Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 562.25 237.98 42.48 1607.60 1733.83 1218.21 515.62 92.04
Colorado Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 517.46 267.10 43.79 1576.10 1699.88 1121.16 578.72 94.88
Colorado BlueAdvantageHMO on the Pathway HMO Network - High Self WW1 293.70 293.70 220.28 73.42 0.00 636.35 636.35 477.26 159.09 0.00
Colorado BlueAdvantageHMO on the Pathway HMO Network - High Self & Family WW2 715.15 715.15 536.36 178.79 0.00 1549.49 1549.49 1162.12 387.37 0.00
Colorado BlueAdvantageHMO on the Pathway HMO Network - High Self Plus One WW3 668.15 668.15 501.11 167.04 0.00 1447.66 1447.66 1085.75 361.91 0.00
Colorado Humana Health Plan, Inc. - High Self NR1 379.16 443.62 241.58 202.04 58.65 821.51 961.18 523.42 437.76 127.09
Colorado Humana Health Plan, Inc. - High Self & Family NR2 853.11 998.14 562.25 435.89 129.25 1848.41 2162.64 1218.21 944.43 280.04
Colorado Humana Health Plan, Inc. - High Self Plus One NR3 815.20 953.78 517.46 436.32 125.24 1766.27 2066.52 1121.16 945.36 271.35
Colorado Humana Health Plan, Inc. - Standard Self NR4 262.76 307.42 230.57 76.85 11.16 569.31 666.08 499.56 166.52 24.19
Colorado Humana Health Plan, Inc. - Standard Self & Family NR5 591.22 691.72 518.79 172.93 25.13 1280.98 1498.73 1124.05 374.68 54.44
Colorado Humana Health Plan, Inc. - Standard Self Plus One NR6 564.93 660.96 495.72 165.24 24.01 1224.02 1432.08 1074.06 358.02 52.02
Colorado Humana Health Plan, Inc. - Basic Self RZ1 240.83 245.65 184.24 61.41 1.20 521.80 532.24 399.18 133.06 2.61
Colorado Humana Health Plan, Inc. - Basic Self & Family RZ2 541.86 552.70 414.53 138.17 2.71 1174.03 1197.52 898.14 299.38 5.87
Colorado Humana Health Plan, Inc. - Basic Self Plus One RZ3 517.80 528.15 396.11 132.04 2.59 1121.90 1144.33 858.25 286.08 5.61
Colorado Humana Health Plan, Inc. - High Self NT1 352.97 384.74 241.58 143.16 25.96 764.77 833.60 523.42 310.18 56.25
Colorado Humana Health Plan, Inc. - High Self & Family NT2 794.21 865.69 562.25 303.44 55.70 1720.79 1875.66 1218.21 657.45 120.68
Colorado Humana Health Plan, Inc. - High Self Plus One NT3 758.90 827.20 517.46 309.74 54.96 1644.28 1792.27 1121.16 671.11 119.09
Colorado Humana Health Plan, Inc. - Standard Self NT4 249.93 272.43 204.32 68.11 5.63 541.52 590.27 442.70 147.57 12.19
Colorado Humana Health Plan, Inc. - Standard Self & Family NT5 562.36 612.98 459.74 153.24 12.65 1218.45 1328.12 996.09 332.03 27.42
Colorado Humana Health Plan, Inc. - Standard Self Plus One NT6 537.39 585.75 439.31 146.44 12.09 1164.35 1269.13 951.85 317.28 26.19
Colorado Humana Health Plan, Inc. - Basic Self R21 245.13 286.80 215.10 71.70 10.42 531.12 621.40 466.05 155.35 22.57
Colorado Humana Health Plan, Inc. - Basic Self & Family R22 551.54 645.31 483.98 161.33 23.45 1195.00 1398.17 1048.63 349.54 50.79
Colorado Humana Health Plan, Inc. - Basic Self Plus One R23 527.03 616.63 462.47 154.16 22.40 1141.90 1336.03 1002.02 334.01 48.54
Colorado Kaiser Permanente - Colorado - Standard Self 654 309.83 305.00 228.75 76.25 -1.21 671.30 660.83 495.62 165.21 -2.61
Colorado Kaiser Permanente - Colorado - Standard Self & Family 655 700.21 689.29 516.97 172.32 -2.73 1517.12 1493.46 1120.10 373.36 -5.92
Colorado Kaiser Permanente - Colorado - Standard Self Plus One 656 700.21 689.29 516.97 172.32 -23.77 1517.12 1493.46 1120.10 373.36 -51.50
Colorado Kaiser Permanente - Colorado - High Self 651 364.23 356.72 241.58 115.14 -13.32 789.17 772.89 523.42 249.47 -28.86
Colorado Kaiser Permanente - Colorado - High Self & Family 652 823.16 806.19 562.25 243.94 -32.75 1783.51 1746.75 1218.21 528.54 -70.95
Colorado Kaiser Permanente - Colorado - High Self Plus One 653 823.16 806.19 517.46 288.73 -30.31 1783.51 1746.75 1121.16 625.59 -65.66
Colorado Kaiser Permanente - Colorado - Basic Self N41 223.74 205.62 154.22 51.40 -4.53 484.77 445.51 334.13 111.38 -9.81
Colorado Kaiser Permanente - Colorado - Basic Self & Family N42 505.66 505.82 379.37 126.45 0.04 1095.60 1095.94 821.96 273.98 0.08
Colorado Kaiser Permanente - Colorado - Basic Self Plus One N43 505.66 464.70 348.53 116.17 -10.24 1095.60 1006.85 755.14 251.71 -22.19
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 204.85 243.77 182.83 60.94 9.73 443.84 528.17 396.13 132.04 21.08
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 471.16 560.66 420.50 140.16 22.37 1020.85 1214.76 911.07 303.69 48.48
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 440.43 524.10 393.08 131.02 20.91 954.27 1135.55 851.66 283.89 45.32
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 334.51 360.98 241.58 119.40 20.66 724.77 782.12 523.42 258.70 44.77
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 836.26 902.47 562.25 340.22 50.43 1811.90 1955.35 1218.21 737.14 109.26
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 719.19 776.11 517.46 258.65 43.58 1558.25 1681.57 1121.16 560.41 94.42
Colorado UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 142.52 47.51 New Plan New Plan 411.73 308.80 102.93 New Plan
Colorado UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 377.68 125.89 New Plan New Plan 1091.07 818.30 272.77 New Plan
Colorado UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 313.55 104.51 New Plan New Plan 905.80 679.35 226.45 New Plan
Connecticut Aetna Advantage - Advantage Self Z24 214.08 230.78 173.09 57.69 4.17 463.84 500.02 375.02 125.00 9.04
Connecticut Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 458.66 152.88 11.05 1229.17 1325.00 993.75 331.25 23.96
Connecticut Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 380.78 126.92 9.18 1020.44 1100.02 825.02 275.00 19.89
Connecticut Aetna Direct - CDHP Self N61 282.76 284.23 213.17 71.06 0.37 612.65 615.83 461.87 153.96 0.80
Connecticut Aetna Direct - CDHP Self & Family N62 713.08 716.80 537.60 179.20 0.93 1545.01 1553.07 1164.80 388.27 2.02
Connecticut Aetna Direct - CDHP Self Plus One N63 620.10 623.33 467.50 155.83 0.81 1343.55 1350.55 1012.91 337.64 1.75
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 350.59 387.52 241.58 145.94 31.12 759.61 839.63 523.42 316.21 67.44
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 802.85 887.39 562.25 325.14 68.76 1739.51 1922.68 1218.21 704.47 148.98
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 787.10 869.98 517.46 352.52 69.54 1705.38 1884.96 1121.16 763.80 150.68
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 496.50 519.07 241.58 277.49 16.76 1075.75 1124.65 523.42 601.23 36.32
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 1132.30 1183.79 562.25 621.54 35.71 2453.32 2564.88 1218.21 1346.67 77.37
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 1121.09 1172.06 517.46 654.60 37.63 2429.03 2539.46 1121.16 1418.30 81.53
Connecticut Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 241.58 121.20 20.60 728.80 786.02 523.42 262.60 44.64
Connecticut Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 562.25 237.98 42.48 1607.60 1733.83 1218.21 515.62 92.04
Connecticut Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 517.46 267.10 43.79 1576.10 1699.88 1121.16 578.72 94.88
Connecticut UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 142.52 47.51 New Plan New Plan 411.73 308.80 102.93 New Plan
Connecticut UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 377.68 125.89 New Plan New Plan 1091.07 818.30 272.77 New Plan
Connecticut UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 313.55 104.51 New Plan New Plan 905.80 679.35 226.45 New Plan
Delaware Aetna Advantage - Advantage Self Z24 214.08 230.78 173.09 57.69 4.17 463.84 500.02 375.02 125.00 9.04
Delaware Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 458.66 152.88 11.05 1229.17 1325.00 993.75 331.25 23.96
Delaware Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 380.78 126.92 9.18 1020.44 1100.02 825.02 275.00 19.89
Delaware Aetna Direct - CDHP Self N61 282.76 284.23 213.17 71.06 0.37 612.65 615.83 461.87 153.96 0.80
Delaware Aetna Direct - CDHP Self & Family N62 713.08 716.80 537.60 179.20 0.93 1545.01 1553.07 1164.80 388.27 2.02
Delaware Aetna Direct - CDHP Self Plus One N63 620.10 623.33 467.50 155.83 0.81 1343.55 1350.55 1012.91 337.64 1.75
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 350.59 387.52 241.58 145.94 31.12 759.61 839.63 523.42 316.21 67.44
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 802.85 887.39 562.25 325.14 68.76 1739.51 1922.68 1218.21 704.47 148.98
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 787.10 869.98 517.46 352.52 69.54 1705.38 1884.96 1121.16 763.80 150.68
