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Healthcare Plan Information

2021 Plan Information for Texas

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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
Baylor Scott and White Health Plan A81 Non-Postal Basic Self Monthly 146.47
Baylor Scott and White Health Plan A82 Non-Postal Basic Self & Family Monthly 343.63
Baylor Scott and White Health Plan A83 Non-Postal Basic Self Plus One Monthly 324.65
Baylor Scott and White Health Plan A84 Non-Postal Standard Self Monthly 337.81
Baylor Scott and White Health Plan A85 Non-Postal Standard Self & Family Monthly 803.57
Baylor Scott and White Health Plan A86 Non-Postal Standard Self Plus One Monthly 788.89
Baylor Scott and White Health Plan P81 Non-Postal Basic Self Monthly 150.98
Baylor Scott and White Health Plan P82 Non-Postal Basic Self & Family Monthly 354.24
Baylor Scott and White Health Plan P83 Non-Postal Basic Self Plus One Monthly 334.67
Baylor Scott and White Health Plan P84 Non-Postal Standard Self Monthly 443.26
Baylor Scott and White Health Plan P85 Non-Postal Standard Self & Family Monthly 1051.22
Baylor Scott and White Health Plan P86 Non-Postal Standard Self Plus One Monthly 1022.8
Humana CoverageFirst and Humana Value Plan T31 Non-Postal CDHP Self Monthly 288.45
Humana CoverageFirst and Humana Value Plan T32 Non-Postal CDHP Self & Family Monthly 608.46
Humana CoverageFirst and Humana Value Plan T33 Non-Postal CDHP Self Plus One Monthly 624.35
Humana CoverageFirst and Humana Value Plan T34 Non-Postal Value Self Monthly 141.28
Humana CoverageFirst and Humana Value Plan T35 Non-Postal Value Self & Family Monthly 317.88
Humana CoverageFirst and Humana Value Plan T36 Non-Postal Value Self Plus One Monthly 303.75
Humana CoverageFirst and Humana Value Plan TP1 Non-Postal CDHP Self Monthly 248.72
Humana CoverageFirst and Humana Value Plan TP2 Non-Postal CDHP Self & Family Monthly 519.07
Humana CoverageFirst and Humana Value Plan TP3 Non-Postal CDHP Self Plus One Monthly 538.92
Humana CoverageFirst and Humana Value Plan TP4 Non-Postal Value Self Monthly 113.12
Humana CoverageFirst and Humana Value Plan TP5 Non-Postal Value Self & Family Monthly 254.51
Humana CoverageFirst and Humana Value Plan TP6 Non-Postal Value Self Plus One Monthly 243.2
Humana CoverageFirst and Humana Value Plan TU1 Non-Postal CDHP Self Monthly 206.31
Humana CoverageFirst and Humana Value Plan TU2 Non-Postal CDHP Self & Family Monthly 423.71
Humana CoverageFirst and Humana Value Plan TU3 Non-Postal CDHP Self Plus One Monthly 447.77
Humana CoverageFirst and Humana Value Plan TU4 Non-Postal Value Self Monthly 150.15
Humana CoverageFirst and Humana Value Plan TU5 Non-Postal Value Self & Family Monthly 337.85
Humana CoverageFirst and Humana Value Plan TU6 Non-Postal Value Self Plus One Monthly 322.84
Humana CoverageFirst and Humana Value Plan TV1 Non-Postal CDHP Self Monthly 385.97
Humana CoverageFirst and Humana Value Plan TV2 Non-Postal CDHP Self & Family Monthly 827.95
Humana CoverageFirst and Humana Value Plan TV3 Non-Postal CDHP Self Plus One Monthly 834.08
Humana CoverageFirst and Humana Value Plan TV4 Non-Postal Value Self Monthly 195.85
Humana CoverageFirst and Humana Value Plan TV5 Non-Postal Value Self & Family Monthly 404.6
Humana CoverageFirst and Humana Value Plan TV6 Non-Postal Value Self Plus One Monthly 425.32
