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Healthcare Plan Information

2022 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 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 JS1 Non-Postal CDHP Self Monthly 506.81
Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly 1120.71
Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly 1204.54
Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Value Self Monthly 563.98
Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Value Self & Family Monthly 1254.69
Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Value Self Plus One Monthly 1337.24
AultCare Insurance Company 3A1 Non-Postal High Self Monthly 399.73
AultCare Insurance Company 3A2 Non-Postal High Self & Family Monthly 1053.87
AultCare Insurance Company 3A3 Non-Postal High Self Plus One Monthly 816.92
AultCare Insurance Company 3A4 Non-Postal HDHP Self Monthly 110.7
AultCare Insurance Company 3A5 Non-Postal HDHP Self & Family Monthly 354.48
AultCare Insurance Company 3A6 Non-Postal HDHP Self Plus One Monthly 210.46
Humana CoverageFirst and Humana Value Plan DT1 Non-Postal HDHP Self Monthly 123.93
Humana CoverageFirst and Humana Value Plan DT2 Non-Postal HDHP Self & Family Monthly 308.85
Humana CoverageFirst and Humana Value Plan DT3 Non-Postal HDHP Self Plus One Monthly 271.87
Humana CoverageFirst and Humana Value Plan X31 Non-Postal CDHP Self Monthly 371.84
Humana CoverageFirst and Humana Value Plan X32 Non-Postal CDHP Self & Family Monthly 786.39
Humana CoverageFirst and Humana Value Plan X33 Non-Postal CDHP Self Plus One Monthly 803.42
Humana CoverageFirst and Humana Value Plan X34 Non-Postal Value Self Monthly 173.58
Humana CoverageFirst and Humana Value Plan X35 Non-Postal Value Self & Family Monthly 390.56
Humana CoverageFirst and Humana Value Plan X36 Non-Postal Value Self Plus One Monthly 373.2
Humana Health Plan of Ohio, Inc. A64 Non-Postal Standard Self Monthly 712.55
Humana Health Plan of Ohio, Inc. A65 Non-Postal Standard Self & Family Monthly 1553
Humana Health Plan of Ohio, Inc. A66 Non-Postal Standard Self Plus One Monthly 1535.93
Humana Health Plan of Ohio, Inc. W61 Non-Postal Basic Self Monthly 167.75
Humana Health Plan of Ohio, Inc. W62 Non-Postal Basic Self & Family Monthly 377.45
Humana Health Plan of Ohio, Inc. W63 Non-Postal Basic Self Plus One Monthly 360.68
Medical Mutual of Ohio 644 Non-Postal Standard Self Monthly 517.31
Medical Mutual of Ohio 645 Non-Postal Standard Self & Family Monthly 1270.84
Medical Mutual of Ohio 646 Non-Postal Standard Self Plus One Monthly 1168.53
Medical Mutual of Ohio UX1 Non-Postal Basic Self Monthly 103.22
Medical Mutual of Ohio UX2 Non-Postal Basic Self & Family Monthly 247.74
Medical Mutual of Ohio UX3 Non-Postal Basic Self Plus One Monthly 227.1
Medical Mutual of Ohio X61 Non-Postal Basic Self Monthly 101.73
Medical Mutual of Ohio X62 Non-Postal Basic Self & Family Monthly 244.17
Medical Mutual of Ohio X63 Non-Postal Basic Self Plus One Monthly 223.82
Medical Mutual of Ohio X64 Non-Postal Standard Self Monthly 579.45
Medical Mutual of Ohio X65 Non-Postal Standard Self & Family Monthly 1420.03
Medical Mutual of Ohio X66 Non-Postal Standard Self Plus One Monthly 1305.29
Medical Mutual of Ohio YF1 Non-Postal Basic Self Monthly 104.18
Medical Mutual of Ohio YF2 Non-Postal Basic Self & Family Monthly 250.04
Medical Mutual of Ohio YF3 Non-Postal Basic Self Plus One Monthly 229.2
Medical Mutual of Ohio YF4 Non-Postal Standard Self Monthly 663.07
Medical Mutual of Ohio YF5 Non-Postal Standard Self & Family Monthly 1620.67
Medical Mutual of Ohio YF6 Non-Postal Standard Self Plus One Monthly 1489.19
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