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 496.50 519.07 241.58 277.49 16.76 1075.75 1124.65 523.42 601.23 36.32
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 1132.30 1183.79 562.25 621.54 35.71 2453.32 2564.88 1218.21 1346.67 77.37
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 1121.09 1172.06 517.46 654.60 37.63 2429.03 2539.46 1121.16 1418.30 81.53
Delaware Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 241.58 121.20 20.60 728.80 786.02 523.42 262.60 44.64
Delaware Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 562.25 237.98 42.48 1607.60 1733.83 1218.21 515.62 92.04
Delaware Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 517.46 267.10 43.79 1576.10 1699.88 1121.16 578.72 94.88
Delaware Aetna Open Access - Basic Self P34 604.65 694.86 241.58 453.28 84.40 1310.08 1505.53 523.42 982.11 182.87
Delaware Aetna Open Access - Basic Self & Family P35 1403.39 1612.77 562.25 1050.52 193.60 3040.68 3494.34 1218.21 2276.13 419.47
Delaware Aetna Open Access - Basic Self Plus One P36 1389.48 1596.80 517.46 1079.34 193.98 3010.54 3459.73 1121.16 2338.57 420.29
Delaware Aetna Open Access - High Self P31 672.28 733.03 241.58 491.45 54.94 1456.61 1588.23 523.42 1064.81 119.04
Delaware Aetna Open Access - High Self & Family P32 1629.94 1777.25 562.25 1215.00 131.53 3531.54 3850.71 1218.21 2632.50 284.98
Delaware Aetna Open Access - High Self Plus One P33 1613.79 1759.65 517.46 1242.19 132.52 3496.55 3812.58 1121.16 2691.42 287.13
Delaware UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 142.52 47.51 New Plan New Plan 411.73 308.80 102.93 New Plan
Delaware UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 377.68 125.89 New Plan New Plan 1091.07 818.30 272.77 New Plan
Delaware UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 313.55 104.51 New Plan New Plan 905.80 679.35 226.45 New Plan
District Of Columbia Aetna Advantage - Advantage Self Z24 214.08 230.78 173.09 57.69 4.17 463.84 500.02 375.02 125.00 9.04
District Of Columbia Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 458.66 152.88 11.05 1229.17 1325.00 993.75 331.25 23.96
District Of Columbia Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 380.78 126.92 9.18 1020.44 1100.02 825.02 275.00 19.89
District Of Columbia Aetna Direct - CDHP Self N61 282.76 284.23 213.17 71.06 0.37 612.65 615.83 461.87 153.96 0.80
District Of Columbia Aetna Direct - CDHP Self & Family N62 713.08 716.80 537.60 179.20 0.93 1545.01 1553.07 1164.80 388.27 2.02
District Of Columbia Aetna Direct - CDHP Self Plus One N63 620.10 623.33 467.50 155.83 0.81 1343.55 1350.55 1012.91 337.64 1.75
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 382.72 393.11 241.58 151.53 4.58 829.23 851.74 523.42 328.32 9.93
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 872.64 896.32 562.25 334.07 7.90 1890.72 1942.03 1218.21 723.82 17.12
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 864.00 887.45 517.46 369.99 10.11 1872.00 1922.81 1121.16 801.65 21.91
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 378.45 379.30 241.58 137.72 -4.96 819.98 821.82 523.42 298.40 -10.74
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 866.59 868.56 562.25 306.31 -13.81 1877.61 1881.88 1218.21 663.67 -29.92
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 849.59 851.52 517.46 334.06 -11.41 1840.78 1844.96 1121.16 723.80 -24.72
District Of Columbia Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 241.58 121.20 20.60 728.80 786.02 523.42 262.60 44.64
District Of Columbia Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 562.25 237.98 42.48 1607.60 1733.83 1218.21 515.62 92.04
District Of Columbia Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 517.46 267.10 43.79 1576.10 1699.88 1121.16 578.72 94.88
District Of Columbia Aetna Open Access - High Self JN1 525.03 543.03 241.58 301.45 12.19 1137.57 1176.57 523.42 653.15 26.42
District Of Columbia Aetna Open Access - High Self & Family JN2 1180.35 1220.79 562.25 658.54 24.66 2557.43 2645.05 1218.21 1426.84 53.43
District Of Columbia Aetna Open Access - High Self Plus One JN3 1168.66 1208.70 517.46 691.24 26.70 2532.10 2618.85 1121.16 1497.69 57.85
District Of Columbia Aetna Open Access - Basic Self JN4 321.74 329.73 241.58 88.15 2.18 697.10 714.42 523.42 191.00 4.74
District Of Columbia Aetna Open Access - Basic Self & Family JN5 736.31 754.58 562.25 192.33 2.49 1595.34 1634.92 1218.21 416.71 5.39
District Of Columbia Aetna Open Access - Basic Self Plus One JN6 676.15 692.92 517.46 175.46 3.43 1464.99 1501.33 1121.16 380.17 7.44
District Of Columbia Aetna Saver (Open Access) - Saver Self QQ4 274.71 274.71 206.03 68.68 0.00 595.21 595.21 446.41 148.80 0.00
District Of Columbia Aetna Saver (Open Access) - Saver Self & Family QQ5 628.68 628.67 471.50 157.17 0.00 1362.14 1362.12 1021.59 340.53 0.00
District Of Columbia Aetna Saver (Open Access) - Saver Self Plus One QQ6 577.30 577.30 432.98 144.32 0.00 1250.82 1250.82 938.12 312.70 0.00
District Of Columbia CareFirst BlueChoice - Standard Self 2G4 390.25 409.76 241.58 168.18 13.70 845.54 887.81 523.42 364.39 29.69
District Of Columbia CareFirst BlueChoice - Standard Self & Family 2G5 927.21 973.58 562.25 411.33 30.59 2008.96 2109.42 1218.21 891.21 66.27
District Of Columbia CareFirst BlueChoice - Standard Self Plus One 2G6 780.49 819.51 517.46 302.05 25.68 1691.06 1775.61 1121.16 654.45 55.65
District Of Columbia CareFirst BlueChoice - HDHP Self B61 263.12 263.12 197.34 65.78 0.00 570.09 570.09 427.57 142.52 0.00
District Of Columbia CareFirst BlueChoice - HDHP Self & Family B62 625.16 625.16 468.87 156.29 0.00 1354.51 1354.51 1015.88 338.63 0.00
District Of Columbia CareFirst BlueChoice - HDHP Self Plus One B63 526.23 526.23 394.67 131.56 0.00 1140.17 1140.17 855.13 285.04 0.00
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self B64 325.84 334.00 241.58 92.42 2.35 705.99 723.67 523.42 200.25 5.10
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self & Family B65 774.21 793.56 562.25 231.31 3.57 1677.46 1719.38 1218.21 501.17 7.73
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self Plus One B66 651.70 667.98 500.99 166.99 4.07 1412.02 1447.29 1085.47 361.82 8.82
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Basic Self T71 193.90 197.41 148.06 49.35 0.88 420.12 427.72 320.79 106.93 1.90
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Basic Self & Family T72 473.61 507.47 380.60 126.87 8.47 1026.16 1099.52 824.64 274.88 18.34
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Basic Self Plus One T73 431.49 439.31 329.48 109.83 1.96 934.90 951.84 713.88 237.96 4.24
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self E34 263.79 276.13 207.10 69.03 3.08 571.55 598.28 448.71 149.57 6.68
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self & Family E35 606.69 635.10 476.33 158.77 7.10 1314.50 1376.05 1032.04 344.01 15.39
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self Plus One E36 606.69 635.10 476.33 158.77 7.10 1314.50 1376.05 1032.04 344.01 15.39
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self E31 333.61 344.42 241.58 102.84 5.00 722.82 746.24 523.42 222.82 10.84
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self & Family E32 767.32 792.16 562.25 229.91 9.06 1662.53 1716.35 1218.21 498.14 19.63
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self Plus One E33 767.32 792.16 517.46 274.70 11.50 1662.53 1716.35 1121.16 595.19 24.92
District Of Columbia M.D. IPA - High Self JP1 404.59 438.87 241.58 197.29 28.47 876.61 950.89 523.42 427.47 61.70
District Of Columbia M.D. IPA - High Self & Family JP2 1134.48 1230.59 562.25 668.34 80.33 2458.04 2666.28 1218.21 1448.07 174.05
District Of Columbia M.D. IPA - High Self Plus One JP3 790.17 857.12 517.46 339.66 53.61 1712.04 1857.09 1121.16 735.93 116.15
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 242.68 276.68 207.51 69.17 8.50 525.81 599.47 449.60 149.87 18.42
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 573.86 654.35 490.76 163.59 20.13 1243.36 1417.76 1063.32 354.44 43.60
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 521.73 594.87 446.15 148.72 18.29 1130.42 1288.89 966.67 322.22 39.62
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 224.57 239.96 179.97 59.99 3.85 486.57 519.91 389.93 129.98 8.34
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 516.51 551.91 413.93 137.98 8.85 1119.11 1195.81 896.86 298.95 19.17
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 482.83 515.91 386.93 128.98 8.27 1046.13 1117.81 838.36 279.45 17.92
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 329.95 355.57 241.58 113.99 19.81 714.89 770.40 523.42 246.98 42.93
