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Healthcare

Premium Rates for the Federal Employees Health Benefits Program

HMO (Regional Plans with Specific Service Areas)

Plan - Option Enrollment Code 2021 Total Biweekly Premium 2022 Biweekly Premium Rates - Total Premium 2022 Biweekly Premium Rates - Government Pays 2022 Biweekly Premium Rates - Employee Pays 2022 Biweekly Premium Rates - Change in Employee Payment 2021 Total Monthly Premium 2022 Monthly Premium Rates - Total Premium 2022 Monthly Premium Rates - Government Pays 2022 Monthly Premium Rates - Employee Pays 2022 Monthly Premium Rates - Change in Employee Payment
Alabama Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Alabama Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Alabama Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Alabama Aetna Direct - CDHP Self N61 284.23 289.97 217.48 72.49 1.43 615.83 628.27 471.20 157.07 3.11
Alabama Aetna Direct - CDHP Self & Family N62 716.80 731.30 548.48 182.82 3.62 1553.07 1584.48 1188.36 396.12 7.85
Alabama Aetna Direct - CDHP Self Plus One N63 623.33 635.94 476.96 158.98 3.15 1350.55 1377.87 1033.40 344.47 6.83
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 393.11 401.84 244.86 156.98 5.45 851.74 870.65 530.53 340.12 11.80
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 896.32 916.20 574.13 342.07 8.00 1942.03 1985.10 1243.95 741.15 17.33
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 887.45 907.13 524.63 382.50 12.51 1922.81 1965.45 1136.70 828.75 27.10
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 379.30 413.32 244.86 168.46 30.74 821.82 895.53 530.53 365.00 66.60
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 868.56 946.45 574.13 372.32 66.01 1881.88 2050.64 1243.95 806.69 143.02
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 851.52 927.90 524.63 403.27 69.21 1844.96 2010.45 1136.70 873.75 149.95
Alabama Aetna HealthFund HDHP - HDHP Self 224 362.78 380.45 244.86 135.59 14.39 786.02 824.31 530.53 293.78 31.18
Alabama Aetna HealthFund HDHP - HDHP Self & Family 225 800.23 839.19 574.13 265.06 27.08 1733.83 1818.25 1243.95 574.30 58.68
Alabama Aetna HealthFund HDHP - HDHP Self Plus One 226 784.56 822.75 524.63 298.12 31.02 1699.88 1782.63 1136.70 645.93 67.21
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 276.68 300.42 225.32 75.10 5.93 599.47 650.91 488.18 162.73 12.86
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 654.35 710.52 532.89 177.63 14.04 1417.76 1539.46 1154.60 384.86 30.42
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 594.87 645.92 484.44 161.48 12.76 1288.89 1399.49 1049.62 349.87 27.65
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 224.24 288.31 216.23 72.08 16.02 485.85 624.67 468.50 156.17 34.71
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 515.77 663.12 497.34 165.78 36.84 1117.50 1436.76 1077.57 359.19 79.82
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 482.12 619.88 464.91 154.97 34.44 1044.59 1343.07 1007.30 335.77 74.62
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 354.94 391.06 244.86 146.20 32.84 769.04 847.30 530.53 316.77 71.15
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 887.37 977.65 574.13 403.52 78.40 1922.64 2118.24 1243.95 874.29 169.86
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 763.14 840.78 524.63 316.15 70.47 1653.47 1821.69 1136.70 684.99 152.68
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 266.18 268.27 201.20 67.07 0.53 576.72 581.25 435.94 145.31 1.13
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 629.51 634.47 475.85 158.62 1.24 1363.94 1374.69 1031.02 343.67 2.69
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 572.28 576.79 432.59 144.20 1.13 1239.94 1249.71 937.28 312.43 2.45
Alaska Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Alaska Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Alaska Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Alaska Aetna Direct - CDHP Self N61 284.23 289.97 217.48 72.49 1.43 615.83 628.27 471.20 157.07 3.11
Alaska Aetna Direct - CDHP Self & Family N62 716.80 731.30 548.48 182.82 3.62 1553.07 1584.48 1188.36 396.12 7.85
Alaska Aetna Direct - CDHP Self Plus One N63 623.33 635.94 476.96 158.98 3.15 1350.55 1377.87 1033.40 344.47 6.83
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 505.19 505.16 244.86 260.30 -3.31 1094.58 1094.51 530.53 563.98 -7.18
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1153.29 1153.22 574.13 579.09 -11.95 2498.80 2498.64 1243.95 1254.69 -25.90
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1141.88 1141.82 524.63 617.19 -7.23 2474.07 2473.94 1136.70 1337.24 -15.67
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 466.12 478.77 244.86 233.91 9.37 1009.93 1037.34 530.53 506.81 20.30
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1062.53 1091.38 574.13 517.25 16.97 2302.15 2364.66 1243.95 1120.71 36.77
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1052.00 1080.57 524.63 555.94 21.40 2279.33 2341.24 1136.70 1204.54 46.37
Alaska Aetna HealthFund HDHP - HDHP Self 224 362.78 380.45 244.86 135.59 14.39 786.02 824.31 530.53 293.78 31.18
Alaska Aetna HealthFund HDHP - HDHP Self & Family 225 800.23 839.19 574.13 265.06 27.08 1733.83 1818.25 1243.95 574.30 58.68
Alaska Aetna HealthFund HDHP - HDHP Self Plus One 226 784.56 822.75 524.63 298.12 31.02 1699.88 1782.63 1136.70 645.93 67.21
Arizona Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Arizona Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Arizona Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Arizona Aetna Direct - CDHP Self N61 284.23 289.97 217.48 72.49 1.43 615.83 628.27 471.20 157.07 3.11
Arizona Aetna Direct - CDHP Self & Family N62 716.80 731.30 548.48 182.82 3.62 1553.07 1584.48 1188.36 396.12 7.85
Arizona Aetna Direct - CDHP Self Plus One N63 623.33 635.94 476.96 158.98 3.15 1350.55 1377.87 1033.40 344.47 6.83
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 330.94 385.10 244.86 140.24 50.88 717.04 834.38 530.53 303.85 110.23
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 757.97 882.03 574.13 307.90 112.18 1642.27 1911.07 1243.95 667.12 243.06
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 743.12 864.75 524.63 340.12 114.46 1610.09 1873.63 1136.70 736.93 248.00
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 488.66 523.89 244.86 279.03 31.95 1058.76 1135.10 530.53 604.57 69.23
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1114.65 1195.02 574.13 620.89 68.49 2415.08 2589.21 1243.95 1345.26 148.39
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1103.63 1183.20 524.63 658.57 72.40 2391.20 2563.60 1136.70 1426.90 156.86
Arizona Aetna HealthFund HDHP - HDHP Self 224 362.78 380.45 244.86 135.59 14.39 786.02 824.31 530.53 293.78 31.18
Arizona Aetna HealthFund HDHP - HDHP Self & Family 225 800.23 839.19 574.13 265.06 27.08 1733.83 1818.25 1243.95 574.30 58.68
Arizona Aetna HealthFund HDHP - HDHP Self Plus One 226 784.56 822.75 524.63 298.12 31.02 1699.88 1782.63 1136.70 645.93 67.21
Arizona Aetna Open Access - High Self WQ1 621.08 664.00 244.86 419.14 39.64 1345.67 1438.67 530.53 908.14 85.89
Arizona Aetna Open Access - High Self & Family WQ2 1507.96 1612.18 574.13 1038.05 92.34 3267.25 3493.06 1243.95 2249.11 200.07
Arizona Aetna Open Access - High Self Plus One WQ3 1493.01 1596.20 524.63 1071.57 96.02 3234.86 3458.43 1136.70 2321.73 208.03
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self R61 374.88 402.99 244.86 158.13 24.83 812.24 873.15 530.53 342.62 53.80
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family R62 843.46 906.72 574.13 332.59 51.38 1827.50 1964.56 1243.95 720.61 111.32
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One R63 805.98 866.42 524.63 341.79 53.27 1746.29 1877.24 1136.70 740.54 115.41
Arizona Humana CoverageFirst and Humana Value Plan - Value Self R64 299.64 307.13 230.35 76.78 1.87 649.22 665.45 499.09 166.36 4.06
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family R65 674.18 691.03 518.27 172.76 4.22 1460.72 1497.23 1122.92 374.31 9.13
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One R66 644.22 660.33 495.25 165.08 4.03 1395.81 1430.72 1073.04 357.68 8.73
Arizona Humana CoverageFirst and Humana Value Plan - Value Self R94 263.52 270.10 202.58 67.52 1.64 570.96 585.22 438.92 146.30 3.56
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family R95 592.90 607.72 455.79 151.93 3.71 1284.62 1316.73 987.55 329.18 8.03
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One R96 566.56 580.73 435.55 145.18 3.54 1227.55 1258.25 943.69 314.56 7.67
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self R91 330.96 352.48 244.86 107.62 18.24 717.08 763.71 530.53 233.18 39.52
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family R92 744.65 793.05 574.13 218.92 32.76 1613.41 1718.28 1243.95 474.33 70.98
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One R93 711.55 757.80 524.63 233.17 39.08 1541.69 1641.90 1136.70 505.20 84.67
Arizona Humana HDHP - HDHP Self BV1 New Plan 209.15 156.86 52.29 New Plan New Plan 453.16 339.87 113.29 New Plan
Arizona Humana HDHP - HDHP Self & Family BV2 New Plan 521.08 390.81 130.27 New Plan New Plan 1129.01 846.76 282.25 New Plan
Arizona Humana HDHP - HDHP Self Plus One BV3 New Plan 458.70 344.03 114.67 New Plan New Plan 993.85 745.39 248.46 New Plan
Arizona Humana HDHP - HDHP Self BY1 New Plan 183.59 137.69 45.90 New Plan New Plan 397.78 298.34 99.44 New Plan
Arizona Humana HDHP - HDHP Self & Family BY2 New Plan 457.16 342.87 114.29 New Plan New Plan 990.51 742.88 247.63 New Plan
Arizona Humana HDHP - HDHP Self Plus One BY3 New Plan 402.45 301.84 100.61 New Plan New Plan 871.98 653.99 217.99 New Plan
Arizona Humana Health Plan, Inc. - Standard Self C74 412.55 422.86 244.86 178.00 7.03 893.86 916.20 530.53 385.67 15.23
Arizona Humana Health Plan, Inc. - Standard Self & Family C75 928.23 951.44 574.13 377.31 11.33 2011.17 2061.45 1243.95 817.50 24.54
Arizona Humana Health Plan, Inc. - Standard Self Plus One C76 886.95 909.15 524.63 384.52 15.03 1921.73 1969.83 1136.70 833.13 32.56
Arizona Humana Health Plan, Inc. - Standard Self BF4 575.35 575.35 244.86 330.49 -3.28 1246.59 1246.59 530.53 716.06 -7.11
Arizona Humana Health Plan, Inc. - Standard Self & Family BF5 1294.54 1294.55 574.13 720.42 -11.87 2804.84 2804.86 1243.95 1560.91 -25.72
Arizona Humana Health Plan, Inc. - Standard Self Plus One BF6 1237.02 1237.02 524.63 712.39 -7.17 2680.21 2680.21 1136.70 1543.51 -15.54
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self WF1 287.18 308.52 231.39 77.13 5.34 622.22 668.46 501.35 167.11 11.56
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family WF2 679.17 729.65 547.24 182.41 12.62 1471.54 1580.91 1185.68 395.23 27.35
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One WF3 617.43 663.31 497.48 165.83 11.47 1337.77 1437.17 1077.88 359.29 24.85
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 243.77 310.20 232.65 77.55 16.61 528.17 672.10 504.08 168.02 35.98
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 560.66 713.47 535.10 178.37 38.21 1214.76 1545.85 1159.39 386.46 82.77
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 524.10 666.94 500.21 166.73 35.71 1135.55 1445.04 1083.78 361.26 77.37
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 360.98 399.17 244.86 154.31 34.91 782.12 864.87 530.53 334.34 75.64
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 902.47 997.92 574.13 423.79 83.57 1955.35 2162.16 1243.95 918.21 181.07
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 776.11 858.21 524.63 333.58 74.93 1681.57 1859.46 1136.70 722.76 162.35