Humana Health Plan of Texas, Inc. EW1 Non-Postal High Self Monthly 744.41
Humana Health Plan of Texas, Inc. EW2 Non-Postal High Self & Family Monthly 1634.38
Humana Health Plan of Texas, Inc. EW3 Non-Postal High Self Plus One Monthly 1604.66
Humana Health Plan of Texas, Inc. EW4 Non-Postal Standard Self Monthly 412.82
Humana Health Plan of Texas, Inc. EW5 Non-Postal Standard Self & Family Monthly 888.29
Humana Health Plan of Texas, Inc. EW6 Non-Postal Standard Self Plus One Monthly 891.72
Humana Health Plan of Texas, Inc. Q21 Non-Postal Basic Self Monthly 262.95
Humana Health Plan of Texas, Inc. Q22 Non-Postal Basic Self & Family Monthly 551.11
Humana Health Plan of Texas, Inc. Q23 Non-Postal Basic Self Plus One Monthly 569.47
Humana Health Plan of Texas, Inc. Q61 Non-Postal Basic Self Monthly 175.74
Humana Health Plan of Texas, Inc. Q62 Non-Postal Basic Self & Family Monthly 393.29
Humana Health Plan of Texas, Inc. Q63 Non-Postal Basic Self Plus One Monthly 382.07
Humana Health Plan of Texas, Inc. QX1 Non-Postal Basic Self Monthly 293.96
Humana Health Plan of Texas, Inc. QX2 Non-Postal Basic Self & Family Monthly 620.88
Humana Health Plan of Texas, Inc. QX3 Non-Postal Basic Self Plus One Monthly 636.2
Humana Health Plan of Texas, Inc. QY1 Non-Postal Basic Self Monthly 321.23
Humana Health Plan of Texas, Inc. QY2 Non-Postal Basic Self & Family Monthly 682.26
Humana Health Plan of Texas, Inc. QY3 Non-Postal Basic Self Plus One Monthly 694.88
Humana Health Plan of Texas, Inc. UC1 Non-Postal High Self Monthly 648.53
Humana Health Plan of Texas, Inc. UC2 Non-Postal High Self & Family Monthly 1418.71
Humana Health Plan of Texas, Inc. UC3 Non-Postal High Self Plus One Monthly 1398.57
Humana Health Plan of Texas, Inc. UC4 Non-Postal Standard Self Monthly 375.23
Humana Health Plan of Texas, Inc. UC5 Non-Postal Standard Self & Family Monthly 803.75
Humana Health Plan of Texas, Inc. UC6 Non-Postal Standard Self Plus One Monthly 810.92
Humana Health Plan of Texas, Inc. UR1 Non-Postal High Self Monthly 1040.33
Humana Health Plan of Texas, Inc. UR2 Non-Postal High Self & Family Monthly 2300.24
Humana Health Plan of Texas, Inc. UR3 Non-Postal High Self Plus One Monthly 2240.9
Humana Health Plan of Texas, Inc. UR4 Non-Postal Standard Self Monthly 546.13
Humana Health Plan of Texas, Inc. UR5 Non-Postal Standard Self & Family Monthly 1188.24
Humana Health Plan of Texas, Inc. UR6 Non-Postal Standard Self Plus One Monthly 1178.32
Humana Health Plan of Texas, Inc. UU1 Non-Postal High Self Monthly 1098.57
Humana Health Plan of Texas, Inc. UU2 Non-Postal High Self & Family Monthly 2431.22
Humana Health Plan of Texas, Inc. UU3 Non-Postal High Self Plus One Monthly 2366.09
Humana Health Plan of Texas, Inc. UU4 Non-Postal Standard Self Monthly 1084.77
Humana Health Plan of Texas, Inc. UU5 Non-Postal Standard Self & Family Monthly 2400.19
Humana Health Plan of Texas, Inc. UU6 Non-Postal Standard Self Plus One Monthly 2336.41
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. (Choice Plus Advanced) L91 Non-Postal Value Self Monthly 138.65
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L92 Non-Postal Value Self & Family Monthly 388.79
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L93 Non-Postal Value Self Plus One Monthly 270.79
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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