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 781.98 842.69 562.25 280.44 44.93 1694.29 1825.83 1218.21 607.62 97.35
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 709.38 764.46 517.46 247.00 41.74 1536.99 1656.33 1121.16 535.17 90.44
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 240.69 255.98 191.99 63.99 3.82 521.50 554.62 415.97 138.65 8.28
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 674.89 717.76 538.32 179.44 10.72 1462.26 1555.15 1166.36 388.79 23.23
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 470.06 499.93 374.95 124.98 7.47 1018.46 1083.18 812.39 270.79 16.18
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 233.88 266.18 199.64 66.54 8.07 506.74 576.72 432.54 144.18 17.50
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 553.03 629.51 472.13 157.38 19.12 1198.23 1363.94 1022.96 340.98 41.42
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 502.79 572.28 429.21 143.07 17.37 1089.38 1239.94 929.96 309.98 37.64
District Of Columbia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 142.52 47.51 New Plan New Plan 411.73 308.80 102.93 New Plan
District Of Columbia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 377.68 125.89 New Plan New Plan 1091.07 818.30 272.77 New Plan
District Of Columbia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 313.55 104.51 New Plan New Plan 905.80 679.35 226.45 New Plan
Florida Aetna Advantage - Advantage Self Z24 214.08 230.78 173.09 57.69 4.17 463.84 500.02 375.02 125.00 9.04
Florida Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 458.66 152.88 11.05 1229.17 1325.00 993.75 331.25 23.96
Florida Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 380.78 126.92 9.18 1020.44 1100.02 825.02 275.00 19.89
Florida Aetna Direct - CDHP Self N61 282.76 284.23 213.17 71.06 0.37 612.65 615.83 461.87 153.96 0.80
Florida Aetna Direct - CDHP Self & Family N62 713.08 716.80 537.60 179.20 0.93 1545.01 1553.07 1164.80 388.27 2.02
Florida Aetna Direct - CDHP Self Plus One N63 620.10 623.33 467.50 155.83 0.81 1343.55 1350.55 1012.91 337.64 1.75
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 382.72 393.11 241.58 151.53 4.58 829.23 851.74 523.42 328.32 9.93
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 872.64 896.32 562.25 334.07 7.90 1890.72 1942.03 1218.21 723.82 17.12
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 864.00 887.45 517.46 369.99 10.11 1872.00 1922.81 1121.16 801.65 21.91
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 378.45 379.30 241.58 137.72 -4.96 819.98 821.82 523.42 298.40 -10.74
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 866.59 868.56 562.25 306.31 -13.81 1877.61 1881.88 1218.21 663.67 -29.92
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 849.59 851.52 517.46 334.06 -11.41 1840.78 1844.96 1121.16 723.80 -24.72
Florida Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 241.58 121.20 20.60 728.80 786.02 523.42 262.60 44.64
Florida Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 562.25 237.98 42.48 1607.60 1733.83 1218.21 515.62 92.04
Florida Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 517.46 267.10 43.79 1576.10 1699.88 1121.16 578.72 94.88
Florida AvMed - HDHP Self WZ1 371.61 351.73 241.58 110.15 -25.69 805.16 762.08 523.42 238.66 -55.66
Florida AvMed - HDHP Self & Family WZ2 863.70 813.23 562.25 250.98 -66.25 1871.35 1762.00 1218.21 543.79 -143.54
Florida AvMed - HDHP Self Plus One WZ3 748.77 705.54 517.46 188.08 -56.57 1622.34 1528.67 1121.16 407.51 -122.57
Florida AvMed - Standard Self ML4 327.34 378.91 241.58 137.33 45.76 709.24 820.97 523.42 297.55 99.15
Florida AvMed - Standard Self & Family ML5 796.99 922.58 562.25 360.33 109.81 1726.81 1998.92 1218.21 780.71 237.92
Florida AvMed - Standard Self Plus One ML6 687.40 795.72 517.46 278.26 94.98 1489.37 1724.06 1121.16 602.90 205.79
Florida Capital Health Plan - High Self EA1 314.13 318.68 239.01 79.67 1.14 680.62 690.47 517.85 172.62 2.47
Florida Capital Health Plan - High Self & Family EA2 728.00 738.55 553.91 184.64 2.64 1577.33 1600.19 1200.14 400.05 5.72
Florida Capital Health Plan - High Self Plus One EA3 686.96 696.92 517.46 179.46 -3.38 1488.41 1509.99 1121.16 388.83 -7.32
Florida Humana CoverageFirst and Humana Value Plan - Value Self W94 237.04 270.22 202.67 67.55 8.29 513.59 585.48 439.11 146.37 17.97
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family W95 533.34 608.00 456.00 152.00 18.67 1155.57 1317.33 988.00 329.33 40.44
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One W96 509.63 580.98 435.74 145.24 17.83 1104.20 1258.79 944.09 314.70 38.65
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self W91 280.20 319.43 239.57 79.86 9.81 607.10 692.10 519.08 173.02 21.25
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family W92 630.44 718.70 539.03 179.67 22.06 1365.95 1557.18 1167.89 389.29 47.80
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One W93 602.43 686.76 515.07 171.69 21.08 1305.27 1487.98 1115.99 371.99 45.67
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self QP1 334.64 354.72 241.58 113.14 14.27 725.05 768.56 523.42 245.14 30.93
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family QP2 753.94 799.18 562.25 236.93 29.46 1633.54 1731.56 1218.21 513.35 63.83
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One QP3 720.43 763.65 517.46 246.19 29.88 1560.93 1654.58 1121.16 533.42 64.75
Florida Humana CoverageFirst and Humana Value Plan - Value Self QP4 239.70 254.08 190.56 63.52 3.60 519.35 550.51 412.88 137.63 7.79
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family QP5 539.30 571.66 428.75 142.91 8.09 1168.48 1238.60 928.95 309.65 17.53
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One QP6 515.34 546.26 409.70 136.56 7.73 1116.57 1183.56 887.67 295.89 16.75
Florida Humana CoverageFirst and Humana Value Plan - Value Self MJ4 239.82 259.01 194.26 64.75 4.80 519.61 561.19 420.89 140.30 10.40
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family MJ5 539.60 582.77 437.08 145.69 10.79 1169.13 1262.67 947.00 315.67 23.39
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One MJ6 515.62 556.87 417.65 139.22 10.32 1117.18 1206.55 904.91 301.64 22.35
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self MJ1 437.57 472.58 241.58 231.00 29.20 948.07 1023.92 523.42 500.50 63.27
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MJ2 984.53 1063.29 562.25 501.04 62.98 2133.15 2303.80 1218.21 1085.59 136.46
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MJ3 940.78 1016.05 517.46 498.59 61.93 2038.36 2201.44 1121.16 1080.28 134.18
Florida Humana CoverageFirst and Humana Value Plan - Value Self X24 227.62 236.72 177.54 59.18 2.28 493.18 512.89 384.67 128.22 4.93
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family X25 512.15 532.64 399.48 133.16 5.12 1109.66 1154.05 865.54 288.51 11.10
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One X26 489.39 508.97 381.73 127.24 4.89 1060.35 1102.77 827.08 275.69 10.60
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self X21 269.07 279.83 209.87 69.96 2.69 582.99 606.30 454.73 151.57 5.82
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X22 605.42 629.64 472.23 157.41 6.06 1311.74 1364.22 1023.17 341.05 13.12
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X23 578.51 601.65 451.24 150.41 5.78 1253.44 1303.58 977.69 325.89 12.53
Florida Humana Medical Plan, Inc. - Standard Self LL4 496.13 550.71 241.58 309.13 48.77 1074.95 1193.21 523.42 669.79 105.68
Florida Humana Medical Plan, Inc. - Standard Self & Family LL5 1116.28 1239.07 562.25 676.82 107.01 2418.61 2684.65 1218.21 1466.44 231.85
Florida Humana Medical Plan, Inc. - Standard Self Plus One LL6 1066.67 1184.00 517.46 666.54 103.99 2311.12 2565.33 1121.16 1444.17 225.31
Florida Humana Medical Plan, Inc. - High Self LL1 765.76 788.74 241.58 547.16 17.17 1659.15 1708.94 523.42 1185.52 37.21
Florida Humana Medical Plan, Inc. - High Self & Family LL2 1722.95 1774.64 562.25 1212.39 35.91 3733.06 3845.05 1218.21 2626.84 77.80
Florida Humana Medical Plan, Inc. - High Self Plus One LL3 1646.37 1695.76 517.46 1178.30 36.05 3567.14 3674.15 1121.16 2552.99 78.11
Florida Humana Medical Plan, Inc. - High Self EE1 514.68 576.43 241.58 334.85 55.94 1115.14 1248.93 523.42 725.51 121.21
Florida Humana Medical Plan, Inc. - High Self & Family EE2 1158.03 1296.99 562.25 734.74 123.18 2509.07 2810.15 1218.21 1591.94 266.89
Florida Humana Medical Plan, Inc. - High Self Plus One EE3 1106.58 1239.37 517.46 721.91 119.45 2397.59 2685.30 1121.16 1564.14 258.81