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self VD1 286.71 303.53 227.65 75.88 4.20 621.21 657.65 493.24 164.41 9.11
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family VD2 678.06 717.87 538.40 179.47 9.96 1469.13 1555.39 1166.54 388.85 21.57
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One VD3 616.42 652.60 489.45 163.15 9.05 1335.58 1413.97 1060.48 353.49 19.60
Arkansas Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Arkansas Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Arkansas Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Arkansas Aetna Direct - CDHP Self N61 284.23 289.97 217.48 72.49 1.43 615.83 628.27 471.20 157.07 3.11
Arkansas Aetna Direct - CDHP Self & Family N62 716.80 731.30 548.48 182.82 3.62 1553.07 1584.48 1188.36 396.12 7.85
Arkansas Aetna Direct - CDHP Self Plus One N63 623.33 635.94 476.96 158.98 3.15 1350.55 1377.87 1033.40 344.47 6.83
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 393.11 401.84 244.86 156.98 5.45 851.74 870.65 530.53 340.12 11.80
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 896.32 916.20 574.13 342.07 8.00 1942.03 1985.10 1243.95 741.15 17.33
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 887.45 907.13 524.63 382.50 12.51 1922.81 1965.45 1136.70 828.75 27.10
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 379.30 413.32 244.86 168.46 30.74 821.82 895.53 530.53 365.00 66.60
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 868.56 946.45 574.13 372.32 66.01 1881.88 2050.64 1243.95 806.69 143.02
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 851.52 927.90 524.63 403.27 69.21 1844.96 2010.45 1136.70 873.75 149.95
Arkansas Aetna HealthFund HDHP - HDHP Self 224 362.78 380.45 244.86 135.59 14.39 786.02 824.31 530.53 293.78 31.18
Arkansas Aetna HealthFund HDHP - HDHP Self & Family 225 800.23 839.19 574.13 265.06 27.08 1733.83 1818.25 1243.95 574.30 58.68
Arkansas Aetna HealthFund HDHP - HDHP Self Plus One 226 784.56 822.75 524.63 298.12 31.02 1699.88 1782.63 1136.70 645.93 67.21
Arkansas QualChoice - High Self DH1 354.12 336.39 244.86 91.53 -21.01 767.26 728.85 530.53 198.32 -45.52
Arkansas QualChoice - High Self & Family DH2 923.63 877.43 574.13 303.30 -58.08 2001.20 1901.10 1243.95 657.15 -125.84
Arkansas QualChoice - High Self Plus One DH3 687.89 653.46 490.10 163.36 -8.61 1490.43 1415.83 1061.87 353.96 -18.65
Arkansas QualChoice - Standard Self DH4 276.46 262.60 196.95 65.65 -3.46 599.00 568.97 426.73 142.24 -7.51
Arkansas QualChoice - Standard Self & Family DH5 721.12 684.96 513.72 171.24 -9.04 1562.43 1484.08 1113.06 371.02 -19.59
Arkansas QualChoice - Standard Self Plus One DH6 537.06 510.13 382.60 127.53 -6.73 1163.63 1105.28 828.96 276.32 -14.59
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 276.68 300.42 225.32 75.10 5.93 599.47 650.91 488.18 162.73 12.86
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 654.35 710.52 532.89 177.63 14.04 1417.76 1539.46 1154.60 384.86 30.42
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 594.87 645.92 484.44 161.48 12.76 1288.89 1399.49 1049.62 349.87 27.65
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 224.24 288.31 216.23 72.08 16.02 485.85 624.67 468.50 156.17 34.71
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 515.77 663.12 497.34 165.78 36.84 1117.50 1436.76 1077.57 359.19 79.82
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 482.12 619.88 464.91 154.97 34.44 1044.59 1343.07 1007.30 335.77 74.62
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 354.94 391.06 244.86 146.20 32.84 769.04 847.30 530.53 316.77 71.15
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 887.37 977.65 574.13 403.52 78.40 1922.64 2118.24 1243.95 874.29 169.86
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 763.14 840.78 524.63 316.15 70.47 1653.47 1821.69 1136.70 684.99 152.68
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 266.18 268.27 201.20 67.07 0.53 576.72 581.25 435.94 145.31 1.13
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 629.51 634.47 475.85 158.62 1.24 1363.94 1374.69 1031.02 343.67 2.69
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 572.28 576.79 432.59 144.20 1.13 1239.94 1249.71 937.28 312.43 2.45
California Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
California Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
California Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
California Aetna Direct - CDHP Self N61 284.23 289.97 217.48 72.49 1.43 615.83 628.27 471.20 157.07 3.11
California Aetna Direct - CDHP Self & Family N62 716.80 731.30 548.48 182.82 3.62 1553.07 1584.48 1188.36 396.12 7.85
California Aetna Direct - CDHP Self Plus One N63 623.33 635.94 476.96 158.98 3.15 1350.55 1377.87 1033.40 344.47 6.83
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 505.19 505.16 244.86 260.30 -3.31 1094.58 1094.51 530.53 563.98 -7.18
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1153.29 1153.22 574.13 579.09 -11.95 2498.80 2498.64 1243.95 1254.69 -25.90
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1141.88 1141.82 524.63 617.19 -7.23 2474.07 2473.94 1136.70 1337.24 -15.67
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 466.12 478.77 244.86 233.91 9.37 1009.93 1037.34 530.53 506.81 20.30
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1062.53 1091.38 574.13 517.25 16.97 2302.15 2364.66 1243.95 1120.71 36.77
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1052.00 1080.57 524.63 555.94 21.40 2279.33 2341.24 1136.70 1204.54 46.37
California Aetna HealthFund HDHP - HDHP Self 224 362.78 380.45 244.86 135.59 14.39 786.02 824.31 530.53 293.78 31.18
California Aetna HealthFund HDHP - HDHP Self & Family 225 800.23 839.19 574.13 265.06 27.08 1733.83 1818.25 1243.95 574.30 58.68
California Aetna HealthFund HDHP - HDHP Self Plus One 226 784.56 822.75 524.63 298.12 31.02 1699.88 1782.63 1136.70 645.93 67.21
California Aetna Open Access - High Self 2X1 432.31 479.69 244.86 234.83 44.10 936.67 1039.33 530.53 508.80 95.55
California Aetna Open Access - High Self & Family 2X2 1014.93 1126.17 574.13 552.04 99.36 2199.02 2440.04 1243.95 1196.09 215.28
California Aetna Open Access - High Self Plus One 2X3 995.03 1104.10 524.63 579.47 101.90 2155.90 2392.22 1136.70 1255.52 220.78
California Anthem Blue Cross Select HMO - High Self B31 357.29 358.72 244.86 113.86 -1.85 774.13 777.23 530.53 246.70 -4.01
California Anthem Blue Cross Select HMO - High Self & Family B32 816.42 822.95 574.13 248.82 -5.35 1768.91 1783.06 1243.95 539.11 -11.59
California Anthem Blue Cross Select HMO - High Self Plus One B33 757.46 759.73 524.63 235.10 -4.90 1641.16 1646.08 1136.70 509.38 -10.62
California Blue Shield of California - Access + HMO Self SI1 396.40 408.28 244.86 163.42 8.60 858.87 884.61 530.53 354.08 18.63
California Blue Shield of California - Access + HMO Self & Family SI2 911.72 939.07 574.13 364.94 15.47 1975.39 2034.65 1243.95 790.70 33.52
California Blue Shield of California - Access + HMO Self Plus One SI3 872.07 898.24 524.63 373.61 19.00 1889.49 1946.19 1136.70 809.49 41.16
California Health Net of California - Basic Self P61 168.02 187.24 140.43 46.81 4.81 364.04 405.69 304.27 101.42 10.41
California Health Net of California - Basic Self & Family P62 403.26 449.42 337.07 112.35 11.54 873.73 973.74 730.31 243.43 25.00
California Health Net of California - Basic Self Plus One P63 369.66 411.95 308.96 102.99 10.58 800.93 892.56 669.42 223.14 22.91
California Health Net of California - High Self LP1 467.53 497.23 244.86 252.37 26.42 1012.98 1077.33 530.53 546.80 57.24
California Health Net of California - High Self & Family LP2 1122.08 1193.38 574.13 619.25 59.42 2431.17 2585.66 1243.95 1341.71 128.75
California Health Net of California - High Self Plus One LP3 1028.57 1093.93 524.63 569.30 58.19 2228.57 2370.18 1136.70 1233.48 126.07
California Health Net of California - High Self LB1 715.68 747.09 244.86 502.23 28.13 1550.64 1618.70 530.53 1088.17 60.95
California Health Net of California - High Self & Family LB2 1717.61 1793.01 574.13 1218.88 63.52 3721.49 3884.86 1243.95 2640.91 137.63
California Health Net of California - High Self Plus One LB3 1574.47 1643.60 524.63 1118.97 61.96 3411.35 3561.13 1136.70 2424.43 134.24
California Health Net of California - Basic Self T41 412.70 439.92 244.86 195.06 23.94 894.18 953.16 530.53 422.63 51.87
California Health Net of California - Basic Self & Family T42 990.48 1055.82 574.13 481.69 53.46 2146.04 2287.61 1243.95 1043.66 115.83
California Health Net of California - Basic Self Plus One T43 907.94 967.82 524.63 443.19 52.71 1967.20 2096.94 1136.70 960.24 114.20
California Kaiser Permanente - Fresno California - Standard Self NZ4 272.36 272.36 204.27 68.09 0.00 590.11 590.11 442.58 147.53 0.00
California Kaiser Permanente - Fresno California - Standard Self & Family NZ5 629.48 629.48 472.11 157.37 0.00 1363.87 1363.87 1022.90 340.97 0.00
California Kaiser Permanente - Fresno California - Standard Self Plus One NZ6 629.48 629.48 472.11 157.37 0.00 1363.87 1363.87 1022.90 340.97 0.00
California Kaiser Permanente - Fresno California - High Self NZ1 370.61 375.44 244.86 130.58 1.55 802.99 813.45 530.53 282.92 3.35
California Kaiser Permanente - Fresno California - High Self & Family NZ2 856.55 867.72 574.13 293.59 -0.71 1855.86 1880.06 1243.95 636.11 -1.54
California Kaiser Permanente - Fresno California - High Self Plus One NZ3 856.55 867.72 524.63 343.09 4.00 1855.86 1880.06 1136.70 743.36 8.66
California Kaiser Permanente - Northern California - Prosper Self KC1 300.96 303.95 227.96 75.99 0.75 652.08 658.56 493.92 164.64 1.62
California Kaiser Permanente - Northern California - Prosper Self & Family KC2 704.24 711.24 533.43 177.81 1.75 1525.85 1541.02 1155.77 385.25 3.79
California Kaiser Permanente - Northern California - Prosper Self Plus One KC3 704.24 711.24 524.63 186.61 -0.17 1525.85 1541.02 1136.70 404.32 -0.37
California Kaiser Permanente - Northern California - High Self 591 468.25 462.60 244.86 217.74 -8.93 1014.54 1002.30 530.53 471.77 -19.35
California Kaiser Permanente - Northern California - High Self & Family 592 1117.78 1104.27 574.13 530.14 -25.39 2421.86 2392.59 1243.95 1148.64 -55.01
California Kaiser Permanente - Northern California - High Self Plus One 593 1117.78 1104.27 524.63 579.64 -20.68 2421.86 2392.59 1136.70 1255.89 -44.81
California Kaiser Permanente - Northern California - Standard Self 594 379.70 376.10 244.86 131.24 -6.88 822.68 814.88 530.53 284.35 -14.91
California Kaiser Permanente - Northern California - Standard Self & Family 595 888.51 880.06 574.13 305.93 -20.33 1925.11 1906.80 1243.95 662.85 -44.05
California Kaiser Permanente - Northern California - Standard Self Plus One 596 888.51 880.06 524.63 355.43 -15.62 1925.11 1906.80 1136.70 770.10 -33.85
California Kaiser Permanente - Southern California - Prosper Self FL1 New Plan 168.75 126.56 42.19 New Plan New Plan 365.63 274.22 91.41 New Plan
California Kaiser Permanente - Southern California - Prosper Self & Family FL2 New Plan 472.50 354.38 118.12 New Plan New Plan 1023.75 767.81 255.94 New Plan
California Kaiser Permanente - Southern California - Prosper Self Plus One FL3 New Plan 388.14 291.11 97.03 New Plan New Plan 840.97 630.73 210.24 New Plan
California Kaiser Permanente - Southern California - Standard Self 624 218.51 225.39 169.04 56.35 1.72 473.44 488.35 366.26 122.09 3.73
California Kaiser Permanente - Southern California - Standard Self & Family 625 505.02 520.90 390.68 130.22 3.97 1094.21 1128.62 846.47 282.15 8.60
