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Healthcare Plan Information

2022 Plan Information for Illinois

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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 293.78
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 574.3
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 645.93
Aetna Direct N61 Non-Postal CDHP Self Monthly 157.07
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 396.12
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 344.47
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 295.66
Aetna HealthFund CDHP and Aetna Value Plan H42 Non-Postal CDHP Self & Family Monthly 639.27
Aetna HealthFund CDHP and Aetna Value Plan H43 Non-Postal CDHP Self Plus One Monthly 728.26
Aetna HealthFund CDHP and Aetna Value Plan H44 Non-Postal Value Self Monthly 303.2
Aetna HealthFund CDHP and Aetna Value Plan H45 Non-Postal Value Self & Family Monthly 669.5
Aetna HealthFund CDHP and Aetna Value Plan H46 Non-Postal Value Self Plus One Monthly 739.24
Blue Preferred 9G1 Non-Postal High Self Monthly 375.18
Blue Preferred 9G2 Non-Postal High Self & Family Monthly 895.37
Blue Preferred 9G3 Non-Postal High Self Plus One Monthly 868.81
Blue Preferred 9G4 Non-Postal Standard Self Monthly 153.5
Blue Preferred 9G5 Non-Postal Standard Self & Family Monthly 547.67
Blue Preferred 9G6 Non-Postal Standard Self Plus One Monthly 461.5
Health Alliance HMO K84 Non-Postal Standard Self Monthly 176.02
Health Alliance HMO K85 Non-Postal Standard Self & Family Monthly 407.97
Health Alliance HMO K86 Non-Postal Standard Self Plus One Monthly 376.36
Humana CoverageFirst and Humana Value Plan AW1 Non-Postal HDHP Self Monthly 105.17
Humana CoverageFirst and Humana Value Plan AW2 Non-Postal HDHP Self & Family Monthly 261.95
Humana CoverageFirst and Humana Value Plan AW3 Non-Postal HDHP Self Plus One Monthly 230.6
Humana CoverageFirst and Humana Value Plan BB1 Non-Postal HDHP Self Monthly 111.32
Humana CoverageFirst and Humana Value Plan BB2 Non-Postal HDHP Self & Family Monthly 277.33
Humana CoverageFirst and Humana Value Plan BB3 Non-Postal HDHP Self Plus One Monthly 244.13
Humana CoverageFirst and Humana Value Plan GB1 Non-Postal CDHP Self Monthly 789.3
Humana CoverageFirst and Humana Value Plan GB2 Non-Postal CDHP Self & Family Monthly 1725.6
Humana CoverageFirst and Humana Value Plan GB3 Non-Postal CDHP Self Plus One Monthly 1700.92
Humana CoverageFirst and Humana Value Plan GB4 Non-Postal Value Self Monthly 297.38
Humana CoverageFirst and Humana Value Plan GB5 Non-Postal Value Self & Family Monthly 618.76
Humana CoverageFirst and Humana Value Plan GB6 Non-Postal Value Self Plus One Monthly 643.22
Humana CoverageFirst and Humana Value Plan MW1 Non-Postal CDHP Self Monthly 526.22
Humana CoverageFirst and Humana Value Plan MW2 Non-Postal CDHP Self & Family Monthly 1133.86
Humana CoverageFirst and Humana Value Plan MW3 Non-Postal CDHP Self Plus One Monthly 1135.38
Humana CoverageFirst and Humana Value Plan MW4 Non-Postal Value Self Monthly 269.17
Humana CoverageFirst and Humana Value Plan MW5 Non-Postal Value Self & Family Monthly 555.32
Humana CoverageFirst and Humana Value Plan MW6 Non-Postal Value Self Plus One Monthly 582.62
Humana Health Plan, Inc. 751 Non-Postal High Self Monthly 872.71
Humana Health Plan, Inc. 752 Non-Postal High Self & Family Monthly 1913.34
Humana Health Plan, Inc. 753 Non-Postal High Self Plus One Monthly 1880.28
Humana Health Plan, Inc. 754 Non-Postal Standard Self Monthly 525.27
Humana Health Plan, Inc. 755 Non-Postal Standard Self & Family Monthly 1131.61
Humana Health Plan, Inc. 756 Non-Postal Standard Self Plus One Monthly 1133.3
Humana Health Plan, Inc. 9F1 Non-Postal High Self Monthly 1586.11
Humana Health Plan, Inc. 9F2 Non-Postal High Self & Family Monthly 3518.49
Humana Health Plan, Inc. 9F3 Non-Postal High Self Plus One Monthly 3414.04
Humana Health Plan, Inc. AB1 Non-Postal Basic Self Monthly 315.4
Humana Health Plan, Inc. AB2 Non-Postal Basic Self & Family Monthly 659.45
Humana Health Plan, Inc. AB3 Non-Postal Basic Self Plus One Monthly 682.11
Humana Health Plan, Inc. AB4 Non-Postal Standard Self Monthly 916.93
Humana Health Plan, Inc. AB5 Non-Postal Standard Self & Family Monthly 2012.9
Humana Health Plan, Inc. AB6 Non-Postal Standard Self Plus One Monthly 1975.41
Humana Health Plan, Inc. RW1 Non-Postal Basic Self Monthly 308.97
Humana Health Plan, Inc. RW2 Non-Postal Basic Self & Family Monthly 644.93
Humana Health Plan, Inc. RW3 Non-Postal Basic Self Plus One Monthly 668.22
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L91 Non-Postal Value Self Monthly 165.94
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L92 Non-Postal Value Self & Family Monthly 396.6
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L93 Non-Postal Value Self Plus One Monthly 331.88
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS1 Non-Postal High Self Monthly 162.73
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS2 Non-Postal High Self & Family Monthly 384.86
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS3 Non-Postal High Self Plus One Monthly 349.87
UnitedHealthcare Insurance Company, Inc. Choice Primary Y81 Non-Postal High Self Monthly 145.31
UnitedHealthcare Insurance Company, Inc. Choice Primary Y82 Non-Postal High Self & Family Monthly 343.67
UnitedHealthcare Insurance Company, Inc. Choice Primary Y83 Non-Postal High Self Plus One Monthly 312.43
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