Florida Humana Medical Plan, Inc. - Standard Self EE4 460.21 515.43 241.58 273.85 49.41 997.12 1116.77 523.42 593.35 107.07
Florida Humana Medical Plan, Inc. - Standard Self & Family EE5 1035.46 1159.71 562.25 597.46 108.47 2243.50 2512.71 1218.21 1294.50 235.02
Florida Humana Medical Plan, Inc. - Standard Self Plus One EE6 989.44 1108.17 517.46 590.71 105.39 2143.79 2401.04 1121.16 1279.88 228.35
Florida Humana Medical Plan, Inc. - Standard Self E24 330.47 353.60 241.58 112.02 17.32 716.02 766.13 523.42 242.71 37.53
Florida Humana Medical Plan, Inc. - Standard Self & Family E25 743.54 795.59 562.25 233.34 36.27 1611.00 1723.78 1218.21 505.57 78.59
Florida Humana Medical Plan, Inc. - Standard Self Plus One E26 710.49 760.22 517.46 242.76 36.39 1539.40 1647.14 1121.16 525.98 78.84
Florida Humana Medical Plan, Inc. - High Self E21 555.07 593.92 241.58 352.34 33.04 1202.65 1286.83 523.42 763.41 71.60
Florida Humana Medical Plan, Inc. - High Self & Family E22 1248.86 1336.28 562.25 774.03 71.64 2705.86 2895.27 1218.21 1677.06 155.22
Florida Humana Medical Plan, Inc. - High Self Plus One E23 1193.36 1276.89 517.46 759.43 70.19 2585.61 2766.60 1121.16 1645.44 152.09
Florida Humana Medical Plan, Inc. - High Self EX1 412.34 470.07 241.58 228.49 51.92 893.40 1018.49 523.42 495.07 112.51
Florida Humana Medical Plan, Inc. - High Self & Family EX2 927.74 1057.63 562.25 495.38 114.11 2010.10 2291.53 1218.21 1073.32 247.24
Florida Humana Medical Plan, Inc. - High Self Plus One EX3 886.51 1010.62 517.46 493.16 110.77 1920.77 2189.68 1121.16 1068.52 240.01
Florida Humana Medical Plan, Inc. - Standard Self EX4 337.95 385.26 241.58 143.68 41.50 732.23 834.73 523.42 311.31 89.92
Florida Humana Medical Plan, Inc. - Standard Self & Family EX5 760.39 866.84 562.25 304.59 90.67 1647.51 1878.15 1218.21 659.94 196.45
Florida Humana Medical Plan, Inc. - Standard Self Plus One EX6 726.59 828.31 517.46 310.85 88.38 1574.28 1794.67 1121.16 673.51 191.49
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 242.68 276.68 207.51 69.17 8.50 525.81 599.47 449.60 149.87 18.42
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 573.86 654.35 490.76 163.59 20.13 1243.36 1417.76 1063.32 354.44 43.60
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 521.73 594.87 446.15 148.72 18.29 1130.42 1288.89 966.67 322.22 39.62
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 209.88 224.24 168.18 56.06 3.59 454.74 485.85 364.39 121.46 7.78
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 482.73 515.77 386.83 128.94 8.26 1045.92 1117.50 838.13 279.37 17.89
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 451.25 482.12 361.59 120.53 7.72 977.71 1044.59 783.44 261.15 16.72
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 329.48 354.94 241.58 113.36 19.65 713.87 769.04 523.42 245.62 42.59
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 823.71 887.37 562.25 325.12 47.88 1784.71 1922.64 1218.21 704.43 103.74
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 708.40 763.14 517.46 245.68 41.40 1534.87 1653.47 1121.16 532.31 89.70
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self LV1 323.74 346.44 241.58 104.86 16.89 701.44 750.62 523.42 227.20 36.60
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family LV2 971.21 1039.34 562.25 477.09 52.35 2104.29 2251.90 1218.21 1033.69 113.42
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One LV3 696.03 744.87 517.46 227.41 35.50 1508.07 1613.89 1121.16 492.73 76.92
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 233.88 266.18 199.64 66.54 8.07 506.74 576.72 432.54 144.18 17.50
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 553.03 629.51 472.13 157.38 19.12 1198.23 1363.94 1022.96 340.98 41.42
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 502.79 572.28 429.21 143.07 17.37 1089.38 1239.94 929.96 309.98 37.64
Florida UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 142.52 47.51 New Plan New Plan 411.73 308.80 102.93 New Plan
Florida UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 377.68 125.89 New Plan New Plan 1091.07 818.30 272.77 New Plan
Florida UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 313.55 104.51 New Plan New Plan 905.80 679.35 226.45 New Plan
Georgia Aetna Advantage - Advantage Self Z24 214.08 230.78 173.09 57.69 4.17 463.84 500.02 375.02 125.00 9.04
Georgia Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 458.66 152.88 11.05 1229.17 1325.00 993.75 331.25 23.96
Georgia Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 380.78 126.92 9.18 1020.44 1100.02 825.02 275.00 19.89
Georgia Aetna Direct - CDHP Self N61 282.76 284.23 213.17 71.06 0.37 612.65 615.83 461.87 153.96 0.80
Georgia Aetna Direct - CDHP Self & Family N62 713.08 716.80 537.60 179.20 0.93 1545.01 1553.07 1164.80 388.27 2.02
Georgia Aetna Direct - CDHP Self Plus One N63 620.10 623.33 467.50 155.83 0.81 1343.55 1350.55 1012.91 337.64 1.75
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 382.72 393.11 241.58 151.53 4.58 829.23 851.74 523.42 328.32 9.93
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 872.64 896.32 562.25 334.07 7.90 1890.72 1942.03 1218.21 723.82 17.12
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 864.00 887.45 517.46 369.99 10.11 1872.00 1922.81 1121.16 801.65 21.91
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 378.45 379.30 241.58 137.72 -4.96 819.98 821.82 523.42 298.40 -10.74
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 866.59 868.56 562.25 306.31 -13.81 1877.61 1881.88 1218.21 663.67 -29.92
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 849.59 851.52 517.46 334.06 -11.41 1840.78 1844.96 1121.16 723.80 -24.72
Georgia Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 241.58 121.20 20.60 728.80 786.02 523.42 262.60 44.64
Georgia Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 562.25 237.98 42.48 1607.60 1733.83 1218.21 515.62 92.04
Georgia Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 517.46 267.10 43.79 1576.10 1699.88 1121.16 578.72 94.88
Georgia Aetna Open Access - High Self 2U1 800.01 833.47 241.58 591.89 27.65 1733.36 1805.85 523.42 1282.43 59.91
Georgia Aetna Open Access - High Self & Family 2U2 1842.78 1919.87 562.25 1357.62 61.31 3992.69 4159.72 1218.21 2941.51 132.84
Georgia Aetna Open Access - High Self Plus One 2U3 1824.53 1900.86 517.46 1383.40 62.99 3953.15 4118.53 1121.16 2997.37 136.48
Georgia Blue Open Access POS - High Self QM1 288.54 302.96 227.22 75.74 3.61 625.17 656.41 492.31 164.10 7.81
Georgia Blue Open Access POS - High Self & Family QM2 757.14 779.85 562.25 217.60 6.93 1640.47 1689.68 1218.21 471.47 15.02
Georgia Blue Open Access POS - High Self Plus One QM3 635.88 667.67 500.75 166.92 7.95 1377.74 1446.62 1084.97 361.65 17.22
Georgia Humana CoverageFirst and Humana Value Plan - Value Self S94 254.72 282.74 212.06 70.68 7.00 551.89 612.60 459.45 153.15 15.18
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family S95 573.11 636.16 477.12 159.04 15.76 1241.74 1378.35 1033.76 344.59 34.16
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One S96 547.65 607.89 455.92 151.97 15.06 1186.58 1317.10 987.83 329.27 32.63
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self S91 319.91 355.11 241.58 113.53 29.39 693.14 769.41 523.42 245.99 63.69
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family S92 719.82 798.99 562.25 236.74 56.79 1559.61 1731.15 1218.21 512.94 123.04
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One S93 687.82 763.48 517.46 246.02 62.32 1490.28 1654.21 1121.16 533.05 135.03
Georgia Humana CoverageFirst and Humana Value Plan - Value Self AD4 340.40 381.25 241.58 139.67 35.04 737.53 826.04 523.42 302.62 75.93
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family AD5 765.88 857.78 562.25 295.53 76.12 1659.41 1858.52 1218.21 640.31 164.92
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One AD6 731.85 819.67 517.46 302.21 74.48 1585.68 1775.95 1121.16 654.79 161.37
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self AD1 449.25 503.16 241.58 261.58 48.10 973.38 1090.18 523.42 566.76 104.22
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family AD2 1010.80 1132.09 562.25 569.84 105.51 2190.07 2452.86 1218.21 1234.65 228.60
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One AD3 965.88 1081.78 517.46 564.32 102.56 2092.74 2343.86 1121.16 1222.70 222.22
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self LM1 313.49 344.83 241.58 103.25 24.88 679.23 747.13 523.42 223.71 53.90
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family LM2 705.37 775.90 562.25 213.65 37.31 1528.30 1681.12 1218.21 462.91 80.84