California Kaiser Permanente - Southern California - Standard Self Plus One 626 505.02 520.90 390.68 130.22 3.97 1094.21 1128.62 846.47 282.15 8.60
California Kaiser Permanente - Southern California - High Self 621 346.24 351.06 244.86 106.20 1.54 750.19 760.63 530.53 230.10 3.33
California Kaiser Permanente - Southern California - High Self & Family 622 800.23 811.37 574.13 237.24 -0.74 1733.83 1757.97 1243.95 514.02 -1.60
California Kaiser Permanente - Southern California - High Self Plus One 623 800.23 811.37 524.63 286.74 3.97 1733.83 1757.97 1136.70 621.27 8.60
Colorado Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Colorado Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Colorado Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Colorado Aetna Direct - CDHP Self N61 284.23 289.97 217.48 72.49 1.43 615.83 628.27 471.20 157.07 3.11
Colorado Aetna Direct - CDHP Self & Family N62 716.80 731.30 548.48 182.82 3.62 1553.07 1584.48 1188.36 396.12 7.85
Colorado Aetna Direct - CDHP Self Plus One N63 623.33 635.94 476.96 158.98 3.15 1350.55 1377.87 1033.40 344.47 6.83
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 330.94 385.10 244.86 140.24 50.88 717.04 834.38 530.53 303.85 110.23
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 757.97 882.03 574.13 307.90 112.18 1642.27 1911.07 1243.95 667.12 243.06
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 743.12 864.75 524.63 340.12 114.46 1610.09 1873.63 1136.70 736.93 248.00
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 488.66 523.89 244.86 279.03 31.95 1058.76 1135.10 530.53 604.57 69.23
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1114.65 1195.02 574.13 620.89 68.49 2415.08 2589.21 1243.95 1345.26 148.39
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1103.63 1183.20 524.63 658.57 72.40 2391.20 2563.60 1136.70 1426.90 156.86
Colorado Aetna HealthFund HDHP - HDHP Self 224 362.78 380.45 244.86 135.59 14.39 786.02 824.31 530.53 293.78 31.18
Colorado Aetna HealthFund HDHP - HDHP Self & Family 225 800.23 839.19 574.13 265.06 27.08 1733.83 1818.25 1243.95 574.30 58.68
Colorado Aetna HealthFund HDHP - HDHP Self Plus One 226 784.56 822.75 524.63 298.12 31.02 1699.88 1782.63 1136.70 645.93 67.21
Colorado BlueAdvantageHMO - High Self WW1 293.70 312.79 234.59 78.20 4.78 636.35 677.71 508.28 169.43 10.34
Colorado BlueAdvantageHMO - High Self & Family WW2 715.15 780.23 574.13 206.10 27.31 1549.49 1690.50 1243.95 446.55 59.18
Colorado BlueAdvantageHMO - High Self Plus One WW3 668.15 717.59 524.63 192.96 25.92 1447.66 1554.78 1136.70 418.08 56.17
Colorado BlueAdvantageHMO - HDHP Self WW4 New Plan 295.27 221.45 73.82 New Plan New Plan 639.75 479.81 159.94 New Plan
Colorado BlueAdvantageHMO - HDHP Self & Family WW5 New Plan 718.97 539.23 179.74 New Plan New Plan 1557.77 1168.33 389.44 New Plan
Colorado BlueAdvantageHMO - HDHP Self Plus One WW6 New Plan 671.73 503.80 167.93 New Plan New Plan 1455.42 1091.57 363.85 New Plan
Colorado Humana Health Plan, Inc. - High Self NR1 443.62 448.06 244.86 203.20 1.16 961.18 970.80 530.53 440.27 2.51
Colorado Humana Health Plan, Inc. - High Self & Family NR2 998.14 1008.13 574.13 434.00 -1.89 2162.64 2184.28 1243.95 940.33 -4.10
Colorado Humana Health Plan, Inc. - High Self Plus One NR3 953.78 963.33 524.63 438.70 2.38 2066.52 2087.22 1136.70 950.52 5.16
Colorado Humana Health Plan, Inc. - Standard Self NR4 307.42 307.42 230.57 76.85 0.00 666.08 666.08 499.56 166.52 0.00
Colorado Humana Health Plan, Inc. - Standard Self & Family NR5 691.72 691.72 518.79 172.93 0.00 1498.73 1498.73 1124.05 374.68 0.00
Colorado Humana Health Plan, Inc. - Standard Self Plus One NR6 660.96 660.96 495.72 165.24 0.00 1432.08 1432.08 1074.06 358.02 0.00
Colorado Humana Health Plan, Inc. - Basic Self RZ1 245.65 239.51 179.63 59.88 -1.53 532.24 518.94 389.21 129.73 -3.33
Colorado Humana Health Plan, Inc. - Basic Self & Family RZ2 552.70 538.88 404.16 134.72 -3.45 1197.52 1167.57 875.68 291.89 -7.49
Colorado Humana Health Plan, Inc. - Basic Self Plus One RZ3 528.15 514.95 386.21 128.74 -3.30 1144.33 1115.73 836.80 278.93 -7.15
Colorado Humana Health Plan, Inc. - High Self NT1 384.74 403.98 244.86 159.12 15.96 833.60 875.29 530.53 344.76 34.58
Colorado Humana Health Plan, Inc. - High Self & Family NT2 865.69 908.97 574.13 334.84 31.40 1875.66 1969.44 1243.95 725.49 68.04
Colorado Humana Health Plan, Inc. - High Self Plus One NT3 827.20 868.56 524.63 343.93 34.19 1792.27 1881.88 1136.70 745.18 74.07
Colorado Humana Health Plan, Inc. - Standard Self NT4 272.43 272.43 204.32 68.11 0.00 590.27 590.27 442.70 147.57 0.00
Colorado Humana Health Plan, Inc. - Standard Self & Family NT5 612.98 612.98 459.74 153.24 0.00 1328.12 1328.12 996.09 332.03 0.00
Colorado Humana Health Plan, Inc. - Standard Self Plus One NT6 585.75 585.75 439.31 146.44 0.00 1269.13 1269.13 951.85 317.28 0.00
Colorado Humana Health Plan, Inc. - Basic Self R21 286.80 279.64 209.73 69.91 -1.79 621.40 605.89 454.42 151.47 -3.88
Colorado Humana Health Plan, Inc. - Basic Self & Family R22 645.31 629.18 471.89 157.29 -4.04 1398.17 1363.22 1022.42 340.80 -8.74
Colorado Humana Health Plan, Inc. - Basic Self Plus One R23 616.63 601.21 450.91 150.30 -3.86 1336.03 1302.62 976.97 325.65 -8.36
Colorado Kaiser Permanente - Colorado - Standard Self 654 305.00 304.23 228.17 76.06 -0.19 660.83 659.17 494.38 164.79 -0.42
Colorado Kaiser Permanente - Colorado - Standard Self & Family 655 689.29 687.56 515.67 171.89 -0.43 1493.46 1489.71 1117.28 372.43 -0.93
Colorado Kaiser Permanente - Colorado - Standard Self Plus One 656 689.29 687.56 515.67 171.89 -0.43 1493.46 1489.71 1117.28 372.43 -0.93
Colorado Kaiser Permanente - Colorado - High Self 651 356.72 356.72 244.86 111.86 -3.28 772.89 772.89 530.53 242.36 -7.11
Colorado Kaiser Permanente - Colorado - High Self & Family 652 806.19 806.19 574.13 232.06 -11.88 1746.75 1746.75 1243.95 502.80 -25.74
Colorado Kaiser Permanente - Colorado - High Self Plus One 653 806.19 806.19 524.63 281.56 -7.17 1746.75 1746.75 1136.70 610.05 -15.54
Colorado Kaiser Permanente - Colorado - Prosper Self N41 205.62 180.07 135.05 45.02 -6.38 445.51 390.15 292.61 97.54 -13.84
Colorado Kaiser Permanente - Colorado - Prosper Self & Family N42 505.82 442.97 332.23 110.74 -15.71 1095.94 959.77 719.83 239.94 -34.04
Colorado Kaiser Permanente - Colorado - Prosper Self Plus One N43 464.70 406.95 305.21 101.74 -14.43 1006.85 881.73 661.30 220.43 -31.28
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 243.77 310.20 232.65 77.55 16.61 528.17 672.10 504.08 168.02 35.98
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 560.66 713.47 535.10 178.37 38.21 1214.76 1545.85 1159.39 386.46 82.77
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 524.10 666.94 500.21 166.73 35.71 1135.55 1445.04 1083.78 361.26 77.37
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 360.98 399.17 244.86 154.31 34.91 782.12 864.87 530.53 334.34 75.64
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 902.47 997.92 574.13 423.79 83.57 1955.35 2162.16 1243.95 918.21 181.07
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 776.11 858.21 524.63 333.58 74.93 1681.57 1859.46 1136.70 722.76 162.35
Connecticut Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Connecticut Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Connecticut Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Connecticut Aetna Direct - CDHP Self N61 284.23 289.97 217.48 72.49 1.43 615.83 628.27 471.20 157.07 3.11
Connecticut Aetna Direct - CDHP Self & Family N62 716.80 731.30 548.48 182.82 3.62 1553.07 1584.48 1188.36 396.12 7.85
Connecticut Aetna Direct - CDHP Self Plus One N63 623.33 635.94 476.96 158.98 3.15 1350.55 1377.87 1033.40 344.47 6.83
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 387.52 428.20 244.86 183.34 37.40 839.63 927.77 530.53 397.24 81.03
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 887.39 980.54 574.13 406.41 81.27 1922.68 2124.50 1243.95 880.55 176.08
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 869.98 961.31 524.63 436.68 84.16 1884.96 2082.84 1136.70 946.14 182.34
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 519.07 533.71 244.86 288.85 11.36 1124.65 1156.37 530.53 625.84 24.61
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 1183.79 1217.13 574.13 643.00 21.46 2564.88 2637.12 1243.95 1393.17 46.50
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 1172.06 1205.08 524.63 680.45 25.85 2539.46 2611.01 1136.70 1474.31 56.01
Connecticut Aetna HealthFund HDHP - HDHP Self 224 362.78 380.45 244.86 135.59 14.39 786.02 824.31 530.53 293.78 31.18
Connecticut Aetna HealthFund HDHP - HDHP Self & Family 225 800.23 839.19 574.13 265.06 27.08 1733.83 1818.25 1243.95 574.30 58.68
Connecticut Aetna HealthFund HDHP - HDHP Self Plus One 226 784.56 822.75 524.63 298.12 31.02 1699.88 1782.63 1136.70 645.93 67.21
Delaware Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Delaware Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Delaware Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Delaware Aetna Direct - CDHP Self N61 284.23 289.97 217.48 72.49 1.43 615.83 628.27 471.20 157.07 3.11
Delaware Aetna Direct - CDHP Self & Family N62 716.80 731.30 548.48 182.82 3.62 1553.07 1584.48 1188.36 396.12 7.85
Delaware Aetna Direct - CDHP Self Plus One N63 623.33 635.94 476.96 158.98 3.15 1350.55 1377.87 1033.40 344.47 6.83
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 387.52 428.20 244.86 183.34 37.40 839.63 927.77 530.53 397.24 81.03
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 887.39 980.54 574.13 406.41 81.27 1922.68 2124.50 1243.95 880.55 176.08
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 869.98 961.31 524.63 436.68 84.16 1884.96 2082.84 1136.70 946.14 182.34
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 519.07 533.71 244.86 288.85 11.36 1124.65 1156.37 530.53 625.84 24.61
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 1183.79 1217.13 574.13 643.00 21.46 2564.88 2637.12 1243.95 1393.17 46.50
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 1172.06 1205.08 524.63 680.45 25.85 2539.46 2611.01 1136.70 1474.31 56.01
Delaware Aetna HealthFund HDHP - HDHP Self 224 362.78 380.45 244.86 135.59 14.39 786.02 824.31 530.53 293.78 31.18
Delaware Aetna HealthFund HDHP - HDHP Self & Family 225 800.23 839.19 574.13 265.06 27.08 1733.83 1818.25 1243.95 574.30 58.68
Delaware Aetna HealthFund HDHP - HDHP Self Plus One 226 784.56 822.75 524.63 298.12 31.02 1699.88 1782.63 1136.70 645.93 67.21
Delaware Aetna Open Access - Basic Self P34 694.86 794.66 244.86 549.80 96.52 1505.53 1721.76 530.53 1191.23 209.12
Delaware Aetna Open Access - Basic Self & Family P35 1612.77 1844.44 574.13 1270.31 219.79 3494.34 3996.29 1243.95 2752.34 476.21
Delaware Aetna Open Access - Basic Self Plus One P36 1596.80 1826.17 524.63 1301.54 222.20 3459.73 3956.70 1136.70 2820.00 481.43
Delaware Aetna Open Access - High Self P31 733.03 813.48 244.86 568.62 77.17 1588.23 1762.54 530.53 1232.01 167.20
Delaware Aetna Open Access - High Self & Family P32 1777.25 1972.28 574.13 1398.15 183.15 3850.71 4273.27 1243.95 3029.32 396.82
Delaware Aetna Open Access - High Self Plus One P33 1759.65 1952.76 524.63 1428.13 185.94 3812.58 4230.98 1136.70 3094.28 402.86
District Of Columbia Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
District Of Columbia Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
District Of Columbia Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
District Of Columbia Aetna Direct - CDHP Self N61 284.23 289.97 217.48 72.49 1.43 615.83 628.27 471.20 157.07 3.11
