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Healthcare Plan Information

2021 Plan Information for Ohio

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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 JS1 Non-Postal CDHP Self Monthly 486.51
Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly 1083.94
Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly 1158.17
Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Value Self Monthly 571.16
Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Value Self & Family Monthly 1280.59
Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Value Self Plus One Monthly 1352.91
AultCare Insurance Company 3A1 Non-Postal High Self Monthly 352.46
AultCare Insurance Company 3A2 Non-Postal High Self & Family Monthly 945.08
AultCare Insurance Company 3A3 Non-Postal High Self Plus One Monthly 718.08
AultCare Insurance Company 3A4 Non-Postal HDHP Self Monthly 116.47
AultCare Insurance Company 3A5 Non-Postal HDHP Self & Family Monthly 372.94
AultCare Insurance Company 3A6 Non-Postal HDHP Self Plus One Monthly 221.42
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
Medical Mutual of Ohio 644 Non-Postal Standard Self Monthly 417.54
Medical Mutual of Ohio 645 Non-Postal Standard Self & Family Monthly 1040.11
Medical Mutual of Ohio 646 Non-Postal Standard Self Plus One Monthly 948.96
Medical Mutual of Ohio UX1 Non-Postal Basic Self Monthly 102.8
Medical Mutual of Ohio UX2 Non-Postal Basic Self & Family Monthly 246.73
Medical Mutual of Ohio UX3 Non-Postal Basic Self Plus One Monthly 226.17
Medical Mutual of Ohio X61 Non-Postal Basic Self Monthly 101.32
Medical Mutual of Ohio X62 Non-Postal Basic Self & Family Monthly 243.17
Medical Mutual of Ohio X63 Non-Postal Basic Self Plus One Monthly 222.91
Medical Mutual of Ohio X64 Non-Postal Standard Self Monthly 337.92
Medical Mutual of Ohio X65 Non-Postal Standard Self & Family Monthly 849.01
Medical Mutual of Ohio X66 Non-Postal Standard Self Plus One Monthly 773.79
Medical Mutual of Ohio YF1 Non-Postal Basic Self Monthly 103.76
Medical Mutual of Ohio YF2 Non-Postal Basic Self & Family Monthly 249.02
Medical Mutual of Ohio YF3 Non-Postal Basic Self Plus One Monthly 228.27
Medical Mutual of Ohio YF4 Non-Postal Standard Self Monthly 462.44
Medical Mutual of Ohio YF5 Non-Postal Standard Self & Family Monthly 1147.83
Medical Mutual of Ohio YF6 Non-Postal Standard Self Plus One Monthly 1047.72
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
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