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One LM3 674.01 741.42 517.46 223.96 54.07 1460.36 1606.41 1121.16 485.25 117.15
Georgia Humana CoverageFirst and Humana Value Plan - Value Self LM4 296.56 326.22 241.58 84.64 10.50 642.55 706.81 523.42 183.39 22.75
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family LM5 667.25 733.98 550.49 183.49 16.68 1445.71 1590.29 1192.72 397.57 36.14
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One LM6 637.60 701.37 517.46 183.91 24.51 1381.47 1519.64 1121.16 398.48 53.11
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self RM1 299.32 332.25 241.58 90.67 15.84 648.53 719.88 523.42 196.46 34.33
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family RM2 673.49 747.57 560.68 186.89 18.52 1459.23 1619.74 1214.81 404.93 40.12
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One RM3 643.55 714.34 517.46 196.88 35.99 1394.36 1547.74 1121.16 426.58 77.99
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self DN4 335.09 375.30 241.58 133.72 34.40 726.03 813.15 523.42 289.73 74.54
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family DN5 753.93 844.40 562.25 282.15 74.69 1633.52 1829.53 1218.21 611.32 161.82
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One DN6 720.43 806.88 517.46 289.42 73.11 1560.93 1748.24 1121.16 627.08 158.41
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self DN1 360.28 403.51 241.58 161.93 37.42 780.61 874.27 523.42 350.85 81.08
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self & Family DN2 810.63 907.90 562.25 345.65 81.49 1756.37 1967.12 1218.21 748.91 176.56
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self Plus One DN3 774.60 867.56 517.46 350.10 79.62 1678.30 1879.71 1121.16 758.55 172.51
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self RJ1 276.04 309.16 231.87 77.29 8.28 598.09 669.85 502.39 167.46 17.94
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family RJ2 621.10 695.64 521.73 173.91 18.64 1345.72 1507.22 1130.42 376.80 40.37
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One RJ3 593.50 664.72 498.54 166.18 17.81 1285.92 1440.23 1080.17 360.06 38.58
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Q71 352.06 390.79 241.58 149.21 32.92 762.80 846.71 523.42 323.29 71.33
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family Q72 792.15 879.28 562.25 317.03 71.35 1716.33 1905.11 1218.21 686.90 154.59
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One Q73 756.93 840.20 517.46 322.74 69.93 1640.02 1820.43 1121.16 699.27 151.51
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self CB4 577.13 525.18 241.58 283.60 -57.76 1250.45 1137.89 523.42 614.47 -125.14
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family CB5 1298.54 1181.68 562.25 619.43 -132.64 2813.50 2560.31 1218.21 1342.10 -287.38
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One CB6 1240.83 1129.16 517.46 611.70 -125.01 2688.47 2446.51 1121.16 1325.35 -270.86
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self CB1 530.11 588.41 241.58 346.83 52.49 1148.57 1274.89 523.42 751.47 113.74
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self & Family CB2 1192.80 1324.00 562.25 761.75 115.42 2584.40 2868.67 1218.21 1650.46 250.08
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self Plus One CB3 1139.82 1265.20 517.46 747.74 112.04 2469.61 2741.27 1121.16 1620.11 242.76
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self DG1 610.12 640.63 241.58 399.05 24.70 1321.93 1388.03 523.42 864.61 53.52
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self & Family DG2 1372.77 1441.41 562.25 879.16 52.86 2974.34 3123.06 1218.21 1904.85 114.53
Georgia Humana Employers Health Plan of Georgia, Inc. - High Self Plus One DG3 1311.78 1377.37 517.46 859.91 52.25 2842.19 2984.30 1121.16 1863.14 113.21
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self DG4 540.85 600.35 241.58 358.77 53.69 1171.84 1300.76 523.42 777.34 116.34
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family DG5 1216.94 1350.79 562.25 788.54 118.07 2636.70 2926.71 1218.21 1708.50 255.82
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One DG6 1162.88 1290.79 517.46 773.33 114.57 2519.57 2796.71 1121.16 1675.55 248.24
Georgia Kaiser Permanente - Georgia - High Self F81 336.94 346.66 241.58 105.08 3.91 730.04 751.10 523.42 227.68 8.48
Georgia Kaiser Permanente - Georgia - High Self & Family F82 761.48 783.46 562.25 221.21 6.20 1649.87 1697.50 1218.21 479.29 13.44
Georgia Kaiser Permanente - Georgia - High Self Plus One F83 761.48 783.46 517.46 266.00 8.64 1649.87 1697.50 1121.16 576.34 18.73
Georgia Kaiser Permanente - Georgia - Standard Self F84 254.92 268.20 201.15 67.05 3.32 552.33 581.10 435.83 145.27 7.19
Georgia Kaiser Permanente - Georgia - Standard Self & Family F85 576.12 606.12 454.59 151.53 7.50 1248.26 1313.26 984.95 328.31 16.25
Georgia Kaiser Permanente - Georgia - Standard Self Plus One F86 576.12 606.12 454.59 151.53 7.50 1248.26 1313.26 984.95 328.31 16.25
Georgia Kaiser Permanente - Georgia - Basic Self LA1 181.55 193.34 145.01 48.33 2.94 393.36 418.90 314.18 104.72 6.38
Georgia Kaiser Permanente - Georgia - Basic Self & Family LA2 410.30 436.92 327.69 109.23 6.66 888.98 946.66 710.00 236.66 14.42
Georgia Kaiser Permanente - Georgia - Basic Self Plus One LA3 410.30 436.92 327.69 109.23 6.66 888.98 946.66 710.00 236.66 14.42
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 242.68 276.68 207.51 69.17 8.50 525.81 599.47 449.60 149.87 18.42
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 573.86 654.35 490.76 163.59 20.13 1243.36 1417.76 1063.32 354.44 43.60
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 521.73 594.87 446.15 148.72 18.29 1130.42 1288.89 966.67 322.22 39.62
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self LV1 323.74 346.44 241.58 104.86 16.89 701.44 750.62 523.42 227.20 36.60
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family LV2 971.21 1039.34 562.25 477.09 52.35 2104.29 2251.90 1218.21 1033.69 113.42
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One LV3 696.03 744.87 517.46 227.41 35.50 1508.07 1613.89 1121.16 492.73 76.92
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 233.88 266.18 199.64 66.54 8.07 506.74 576.72 432.54 144.18 17.50
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 553.03 629.51 472.13 157.38 19.12 1198.23 1363.94 1022.96 340.98 41.42
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 502.79 572.28 429.21 143.07 17.37 1089.38 1239.94 929.96 309.98 37.64
Georgia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 142.52 47.51 New Plan New Plan 411.73 308.80 102.93 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 377.68 125.89 New Plan New Plan 1091.07 818.30 272.77 New Plan
Georgia UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 313.55 104.51 New Plan New Plan 905.80 679.35 226.45 New Plan
Guam Calvo's SelectCare - Standard Self B44 183.11 198.36 148.77 49.59 3.81 396.74 429.78 322.34 107.44 8.26
Guam Calvo's SelectCare - Standard Self & Family B45 532.03 576.33 432.25 144.08 11.07 1152.73 1248.72 936.54 312.18 24.00
Guam Calvo's SelectCare - Standard Self Plus One B46 360.97 391.02 293.27 97.75 7.51 782.10 847.21 635.41 211.80 16.28
Guam Calvo's SelectCare - High Self B41 226.87 240.78 180.59 60.19 3.47 491.55 521.69 391.27 130.42 7.53
Guam Calvo's SelectCare - High Self & Family B42 600.87 637.74 478.31 159.43 9.21 1301.89 1381.77 1036.33 345.44 19.97
Guam Calvo's SelectCare - High Self Plus One B43 442.72 469.88 352.41 117.47 6.79 959.23 1018.07 763.55 254.52 14.71
Guam TakeCare - HDHP Self KX1 57.34 55.63 41.72 13.91 -0.42 124.24 120.53 90.40 30.13 -0.93
Guam TakeCare - HDHP Self & Family KX2 156.61 149.15 111.86 37.29 -1.86 339.32 323.16 242.37 80.79 -4.04
Guam TakeCare - HDHP Self Plus One KX3 141.28 134.28 100.71 33.57 -1.75 306.11 290.94 218.21 72.73 -3.80
Guam TakeCare - Standard Self JK4 179.65 186.67 140.00 46.67 1.76 389.24 404.45 303.34 101.11 3.80
Guam TakeCare - Standard Self & Family JK5 508.76 528.64 396.48 132.16 4.97 1102.31 1145.39 859.04 286.35 10.77
Guam TakeCare - Standard Self Plus One JK6 354.07 367.91 275.93 91.98 3.46 767.15 797.14 597.86 199.28 7.49
Guam TakeCare - High Self JK1 227.24 229.76 172.32 57.44 0.63 492.35 497.81 373.36 124.45 1.36
Guam TakeCare - High Self & Family JK2 542.03 548.02 411.02 137.00 1.49 1174.40 1187.38 890.54 296.84 3.24
Guam TakeCare - High Self Plus One JK3 448.95 453.92 340.44 113.48 1.24 972.73 983.49 737.62 245.87 2.69
Hawaii Aetna Advantage - Advantage Self Z24 214.08 230.78 173.09 57.69 4.17 463.84 500.02 375.02 125.00 9.04