District Of Columbia Aetna Direct - CDHP Self & Family N62 716.80 731.30 548.48 182.82 3.62 1553.07 1584.48 1188.36 396.12 7.85
District Of Columbia Aetna Direct - CDHP Self Plus One N63 623.33 635.94 476.96 158.98 3.15 1350.55 1377.87 1033.40 344.47 6.83
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 393.11 401.84 244.86 156.98 5.45 851.74 870.65 530.53 340.12 11.80
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 896.32 916.20 574.13 342.07 8.00 1942.03 1985.10 1243.95 741.15 17.33
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 887.45 907.13 524.63 382.50 12.51 1922.81 1965.45 1136.70 828.75 27.10
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 379.30 413.32 244.86 168.46 30.74 821.82 895.53 530.53 365.00 66.60
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 868.56 946.45 574.13 372.32 66.01 1881.88 2050.64 1243.95 806.69 143.02
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 851.52 927.90 524.63 403.27 69.21 1844.96 2010.45 1136.70 873.75 149.95
District Of Columbia Aetna HealthFund HDHP - HDHP Self 224 362.78 380.45 244.86 135.59 14.39 786.02 824.31 530.53 293.78 31.18
District Of Columbia Aetna HealthFund HDHP - HDHP Self & Family 225 800.23 839.19 574.13 265.06 27.08 1733.83 1818.25 1243.95 574.30 58.68
District Of Columbia Aetna HealthFund HDHP - HDHP Self Plus One 226 784.56 822.75 524.63 298.12 31.02 1699.88 1782.63 1136.70 645.93 67.21
District Of Columbia Aetna Open Access - High Self JN1 543.03 577.64 244.86 332.78 31.33 1176.57 1251.55 530.53 721.02 67.87
District Of Columbia Aetna Open Access - High Self & Family JN2 1220.79 1298.62 574.13 724.49 65.95 2645.05 2813.68 1243.95 1569.73 142.89
District Of Columbia Aetna Open Access - High Self Plus One JN3 1208.70 1285.75 524.63 761.12 69.88 2618.85 2785.79 1136.70 1649.09 151.40
District Of Columbia Aetna Open Access - Basic Self JN4 329.73 341.29 244.86 96.43 8.28 714.42 739.46 530.53 208.93 17.93
District Of Columbia Aetna Open Access - Basic Self & Family JN5 754.58 781.03 574.13 206.90 14.57 1634.92 1692.23 1243.95 448.28 31.57
District Of Columbia Aetna Open Access - Basic Self Plus One JN6 692.92 717.20 524.63 192.57 17.11 1501.33 1553.93 1136.70 417.23 37.06
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 628.67 628.67 471.50 157.17 0.00 1362.12 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 409.76 417.96 244.86 173.10 4.92 887.81 905.58 530.53 375.05 10.66
District Of Columbia CareFirst BlueChoice - Standard Self & Family 2G5 973.58 993.04 574.13 418.91 7.58 2109.42 2151.59 1243.95 907.64 16.43
District Of Columbia CareFirst BlueChoice - Standard Self Plus One 2G6 819.51 835.90 524.63 311.27 9.22 1775.61 1811.12 1136.70 674.42 19.97
District Of Columbia CareFirst BlueChoice - HDHP Self B61 263.12 278.91 209.18 69.73 3.95 570.09 604.31 453.23 151.08 8.56
District Of Columbia CareFirst BlueChoice - HDHP Self & Family B62 625.16 662.67 497.00 165.67 9.38 1354.51 1435.79 1076.84 358.95 20.32
District Of Columbia CareFirst BlueChoice - HDHP Self Plus One B63 526.23 557.80 418.35 139.45 7.89 1140.17 1208.57 906.43 302.14 17.10
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self B64 334.00 334.00 244.86 89.14 -3.28 723.67 723.67 530.53 193.14 -7.11
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self & Family B65 793.56 793.56 574.13 219.43 -11.88 1719.38 1719.38 1243.95 475.43 -25.74
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self Plus One B66 667.98 667.98 500.99 166.99 0.00 1447.29 1447.29 1085.47 361.82 0.00
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Prosper Self T71 197.41 170.26 127.70 42.56 -6.79 427.72 368.90 276.68 92.22 -14.71
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Prosper Self & Family T72 507.47 485.23 363.92 121.31 -5.56 1099.52 1051.33 788.50 262.83 -12.05
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Prosper Self Plus One T73 439.31 400.11 300.08 100.03 -9.80 951.84 866.91 650.18 216.73 -21.23
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self E34 276.13 280.27 210.20 70.07 1.04 598.28 607.25 455.44 151.81 2.24
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self & Family E35 635.10 644.60 483.45 161.15 2.38 1376.05 1396.63 1047.47 349.16 5.15
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self Plus One E36 635.10 644.60 483.45 161.15 2.38 1376.05 1396.63 1047.47 349.16 5.15
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self E31 344.42 349.20 244.86 104.34 1.50 746.24 756.60 530.53 226.07 3.25
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self & Family E32 792.16 803.17 574.13 229.04 -0.87 1716.35 1740.20 1243.95 496.25 -1.89
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self Plus One E33 792.16 803.17 524.63 278.54 3.84 1716.35 1740.20 1136.70 603.50 8.31
District Of Columbia M.D. IPA - High Self JP1 438.87 467.07 244.86 222.21 24.92 950.89 1011.99 530.53 481.46 53.99
District Of Columbia M.D. IPA - High Self & Family JP2 1230.59 1309.69 574.13 735.56 67.22 2666.28 2837.66 1243.95 1593.71 145.64
District Of Columbia M.D. IPA - High Self Plus One JP3 857.12 912.20 524.63 387.57 47.91 1857.09 1976.43 1136.70 839.73 103.80
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 276.68 300.42 225.32 75.10 5.93 599.47 650.91 488.18 162.73 12.86
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 654.35 710.52 532.89 177.63 14.04 1417.76 1539.46 1154.60 384.86 30.42
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 594.87 645.92 484.44 161.48 12.76 1288.89 1399.49 1049.62 349.87 27.65
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 239.96 305.45 229.09 76.36 16.37 519.91 661.81 496.36 165.45 35.47
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 551.91 698.86 524.15 174.71 36.73 1195.81 1514.20 1135.65 378.55 79.60
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 515.91 656.73 492.55 164.18 35.20 1117.81 1422.92 1067.19 355.73 76.28
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 355.57 379.46 244.86 134.60 20.61 770.40 822.16 530.53 291.63 44.65
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 842.69 899.33 574.13 325.20 44.76 1825.83 1948.55 1243.95 704.60 96.98
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 764.46 815.85 524.63 291.22 44.22 1656.33 1767.68 1136.70 630.98 95.81
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 255.98 306.35 229.76 76.59 12.60 554.62 663.76 497.82 165.94 27.29
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 717.76 732.19 549.14 183.05 3.61 1555.15 1586.41 1189.81 396.60 7.81
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 499.93 612.71 459.53 153.18 28.20 1083.18 1327.54 995.66 331.88 61.09
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 266.18 268.27 201.20 67.07 0.53 576.72 581.25 435.94 145.31 1.13
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 629.51 634.47 475.85 158.62 1.24 1363.94 1374.69 1031.02 343.67 2.69
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 572.28 576.79 432.59 144.20 1.13 1239.94 1249.71 937.28 312.43 2.45
Florida Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Florida Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Florida Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Florida Aetna Direct - CDHP Self N61 284.23 289.97 217.48 72.49 1.43 615.83 628.27 471.20 157.07 3.11
Florida Aetna Direct - CDHP Self & Family N62 716.80 731.30 548.48 182.82 3.62 1553.07 1584.48 1188.36 396.12 7.85
Florida Aetna Direct - CDHP Self Plus One N63 623.33 635.94 476.96 158.98 3.15 1350.55 1377.87 1033.40 344.47 6.83
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 393.11 401.84 244.86 156.98 5.45 851.74 870.65 530.53 340.12 11.80
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 896.32 916.20 574.13 342.07 8.00 1942.03 1985.10 1243.95 741.15 17.33
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 887.45 907.13 524.63 382.50 12.51 1922.81 1965.45 1136.70 828.75 27.10
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 379.30 413.32 244.86 168.46 30.74 821.82 895.53 530.53 365.00 66.60
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 868.56 946.45 574.13 372.32 66.01 1881.88 2050.64 1243.95 806.69 143.02
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 851.52 927.90 524.63 403.27 69.21 1844.96 2010.45 1136.70 873.75 149.95
Florida Aetna HealthFund HDHP - HDHP Self 224 362.78 380.45 244.86 135.59 14.39 786.02 824.31 530.53 293.78 31.18
Florida Aetna HealthFund HDHP - HDHP Self & Family 225 800.23 839.19 574.13 265.06 27.08 1733.83 1818.25 1243.95 574.30 58.68
Florida Aetna HealthFund HDHP - HDHP Self Plus One 226 784.56 822.75 524.63 298.12 31.02 1699.88 1782.63 1136.70 645.93 67.21
Florida AvMed - HDHP Self WZ1 351.73 342.58 244.86 97.72 -12.43 762.08 742.26 530.53 211.73 -26.93
Florida AvMed - HDHP Self & Family WZ2 813.23 791.08 574.13 216.95 -34.03 1762.00 1714.01 1243.95 470.06 -73.73
Florida AvMed - HDHP Self Plus One WZ3 705.54 686.42 514.82 171.60 -16.48 1528.67 1487.24 1115.43 371.81 -35.70
Florida AvMed - Standard Self ML4 378.91 370.10 244.86 125.24 -12.09 820.97 801.88 530.53 271.35 -26.20
Florida AvMed - Standard Self & Family ML5 922.58 901.13 574.13 327.00 -33.33 1998.92 1952.45 1243.95 708.50 -72.21
Florida AvMed - Standard Self Plus One ML6 795.72 777.22 524.63 252.59 -25.67 1724.06 1683.98 1136.70 547.28 -55.62
Florida Capital Health Plan - High Self EA1 318.68 337.15 244.86 92.29 12.62 690.47 730.49 530.53 199.96 27.34
Florida Capital Health Plan - High Self & Family EA2 738.55 781.35 574.13 207.22 22.58 1600.19 1692.93 1243.95 448.98 48.93
Florida Capital Health Plan - High Self Plus One EA3 696.92 737.33 524.63 212.70 33.24 1509.99 1597.55 1136.70 460.85 72.02
Florida Humana CoverageFirst and Humana Value Plan - Value Self W94 270.22 276.98 207.74 69.24 1.69 585.48 600.12 450.09 150.03 3.66
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family W95 608.00 623.21 467.41 155.80 3.80 1317.33 1350.29 1012.72 337.57 8.24
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One W96 580.98 595.50 446.63 148.87 3.63 1258.79 1290.25 967.69 322.56 7.86
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self W91 319.43 335.40 244.86 90.54 10.68 692.10 726.70 530.53 196.17 23.15
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family W92 718.70 754.63 565.97 188.66 8.99 1557.18 1635.03 1226.27 408.76 19.47
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One W93 686.76 721.10 524.63 196.47 24.78 1487.98 1562.38 1136.70 425.68 53.69
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self QP1 354.72 381.33 244.86 136.47 23.33 768.56 826.22 530.53 295.69 50.55
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family QP2 799.18 859.10 574.13 284.97 48.04 1731.56 1861.38 1243.95 617.43 104.08
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One QP3 763.65 820.92 524.63 296.29 50.10 1654.58 1778.66 1136.70 641.96 108.54
Florida Humana CoverageFirst and Humana Value Plan - Value Self QP4 254.08 254.08 190.56 63.52 0.00 550.51 550.51 412.88 137.63 0.00
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family QP5 571.66 571.66 428.75 142.91 0.00 1238.60 1238.60 928.95 309.65 0.00
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One QP6 546.26 546.26 409.70 136.56 0.00 1183.56 1183.56 887.67 295.89 0.00
Florida Humana CoverageFirst and Humana Value Plan - Value Self MJ4 259.01 259.01 194.26 64.75 0.00 561.19 561.19 420.89 140.30 0.00
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family MJ5 582.77 621.63 466.22 155.41 9.72 1262.67 1346.87 1010.15 336.72 21.05
