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Healthcare Plan Information

2016 Plan Information for New York

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Location Specific Rates

Contract Enrollment Code Enrollment Type Option/Enrollment Type Payment Period Employee Payment
Aetna Direct 224 Non-Postal HDHP Self Monthly 130.08
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 286.94
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 281.31
Aetna Direct N61 Non-Postal CDHP Self Monthly 118.33
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 298.42
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 259.5
Aetna HealthFund CDHP and Aetna Value Plan EP1 Non-Postal CDHP Self Monthly 302.84
Aetna HealthFund CDHP and Aetna Value Plan EP2 Non-Postal CDHP Self & Family Monthly 686.55
Aetna HealthFund CDHP and Aetna Value Plan EP3 Non-Postal CDHP Self Plus One Monthly 728.8
Aetna HealthFund CDHP and Aetna Value Plan EP4 Non-Postal Value Self Monthly 131.62
Aetna HealthFund CDHP and Aetna Value Plan EP5 Non-Postal Value Self & Family Monthly 301.42
Aetna HealthFund CDHP and Aetna Value Plan EP6 Non-Postal Value Self Plus One Monthly 295.51
Aetna Open Access JC1 Non-Postal High Self Monthly 578.18
Aetna Open Access JC2 Non-Postal High Self & Family Monthly 1512.66
Aetna Open Access JC3 Non-Postal High Self Plus One Monthly 1546.74
Aetna Open Access JC4 Non-Postal Basic Self Monthly 288.02
Aetna Open Access JC5 Non-Postal Basic Self & Family Monthly 771.74
Aetna Open Access JC6 Non-Postal Basic Self Plus One Monthly 813.17
CDPHP Universal Benefits, Inc. SG1 Non-Postal High Self Monthly 287.19
CDPHP Universal Benefits, Inc. SG2 Non-Postal High Self & Family Monthly 1190.04
CDPHP Universal Benefits, Inc. SG3 Non-Postal High Self Plus One Monthly 500.13
CDPHP Universal Benefits, Inc. SG4 Non-Postal Standard Self Monthly 132.46
CDPHP Universal Benefits, Inc. SG5 Non-Postal Standard Self & Family Monthly 530.98
CDPHP Universal Benefits, Inc. SG6 Non-Postal Standard Self Plus One Monthly 264.91
GHI Health Plan 801 Non-Postal High Self Monthly 390.96
GHI Health Plan 802 Non-Postal High Self & Family Monthly 1462.32
GHI Health Plan 803 Non-Postal High Self Plus One Monthly 635.98
GHI Health Plan 804 Non-Postal Standard Self Monthly 196.04
GHI Health Plan 805 Non-Postal Standard Self & Family Monthly 724.34
GHI Health Plan 806 Non-Postal Standard Self Plus One Monthly 270.77
HIP of Greater New York 511 Non-Postal High Self Monthly 194.37
HIP of Greater New York 512 Non-Postal High Self & Family Monthly 825.02
HIP of Greater New York 513 Non-Postal High Self Plus One Monthly 291.39
Independent Health Assoc C54 Non-Postal Standard Self Monthly 148.5
Independent Health Assoc C55 Non-Postal Standard Self & Family Monthly 545.39
Independent Health Assoc C56 Non-Postal Standard Self Plus One Monthly 515.84
Independent Health Assoc QA1 Non-Postal High Self Monthly 157.78
Independent Health Assoc QA2 Non-Postal High Self & Family Monthly 615.76
Independent Health Assoc QA3 Non-Postal High Self Plus One Monthly 582.29
Independent Health Assoc QA4 Non-Postal HDHP Self Monthly 112.24
Independent Health Assoc QA5 Non-Postal HDHP Self & Family Monthly 297.48
Independent Health Assoc QA6 Non-Postal HDHP Self Plus One Monthly 274.92
MVP Health Care GA1 Non-Postal High Self Monthly 216.63
MVP Health Care GA2 Non-Postal High Self & Family Monthly 607.42
MVP Health Care GA3 Non-Postal High Self Plus One Monthly 564.02
MVP Health Care GA4 Non-Postal Standard Self Monthly 157.35
MVP Health Care GA5 Non-Postal Standard Self & Family Monthly 456.93
MVP Health Care GA6 Non-Postal Standard Self Plus One Monthly 434.39
MVP Health Care GV1 Non-Postal High Self Monthly 173.38
MVP Health Care GV2 Non-Postal High Self & Family Monthly 500.58
MVP Health Care GV3 Non-Postal High Self Plus One Monthly 463.27
MVP Health Care GV4 Non-Postal Standard Self Monthly 140.6
MVP Health Care GV5 Non-Postal Standard Self & Family Monthly 344.81
MVP Health Care GV6 Non-Postal Standard Self Plus One Monthly 323.39
MVP Health Care M91 Non-Postal High Self Monthly 212.62
MVP Health Care M92 Non-Postal High Self & Family Monthly 597.82
MVP Health Care M93 Non-Postal High Self Plus One Monthly 558.63
MVP Health Care M94 Non-Postal Standard Self Monthly 179.32
MVP Health Care M95 Non-Postal Standard Self & Family Monthly 517.31
MVP Health Care M96 Non-Postal Standard Self Plus One Monthly 480.39
MVP Health Care MF1 Non-Postal High Self Monthly 310.16
MVP Health Care MF2 Non-Postal High Self & Family Monthly 835.98
MVP Health Care MF3 Non-Postal High Self Plus One Monthly 777.81
MVP Health Care MF4 Non-Postal Standard Self Monthly 283.08
MVP Health Care MF5 Non-Postal Standard Self & Family Monthly 769.53
MVP Health Care MF6 Non-Postal Standard Self Plus One Monthly 715.45
MVP Health Care MX1 Non-Postal High Self Monthly 258.57
MVP Health Care MX2 Non-Postal High Self & Family Monthly 708.89
MVP Health Care MX3 Non-Postal High Self Plus One Monthly 657.8
MVP Health Care MX4 Non-Postal Standard Self Monthly 222.56
MVP Health Care MX5 Non-Postal Standard Self & Family Monthly 621.05
MVP Health Care MX6 Non-Postal Standard Self Plus One Monthly 583.48
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