Hawaii Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 458.66 152.88 11.05 1229.17 1325.00 993.75 331.25 23.96
Hawaii Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 380.78 126.92 9.18 1020.44 1100.02 825.02 275.00 19.89
Hawaii Aetna Direct - CDHP Self N61 282.76 284.23 213.17 71.06 0.37 612.65 615.83 461.87 153.96 0.80
Hawaii Aetna Direct - CDHP Self & Family N62 713.08 716.80 537.60 179.20 0.93 1545.01 1553.07 1164.80 388.27 2.02
Hawaii Aetna Direct - CDHP Self Plus One N63 620.10 623.33 467.50 155.83 0.81 1343.55 1350.55 1012.91 337.64 1.75
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 495.45 505.19 241.58 263.61 3.93 1073.48 1094.58 523.42 571.16 8.52
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1131.04 1153.29 562.25 591.04 6.47 2450.59 2498.80 1218.21 1280.59 14.02
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1119.84 1141.88 517.46 624.42 8.70 2426.32 2474.07 1121.16 1352.91 18.85
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 463.38 466.12 241.58 224.54 -3.07 1003.99 1009.93 523.42 486.51 -6.64
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1056.30 1062.53 562.25 500.28 -9.55 2288.65 2302.15 1218.21 1083.94 -20.69
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1045.84 1052.00 517.46 534.54 -7.18 2265.99 2279.33 1121.16 1158.17 -15.56
Hawaii Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 241.58 121.20 20.60 728.80 786.02 523.42 262.60 44.64
Hawaii Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 562.25 237.98 42.48 1607.60 1733.83 1218.21 515.62 92.04
Hawaii Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 517.46 267.10 43.79 1576.10 1699.88 1121.16 578.72 94.88
Hawaii HMSA Plan - High Self 871 291.34 291.34 218.51 72.83 0.00 631.24 631.24 473.43 157.81 0.00
Hawaii HMSA Plan - High Self & Family 872 654.93 654.93 491.20 163.73 0.00 1419.02 1419.02 1064.27 354.75 0.00
Hawaii HMSA Plan - High Self Plus One 873 638.34 638.34 478.76 159.58 0.00 1383.07 1383.07 1037.30 345.77 0.00
Hawaii HMSA Plan - Standard Self 874 198.91 209.46 157.10 52.36 2.63 430.97 453.83 340.37 113.46 5.72
Hawaii HMSA Plan - Standard Self & Family 875 447.15 470.85 353.14 117.71 5.92 968.83 1020.18 765.14 255.04 12.83
Hawaii HMSA Plan - Standard Self Plus One 876 435.80 458.90 344.18 114.72 5.77 944.23 994.28 745.71 248.57 12.51
Hawaii Kaiser Permanente - Hawaii - High Self 631 311.79 311.79 233.84 77.95 0.00 675.55 675.55 506.66 168.89 0.00
Hawaii Kaiser Permanente - Hawaii - High Self & Family 632 695.31 695.31 521.48 173.83 0.00 1506.51 1506.51 1129.88 376.63 0.00
Hawaii Kaiser Permanente - Hawaii - High Self Plus One 633 695.31 695.31 517.46 177.85 -13.34 1506.51 1506.51 1121.16 385.35 -28.90
Hawaii Kaiser Permanente - Hawaii - Standard Self 634 222.07 233.16 174.87 58.29 2.77 481.15 505.18 378.89 126.29 6.00
Hawaii Kaiser Permanente - Hawaii - Standard Self & Family 635 495.22 519.93 389.95 129.98 6.18 1072.98 1126.52 844.89 281.63 13.39
Hawaii Kaiser Permanente - Hawaii - Standard Self Plus One 636 495.22 519.93 389.95 129.98 6.18 1072.98 1126.52 844.89 281.63 13.39
Idaho Aetna Advantage - Advantage Self Z24 214.08 230.78 173.09 57.69 4.17 463.84 500.02 375.02 125.00 9.04
Idaho Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 458.66 152.88 11.05 1229.17 1325.00 993.75 331.25 23.96
Idaho Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 380.78 126.92 9.18 1020.44 1100.02 825.02 275.00 19.89
Idaho Aetna Direct - CDHP Self N61 282.76 284.23 213.17 71.06 0.37 612.65 615.83 461.87 153.96 0.80
Idaho Aetna Direct - CDHP Self & Family N62 713.08 716.80 537.60 179.20 0.93 1545.01 1553.07 1164.80 388.27 2.02
Idaho Aetna Direct - CDHP Self Plus One N63 620.10 623.33 467.50 155.83 0.81 1343.55 1350.55 1012.91 337.64 1.75
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 382.37 381.62 241.58 140.04 -6.56 828.47 826.84 523.42 303.42 -14.21
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 871.59 869.88 562.25 307.63 -17.49 1888.45 1884.74 1218.21 666.53 -37.90
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 863.04 861.43 517.46 343.97 -14.95 1869.92 1866.43 1121.16 745.27 -32.39
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 372.48 377.30 241.58 135.72 -0.99 807.04 817.48 523.42 294.06 -2.14
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 854.85 865.92 562.25 303.67 -4.71 1852.18 1876.16 1218.21 657.95 -10.21
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 838.09 848.95 517.46 331.49 -2.48 1815.86 1839.39 1121.16 718.23 -5.37
Idaho Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 241.58 121.20 20.60 728.80 786.02 523.42 262.60 44.64
Idaho Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 562.25 237.98 42.48 1607.60 1733.83 1218.21 515.62 92.04
Idaho Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 517.46 267.10 43.79 1576.10 1699.88 1121.16 578.72 94.88
Idaho Altius Health Plan - High Self 9K1 465.72 483.86 241.58 242.28 12.33 1009.06 1048.36 523.42 524.94 26.72
Idaho Altius Health Plan - High Self & Family 9K2 1029.93 1070.06 562.25 507.81 24.35 2231.52 2318.46 1218.21 1100.25 52.75
Idaho Altius Health Plan - High Self Plus One 9K3 1019.73 1059.46 517.46 542.00 26.39 2209.42 2295.50 1121.16 1174.34 57.18
Idaho Altius Health Plan - HDHP Self 9K4 244.26 310.38 232.79 77.59 16.53 529.23 672.49 504.37 168.12 35.81
Idaho Altius Health Plan - HDHP Self & Family 9K5 510.48 648.66 486.50 162.16 34.54 1106.04 1405.43 1054.07 351.36 74.85
Idaho Altius Health Plan - HDHP Self Plus One 9K6 500.48 635.93 476.95 158.98 33.86 1084.37 1377.85 1033.39 344.46 73.37
Idaho Altius Health Plan - Standard Self DK4 351.37 407.59 241.58 166.01 50.41 761.30 883.11 523.42 359.69 109.23
Idaho Altius Health Plan - Standard Self & Family DK5 775.95 900.09 562.25 337.84 108.36 1681.23 1950.20 1218.21 731.99 234.78
Idaho Altius Health Plan - Standard Self Plus One DK6 768.26 891.17 517.46 373.71 109.57 1664.56 1930.87 1121.16 809.71 237.41
Idaho Kaiser Permanente - Washington Core - Standard Self 544 278.83 285.24 213.93 71.31 1.60 604.13 618.02 463.52 154.50 3.47
Idaho Kaiser Permanente - Washington Core - Standard Self & Family 545 641.32 656.05 492.04 164.01 3.68 1389.53 1421.44 1066.08 355.36 7.98
Idaho Kaiser Permanente - Washington Core - Standard Self Plus One 546 641.32 656.05 492.04 164.01 3.68 1389.53 1421.44 1066.08 355.36 7.98
Idaho Kaiser Permanente - Washington Core - High Self 541 390.34 398.66 241.58 157.08 2.51 845.74 863.76 523.42 340.34 5.44
Idaho Kaiser Permanente - Washington Core - High Self & Family 542 858.76 877.04 562.25 314.79 2.50 1860.65 1900.25 1218.21 682.04 5.41
Idaho Kaiser Permanente - Washington Core - High Self Plus One 543 858.76 877.04 517.46 359.58 4.94 1860.65 1900.25 1121.16 779.09 10.70
Idaho Kaiser Permanente - Washington Core - Prosper Self PT4 New Plan 180.00 135.00 45.00 New Plan New Plan 390.00 292.50 97.50 New Plan
Idaho Kaiser Permanente - Washington Core - Prosper Self & Family PT5 New Plan 503.99 377.99 126.00 New Plan New Plan 1091.98 818.99 272.99 New Plan
Idaho Kaiser Permanente - Washington Core - Prosper Self Plus One PT6 New Plan 436.00 327.00 109.00 New Plan New Plan 944.67 708.50 236.17 New Plan
Idaho UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 142.52 47.51 New Plan New Plan 411.73 308.80 102.93 New Plan
Idaho UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 377.68 125.89 New Plan New Plan 1091.07 818.30 272.77 New Plan
Idaho UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 313.55 104.51 New Plan New Plan 905.80 679.35 226.45 New Plan
Illinois Aetna Advantage - Advantage Self Z24 214.08 230.78 173.09 57.69 4.17 463.84 500.02 375.02 125.00 9.04
Illinois Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 458.66 152.88 11.05 1229.17 1325.00 993.75 331.25 23.96
Illinois Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 380.78 126.92 9.18 1020.44 1100.02 825.02 275.00 19.89
Illinois Aetna Direct - CDHP Self N61 282.76 284.23 213.17 71.06 0.37 612.65 615.83 461.87 153.96 0.80
Illinois Aetna Direct - CDHP Self & Family N62 713.08 716.80 537.60 179.20 0.93 1545.01 1553.07 1164.80 388.27 2.02
Illinois Aetna Direct - CDHP Self Plus One N63 620.10 623.33 467.50 155.83 0.81 1343.55 1350.55 1012.91 337.64 1.75
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 382.37 381.62 241.58 140.04 -6.56 828.47 826.84 523.42 303.42 -14.21
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 871.59 869.88 562.25 307.63 -17.49 1888.45 1884.74 1218.21 666.53 -37.90
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 863.04 861.43 517.46 343.97 -14.95 1869.92 1866.43 1121.16 745.27 -32.39