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One MJ6 556.87 556.87 417.65 139.22 0.00 1206.55 1206.55 904.91 301.64 0.00
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self MJ1 472.58 491.48 244.86 246.62 15.62 1023.92 1064.87 530.53 534.34 33.84
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MJ2 1063.29 1105.81 574.13 531.68 30.64 2303.80 2395.92 1243.95 1151.97 66.38
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MJ3 1016.05 1056.68 524.63 532.05 33.46 2201.44 2289.47 1136.70 1152.77 72.49
Florida Humana CoverageFirst and Humana Value Plan - Value Self X24 236.72 252.12 189.09 63.03 3.85 512.89 546.26 409.70 136.56 8.34
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family X25 532.64 617.69 463.27 154.42 21.26 1154.05 1338.33 1003.75 334.58 46.07
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One X26 508.97 542.05 406.54 135.51 8.27 1102.77 1174.44 880.83 293.61 17.92
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self X21 279.83 291.02 218.27 72.75 2.79 606.30 630.54 472.91 157.63 6.06
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X22 629.64 654.83 491.12 163.71 6.30 1364.22 1418.80 1064.10 354.70 13.65
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X23 601.65 625.72 469.29 156.43 6.02 1303.58 1355.73 1016.80 338.93 13.04
Florida Humana HDHP - HDHP Self BR1 New Plan 196.82 147.62 49.20 New Plan New Plan 426.44 319.83 106.61 New Plan
Florida Humana HDHP - HDHP Self & Family BR2 New Plan 490.26 367.70 122.56 New Plan New Plan 1062.23 796.67 265.56 New Plan
Florida Humana HDHP - HDHP Self Plus One BR3 New Plan 431.57 323.68 107.89 New Plan New Plan 935.07 701.30 233.77 New Plan
Florida Humana HDHP - HDHP Self A41 New Plan 220.80 165.60 55.20 New Plan New Plan 478.40 358.80 119.60 New Plan
Florida Humana HDHP - HDHP Self & Family A42 New Plan 550.21 412.66 137.55 New Plan New Plan 1192.12 894.09 298.03 New Plan
Florida Humana HDHP - HDHP Self Plus One A43 New Plan 484.33 363.25 121.08 New Plan New Plan 1049.38 787.04 262.34 New Plan
Florida Humana HDHP - HDHP Self FF1 New Plan 187.62 140.72 46.90 New Plan New Plan 406.51 304.88 101.63 New Plan
Florida Humana HDHP - HDHP Self & Family FF2 New Plan 467.23 350.42 116.81 New Plan New Plan 1012.33 759.25 253.08 New Plan
Florida Humana HDHP - HDHP Self Plus One FF3 New Plan 411.31 308.48 102.83 New Plan New Plan 891.17 668.38 222.79 New Plan
Florida Humana HDHP - HDHP Self AP1 New Plan 222.96 167.22 55.74 New Plan New Plan 483.08 362.31 120.77 New Plan
Florida Humana HDHP - HDHP Self & Family AP2 New Plan 555.58 416.69 138.89 New Plan New Plan 1203.76 902.82 300.94 New Plan
Florida Humana HDHP - HDHP Self Plus One AP3 New Plan 489.06 366.80 122.26 New Plan New Plan 1059.63 794.72 264.91 New Plan
Florida Humana Medical Plan, Inc. - Standard Self LL4 550.71 592.01 244.86 347.15 38.02 1193.21 1282.69 530.53 752.16 82.37
Florida Humana Medical Plan, Inc. - Standard Self & Family LL5 1239.07 1332.00 574.13 757.87 81.05 2684.65 2886.00 1243.95 1642.05 175.61
Florida Humana Medical Plan, Inc. - Standard Self Plus One LL6 1184.00 1272.80 524.63 748.17 81.63 2565.33 2757.73 1136.70 1621.03 176.86
Florida Humana Medical Plan, Inc. - High Self LL1 788.74 828.17 244.86 583.31 36.15 1708.94 1794.37 530.53 1263.84 78.32
Florida Humana Medical Plan, Inc. - High Self & Family LL2 1774.64 1863.37 574.13 1289.24 76.85 3845.05 4037.30 1243.95 2793.35 166.51
Florida Humana Medical Plan, Inc. - High Self Plus One LL3 1695.76 1780.55 524.63 1255.92 77.62 3674.15 3857.86 1136.70 2721.16 168.17
Florida Humana Medical Plan, Inc. - High Self EE1 576.43 611.02 244.86 366.16 31.31 1248.93 1323.88 530.53 793.35 67.84
Florida Humana Medical Plan, Inc. - High Self & Family EE2 1296.99 1374.82 574.13 800.69 65.95 2810.15 2978.78 1243.95 1734.83 142.89
Florida Humana Medical Plan, Inc. - High Self Plus One EE3 1239.37 1313.74 524.63 789.11 67.20 2685.30 2846.44 1136.70 1709.74 145.60
Florida Humana Medical Plan, Inc. - Standard Self EE4 515.43 546.36 244.86 301.50 27.65 1116.77 1183.78 530.53 653.25 59.90
Florida Humana Medical Plan, Inc. - Standard Self & Family EE5 1159.71 1229.30 574.13 655.17 57.71 2512.71 2663.48 1243.95 1419.53 125.03
Florida Humana Medical Plan, Inc. - Standard Self Plus One EE6 1108.17 1174.67 524.63 650.04 59.33 2401.04 2545.12 1136.70 1408.42 128.54
Florida Humana Medical Plan, Inc. - Standard Self E24 353.60 371.28 244.86 126.42 14.40 766.13 804.44 530.53 273.91 31.20
Florida Humana Medical Plan, Inc. - Standard Self & Family E25 795.59 835.37 574.13 261.24 27.90 1723.78 1809.97 1243.95 566.02 60.45
Florida Humana Medical Plan, Inc. - Standard Self Plus One E26 760.22 798.23 524.63 273.60 30.84 1647.14 1729.50 1136.70 592.80 66.82
Florida Humana Medical Plan, Inc. - High Self E21 593.92 623.62 244.86 378.76 26.42 1286.83 1351.18 530.53 820.65 57.24
Florida Humana Medical Plan, Inc. - High Self & Family E22 1336.28 1403.10 574.13 828.97 54.94 2895.27 3040.05 1243.95 1796.10 119.04
Florida Humana Medical Plan, Inc. - High Self Plus One E23 1276.89 1340.74 524.63 816.11 56.68 2766.60 2904.94 1136.70 1768.24 122.80
Florida Humana Medical Plan, Inc. - High Self EX1 470.07 493.57 244.86 248.71 20.22 1018.49 1069.40 530.53 538.87 43.80
Florida Humana Medical Plan, Inc. - High Self & Family EX2 1057.63 1110.51 574.13 536.38 41.00 2291.53 2406.11 1243.95 1162.16 88.84
Florida Humana Medical Plan, Inc. - High Self Plus One EX3 1010.62 1061.15 524.63 536.52 43.36 2189.68 2299.16 1136.70 1162.46 93.94
Florida Humana Medical Plan, Inc. - Standard Self EX4 385.26 414.15 244.86 169.29 25.61 834.73 897.33 530.53 366.80 55.49
Florida Humana Medical Plan, Inc. - Standard Self & Family EX5 866.84 931.85 574.13 357.72 53.13 1878.15 2019.01 1243.95 775.06 115.12
Florida Humana Medical Plan, Inc. - Standard Self Plus One EX6 828.31 890.43 524.63 365.80 54.95 1794.67 1929.27 1136.70 792.57 119.06
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 276.68 300.42 225.32 75.10 5.93 599.47 650.91 488.18 162.73 12.86
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 654.35 710.52 532.89 177.63 14.04 1417.76 1539.46 1154.60 384.86 30.42
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 594.87 645.92 484.44 161.48 12.76 1288.89 1399.49 1049.62 349.87 27.65
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 224.24 288.31 216.23 72.08 16.02 485.85 624.67 468.50 156.17 34.71
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 515.77 663.12 497.34 165.78 36.84 1117.50 1436.76 1077.57 359.19 79.82
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 482.12 619.88 464.91 154.97 34.44 1044.59 1343.07 1007.30 335.77 74.62
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 354.94 391.06 244.86 146.20 32.84 769.04 847.30 530.53 316.77 71.15
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 887.37 977.65 574.13 403.52 78.40 1922.64 2118.24 1243.95 874.29 169.86
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 763.14 840.78 524.63 316.15 70.47 1653.47 1821.69 1136.70 684.99 152.68
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self LV1 346.44 414.41 244.86 169.55 64.69 750.62 897.89 530.53 367.36 140.16
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family LV2 1039.34 1243.22 574.13 669.09 192.00 2251.90 2693.64 1243.95 1449.69 416.00
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One LV3 744.87 890.98 524.63 366.35 138.94 1613.89 1930.46 1136.70 793.76 301.03
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 266.18 268.27 201.20 67.07 0.53 576.72 581.25 435.94 145.31 1.13
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 629.51 634.47 475.85 158.62 1.24 1363.94 1374.69 1031.02 343.67 2.69
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 572.28 576.79 432.59 144.20 1.13 1239.94 1249.71 937.28 312.43 2.45
Georgia Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Georgia Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Georgia Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Georgia Aetna Direct - CDHP Self N61 284.23 289.97 217.48 72.49 1.43 615.83 628.27 471.20 157.07 3.11
Georgia Aetna Direct - CDHP Self & Family N62 716.80 731.30 548.48 182.82 3.62 1553.07 1584.48 1188.36 396.12 7.85
Georgia Aetna Direct - CDHP Self Plus One N63 623.33 635.94 476.96 158.98 3.15 1350.55 1377.87 1033.40 344.47 6.83
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 393.11 401.84 244.86 156.98 5.45 851.74 870.65 530.53 340.12 11.80
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 896.32 916.20 574.13 342.07 8.00 1942.03 1985.10 1243.95 741.15 17.33
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 887.45 907.13 524.63 382.50 12.51 1922.81 1965.45 1136.70 828.75 27.10
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 379.30 413.32 244.86 168.46 30.74 821.82 895.53 530.53 365.00 66.60
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 868.56 946.45 574.13 372.32 66.01 1881.88 2050.64 1243.95 806.69 143.02
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 851.52 927.90 524.63 403.27 69.21 1844.96 2010.45 1136.70 873.75 149.95
Georgia Aetna HealthFund HDHP - HDHP Self 224 362.78 380.45 244.86 135.59 14.39 786.02 824.31 530.53 293.78 31.18
Georgia Aetna HealthFund HDHP - HDHP Self & Family 225 800.23 839.19 574.13 265.06 27.08 1733.83 1818.25 1243.95 574.30 58.68
Georgia Aetna HealthFund HDHP - HDHP Self Plus One 226 784.56 822.75 524.63 298.12 31.02 1699.88 1782.63 1136.70 645.93 67.21
Georgia Aetna Open Access - High Self 2U1 833.47 798.29 244.86 553.43 -38.46 1805.85 1729.63 530.53 1199.10 -83.33
Georgia Aetna Open Access - High Self & Family 2U2 1919.87 1838.83 574.13 1264.70 -92.92 4159.72 3984.13 1243.95 2740.18 -201.33
Georgia Aetna Open Access - High Self Plus One 2U3 1900.86 1820.62 524.63 1295.99 -87.41 4118.53 3944.68 1136.70 2807.98 -189.39
Georgia Blue Open Access POS - High Self QM1 302.96 323.87 242.90 80.97 5.23 656.41 701.72 526.29 175.43 11.33
Georgia Blue Open Access POS - High Self & Family QM2 779.85 850.82 574.13 276.69 59.09 1689.68 1843.44 1243.95 599.49 128.02
Georgia Blue Open Access POS - High Self Plus One QM3 667.67 731.76 524.63 207.13 40.21 1446.62 1585.48 1136.70 448.78 87.13
Georgia Humana CoverageFirst and Humana Value Plan - Value Self S94 282.74 303.95 227.96 75.99 5.31 612.60 658.56 493.92 164.64 11.49
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family S95 636.16 683.87 512.90 170.97 11.93 1378.35 1481.72 1111.29 370.43 25.84
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One S96 607.89 653.48 490.11 163.37 11.40 1317.10 1415.87 1061.90 353.97 24.70
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self S91 355.11 381.74 244.86 136.88 23.35 769.41 827.10 530.53 296.57 50.58
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family S92 798.99 858.92 574.13 284.79 48.05 1731.15 1860.99 1243.95 617.04 104.10
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One S93 763.48 820.75 524.63 296.12 50.10 1654.21 1778.29 1136.70 641.59 108.54
Georgia Humana CoverageFirst and Humana Value Plan - Value Self AD4 381.25 381.25 244.86 136.39 -3.28 826.04 826.04 530.53 295.51 -7.11
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family AD5 857.78 857.77 574.13 283.64 -11.89 1858.52 1858.50 1243.95 614.55 -25.76
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One AD6 819.67 819.66 524.63 295.03 -7.18 1775.95 1775.93 1136.70 639.23 -15.56
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self AD1 503.16 538.39 244.86 293.53 31.95 1090.18 1166.51 530.53 635.98 69.22
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family AD2 1132.09 1211.36 574.13 637.23 67.39 2452.86 2624.61 1243.95 1380.66 146.01
