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Healthcare Plan Information

2016 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 130.08
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 286.94
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 281.31
Aetna Direct N61 Non-Postal CDHP Self Monthly 118.33
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 298.42
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 259.5
Aetna HealthFund CDHP and Aetna Value Plan H41 Non-Postal CDHP Self Monthly 215.17
Aetna HealthFund CDHP and Aetna Value Plan H42 Non-Postal CDHP Self & Family Monthly 485.89
Aetna HealthFund CDHP and Aetna Value Plan H43 Non-Postal CDHP Self Plus One Monthly 530.14
Aetna HealthFund CDHP and Aetna Value Plan H44 Non-Postal Basic Self Monthly 134.18
Aetna HealthFund CDHP and Aetna Value Plan H45 Non-Postal Basic Self & Family Monthly 307.96
Aetna HealthFund CDHP and Aetna Value Plan H46 Non-Postal Basic Self Plus One Monthly 301.92
Blue Cross and Blue Shield of Illinois A21 Non-Postal High Self Monthly 268.32
Blue Cross and Blue Shield of Illinois A22 Non-Postal High Self & Family Monthly 752.96
Blue Cross and Blue Shield of Illinois A23 Non-Postal High Self Plus One Monthly 580.38
Blue Preferred 9G1 Non-Postal High Self Monthly 213.66
Blue Preferred 9G2 Non-Postal High Self & Family Monthly 382.63
Blue Preferred 9G3 Non-Postal High Self Plus One Monthly 353.06
Health Alliance HMO FX1 Non-Postal High Self Monthly 299.18
Health Alliance HMO FX2 Non-Postal High Self & Family Monthly 1096.35
Health Alliance HMO FX3 Non-Postal High Self Plus One Monthly 600.21
Health Alliance HMO K84 Non-Postal Standard Self Monthly 162.61
Health Alliance HMO K85 Non-Postal Standard Self & Family Monthly 675.69
Health Alliance HMO K86 Non-Postal Standard Self Plus One Monthly 328.08
Humana CoverageFirst and Humana Value Plan GB1 Non-Postal CDHP Self Monthly 170.3
Humana CoverageFirst and Humana Value Plan GB2 Non-Postal CDHP Self & Family Monthly 364.91
Humana CoverageFirst and Humana Value Plan GB3 Non-Postal CDHP Self Plus One Monthly 361.18
Humana CoverageFirst and Humana Value Plan GB4 Non-Postal Value Self Monthly 116.61
Humana CoverageFirst and Humana Value Plan GB5 Non-Postal Value Self & Family Monthly 262.37
Humana CoverageFirst and Humana Value Plan GB6 Non-Postal Value Self Plus One Monthly 250.7
Humana CoverageFirst and Humana Value Plan MW1 Non-Postal CDHP Self Monthly 206.75
Humana CoverageFirst and Humana Value Plan MW2 Non-Postal CDHP Self & Family Monthly 446.92
Humana CoverageFirst and Humana Value Plan MW3 Non-Postal CDHP Self Plus One Monthly 439.55
Humana CoverageFirst and Humana Value Plan MW4 Non-Postal Value Self Monthly 116.61
Humana CoverageFirst and Humana Value Plan MW5 Non-Postal Value Self & Family Monthly 262.37
Humana CoverageFirst and Humana Value Plan MW6 Non-Postal Value Self Plus One Monthly 250.7
Humana Health Plan, Inc. 751 Non-Postal High Self Monthly 738.47
Humana Health Plan, Inc. 752 Non-Postal High Self & Family Monthly 1643.33
Humana Health Plan, Inc. 753 Non-Postal High Self Plus One Monthly 1582.77
Humana Health Plan, Inc. 754 Non-Postal Standard Self Monthly 284.92
Humana Health Plan, Inc. 755 Non-Postal Standard Self & Family Monthly 622.83
Humana Health Plan, Inc. 756 Non-Postal Standard Self Plus One Monthly 607.66
Humana Health Plan, Inc. 9F1 Non-Postal High Self Monthly 1028.41
Humana Health Plan, Inc. 9F2 Non-Postal High Self & Family Monthly 2295.71
Humana Health Plan, Inc. 9F3 Non-Postal High Self Plus One Monthly 2206.16
Humana Health Plan, Inc. AB4 Non-Postal Standard Self Monthly 321.69
Humana Health Plan, Inc. AB5 Non-Postal Standard Self & Family Monthly 705.57
Humana Health Plan, Inc. AB6 Non-Postal Standard Self Plus One Monthly 686.68
Union Health Service 761 Non-Postal High Self Monthly 149.46
Union Health Service 762 Non-Postal High Self & Family Monthly 427.39
Union Health Service 763 Non-Postal High Self Plus One Monthly 326.88
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L91 Non-Postal Value Self Monthly 115.22
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L92 Non-Postal Value Self & Family Monthly 323.08
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L93 Non-Postal Value Self Plus One Monthly 225.02
UnitedHealthcare Plan of the River Valley Inc. YH1 Non-Postal High Self Monthly 162.07
UnitedHealthcare Plan of the River Valley Inc. YH2 Non-Postal High Self & Family Monthly 692.33
UnitedHealthcare Plan of the River Valley Inc. YH3 Non-Postal High Self Plus One Monthly 304.85
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