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Healthcare Plan Information

2016 Plan Information for Wisconsin

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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 JS1 Non-Postal CDHP Self Monthly 412.06
Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly 934.7
Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly 974.5
Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Basic Self Monthly 190.54
Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Basic Self & Family Monthly 431.94
Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Basic Self Plus One Monthly 476.71
Aetna Whole Health F71 Non-Postal Basic Self Monthly 114.64
Aetna Whole Health F72 Non-Postal Basic Self & Family Monthly 317.2
Aetna Whole Health F73 Non-Postal Basic Self Plus One Monthly 314.07
Dean Health Plan WD1 Non-Postal High Self Monthly 380.14
Dean Health Plan WD2 Non-Postal High Self & Family Monthly 879.25
Dean Health Plan WD3 Non-Postal High Self Plus One Monthly 770.31
Dean Health Plan WD4 Non-Postal Standard Self Monthly 146.41
Dean Health Plan WD5 Non-Postal Standard Self & Family Monthly 351.38
Dean Health Plan WD6 Non-Postal Standard Self Plus One Monthly 322.1
Group Health Cooperative WJ1 Non-Postal High Self Monthly 178.77
Group Health Cooperative WJ2 Non-Postal High Self & Family Monthly 852
Group Health Cooperative WJ3 Non-Postal High Self Plus One Monthly 317.33
HealthPartners V31 Non-Postal High Self Monthly 221.5
HealthPartners V32 Non-Postal High Self & Family Monthly 607.29
HealthPartners V33 Non-Postal High Self Plus One Monthly 512.31
HealthPartners V34 Non-Postal Standard Self Monthly 97.08
HealthPartners V35 Non-Postal Standard Self & Family Monthly 236.5
HealthPartners V36 Non-Postal Standard Self Plus One Monthly 214.55
MercyCare Health Plans EY1 Non-Postal High Self Monthly 199.86
MercyCare Health Plans EY2 Non-Postal High Self & Family Monthly 928.07
MercyCare Health Plans EY3 Non-Postal High Self Plus One Monthly 331.08
Physicians Plus LW1 Non-Postal High Self Monthly 194.63
Physicians Plus LW2 Non-Postal High Self & Family Monthly 615.5
Physicians Plus LW3 Non-Postal High Self Plus One Monthly 572.19
Physicians Plus LW4 Non-Postal Standard Self Monthly 145.52
Physicians Plus LW5 Non-Postal Standard Self & Family Monthly 424.77
Physicians Plus LW6 Non-Postal Standard Self Plus One Monthly 393.16
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