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One AD3 1081.78 1157.53 524.63 632.90 68.58 2343.86 2507.98 1136.70 1371.28 148.58
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self LM1 344.83 362.08 244.86 117.22 13.97 747.13 784.51 530.53 253.98 30.27
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family LM2 775.90 814.68 574.13 240.55 26.90 1681.12 1765.14 1243.95 521.19 58.28
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One LM3 741.42 778.47 524.63 253.84 29.88 1606.41 1686.69 1136.70 549.99 64.74
Georgia Humana CoverageFirst and Humana Value Plan - Value Self LM4 326.22 342.52 244.86 97.66 13.02 706.81 742.13 530.53 211.60 28.21
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family LM5 733.98 770.68 574.13 196.55 13.06 1590.29 1669.81 1243.95 425.86 28.29
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One LM6 701.37 736.43 524.63 211.80 27.89 1519.64 1595.60 1136.70 458.90 60.42
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self RM1 332.25 365.48 244.86 120.62 29.95 719.88 791.87 530.53 261.34 64.88
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family RM2 747.57 822.33 574.13 248.20 61.31 1619.74 1781.72 1243.95 537.77 132.84
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One RM3 714.34 785.78 524.63 261.15 64.27 1547.74 1702.52 1136.70 565.82 139.24
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self DN4 375.30 403.46 244.86 158.60 24.88 813.15 874.16 530.53 343.63 53.90
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family DN5 844.40 907.74 574.13 333.61 51.46 1829.53 1966.77 1243.95 722.82 111.50
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One DN6 806.88 867.41 524.63 342.78 53.36 1748.24 1879.39 1136.70 742.69 115.61
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self RJ1 309.16 324.62 243.47 81.15 3.86 669.85 703.34 527.51 175.83 8.37
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family RJ2 695.64 730.40 547.80 182.60 8.69 1507.22 1582.53 1186.90 395.63 18.83
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One RJ3 664.72 697.93 523.45 174.48 8.30 1440.23 1512.18 1134.14 378.04 17.98
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Q71 390.79 402.51 244.86 157.65 8.44 846.71 872.11 530.53 341.58 18.29
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family Q72 879.28 905.66 574.13 331.53 14.50 1905.11 1962.26 1243.95 718.31 31.41
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One Q73 840.20 865.40 524.63 340.77 18.03 1820.43 1875.03 1136.70 738.33 39.06
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self CB4 525.18 577.70 244.86 332.84 49.24 1137.89 1251.68 530.53 721.15 106.68
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family CB5 1181.68 1299.83 574.13 725.70 106.27 2560.31 2816.30 1243.95 1572.35 230.25
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One CB6 1129.16 1242.06 524.63 717.43 105.73 2446.51 2691.13 1136.70 1554.43 229.08
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self DG4 600.35 660.39 244.86 415.53 56.76 1300.76 1430.85 530.53 900.32 122.98
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family DG5 1350.79 1485.89 574.13 911.76 123.22 2926.71 3219.43 1243.95 1975.48 266.98
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One DG6 1290.79 1419.88 524.63 895.25 121.92 2796.71 3076.41 1136.70 1939.71 264.16
Georgia Humana HDHP - HDHP Self AZ1 New Plan 218.03 163.52 54.51 New Plan New Plan 472.40 354.30 118.10 New Plan
Georgia Humana HDHP - HDHP Self & Family AZ2 New Plan 543.26 407.45 135.81 New Plan New Plan 1177.06 882.80 294.26 New Plan
Georgia Humana HDHP - HDHP Self Plus One AZ3 New Plan 478.22 358.67 119.55 New Plan New Plan 1036.14 777.11 259.03 New Plan
Georgia Humana HDHP - HDHP Self B21 New Plan 224.78 168.59 56.19 New Plan New Plan 487.02 365.27 121.75 New Plan
Georgia Humana HDHP - HDHP Self & Family B22 New Plan 560.13 420.10 140.03 New Plan New Plan 1213.62 910.22 303.40 New Plan
Georgia Humana HDHP - HDHP Self Plus One B23 New Plan 493.06 369.80 123.26 New Plan New Plan 1068.30 801.23 267.07 New Plan
Georgia Humana HDHP - HDHP Self AR1 New Plan 220.36 165.27 55.09 New Plan New Plan 477.45 358.09 119.36 New Plan
Georgia Humana HDHP - HDHP Self & Family AR2 New Plan 549.10 411.83 137.27 New Plan New Plan 1189.72 892.29 297.43 New Plan
Georgia Humana HDHP - HDHP Self Plus One AR3 New Plan 483.35 362.51 120.84 New Plan New Plan 1047.26 785.45 261.81 New Plan
Georgia Kaiser Permanente - Georgia - High Self F81 346.66 355.25 244.86 110.39 5.31 751.10 769.71 530.53 239.18 11.50
Georgia Kaiser Permanente - Georgia - High Self & Family F82 783.46 802.88 574.13 228.75 7.54 1697.50 1739.57 1243.95 495.62 16.33
Georgia Kaiser Permanente - Georgia - High Self Plus One F83 783.46 802.88 524.63 278.25 12.25 1697.50 1739.57 1136.70 602.87 26.53
Georgia Kaiser Permanente - Georgia - Standard Self F84 268.20 277.25 207.94 69.31 2.26 581.10 600.71 450.53 150.18 4.91
Georgia Kaiser Permanente - Georgia - Standard Self & Family F85 606.12 626.58 469.94 156.64 5.11 1313.26 1357.59 1018.19 339.40 11.09
Georgia Kaiser Permanente - Georgia - Standard Self Plus One F86 606.12 626.58 469.94 156.64 5.11 1313.26 1357.59 1018.19 339.40 11.09
Georgia Kaiser Permanente - Georgia - Prosper Self LA1 193.34 183.99 137.99 46.00 -2.33 418.90 398.65 298.99 99.66 -5.06
Georgia Kaiser Permanente - Georgia - Prosper Self & Family LA2 436.92 477.68 358.26 119.42 10.19 946.66 1034.97 776.23 258.74 22.08
Georgia Kaiser Permanente - Georgia - Prosper Self Plus One LA3 436.92 415.81 311.86 103.95 -5.28 946.66 900.92 675.69 225.23 -11.43
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 276.68 300.42 225.32 75.10 5.93 599.47 650.91 488.18 162.73 12.86
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 654.35 710.52 532.89 177.63 14.04 1417.76 1539.46 1154.60 384.86 30.42
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 594.87 645.92 484.44 161.48 12.76 1288.89 1399.49 1049.62 349.87 27.65
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self LV1 346.44 414.41 244.86 169.55 64.69 750.62 897.89 530.53 367.36 140.16
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family LV2 1039.34 1243.22 574.13 669.09 192.00 2251.90 2693.64 1243.95 1449.69 416.00
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One LV3 744.87 890.98 524.63 366.35 138.94 1613.89 1930.46 1136.70 793.76 301.03
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 266.18 268.27 201.20 67.07 0.53 576.72 581.25 435.94 145.31 1.13
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 629.51 634.47 475.85 158.62 1.24 1363.94 1374.69 1031.02 343.67 2.69
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 572.28 576.79 432.59 144.20 1.13 1239.94 1249.71 937.28 312.43 2.45
Guam Calvo's SelectCare - Standard Self B44 198.36 174.88 131.16 43.72 -5.87 429.78 378.91 284.18 94.73 -12.71
Guam Calvo's SelectCare - Standard Self & Family B45 576.33 508.11 381.08 127.03 -17.05 1248.72 1100.91 825.68 275.23 -36.95
Guam Calvo's SelectCare - Standard Self Plus One B46 391.02 344.73 258.55 86.18 -11.57 847.21 746.92 560.19 186.73 -25.07
Guam Calvo's SelectCare - High Self B41 240.78 247.36 185.52 61.84 1.65 521.69 535.95 401.96 133.99 3.57
Guam Calvo's SelectCare - High Self & Family B42 637.74 655.17 491.38 163.79 4.36 1381.77 1419.54 1064.66 354.88 9.44
Guam Calvo's SelectCare - High Self Plus One B43 469.88 482.72 362.04 120.68 3.21 1018.07 1045.89 784.42 261.47 6.95
Guam TakeCare - HDHP Self KX1 55.63 56.45 42.34 14.11 0.20 120.53 122.31 91.73 30.58 0.45
Guam TakeCare - HDHP Self & Family KX2 149.15 151.37 113.53 37.84 0.55 323.16 327.97 245.98 81.99 1.20
Guam TakeCare - HDHP Self Plus One KX3 134.28 136.26 102.20 34.06 0.49 290.94 295.23 221.42 73.81 1.08
Guam TakeCare - Standard Self JK4 186.67 187.28 140.46 46.82 0.15 404.45 405.77 304.33 101.44 0.33
Guam TakeCare - Standard Self & Family JK5 528.64 530.39 397.79 132.60 0.44 1145.39 1149.18 861.89 287.29 0.94
Guam TakeCare - Standard Self Plus One JK6 367.91 369.13 276.85 92.28 0.30 797.14 799.78 599.84 199.94 0.66
Guam TakeCare - High Self JK1 229.76 238.09 178.57 59.52 2.08 497.81 515.86 386.90 128.96 4.51
Guam TakeCare - High Self & Family JK2 548.02 567.89 425.92 141.97 4.97 1187.38 1230.43 922.82 307.61 10.77
Guam TakeCare - High Self Plus One JK3 453.92 470.38 352.79 117.59 4.11 983.49 1019.16 764.37 254.79 8.92
Hawaii Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Hawaii Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Hawaii Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Hawaii Aetna Direct - CDHP Self N61 284.23 289.97 217.48 72.49 1.43 615.83 628.27 471.20 157.07 3.11
Hawaii Aetna Direct - CDHP Self & Family N62 716.80 731.30 548.48 182.82 3.62 1553.07 1584.48 1188.36 396.12 7.85
Hawaii Aetna Direct - CDHP Self Plus One N63 623.33 635.94 476.96 158.98 3.15 1350.55 1377.87 1033.40 344.47 6.83
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 505.19 505.16 244.86 260.30 -3.31 1094.58 1094.51 530.53 563.98 -7.18
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1153.29 1153.22 574.13 579.09 -11.95 2498.80 2498.64 1243.95 1254.69 -25.90
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1141.88 1141.82 524.63 617.19 -7.23 2474.07 2473.94 1136.70 1337.24 -15.67
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 466.12 478.77 244.86 233.91 9.37 1009.93 1037.34 530.53 506.81 20.30
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1062.53 1091.38 574.13 517.25 16.97 2302.15 2364.66 1243.95 1120.71 36.77
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1052.00 1080.57 524.63 555.94 21.40 2279.33 2341.24 1136.70 1204.54 46.37
Hawaii Aetna HealthFund HDHP - HDHP Self 224 362.78 380.45 244.86 135.59 14.39 786.02 824.31 530.53 293.78 31.18
Hawaii Aetna HealthFund HDHP - HDHP Self & Family 225 800.23 839.19 574.13 265.06 27.08 1733.83 1818.25 1243.95 574.30 58.68
Hawaii Aetna HealthFund HDHP - HDHP Self Plus One 226 784.56 822.75 524.63 298.12 31.02 1699.88 1782.63 1136.70 645.93 67.21
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 874 209.46 209.46 157.10 52.36 0.00 453.83 453.83 340.37 113.46 0.00
Hawaii HMSA Plan - Standard Self & Family 875 470.85 470.85 353.14 117.71 0.00 1020.18 1020.18 765.14 255.04 0.00
Hawaii HMSA Plan - Standard Self Plus One 876 458.90 458.90 344.18 114.72 0.00 994.28 994.28 745.71 248.57 0.00
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 633 695.31 695.31 521.48 173.83 -4.02 1506.51 1506.51 1129.88 376.63 -8.72
Hawaii Kaiser Permanente - Hawaii - Standard Self 634 233.16 224.02 168.02 56.00 -2.29 505.18 485.38 364.04 121.34 -4.95
Hawaii Kaiser Permanente - Hawaii - Standard Self & Family 635 519.93 499.56 374.67 124.89 -5.09 1126.52 1082.38 811.79 270.59 -11.04
Hawaii Kaiser Permanente - Hawaii - Standard Self Plus One 636 519.93 499.56 374.67 124.89 -5.09 1126.52 1082.38 811.79 270.59 -11.04
Idaho Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Idaho Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Idaho Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Idaho Aetna Direct - CDHP Self N61 284.23 289.97 217.48 72.49 1.43 615.83 628.27 471.20 157.07 3.11
Idaho Aetna Direct - CDHP Self & Family N62 716.80 731.30 548.48 182.82 3.62 1553.07 1584.48 1188.36 396.12 7.85
Idaho Aetna Direct - CDHP Self Plus One N63 623.33 635.94 476.96 158.98 3.15 1350.55 1377.87 1033.40 344.47 6.83
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 381.62 381.32 244.86 136.46 -3.58 826.84 826.19 530.53 295.66 -7.76
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 869.88 869.18 574.13 295.05 -12.58 1884.74 1883.22 1243.95 639.27 -27.26
