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Healthcare Plan Information

2022 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 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
Baylor Scott and White Health Plan A81 Non-Postal Basic Self Monthly 138.43
Baylor Scott and White Health Plan A82 Non-Postal Basic Self & Family Monthly 324.72
Baylor Scott and White Health Plan A83 Non-Postal Basic Self Plus One Monthly 306.78
Baylor Scott and White Health Plan A84 Non-Postal Standard Self Monthly 482.15
Baylor Scott and White Health Plan A85 Non-Postal Standard Self & Family Monthly 1133.49
Baylor Scott and White Health Plan A86 Non-Postal Standard Self Plus One Monthly 1109.33
Baylor Scott and White Health Plan P81 Non-Postal Basic Self Monthly 142.68
Baylor Scott and White Health Plan P82 Non-Postal Basic Self & Family Monthly 334.75
Baylor Scott and White Health Plan P83 Non-Postal Basic Self Plus One Monthly 316.25
Baylor Scott and White Health Plan P84 Non-Postal Standard Self Monthly 510.64
Baylor Scott and White Health Plan P85 Non-Postal Standard Self & Family Monthly 1200.51
Baylor Scott and White Health Plan P86 Non-Postal Standard Self Plus One Monthly 1172.6
Humana CoverageFirst and Humana Value Plan AN1 Non-Postal HDHP Self Monthly 114.65
Humana CoverageFirst and Humana Value Plan AN2 Non-Postal HDHP Self & Family Monthly 285.66
Humana CoverageFirst and Humana Value Plan AN3 Non-Postal HDHP Self Plus One Monthly 251.46
Humana CoverageFirst and Humana Value Plan CG1 Non-Postal HDHP Self Monthly 128.14
Humana CoverageFirst and Humana Value Plan CG2 Non-Postal HDHP Self & Family Monthly 319.36
Humana CoverageFirst and Humana Value Plan CG3 Non-Postal HDHP Self Plus One Monthly 281.11
Humana CoverageFirst and Humana Value Plan DX1 Non-Postal HDHP Self Monthly 101.14
Humana CoverageFirst and Humana Value Plan DX2 Non-Postal HDHP Self & Family Monthly 251.87
Humana CoverageFirst and Humana Value Plan DX3 Non-Postal HDHP Self Plus One Monthly 221.73
Humana CoverageFirst and Humana Value Plan FD1 Non-Postal HDHP Self Monthly 99.44
Humana CoverageFirst and Humana Value Plan FD2 Non-Postal HDHP Self & Family Monthly 247.63
Humana CoverageFirst and Humana Value Plan FD3 Non-Postal HDHP Self Plus One Monthly 217.99
Humana CoverageFirst and Humana Value Plan T31 Non-Postal CDHP Self Monthly 342.23
Humana CoverageFirst and Humana Value Plan T32 Non-Postal CDHP Self & Family Monthly 719.72
Humana CoverageFirst and Humana Value Plan T33 Non-Postal CDHP Self Plus One Monthly 739.72
Humana CoverageFirst and Humana Value Plan T34 Non-Postal Value Self Monthly 148.34
Humana CoverageFirst and Humana Value Plan T35 Non-Postal Value Self & Family Monthly 356.02
Humana CoverageFirst and Humana Value Plan T36 Non-Postal Value Self Plus One Monthly 318.94
Humana CoverageFirst and Humana Value Plan TP1 Non-Postal CDHP Self Monthly 241.61
Humana CoverageFirst and Humana Value Plan TP2 Non-Postal CDHP Self & Family Monthly 493.33
Humana CoverageFirst and Humana Value Plan TP3 Non-Postal CDHP Self Plus One Monthly 523.4
Humana CoverageFirst and Humana Value Plan TP4 Non-Postal Value Self Monthly 121.6
