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Healthcare Plan Information

2017 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 138.7
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 305.95
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 299.95
Aetna Direct N61 Non-Postal CDHP Self Monthly 120.05
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 302.77
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 263.29
Aetna HealthFund CDHP and Aetna Value Plan EP1 Non-Postal CDHP Self Monthly 330.93
Aetna HealthFund CDHP and Aetna Value Plan EP2 Non-Postal CDHP Self & Family Monthly 755.39
Aetna HealthFund CDHP and Aetna Value Plan EP3 Non-Postal CDHP Self Plus One Monthly 800.84
Aetna HealthFund CDHP and Aetna Value Plan EP4 Non-Postal Value Self Monthly 135.57
Aetna HealthFund CDHP and Aetna Value Plan EP5 Non-Postal Value Self & Family Monthly 310.46
Aetna HealthFund CDHP and Aetna Value Plan EP6 Non-Postal Value Self Plus One Monthly 304.37
Aetna Open Access JC1 Non-Postal High Self Monthly 566.9
Aetna Open Access JC2 Non-Postal High Self & Family Monthly 1492.99
Aetna Open Access JC3 Non-Postal High Self Plus One Monthly 1531.16
Aetna Open Access JC4 Non-Postal Basic Self Monthly 324.19
Aetna Open Access JC5 Non-Postal Basic Self & Family Monthly 867.62
Aetna Open Access JC6 Non-Postal Basic Self Plus One Monthly 911.99
CDPHP Universal Benefits, Inc. SG1 Non-Postal High Self Monthly 269.2
CDPHP Universal Benefits, Inc. SG2 Non-Postal High Self & Family Monthly 1153.82
CDPHP Universal Benefits, Inc. SG3 Non-Postal High Self Plus One Monthly 468.13
CDPHP Universal Benefits, Inc. SG4 Non-Postal Standard Self Monthly 132.46
CDPHP Universal Benefits, Inc. SG5 Non-Postal Standard Self & Family Monthly 494.76
CDPHP Universal Benefits, Inc. SG6 Non-Postal Standard Self Plus One Monthly 264.91
GHI Health Plan 801 Non-Postal High Self Monthly 475.34
GHI Health Plan 802 Non-Postal High Self & Family Monthly 1497.82
GHI Health Plan 803 Non-Postal High Self Plus One Monthly 1296.25
GHI Health Plan 804 Non-Postal Standard Self Monthly 230.7
GHI Health Plan 805 Non-Postal Standard Self & Family Monthly 601.21
GHI Health Plan 806 Non-Postal Standard Self Plus One Monthly 594.32
HIP of Greater New York 511 Non-Postal High Self Monthly 241.51
HIP of Greater New York 512 Non-Postal High Self & Family Monthly 1012.34
HIP of Greater New York 513 Non-Postal High Self Plus One Monthly 392.43
Independent Health Assoc C54 Non-Postal Standard Self Monthly 174.65
Independent Health Assoc C55 Non-Postal Standard Self & Family Monthly 673.69
Independent Health Assoc C56 Non-Postal Standard Self Plus One Monthly 639.21
Independent Health Assoc QA1 Non-Postal High Self Monthly 208.93
Independent Health Assoc QA2 Non-Postal High Self & Family Monthly 766.27
Independent Health Assoc QA3 Non-Postal High Self Plus One Monthly 726.66
Independent Health Assoc QA4 Non-Postal HDHP Self Monthly 112.43
Independent Health Assoc QA5 Non-Postal HDHP Self & Family Monthly 297.99
Independent Health Assoc QA6 Non-Postal HDHP Self Plus One Monthly 275.41
MVP Health Care GA1 Non-Postal High Self Monthly 277.05
MVP Health Care GA2 Non-Postal High Self & Family Monthly 760.87
MVP Health Care GA3 Non-Postal High Self Plus One Monthly 711.01
MVP Health Care GA4 Non-Postal Standard Self Monthly 215.45
MVP Health Care GA5 Non-Postal Standard Self & Family Monthly 609.9
MVP Health Care GA6 Non-Postal Standard Self Plus One Monthly 569.31
MVP Health Care GV1 Non-Postal High Self Monthly 203.6
MVP Health Care GV2 Non-Postal High Self & Family Monthly 580.84
MVP Health Care GV3 Non-Postal High Self Plus One Monthly 542.03
MVP Health Care GV4 Non-Postal Standard Self Monthly 152.6
MVP Health Care GV5 Non-Postal Standard Self & Family Monthly 400.88
MVP Health Care GV6 Non-Postal Standard Self Plus One Monthly 373.08
MVP Health Care M91 Non-Postal High Self Monthly 221.47
MVP Health Care M92 Non-Postal High Self & Family Monthly 624.61
MVP Health Care M93 Non-Postal High Self Plus One Monthly 583.14
MVP Health Care M94 Non-Postal Standard Self Monthly 205.98
MVP Health Care M95 Non-Postal Standard Self & Family Monthly 586.76
MVP Health Care M96 Non-Postal Standard Self Plus One Monthly 547.56
MVP Health Care MF1 Non-Postal High Self Monthly 458.59
MVP Health Care MF2 Non-Postal High Self & Family Monthly 1205.56
MVP Health Care MF3 Non-Postal High Self Plus One Monthly 1128.49
MVP Health Care MF4 Non-Postal Standard Self Monthly 395.48
MVP Health Care MF5 Non-Postal Standard Self & Family Monthly 1050.97
MVP Health Care MF6 Non-Postal Standard Self Plus One Monthly 983.36
MVP Health Care MX1 Non-Postal High Self Monthly 346.32
MVP Health Care MX2 Non-Postal High Self & Family Monthly 930.61
MVP Health Care MX3 Non-Postal High Self Plus One Monthly 870.35
MVP Health Care MX4 Non-Postal Standard Self Monthly 323.11
MVP Health Care MX5 Non-Postal Standard Self & Family Monthly 873.69
MVP Health Care MX6 Non-Postal Standard Self Plus One Monthly 816.94
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