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 861.43 860.75 524.63 336.12 -7.85 1866.43 1864.96 1136.70 728.26 -17.01
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 377.30 384.80 244.86 139.94 4.22 817.48 833.73 530.53 303.20 9.14
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 865.92 883.13 574.13 309.00 5.33 1876.16 1913.45 1243.95 669.50 11.55
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 848.95 865.82 524.63 341.19 9.70 1839.39 1875.94 1136.70 739.24 21.01
Idaho Aetna HealthFund HDHP - HDHP Self 224 362.78 380.45 244.86 135.59 14.39 786.02 824.31 530.53 293.78 31.18
Idaho Aetna HealthFund HDHP - HDHP Self & Family 225 800.23 839.19 574.13 265.06 27.08 1733.83 1818.25 1243.95 574.30 58.68
Idaho Aetna HealthFund HDHP - HDHP Self Plus One 226 784.56 822.75 524.63 298.12 31.02 1699.88 1782.63 1136.70 645.93 67.21
Idaho Altius Health Plan - High Self 9K1 483.86 531.16 244.86 286.30 44.02 1048.36 1150.85 530.53 620.32 95.38
Idaho Altius Health Plan - High Self & Family 9K2 1070.06 1174.66 574.13 600.53 92.72 2318.46 2545.10 1243.95 1301.15 200.90
Idaho Altius Health Plan - High Self Plus One 9K3 1059.46 1163.04 524.63 638.41 96.41 2295.50 2519.92 1136.70 1383.22 208.88
Idaho Altius Health Plan - HDHP Self 9K4 310.38 350.41 244.86 105.55 27.96 672.49 759.22 530.53 228.69 60.57
Idaho Altius Health Plan - HDHP Self & Family 9K5 648.66 732.33 549.25 183.08 20.92 1405.43 1586.72 1190.04 396.68 45.32
Idaho Altius Health Plan - HDHP Self Plus One 9K6 635.93 717.95 524.63 193.32 34.34 1377.85 1555.56 1136.70 418.86 74.40
Idaho Altius Health Plan - Standard Self DK4 407.59 435.02 244.86 190.16 24.15 883.11 942.54 530.53 412.01 52.32
Idaho Altius Health Plan - Standard Self & Family DK5 900.09 960.66 574.13 386.53 48.69 1950.20 2081.43 1243.95 837.48 105.49
Idaho Altius Health Plan - Standard Self Plus One DK6 891.17 951.14 524.63 426.51 52.80 1930.87 2060.80 1136.70 924.10 114.39
Idaho Kaiser Permanente - Washington Core - Standard Self 544 285.24 288.56 216.42 72.14 0.83 618.02 625.21 468.91 156.30 1.80
Idaho Kaiser Permanente - Washington Core - Standard Self & Family 545 656.05 663.69 497.77 165.92 1.91 1421.44 1438.00 1078.50 359.50 4.14
Idaho Kaiser Permanente - Washington Core - Standard Self Plus One 546 656.05 663.69 497.77 165.92 1.91 1421.44 1438.00 1078.50 359.50 4.14
Idaho Kaiser Permanente - Washington Core - High Self 541 398.66 401.32 244.86 156.46 -0.62 863.76 869.53 530.53 339.00 -1.34
Idaho Kaiser Permanente - Washington Core - High Self & Family 542 877.04 882.89 574.13 308.76 -6.03 1900.25 1912.93 1243.95 668.98 -13.06
Idaho Kaiser Permanente - Washington Core - High Self Plus One 543 877.04 882.89 524.63 358.26 -1.32 1900.25 1912.93 1136.70 776.23 -2.86
Idaho Kaiser Permanente - Washington Core - Prosper Self PT4 180.00 180.00 135.00 45.00 0.00 390.00 390.00 292.50 97.50 0.00
Idaho Kaiser Permanente - Washington Core - Prosper Self & Family PT5 503.99 503.99 377.99 126.00 0.00 1091.98 1091.98 818.99 272.99 0.00
Idaho Kaiser Permanente - Washington Core - Prosper Self Plus One PT6 436.00 436.00 327.00 109.00 0.00 944.67 944.67 708.50 236.17 0.00
Illinois Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Illinois Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Illinois Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Illinois Aetna Direct - CDHP Self N61 284.23 289.97 217.48 72.49 1.43 615.83 628.27 471.20 157.07 3.11
Illinois Aetna Direct - CDHP Self & Family N62 716.80 731.30 548.48 182.82 3.62 1553.07 1584.48 1188.36 396.12 7.85
Illinois Aetna Direct - CDHP Self Plus One N63 623.33 635.94 476.96 158.98 3.15 1350.55 1377.87 1033.40 344.47 6.83
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 381.62 381.32 244.86 136.46 -3.58 826.84 826.19 530.53 295.66 -7.76
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 869.88 869.18 574.13 295.05 -12.58 1884.74 1883.22 1243.95 639.27 -27.26
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 861.43 860.75 524.63 336.12 -7.85 1866.43 1864.96 1136.70 728.26 -17.01
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 377.30 384.80 244.86 139.94 4.22 817.48 833.73 530.53 303.20 9.14
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 865.92 883.13 574.13 309.00 5.33 1876.16 1913.45 1243.95 669.50 11.55
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 848.95 865.82 524.63 341.19 9.70 1839.39 1875.94 1136.70 739.24 21.01
Illinois Aetna HealthFund HDHP - HDHP Self 224 362.78 380.45 244.86 135.59 14.39 786.02 824.31 530.53 293.78 31.18
Illinois Aetna HealthFund HDHP - HDHP Self & Family 225 800.23 839.19 574.13 265.06 27.08 1733.83 1818.25 1243.95 574.30 58.68
Illinois Aetna HealthFund HDHP - HDHP Self Plus One 226 784.56 822.75 524.63 298.12 31.02 1699.88 1782.63 1136.70 645.93 67.21
Illinois Blue Preferred - High Self 9G1 403.49 418.02 244.86 173.16 11.25 874.23 905.71 530.53 375.18 24.37
Illinois Blue Preferred - High Self & Family 9G2 915.93 987.38 574.13 413.25 59.57 1984.52 2139.32 1243.95 895.37 129.06
Illinois Blue Preferred - High Self Plus One 9G3 859.44 925.62 524.63 400.99 59.01 1862.12 2005.51 1136.70 868.81 127.85
Illinois Blue Preferred - Standard Self 9G4 292.46 283.39 212.54 70.85 -2.26 633.66 614.01 460.51 153.50 -4.91
Illinois Blue Preferred - Standard Self & Family 9G5 811.49 826.90 574.13 252.77 3.53 1758.23 1791.62 1243.95 547.67 7.65
Illinois Blue Preferred - Standard Self Plus One 9G6 726.73 737.63 524.63 213.00 3.73 1574.58 1598.20 1136.70 461.50 8.08
Illinois Health Alliance HMO - Standard Self K84 315.49 324.96 243.72 81.24 2.37 683.56 704.08 528.06 176.02 5.13
Illinois Health Alliance HMO - Standard Self & Family K85 731.24 753.18 564.89 188.29 5.48 1584.35 1631.89 1223.92 407.97 11.88
Illinois Health Alliance HMO - Standard Self Plus One K86 674.59 694.82 521.12 173.70 5.05 1461.61 1505.44 1129.08 376.36 10.96
Illinois Humana CoverageFirst and Humana Value Plan - Value Self GB4 363.91 382.11 244.86 137.25 14.92 788.47 827.91 530.53 297.38 32.33
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family GB5 818.77 859.71 574.13 285.58 29.06 1774.00 1862.71 1243.95 618.76 62.97
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One GB6 782.38 821.50 524.63 296.87 31.95 1695.16 1779.92 1136.70 643.22 69.22
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self GB1 566.65 609.15 244.86 364.29 39.22 1227.74 1319.83 530.53 789.30 84.98
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family GB2 1274.95 1370.56 574.13 796.43 83.73 2762.39 2969.55 1243.95 1725.60 181.42
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One GB3 1218.30 1309.67 524.63 785.04 84.20 2639.65 2837.62 1136.70 1700.92 182.43
Illinois Humana CoverageFirst and Humana Value Plan - Value Self MW4 372.81 369.09 244.86 124.23 -7.00 807.76 799.70 530.53 269.17 -15.17
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family MW5 838.80 830.43 574.13 256.30 -20.25 1817.40 1799.27 1243.95 555.32 -43.87
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One MW6 801.54 793.53 524.63 268.90 -15.18 1736.67 1719.32 1136.70 582.62 -32.89
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self MW1 473.52 487.73 244.86 242.87 10.93 1025.96 1056.75 530.53 526.22 23.68
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MW2 1065.45 1097.45 574.13 523.32 20.12 2308.48 2377.81 1243.95 1133.86 43.59
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MW3 1018.09 1048.65 524.63 524.02 23.39 2205.86 2272.08 1136.70 1135.38 50.68
Illinois Humana HDHP - HDHP Self BB1 New Plan 205.52 154.14 51.38 New Plan New Plan 445.29 333.97 111.32 New Plan
Illinois Humana HDHP - HDHP Self & Family BB2 New Plan 512.00 384.00 128.00 New Plan New Plan 1109.33 832.00 277.33 New Plan
Illinois Humana HDHP - HDHP Self Plus One BB3 New Plan 450.70 338.03 112.67 New Plan New Plan 976.52 732.39 244.13 New Plan
Illinois Humana HDHP - HDHP Self AW1 New Plan 194.17 145.63 48.54 New Plan New Plan 420.70 315.53 105.17 New Plan
Illinois Humana HDHP - HDHP Self & Family AW2 New Plan 483.61 362.71 120.90 New Plan New Plan 1047.82 785.87 261.95 New Plan
Illinois Humana HDHP - HDHP Self Plus One AW3 New Plan 425.72 319.29 106.43 New Plan New Plan 922.39 691.79 230.60 New Plan
Illinois Humana Health Plan, Inc. - Standard Self 754 482.47 487.29 244.86 242.43 1.54 1045.35 1055.80 530.53 525.27 3.34
Illinois Humana Health Plan, Inc. - Standard Self & Family 755 1085.55 1096.41 574.13 522.28 -1.02 2352.03 2375.56 1243.95 1131.61 -2.21
Illinois Humana Health Plan, Inc. - Standard Self Plus One 756 1037.32 1047.69 524.63 523.06 3.20 2247.53 2270.00 1136.70 1133.30 6.93
Illinois Humana Health Plan, Inc. - High Self 751 631.85 647.65 244.86 402.79 12.52 1369.01 1403.24 530.53 872.71 27.12
Illinois Humana Health Plan, Inc. - High Self & Family 752 1421.69 1457.21 574.13 883.08 23.64 3080.33 3157.29 1243.95 1913.34 51.22
Illinois Humana Health Plan, Inc. - High Self Plus One 753 1358.50 1392.45 524.63 867.82 26.78 2943.42 3016.98 1136.70 1880.28 58.02
Illinois Humana Health Plan, Inc. - High Self 9F1 930.39 976.91 244.86 732.05 43.24 2015.85 2116.64 530.53 1586.11 93.68
Illinois Humana Health Plan, Inc. - High Self & Family 9F2 2093.37 2198.05 574.13 1623.92 92.80 4535.64 4762.44 1243.95 3518.49 201.06
Illinois Humana Health Plan, Inc. - High Self Plus One 9F3 2000.32 2100.34 524.63 1575.71 92.85 4334.03 4550.74 1136.70 3414.04 201.17
Illinois Humana Health Plan, Inc. - Standard Self AB4 573.09 668.06 244.86 423.20 91.69 1241.70 1447.46 530.53 916.93 198.65
Illinois Humana Health Plan, Inc. - Standard Self & Family AB5 1289.49 1503.16 574.13 929.03 201.79 2793.90 3256.85 1243.95 2012.90 437.21
Illinois Humana Health Plan, Inc. - Standard Self Plus One AB6 1232.18 1436.36 524.63 911.73 197.01 2669.72 3112.11 1136.70 1975.41 426.85
Illinois Humana Health Plan, Inc. - Basic Self AB1 363.19 390.43 244.86 145.57 23.96 786.91 845.93 530.53 315.40 51.91
Illinois Humana Health Plan, Inc. - Basic Self & Family AB2 817.20 878.49 574.13 304.36 49.41 1770.60 1903.40 1243.95 659.45 107.06
Illinois Humana Health Plan, Inc. - Basic Self Plus One AB3 780.88 839.45 524.63 314.82 51.40 1691.91 1818.81 1136.70 682.11 111.36
Illinois Humana Health Plan, Inc. - Basic Self RW1 378.02 387.46 244.86 142.60 6.16 819.04 839.50 530.53 308.97 13.35
Illinois Humana Health Plan, Inc. - Basic Self & Family RW2 850.55 871.79 574.13 297.66 9.36 1842.86 1888.88 1243.95 644.93 20.28
Illinois Humana Health Plan, Inc. - Basic Self Plus One RW3 812.75 833.04 524.63 308.41 13.12 1760.96 1804.92 1136.70 668.22 28.42
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 276.68 300.42 225.32 75.10 5.93 599.47 650.91 488.18 162.73 12.86
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 654.35 710.52 532.89 177.63 14.04 1417.76 1539.46 1154.60 384.86 30.42
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 594.87 645.92 484.44 161.48 12.76 1288.89 1399.49 1049.62 349.87 27.65
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 255.98 306.35 229.76 76.59 12.60 554.62 663.76 497.82 165.94 27.29
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 717.76 732.19 549.14 183.05 3.61 1555.15 1586.41 1189.81 396.60 7.81
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 499.93 612.71 459.53 153.18 28.20 1083.18 1327.54 995.66 331.88 61.09
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 266.18 268.27 201.20 67.07 0.53 576.72 581.25 435.94 145.31 1.13
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 629.51 634.47 475.85 158.62 1.24 1363.94 1374.69 1031.02 343.67 2.69
