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Healthcare Plan Information

2021 Plan Information for Kentucky

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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 262.6
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 515.62
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 578.72
Aetna Direct N61 Non-Postal CDHP Self Monthly 153.96
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 388.27
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 337.64
Aetna Direct Z24 Non-Postal Advantage Self Monthly 125
Aetna Direct Z25 Non-Postal Advantage Self & Family Monthly 331.25
Aetna Direct Z26 Non-Postal Advantage Self Plus One Monthly 275
Aetna HealthFund CDHP and Aetna Value Plan H41 Non-Postal CDHP Self Monthly 303.42
Aetna HealthFund CDHP and Aetna Value Plan H42 Non-Postal CDHP Self & Family Monthly 666.53
Aetna HealthFund CDHP and Aetna Value Plan H43 Non-Postal CDHP Self Plus One Monthly 745.27
Aetna HealthFund CDHP and Aetna Value Plan H44 Non-Postal Value Self Monthly 294.06
Aetna HealthFund CDHP and Aetna Value Plan H45 Non-Postal Value Self & Family Monthly 657.95
Aetna HealthFund CDHP and Aetna Value Plan H46 Non-Postal Value Self Plus One Monthly 718.23
Humana CoverageFirst and Humana Value Plan 6N1 Non-Postal CDHP Self Monthly 304.62
Humana CoverageFirst and Humana Value Plan 6N2 Non-Postal CDHP Self & Family Monthly 644.86
Humana CoverageFirst and Humana Value Plan 6N3 Non-Postal CDHP Self Plus One Monthly 659.13
Humana CoverageFirst and Humana Value Plan TC1 Non-Postal CDHP Self Monthly 215.15
Humana CoverageFirst and Humana Value Plan TC2 Non-Postal CDHP Self & Family Monthly 443.58
Humana CoverageFirst and Humana Value Plan TC3 Non-Postal CDHP Self Plus One Monthly 466.79
Humana CoverageFirst and Humana Value Plan X31 Non-Postal CDHP Self Monthly 315.99
Humana CoverageFirst and Humana Value Plan X32 Non-Postal CDHP Self & Family Monthly 670.5
Humana CoverageFirst and Humana Value Plan X33 Non-Postal CDHP Self Plus One Monthly 683.61
Humana CoverageFirst and Humana Value Plan X34 Non-Postal Value Self Monthly 161.47
Humana CoverageFirst and Humana Value Plan X35 Non-Postal Value Self & Family Monthly 363.31
Humana CoverageFirst and Humana Value Plan X36 Non-Postal Value Self Plus One Monthly 347.16
Humana Health Plan of Ohio, Inc. A61 Non-Postal High Self Monthly 1052.61
Humana Health Plan of Ohio, Inc. A62 Non-Postal High Self & Family Monthly 2327.89
Humana Health Plan of Ohio, Inc. A63 Non-Postal High Self Plus One Monthly 2267.33
Humana Health Plan of Ohio, Inc. A64 Non-Postal Standard Self Monthly 707.36
Humana Health Plan of Ohio, Inc. A65 Non-Postal Standard Self & Family Monthly 1551.09
Humana Health Plan of Ohio, Inc. A66 Non-Postal Standard Self Plus One Monthly 1525.03
Humana Health Plan of Ohio, Inc. W61 Non-Postal Basic Self Monthly 159.76
Humana Health Plan of Ohio, Inc. W62 Non-Postal Basic Self & Family Monthly 359.48
Humana Health Plan of Ohio, Inc. W63 Non-Postal Basic Self Plus One Monthly 343.5
Humana Health Plan, Inc. MH1 Non-Postal High Self Monthly 692.06
Humana Health Plan, Inc. MH2 Non-Postal High Self & Family Monthly 1516.62
Humana Health Plan, Inc. MH3 Non-Postal High Self Plus One Monthly 1492.1
Humana Health Plan, Inc. MH4 Non-Postal Standard Self Monthly 422.2
Humana Health Plan, Inc. MH5 Non-Postal Standard Self & Family Monthly 909.41
Humana Health Plan, Inc. MH6 Non-Postal Standard Self Plus One Monthly 911.89
Humana Health Plan, Inc. MI1 Non-Postal High Self Monthly 913.3
Humana Health Plan, Inc. MI2 Non-Postal High Self & Family Monthly 2014.33
Humana Health Plan, Inc. MI3 Non-Postal High Self Plus One Monthly 1967.75
Humana Health Plan, Inc. MI4 Non-Postal Standard Self Monthly 396.98
Humana Health Plan, Inc. MI5 Non-Postal Standard Self & Family Monthly 852.65
Humana Health Plan, Inc. MI6 Non-Postal Standard Self Plus One Monthly 857.68
UnitedHealthcare Advantage Plan Y51 Non-Postal High Self Monthly 102.93
UnitedHealthcare Advantage Plan Y52 Non-Postal High Self & Family Monthly 272.77
UnitedHealthcare Advantage Plan Y53 Non-Postal High Self Plus One Monthly 226.45
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) N71 Non-Postal HDHP Self Monthly 173.21
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) N72 Non-Postal HDHP Self & Family Monthly 398.39
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) N73 Non-Postal HDHP Self Plus One Monthly 372.41
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LJ1 Non-Postal High Self Monthly 253.42
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LJ2 Non-Postal High Self & Family Monthly 723.9
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LJ3 Non-Postal High Self Plus One Monthly 549.06
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS1 Non-Postal High Self Monthly 149.87
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS2 Non-Postal High Self & Family Monthly 354.44
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS3 Non-Postal High Self Plus One Monthly 322.22
UnitedHealthcare Insurance Company, Inc. Choice Primary Y81 Non-Postal High Self Monthly 144.18
UnitedHealthcare Insurance Company, Inc. Choice Primary Y82 Non-Postal High Self & Family Monthly 340.98
UnitedHealthcare Insurance Company, Inc. Choice Primary Y83 Non-Postal High Self Plus One Monthly 309.98
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