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Healthcare Plan Information

2018 Plan Information for Indiana

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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 151.86
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 334.98
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 328.41
Aetna Direct N61 Non-Postal CDHP Self Monthly 131.92
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 332.67
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 289.29
Aetna HealthFund CDHP and Aetna Value Plan JS1 Non-Postal CDHP Self Monthly 546.24
Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly 1247.37
Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly 1290.12
Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Value Self Monthly 267.63
Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Value Self & Family Monthly 614.79
Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Value Self Plus One Monthly 663.78
Health Alliance HMO K84 Non-Postal Standard Self Monthly 156.7
Health Alliance HMO K85 Non-Postal Standard Self & Family Monthly 788.52
Health Alliance HMO K86 Non-Postal Standard Self Plus One Monthly 388.1
Humana CoverageFirst and Humana Value Plan MW1 Non-Postal CDHP Self Monthly 215.5
Humana CoverageFirst and Humana Value Plan MW2 Non-Postal CDHP Self & Family Monthly 472.42
Humana CoverageFirst and Humana Value Plan MW3 Non-Postal CDHP Self Plus One Monthly 467.44
Humana CoverageFirst and Humana Value Plan MW4 Non-Postal Value Self Monthly 139.25
Humana CoverageFirst and Humana Value Plan MW5 Non-Postal Value Self & Family Monthly 313.29
Humana CoverageFirst and Humana Value Plan MW6 Non-Postal Value Self Plus One Monthly 299.37
Humana CoverageFirst and Humana Value Plan TC1 Non-Postal CDHP Self Monthly 150.58
Humana CoverageFirst and Humana Value Plan TC2 Non-Postal CDHP Self & Family Monthly 338.81
Humana CoverageFirst and Humana Value Plan TC3 Non-Postal CDHP Self Plus One Monthly 323.75
Humana Health Plan of Ohio, Inc. A61 Non-Postal High Self Monthly 547.69
Humana Health Plan of Ohio, Inc. A62 Non-Postal High Self & Family Monthly 1219.81
Humana Health Plan of Ohio, Inc. A63 Non-Postal High Self Plus One Monthly 1181.64
Humana Health Plan of Ohio, Inc. A64 Non-Postal Standard Self Monthly 339.17
Humana Health Plan of Ohio, Inc. A65 Non-Postal Standard Self & Family Monthly 750.64
Humana Health Plan of Ohio, Inc. A66 Non-Postal Standard Self Plus One Monthly 733.31
Humana Health Plan, Inc. 751 Non-Postal High Self Monthly 764.96
Humana Health Plan, Inc. 752 Non-Postal High Self & Family Monthly 1708.63
Humana Health Plan, Inc. 753 Non-Postal High Self Plus One Monthly 1648.73
Humana Health Plan, Inc. 754 Non-Postal Standard Self Monthly 384.78
Humana Health Plan, Inc. 755 Non-Postal Standard Self & Family Monthly 853.26
Humana Health Plan, Inc. 756 Non-Postal Standard Self Plus One Monthly 831.33
Humana Health Plan, Inc. MH1 Non-Postal High Self Monthly 304.91
Humana Health Plan, Inc. MH2 Non-Postal High Self & Family Monthly 673.55
Humana Health Plan, Inc. MH3 Non-Postal High Self Plus One Monthly 659.62
Humana Health Plan, Inc. MH4 Non-Postal Standard Self Monthly 176.34
Humana Health Plan, Inc. MH5 Non-Postal Standard Self & Family Monthly 384.26
Humana Health Plan, Inc. MH6 Non-Postal Standard Self Plus One Monthly 383.22
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