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 572.28 576.79 432.59 144.20 1.13 1239.94 1249.71 937.28 312.43 2.45
Indiana Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Indiana Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Indiana Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Indiana Aetna Direct - CDHP Self N61 284.23 289.97 217.48 72.49 1.43 615.83 628.27 471.20 157.07 3.11
Indiana Aetna Direct - CDHP Self & Family N62 716.80 731.30 548.48 182.82 3.62 1553.07 1584.48 1188.36 396.12 7.85
Indiana Aetna Direct - CDHP Self Plus One N63 623.33 635.94 476.96 158.98 3.15 1350.55 1377.87 1033.40 344.47 6.83
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 505.19 505.16 244.86 260.30 -3.31 1094.58 1094.51 530.53 563.98 -7.18
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1153.29 1153.22 574.13 579.09 -11.95 2498.80 2498.64 1243.95 1254.69 -25.90
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1141.88 1141.82 524.63 617.19 -7.23 2474.07 2473.94 1136.70 1337.24 -15.67
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 466.12 478.77 244.86 233.91 9.37 1009.93 1037.34 530.53 506.81 20.30
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1062.53 1091.38 574.13 517.25 16.97 2302.15 2364.66 1243.95 1120.71 36.77
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1052.00 1080.57 524.63 555.94 21.40 2279.33 2341.24 1136.70 1204.54 46.37
Indiana Aetna HealthFund HDHP - HDHP Self 224 362.78 380.45 244.86 135.59 14.39 786.02 824.31 530.53 293.78 31.18
Indiana Aetna HealthFund HDHP - HDHP Self & Family 225 800.23 839.19 574.13 265.06 27.08 1733.83 1818.25 1243.95 574.30 58.68
Indiana Aetna HealthFund HDHP - HDHP Self Plus One 226 784.56 822.75 524.63 298.12 31.02 1699.88 1782.63 1136.70 645.93 67.21
Indiana Health Alliance HMO - Standard Self K84 315.49 324.96 243.72 81.24 2.37 683.56 704.08 528.06 176.02 5.13
Indiana Health Alliance HMO - Standard Self & Family K85 731.24 753.18 564.89 188.29 5.48 1584.35 1631.89 1223.92 407.97 11.88
Indiana Health Alliance HMO - Standard Self Plus One K86 674.59 694.82 521.12 173.70 5.05 1461.61 1505.44 1129.08 376.36 10.96
Indiana Humana CoverageFirst and Humana Value Plan - Value Self MW4 372.81 369.09 244.86 124.23 -7.00 807.76 799.70 530.53 269.17 -15.17
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family MW5 838.80 830.43 574.13 256.30 -20.25 1817.40 1799.27 1243.95 555.32 -43.87
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One MW6 801.54 793.53 524.63 268.90 -15.18 1736.67 1719.32 1136.70 582.62 -32.89
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self MW1 473.52 487.73 244.86 242.87 10.93 1025.96 1056.75 530.53 526.22 23.68
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MW2 1065.45 1097.45 574.13 523.32 20.12 2308.48 2377.81 1243.95 1133.86 43.59
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MW3 1018.09 1048.65 524.63 524.02 23.39 2205.86 2272.08 1136.70 1135.38 50.68
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self TC1 340.88 349.41 244.86 104.55 5.25 738.57 757.06 530.53 226.53 11.38
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TC2 766.98 786.15 574.13 212.02 7.29 1661.79 1703.33 1243.95 459.38 15.80
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TC3 732.90 751.22 524.63 226.59 11.15 1587.95 1627.64 1136.70 490.94 24.15
Indiana Humana CoverageFirst and Humana Value Plan - Value Self TC4 New Plan 267.57 200.68 66.89 New Plan New Plan 579.74 434.81 144.93 New Plan
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family TC5 New Plan 602.04 451.53 150.51 New Plan New Plan 1304.42 978.32 326.10 New Plan
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One TC6 New Plan 575.28 431.46 143.82 New Plan New Plan 1246.44 934.83 311.61 New Plan
Indiana Humana CoverageFirst and Humana Value Plan - Value Self X34 298.10 320.46 240.35 80.11 5.59 645.88 694.33 520.75 173.58 12.11
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 670.73 721.03 540.77 180.26 12.58 1453.25 1562.23 1171.67 390.56 27.25
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 640.92 688.99 516.74 172.25 12.02 1388.66 1492.81 1119.61 373.20 26.04
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self X31 387.42 416.48 244.86 171.62 25.78 839.41 902.37 530.53 371.84 55.85
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 871.71 937.08 574.13 362.95 53.49 1888.71 2030.34 1243.95 786.39 115.89
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 832.97 895.44 524.63 370.81 55.30 1804.77 1940.12 1136.70 803.42 119.81
Indiana Humana HDHP - HDHP Self BB1 New Plan 205.52 154.14 51.38 New Plan New Plan 445.29 333.97 111.32 New Plan
Indiana Humana HDHP - HDHP Self & Family BB2 New Plan 512.00 384.00 128.00 New Plan New Plan 1109.33 832.00 277.33 New Plan
Indiana Humana HDHP - HDHP Self Plus One BB3 New Plan 450.70 338.03 112.67 New Plan New Plan 976.52 732.39 244.13 New Plan
Indiana Humana HDHP - HDHP Self DT1 New Plan 228.80 171.60 57.20 New Plan New Plan 495.73 371.80 123.93 New Plan
Indiana Humana HDHP - HDHP Self & Family DT2 New Plan 570.19 427.64 142.55 New Plan New Plan 1235.41 926.56 308.85 New Plan
Indiana Humana HDHP - HDHP Self Plus One DT3 New Plan 501.91 376.43 125.48 New Plan New Plan 1087.47 815.60 271.87 New Plan
Indiana Humana Health Plan of Ohio, Inc. - Standard Self A64 568.05 573.73 244.86 328.87 2.40 1230.78 1243.08 530.53 712.55 5.19
Indiana Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 1278.14 1290.90 574.13 716.77 0.88 2769.30 2796.95 1243.95 1553.00 1.91
Indiana Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 1221.32 1233.52 524.63 708.89 5.03 2646.19 2672.63 1136.70 1535.93 10.90
Indiana Humana Health Plan, Inc. - Standard Self 754 482.47 487.29 244.86 242.43 1.54 1045.35 1055.80 530.53 525.27 3.34
Indiana Humana Health Plan, Inc. - Standard Self & Family 755 1085.55 1096.41 574.13 522.28 -1.02 2352.03 2375.56 1243.95 1131.61 -2.21
Indiana Humana Health Plan, Inc. - Standard Self Plus One 756 1037.32 1047.69 524.63 523.06 3.20 2247.53 2270.00 1136.70 1133.30 6.93
Indiana Humana Health Plan, Inc. - High Self 751 631.85 647.65 244.86 402.79 12.52 1369.01 1403.24 530.53 872.71 27.12
Indiana Humana Health Plan, Inc. - High Self & Family 752 1421.69 1457.21 574.13 883.08 23.64 3080.33 3157.29 1243.95 1913.34 51.22
Indiana Humana Health Plan, Inc. - High Self Plus One 753 1358.50 1392.45 524.63 867.82 26.78 2943.42 3016.98 1136.70 1880.28 58.02
Indiana Humana Health Plan, Inc. - Standard Self MH4 436.44 458.26 244.86 213.40 18.54 945.62 992.90 530.53 462.37 40.17
Indiana Humana Health Plan, Inc. - Standard Self & Family MH5 981.98 1031.06 574.13 456.93 37.20 2127.62 2233.96 1243.95 990.01 80.60
Indiana Humana Health Plan, Inc. - Standard Self Plus One MH6 938.33 985.23 524.63 460.60 39.73 2033.05 2134.67 1136.70 997.97 86.08
Iowa Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Iowa Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Iowa Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Iowa Aetna Direct - CDHP Self N61 284.23 289.97 217.48 72.49 1.43 615.83 628.27 471.20 157.07 3.11
Iowa Aetna Direct - CDHP Self & Family N62 716.80 731.30 548.48 182.82 3.62 1553.07 1584.48 1188.36 396.12 7.85
Iowa Aetna Direct - CDHP Self Plus One N63 623.33 635.94 476.96 158.98 3.15 1350.55 1377.87 1033.40 344.47 6.83
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 381.62 381.32 244.86 136.46 -3.58 826.84 826.19 530.53 295.66 -7.76
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 869.88 869.18 574.13 295.05 -12.58 1884.74 1883.22 1243.95 639.27 -27.26
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 861.43 860.75 524.63 336.12 -7.85 1866.43 1864.96 1136.70 728.26 -17.01
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 377.30 384.80 244.86 139.94 4.22 817.48 833.73 530.53 303.20 9.14
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 865.92 883.13 574.13 309.00 5.33 1876.16 1913.45 1243.95 669.50 11.55
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 848.95 865.82 524.63 341.19 9.70 1839.39 1875.94 1136.70 739.24 21.01
Iowa Aetna HealthFund HDHP - HDHP Self 224 362.78 380.45 244.86 135.59 14.39 786.02 824.31 530.53 293.78 31.18
Iowa Aetna HealthFund HDHP - HDHP Self & Family 225 800.23 839.19 574.13 265.06 27.08 1733.83 1818.25 1243.95 574.30 58.68
Iowa Aetna HealthFund HDHP - HDHP Self Plus One 226 784.56 822.75 524.63 298.12 31.02 1699.88 1782.63 1136.70 645.93 67.21
Iowa Health Alliance HMO - Standard Self K84 315.49 324.96 243.72 81.24 2.37 683.56 704.08 528.06 176.02 5.13
Iowa Health Alliance HMO - Standard Self & Family K85 731.24 753.18 564.89 188.29 5.48 1584.35 1631.89 1223.92 407.97 11.88
Iowa Health Alliance HMO - Standard Self Plus One K86 674.59 694.82 521.12 173.70 5.05 1461.61 1505.44 1129.08 376.36 10.96
Iowa HealthPartners - Standard Self V34 235.11 255.36 191.52 63.84 5.06 509.41 553.28 414.96 138.32 10.97
Iowa HealthPartners - Standard Self & Family V35 572.74 622.08 466.56 155.52 12.34 1240.94 1347.84 1010.88 336.96 26.73
Iowa HealthPartners - Standard Self Plus One V36 519.60 564.36 423.27 141.09 11.19 1125.80 1222.78 917.09 305.69 24.24
Iowa HealthPartners - High Self V31 308.34 319.45 239.59 79.86 2.78 668.07 692.14 519.11 173.03 6.01
Iowa HealthPartners - High Self & Family V32 751.10 778.16 574.13 204.03 15.18 1627.38 1686.01 1243.95 442.06 32.89
Iowa HealthPartners - High Self Plus One V33 681.42 705.96 524.63 181.33 10.98 1476.41 1529.58 1136.70 392.88 23.78
Iowa UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 276.68 300.42 225.32 75.10 5.93 599.47 650.91 488.18 162.73 12.86
Iowa UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 654.35 710.52 532.89 177.63 14.04 1417.76 1539.46 1154.60 384.86 30.42
Iowa UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 594.87 645.92 484.44 161.48 12.76 1288.89 1399.49 1049.62 349.87 27.65
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self N71 319.78 343.64 244.86 98.78 18.84 692.86 744.55 530.53 214.02 40.81
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family N72 735.49 790.36 574.13 216.23 32.36 1593.56 1712.45 1243.95 468.50 70.11
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One N73 687.52 738.81 524.63 214.18 42.30 1489.63 1600.76 1136.70 464.06 91.65
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LJ1 358.54 403.36 244.86 158.50 41.54 776.84 873.95 530.53 343.42 90.00
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LJ2 896.36 1008.43 574.13 434.30 100.19 1942.11 2184.93 1243.95 940.98 217.08
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LJ3 770.87 867.25 524.63 342.62 89.21 1670.22 1879.04 1136.70 742.34 193.28
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 266.18 268.27 201.20 67.07 0.53 576.72 581.25 435.94 145.31 1.13
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 629.51 634.47 475.85 158.62 1.24 1363.94 1374.69 1031.02 343.67 2.69
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 572.28 576.79 432.59 144.20 1.13 1239.94 1249.71 937.28 312.43 2.45
Kansas Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Kansas Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Kansas Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Kansas Aetna Direct - CDHP Self N61 284.23 289.97 217.48 72.49 1.43 615.83 628.27 471.20 157.07 3.11
Kansas Aetna Direct - CDHP Self & Family N62 716.80 731.30 548.48 182.82 3.62 1553.07 1584.48 1188.36 396.12 7.85
Kansas Aetna Direct - CDHP Self Plus One N63 623.33 635.94 476.96 158.98 3.15 1350.55 1377.87 1033.40 344.47 6.83
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 330.94 385.10 244.86