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Healthcare Plan Information

2019 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 164.93
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 363.8
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 360.1
Aetna Direct N61 Non-Postal CDHP Self Monthly 139.33
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 351.38
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 305.56
Aetna HealthFund CDHP and Aetna Value Plan EP1 Non-Postal CDHP Self Monthly 418.08
Aetna HealthFund CDHP and Aetna Value Plan EP2 Non-Postal CDHP Self & Family Monthly 952.64
Aetna HealthFund CDHP and Aetna Value Plan EP3 Non-Postal CDHP Self Plus One Monthly 1003.53
Aetna HealthFund CDHP and Aetna Value Plan EP4 Non-Postal Value Self Monthly 154.77
Aetna HealthFund CDHP and Aetna Value Plan EP5 Non-Postal Value Self & Family Monthly 354.41
Aetna HealthFund CDHP and Aetna Value Plan EP6 Non-Postal Value Self Plus One Monthly 347.46
Aetna Open Access JC1 Non-Postal High Self Monthly 804.34
Aetna Open Access JC2 Non-Postal High Self & Family Monthly 2081.65
Aetna Open Access JC3 Non-Postal High Self Plus One Monthly 2121.4
Aetna Open Access JC4 Non-Postal Basic Self Monthly 564.49
Aetna Open Access JC5 Non-Postal Basic Self & Family Monthly 1455.18
Aetna Open Access JC6 Non-Postal Basic Self Plus One Monthly 1501.13
CDPHP Universal Benefits, Inc. SG1 Non-Postal High Self Monthly 371.57
CDPHP Universal Benefits, Inc. SG2 Non-Postal High Self & Family Monthly 1472.36
CDPHP Universal Benefits, Inc. SG3 Non-Postal High Self Plus One Monthly 673.96
CDPHP Universal Benefits, Inc. SG4 Non-Postal Standard Self Monthly 144.39
CDPHP Universal Benefits, Inc. SG5 Non-Postal Standard Self & Family Monthly 594.47
CDPHP Universal Benefits, Inc. SG6 Non-Postal Standard Self Plus One Monthly 288.78
GHI Health Plan 804 Non-Postal Standard Self Monthly 427.25
GHI Health Plan 805 Non-Postal Standard Self & Family Monthly 1108.28
GHI Health Plan 806 Non-Postal Standard Self Plus One Monthly 1087.25
HIP of Greater New York 511 Non-Postal High Self Monthly 486.64
HIP of Greater New York 512 Non-Postal High Self & Family Monthly 1683.2
HIP of Greater New York 513 Non-Postal High Self Plus One Monthly 688.87
HIP of Greater New York YL4 Non-Postal Standard Self Monthly 164.65
HIP of Greater New York YL5 Non-Postal Standard Self & Family Monthly 746.49
HIP of Greater New York YL6 Non-Postal Standard Self Plus One Monthly 292.3
Independent Health Assoc C54 Non-Postal Standard Self Monthly 203.11
Independent Health Assoc C55 Non-Postal Standard Self & Family Monthly 756.76
Independent Health Assoc C56 Non-Postal Standard Self Plus One Monthly 723.06
Independent Health Assoc QA1 Non-Postal High Self Monthly 228.91
Independent Health Assoc QA2 Non-Postal High Self & Family Monthly 826.37
Independent Health Assoc QA3 Non-Postal High Self Plus One Monthly 788.84
Independent Health Assoc QA4 Non-Postal HDHP Self Monthly 147.64
Independent Health Assoc QA5 Non-Postal HDHP Self & Family Monthly 386.65
Independent Health Assoc QA6 Non-Postal HDHP Self Plus One Monthly 355.3
MVP Health Care GA4 Non-Postal Standard Self Monthly 243.15
MVP Health Care GA5 Non-Postal Standard Self & Family Monthly 679.36
MVP Health Care GA6 Non-Postal Standard Self Plus One Monthly 639.68
MVP Health Care GV4 Non-Postal Standard Self Monthly 157.34
MVP Health Care GV5 Non-Postal Standard Self & Family Monthly 403.72
MVP Health Care GV6 Non-Postal Standard Self Plus One Monthly 380.94
MVP Health Care M94 Non-Postal Standard Self Monthly 224.54
MVP Health Care M95 Non-Postal Standard Self & Family Monthly 633.82
MVP Health Care M96 Non-Postal Standard Self Plus One Monthly 596.89
MVP Health Care MF4 Non-Postal Standard Self Monthly 482.65
MVP Health Care MF5 Non-Postal Standard Self & Family Monthly 1266.16
MVP Health Care MF6 Non-Postal Standard Self Plus One Monthly 1190.58
MVP Health Care MX4 Non-Postal Standard Self Monthly 379.73
MVP Health Care MX5 Non-Postal Standard Self & Family Monthly 1014
MVP Health Care MX6 Non-Postal Standard Self Plus One Monthly 953.87
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