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 372.48 377.30 241.58 135.72 -0.99 807.04 817.48 523.42 294.06 -2.14
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 854.85 865.92 562.25 303.67 -4.71 1852.18 1876.16 1218.21 657.95 -10.21
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 838.09 848.95 517.46 331.49 -2.48 1815.86 1839.39 1121.16 718.23 -5.37
Illinois Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 241.58 121.20 20.60 728.80 786.02 523.42 262.60 44.64
Illinois Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 562.25 237.98 42.48 1607.60 1733.83 1218.21 515.62 92.04
Illinois Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 517.46 267.10 43.79 1576.10 1699.88 1121.16 578.72 94.88
Illinois Blue Preferred - High Self 9G1 384.56 403.49 241.58 161.91 13.12 833.21 874.23 523.42 350.81 28.44
Illinois Blue Preferred - High Self & Family 9G2 857.94 915.93 562.25 353.68 42.21 1858.87 1984.52 1218.21 766.31 91.46
Illinois Blue Preferred - High Self Plus One 9G3 812.58 859.44 517.46 341.98 33.52 1760.59 1862.12 1121.16 740.96 72.63
Illinois Blue Preferred - Standard Self 9G4 277.21 292.46 219.35 73.11 3.81 600.62 633.66 475.25 158.41 8.26
Illinois Blue Preferred - Standard Self & Family 9G5 787.85 811.49 562.25 249.24 7.86 1707.01 1758.23 1218.21 540.02 17.03
Illinois Blue Preferred - Standard Self Plus One 9G6 712.48 726.73 517.46 209.27 0.91 1543.71 1574.58 1121.16 453.42 1.97
Illinois Health Alliance HMO - Standard Self K84 308.37 315.49 236.62 78.87 1.78 668.14 683.56 512.67 170.89 3.86
Illinois Health Alliance HMO - Standard Self & Family K85 832.61 731.24 548.43 182.81 -103.33 1803.99 1584.35 1188.26 396.09 -223.88
Illinois Health Alliance HMO - Standard Self Plus One K86 714.36 674.59 505.94 168.65 -41.59 1547.78 1461.61 1096.21 365.40 -90.12
Illinois Humana CoverageFirst and Humana Value Plan - Value Self GB4 349.91 363.91 241.58 122.33 8.19 758.14 788.47 523.42 265.05 17.75
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family GB5 787.28 818.77 562.25 256.52 15.71 1705.77 1774.00 1218.21 555.79 34.04
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One GB6 752.29 782.38 517.46 264.92 16.75 1629.96 1695.16 1121.16 574.00 36.30
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self GB1 544.86 566.65 241.58 325.07 15.98 1180.53 1227.74 523.42 704.32 34.63
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family GB2 1225.91 1274.95 562.25 712.70 33.26 2656.14 2762.39 1218.21 1544.18 72.06
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One GB3 1171.44 1218.30 517.46 700.84 33.52 2538.12 2639.65 1121.16 1518.49 72.63
Illinois Humana CoverageFirst and Humana Value Plan - Value Self MW4 348.42 372.81 241.58 131.23 18.58 754.91 807.76 523.42 284.34 40.27
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family MW5 783.93 838.80 562.25 276.55 39.09 1698.52 1817.40 1218.21 599.19 84.69
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One MW6 749.10 801.54 517.46 284.08 39.10 1623.05 1736.67 1121.16 615.51 84.72
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self MW1 422.78 473.52 241.58 231.94 44.93 916.02 1025.96 523.42 502.54 97.36
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MW2 951.30 1065.45 562.25 503.20 98.37 2061.15 2308.48 1218.21 1090.27 213.14
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MW3 909.00 1018.09 517.46 500.63 95.75 1969.50 2205.86 1121.16 1084.70 207.46
Illinois Humana Health Plan, Inc. - Standard Self 754 439.34 482.47 241.58 240.89 37.32 951.90 1045.35 523.42 521.93 80.87
Illinois Humana Health Plan, Inc. - Standard Self & Family 755 988.51 1085.55 562.25 523.30 81.26 2141.77 2352.03 1218.21 1133.82 176.07
Illinois Humana Health Plan, Inc. - Standard Self Plus One 756 944.58 1037.32 517.46 519.86 79.40 2046.59 2247.53 1121.16 1126.37 172.04
Illinois Humana Health Plan, Inc. - High Self 751 571.82 631.85 241.58 390.27 54.22 1238.94 1369.01 523.42 845.59 117.49
Illinois Humana Health Plan, Inc. - High Self & Family 752 1286.59 1421.69 562.25 859.44 119.32 2787.61 3080.33 1218.21 1862.12 258.53
Illinois Humana Health Plan, Inc. - High Self Plus One 753 1229.42 1358.50 517.46 841.04 115.74 2663.74 2943.42 1121.16 1822.26 250.78
Illinois Humana Health Plan, Inc. - High Self 9F1 894.61 930.39 241.58 688.81 29.97 1938.32 2015.85 523.42 1492.43 64.95
Illinois Humana Health Plan, Inc. - High Self & Family 9F2 2012.86 2093.37 562.25 1531.12 64.73 4361.20 4535.64 1218.21 3317.43 140.25
Illinois Humana Health Plan, Inc. - High Self Plus One 9F3 1923.39 2000.32 517.46 1482.86 63.59 4167.35 4334.03 1121.16 3212.87 137.78
Illinois Humana Health Plan, Inc. - Standard Self AB4 530.55 573.09 241.58 331.51 36.73 1149.53 1241.70 523.42 718.28 79.59
Illinois Humana Health Plan, Inc. - Standard Self & Family AB5 1193.74 1289.49 562.25 727.24 79.97 2586.44 2793.90 1218.21 1575.69 173.27
Illinois Humana Health Plan, Inc. - Standard Self Plus One AB6 1140.69 1232.18 517.46 714.72 78.15 2471.50 2669.72 1121.16 1548.56 169.32
Illinois Humana Health Plan, Inc. - Basic Self AB1 349.22 363.19 241.58 121.61 8.16 756.64 786.91 523.42 263.49 17.69
Illinois Humana Health Plan, Inc. - Basic Self & Family AB2 785.77 817.20 562.25 254.95 15.65 1702.50 1770.60 1218.21 552.39 33.91
Illinois Humana Health Plan, Inc. - Basic Self Plus One AB3 750.85 780.88 517.46 263.42 16.69 1626.84 1691.91 1121.16 570.75 36.17
Illinois Humana Health Plan, Inc. - Basic Self RW1 345.34 378.02 241.58 136.44 26.87 748.24 819.04 523.42 295.62 58.22
Illinois Humana Health Plan, Inc. - Basic Self & Family RW2 777.02 850.55 562.25 288.30 57.75 1683.54 1842.86 1218.21 624.65 125.13
Illinois Humana Health Plan, Inc. - Basic Self Plus One RW3 742.49 812.75 517.46 295.29 56.92 1608.73 1760.96 1121.16 639.80 123.33
Illinois Union Health Service - High Self 761 343.42 360.95 241.58 119.37 11.72 744.08 782.06 523.42 258.64 25.40
Illinois Union Health Service - High Self & Family 762 877.68 905.96 562.25 343.71 12.50 1901.64 1962.91 1218.21 744.70 27.08
Illinois Union Health Service - High Self Plus One 763 770.00 799.54 517.46 282.08 16.20 1668.33 1732.34 1121.16 611.18 35.11
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 242.68 276.68 207.51 69.17 8.50 525.81 599.47 449.60 149.87 18.42
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 573.86 654.35 490.76 163.59 20.13 1243.36 1417.76 1063.32 354.44 43.60
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 521.73 594.87 446.15 148.72 18.29 1130.42 1288.89 966.67 322.22 39.62
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 240.69 255.98 191.99 63.99 3.82 521.50 554.62 415.97 138.65 8.28
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 674.89 717.76 538.32 179.44 10.72 1462.26 1555.15 1166.36 388.79 23.23
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 470.06 499.93 374.95 124.98 7.47 1018.46 1083.18 812.39 270.79 16.18
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 233.88 266.18 199.64 66.54 8.07 506.74 576.72 432.54 144.18 17.50
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 553.03 629.51 472.13 157.38 19.12 1198.23 1363.94 1022.96 340.98 41.42
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 502.79 572.28 429.21 143.07 17.37 1089.38 1239.94 929.96 309.98 37.64
Illinois UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 142.52 47.51 New Plan New Plan 411.73 308.80 102.93 New Plan
Illinois UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 377.68 125.89 New Plan New Plan 1091.07 818.30 272.77 New Plan
Illinois UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 313.55 104.51 New Plan New Plan 905.80 679.35 226.45 New Plan
Indiana Aetna Advantage - Advantage Self Z24 214.08 230.78 173.09 57.69 4.17 463.84 500.02 375.02 125.00 9.04
Indiana Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 458.66 152.88 11.05 1229.17 1325.00 993.75 331.25 23.96
Indiana Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 380.78 126.92 9.18 1020.44 1100.02 825.02 275.00 19.89
Indiana Aetna Direct - CDHP Self N61 282.76 284.23 213.17 71.06 0.37 612.65 615.83 461.87 153.96 0.80
Indiana Aetna Direct - CDHP Self & Family N62 713.08 716.80 537.60 179.20 0.93 1545.01 1553.07 1164.80 388.27 2.02
Indiana Aetna Direct - CDHP Self Plus One N63 620.10 623.33 467.50 155.83 0.81 1343.55 1350.55 1012.91 337.64 1.75
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 495.45 505.19 241.58 263.61 3.93 1073.48 1094.58 523.42 571.16 8.52
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1131.04 1153.29 562.25 591.04 6.47 2450.59 2498.80 1218.21 1280.59 14.02
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1119.84 1141.88 517.46 624.42 8.70 2426.32 2474.07 1121.16 1352.91 18.85