Humana CoverageFirst and Humana Value Plan TP5 Non-Postal Value Self & Family Monthly 291.84
Humana CoverageFirst and Humana Value Plan TP6 Non-Postal Value Self Plus One Monthly 261.44
Humana CoverageFirst and Humana Value Plan TU1 Non-Postal CDHP Self Monthly 242.99
Humana CoverageFirst and Humana Value Plan TU2 Non-Postal CDHP Self & Family Monthly 496.51
Humana CoverageFirst and Humana Value Plan TU3 Non-Postal CDHP Self Plus One Monthly 526.41
Humana CoverageFirst and Humana Value Plan TU4 Non-Postal Value Self Monthly 153.91
Humana CoverageFirst and Humana Value Plan TU5 Non-Postal Value Self & Family Monthly 346.3
Humana CoverageFirst and Humana Value Plan TU6 Non-Postal Value Self Plus One Monthly 330.92
Humana CoverageFirst and Humana Value Plan TV1 Non-Postal CDHP Self Monthly 378.86
Humana CoverageFirst and Humana Value Plan TV2 Non-Postal CDHP Self & Family Monthly 802.23
Humana CoverageFirst and Humana Value Plan TV3 Non-Postal CDHP Self Plus One Monthly 818.54
Humana CoverageFirst and Humana Value Plan TV4 Non-Postal Value Self Monthly 188.74
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 409.78
Humana Health Plan of Texas, Inc. EW4 Non-Postal Standard Self Monthly 419.75
Humana Health Plan of Texas, Inc. EW5 Non-Postal Standard Self & Family Monthly 894.12
Humana Health Plan of Texas, Inc. EW6 Non-Postal Standard Self Plus One Monthly 906.36
Humana Health Plan of Texas, Inc. Q21 Non-Postal Basic Self Monthly 295.17
Humana Health Plan of Texas, Inc. Q22 Non-Postal Basic Self & Family Monthly 613.86
Humana Health Plan of Texas, Inc. Q23 Non-Postal Basic Self Plus One Monthly 638.47
Humana Health Plan of Texas, Inc. Q61 Non-Postal Basic Self Monthly 186.12
Humana Health Plan of Texas, Inc. Q62 Non-Postal Basic Self & Family Monthly 403.12
Humana Health Plan of Texas, Inc. Q63 Non-Postal Basic Self Plus One Monthly 404.13
Humana Health Plan of Texas, Inc. QX1 Non-Postal Basic Self Monthly 339.17
Humana Health Plan of Texas, Inc. QX2 Non-Postal Basic Self & Family Monthly 712.85
Humana Health Plan of Texas, Inc. QX3 Non-Postal Basic Self Plus One Monthly 733.13
Humana Health Plan of Texas, Inc. QY1 Non-Postal Basic Self Monthly 314.12
Humana Health Plan of Texas, Inc. QY2 Non-Postal Basic Self & Family Monthly 656.54
Humana Health Plan of Texas, Inc. QY3 Non-Postal Basic Self Plus One Monthly 679.36
Humana Health Plan of Texas, Inc. UC4 Non-Postal Standard Self Monthly 368.12
Humana Health Plan of Texas, Inc. UC5 Non-Postal Standard Self & Family Monthly 778.01
Humana Health Plan of Texas, Inc. UC6 Non-Postal Standard Self Plus One Monthly 795.38
Humana Health Plan of Texas, Inc. UR4 Non-Postal Standard Self Monthly 539.02
Humana Health Plan of Texas, Inc. UR5 Non-Postal Standard Self & Family Monthly 1162.52
Humana Health Plan of Texas, Inc. UR6 Non-Postal Standard Self Plus One Monthly 1162.81
Humana Health Plan of Texas, Inc. UU4 Non-Postal Standard Self Monthly 1077.66
Humana Health Plan of Texas, Inc. UU5 Non-Postal Standard Self & Family Monthly 2374.41
Humana Health Plan of Texas, Inc. UU6 Non-Postal Standard Self Plus One Monthly 2320.85
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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