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 463.38 466.12 241.58 224.54 -3.07 1003.99 1009.93 523.42 486.51 -6.64
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1056.30 1062.53 562.25 500.28 -9.55 2288.65 2302.15 1218.21 1083.94 -20.69
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1045.84 1052.00 517.46 534.54 -7.18 2265.99 2279.33 1121.16 1158.17 -15.56
Indiana Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 241.58 121.20 20.60 728.80 786.02 523.42 262.60 44.64
Indiana Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 562.25 237.98 42.48 1607.60 1733.83 1218.21 515.62 92.04
Indiana Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 517.46 267.10 43.79 1576.10 1699.88 1121.16 578.72 94.88
Indiana Health Alliance HMO - Standard Self K84 308.37 315.49 236.62 78.87 1.78 668.14 683.56 512.67 170.89 3.86
Indiana Health Alliance HMO - Standard Self & Family K85 832.61 731.24 548.43 182.81 -103.33 1803.99 1584.35 1188.26 396.09 -223.88
Indiana Health Alliance HMO - Standard Self Plus One K86 714.36 674.59 505.94 168.65 -41.59 1547.78 1461.61 1096.21 365.40 -90.12
Indiana Humana CoverageFirst - CDHP Self TC1 304.37 340.88 241.58 99.30 23.21 659.47 738.57 523.42 215.15 50.28
Indiana Humana CoverageFirst - CDHP Self & Family TC2 684.80 766.98 562.25 204.73 33.53 1483.73 1661.79 1218.21 443.58 72.65
Indiana Humana CoverageFirst - CDHP Self Plus One TC3 654.38 732.90 517.46 215.44 51.85 1417.82 1587.95 1121.16 466.79 112.34
Indiana Humana CoverageFirst and Humana Value Plan - Value Self MW4 348.42 372.81 241.58 131.23 18.58 754.91 807.76 523.42 284.34 40.27
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family MW5 783.93 838.80 562.25 276.55 39.09 1698.52 1817.40 1218.21 599.19 84.69
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One MW6 749.10 801.54 517.46 284.08 39.10 1623.05 1736.67 1121.16 615.51 84.72
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self MW1 422.78 473.52 241.58 231.94 44.93 916.02 1025.96 523.42 502.54 97.36
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MW2 951.30 1065.45 562.25 503.20 98.37 2061.15 2308.48 1218.21 1090.27 213.14
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MW3 909.00 1018.09 517.46 500.63 95.75 1969.50 2205.86 1121.16 1084.70 207.46
Indiana Humana CoverageFirst and Humana Value Plan - Value Self X34 283.90 298.10 223.58 74.52 3.55 615.12 645.88 484.41 161.47 7.69
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 638.79 670.73 503.05 167.68 7.98 1384.05 1453.25 1089.94 363.31 17.30
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 610.40 640.92 480.69 160.23 7.63 1322.53 1388.66 1041.50 347.16 16.53
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self X31 368.97 387.42 241.58 145.84 12.64 799.44 839.41 523.42 315.99 27.39
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 830.20 871.71 562.25 309.46 25.73 1798.77 1888.71 1218.21 670.50 55.75
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 793.30 832.97 517.46 315.51 26.33 1718.82 1804.77 1121.16 683.61 57.05
Indiana Humana Health Plan of Ohio, Inc. - High Self A61 692.76 727.40 241.58 485.82 28.83 1500.98 1576.03 523.42 1052.61 62.47
Indiana Humana Health Plan of Ohio, Inc. - High Self & Family A62 1558.72 1636.66 562.25 1074.41 62.16 3377.23 3546.10 1218.21 2327.89 134.68
Indiana Humana Health Plan of Ohio, Inc. - High Self Plus One A63 1489.45 1563.92 517.46 1046.46 61.13 3227.14 3388.49 1121.16 2267.33 132.45
Indiana Humana Health Plan of Ohio, Inc. - Standard Self A64 541.00 568.05 241.58 326.47 21.24 1172.17 1230.78 523.42 707.36 46.03
Indiana Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 1217.27 1278.14 562.25 715.89 45.09 2637.42 2769.30 1218.21 1551.09 97.69
Indiana Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 1163.17 1221.32 517.46 703.86 44.81 2520.20 2646.19 1121.16 1525.03 97.09
Indiana Humana Health Plan, Inc. - Standard Self 754 439.34 482.47 241.58 240.89 37.32 951.90 1045.35 523.42 521.93 80.87
Indiana Humana Health Plan, Inc. - Standard Self & Family 755 988.51 1085.55 562.25 523.30 81.26 2141.77 2352.03 1218.21 1133.82 176.07
Indiana Humana Health Plan, Inc. - Standard Self Plus One 756 944.58 1037.32 517.46 519.86 79.40 2046.59 2247.53 1121.16 1126.37 172.04
Indiana Humana Health Plan, Inc. - High Self 751 571.82 631.85 241.58 390.27 54.22 1238.94 1369.01 523.42 845.59 117.49
Indiana Humana Health Plan, Inc. - High Self & Family 752 1286.59 1421.69 562.25 859.44 119.32 2787.61 3080.33 1218.21 1862.12 258.53
Indiana Humana Health Plan, Inc. - High Self Plus One 753 1229.42 1358.50 517.46 841.04 115.74 2663.74 2943.42 1121.16 1822.26 250.78
Indiana Humana Health Plan, Inc. - High Self MH1 509.98 560.99 241.58 319.41 45.20 1104.96 1215.48 523.42 692.06 97.94
Indiana Humana Health Plan, Inc. - High Self & Family MH2 1147.47 1262.23 562.25 699.98 98.98 2486.19 2734.83 1218.21 1516.62 214.45
Indiana Humana Health Plan, Inc. - High Self Plus One MH3 1096.47 1206.12 517.46 688.66 96.31 2375.69 2613.26 1121.16 1492.10 208.67
Indiana Humana Health Plan, Inc. - Standard Self MH4 396.76 436.44 241.58 194.86 33.87 859.65 945.62 523.42 422.20 73.39
Indiana Humana Health Plan, Inc. - Standard Self & Family MH5 892.70 981.98 562.25 419.73 73.50 1934.18 2127.62 1218.21 909.41 159.25
Indiana Humana Health Plan, Inc. - Standard Self Plus One MH6 853.03 938.33 517.46 420.87 71.96 1848.23 2033.05 1121.16 911.89 155.92
Indiana UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Y51 New Plan 190.03 142.52 47.51 New Plan New Plan 411.73 308.80 102.93 New Plan
Indiana UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self & Family Y52 New Plan 503.57 377.68 125.89 New Plan New Plan 1091.07 818.30 272.77 New Plan
Indiana UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - High Self Plus One Y53 New Plan 418.06 313.55 104.51 New Plan New Plan 905.80 679.35 226.45 New Plan
Iowa Aetna Advantage - Advantage Self Z24 214.08 230.78 173.09 57.69 4.17 463.84 500.02 375.02 125.00 9.04
Iowa Aetna Advantage - Advantage Self & Family Z25 567.31 611.54 458.66 152.88 11.05 1229.17 1325.00 993.75 331.25 23.96
Iowa Aetna Advantage - Advantage Self Plus One Z26 470.97 507.70 380.78 126.92 9.18 1020.44 1100.02 825.02 275.00 19.89
Iowa Aetna Direct - CDHP Self N61 282.76 284.23 213.17 71.06 0.37 612.65 615.83 461.87 153.96 0.80
Iowa Aetna Direct - CDHP Self & Family N62 713.08 716.80 537.60 179.20 0.93 1545.01 1553.07 1164.80 388.27 2.02
Iowa Aetna Direct - CDHP Self Plus One N63 620.10 623.33 467.50 155.83 0.81 1343.55 1350.55 1012.91 337.64 1.75
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 382.37 381.62 241.58 140.04 -6.56 828.47 826.84 523.42 303.42 -14.21
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 871.59 869.88 562.25 307.63 -17.49 1888.45 1884.74 1218.21 666.53 -37.90
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 863.04 861.43 517.46 343.97 -14.95 1869.92 1866.43 1121.16 745.27 -32.39
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 372.48 377.30 241.58 135.72 -0.99 807.04 817.48 523.42 294.06 -2.14
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 854.85 865.92 562.25 303.67 -4.71 1852.18 1876.16 1218.21 657.95 -10.21
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 838.09 848.95 517.46 331.49 -2.48 1815.86 1839.39 1121.16 718.23 -5.37
Iowa Aetna HealthFund HDHP - HDHP Self 224 336.37 362.78 241.58 121.20 20.60 728.80 786.02 523.42 262.60 44.64
Iowa Aetna HealthFund HDHP - HDHP Self & Family 225 741.97 800.23 562.25 237.98 42.48 1607.60 1733.83 1218.21 515.62 92.04
Iowa Aetna HealthFund HDHP - HDHP Self Plus One 226 727.43 784.56 517.46 267.10 43.79 1576.10 1699.88 1121.16 578.72 94.88
Iowa Health Alliance HMO - Standard Self K84 308.37 315.49 236.62 78.87 1.78 668.14 683.56 512.67 170.89 3.86
Iowa Health Alliance HMO - Standard Self & Family K85 832.61 731.24 548.43 182.81 -103.33 1803.99 1584.35 1188.26 396.09 -223.88
Iowa Health Alliance HMO - Standard Self Plus One K86 714.36 674.59 505.94 168.65 -41.59 1547.78 1461.61 1096.21 365.40 -90.12
Iowa HealthPartners - Standard Self V34 212.27 235.11 176.33 58.78 5.71 459.92 509.41 382.06 127.35 12.37
Iowa HealthPartners - Standard Self & Family V35 517.11 572.74 429.56 143.18 13.90 1120.41 1240.94 930.71 310.23 30.13
Iowa HealthPartners - Standard Self Plus One V36 469.13 519.60 389.70 129.90 12.62 1016.45 1125.80 844.35 281.45 27.34
Iowa HealthPartners - High Self V31 328.76 308.34 231.26 77.08 -15.91 712.31 668.07 501.05 167.02 -34.45
Iowa HealthPartners - High Self & Family V32 800.86 751.10 562.25 188.85 -65.54 1735.20