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| HMO Plans |
|
2000 Total Biweekly
Premium |
2001 Biweekly premium rates |
2000 Total Monthly
Premium |
2001 Monthly premium rates |
| Location - Plan
- Option - |
|
Total
Premium |
Gov't
Pays |
Empl.
Pays |
Change in employee payment |
Total
Premium |
Gov't
Pays |
Empl.
Pays |
Change in employee payment |
| Enrollment Code |
|
| OH Aetna U.S. Healthcare |
|
|
|
|
|
|
High Self |
7D1 |
|
New Area |
117.26 |
86.59 |
30.67 |
N/A |
|
New Area |
254.06 |
187.61 |
66.45 |
N/A |
|
|
High Family |
7D2 |
|
New Area |
289.80 |
195.82 |
93.98 |
N/A |
|
New Area |
627.90 |
424.28 |
203.62 |
N/A |
|
| OH Aetna U.S. Healthcare |
|
|
|
|
|
|
High Self |
7J1 |
|
New Area |
125.65 |
86.59 |
39.06 |
N/A |
|
New Area |
272.24 |
187.61 |
84.63 |
N/A |
|
|
High Family |
7J2 |
|
New Area |
310.55 |
195.82 |
114.73 |
N/A |
|
New Area |
672.86 |
424.28 |
248.58 |
N/A |
|
| OH Aetna U.S. Healthcare |
|
|
|
|
|
|
High Self |
RD1 |
|
104.29 |
112.56 |
84.42 |
28.14 |
2.07 |
|
225.96 |
243.88 |
182.91 |
60.97 |
4.48 |
|
|
High Family |
RD2 |
|
258.14 |
284.70 |
195.82 |
88.88 |
6.71 |
|
559.30 |
616.85 |
424.28 |
192.57 |
14.54 |
|
| OH AultCare HMO |
|
|
|
|
|
|
|
High Self |
3A1 |
|
94.56 |
100.51 |
75.38 |
25.13 |
1.49 |
|
204.88 |
217.77 |
163.33 |
54.44 |
3.22 |
|
|
High Family |
3A2 |
|
231.94 |
261.32 |
195.82 |
65.50 |
7.52 |
|
502.54 |
566.19 |
424.28 |
141.91 |
16.28 |
|
| OH CHP of Ohio |
|
|
|
|
|
|
|
High Self |
MG1 |
|
87.16 |
99.49 |
74.62 |
24.87 |
3.08 |
|
188.85 |
215.56 |
161.67 |
53.89 |
6.68 |
|
|
High Family |
MG2 |
|
185.47 |
291.19 |
195.82 |
95.37 |
49.00 |
|
401.85 |
630.91 |
424.28 |
206.63 |
106.17 |
|
| OH Health Maintenance Plan(HMP) |
|
|
|
|
|
|
High Self |
R51 |
|
99.83 |
114.81 |
86.11 |
28.70 |
3.74 |
|
216.30 |
248.76 |
186.57 |
62.19 |
8.12 |
|
|
High Family |
R52 |
|
225.61 |
259.45 |
194.59 |
64.86 |
8.46 |
|
488.82 |
562.14 |
421.61 |
140.53 |
18.33 |
|
| OH Health Plan Upper OH Valley |
|
|
|
|
|
|
High Self |
U41 |
|
90.80 |
102.24 |
76.68 |
25.56 |
2.86 |
|
196.73 |
221.52 |
166.14 |
55.38 |
6.20 |
|
|
High Family |
U42 |
|
226.89 |
281.16 |
195.82 |
85.34 |
28.62 |
|
491.60 |
609.18 |
424.28 |
184.90 |
62.00 |
|
| OH HMO Health Ohio |
|
|
|
|
|
|
|
High Self |
L41 |
|
98.97 |
102.21 |
76.66 |
25.55 |
0.81 |
|
214.44 |
221.46 |
166.10 |
55.36 |
1.75 |
|
|
High Family |
L42 |
|
253.18 |
261.45 |
195.82 |
65.63 |
-11.58 |
|
548.56 |
566.48 |
424.28 |
142.20 |
-25.09 |
|
| OH Kaiser Permanente |
|
|
|
|
|
|
|
High Self |
641 |
|
93.63 |
100.21 |
75.16 |
25.05 |
1.64 |
|
202.87 |
217.12 |
162.84 |
54.28 |
3.56 |
|
|
High Family |
642 |
|
229.79 |
245.93 |
184.45 |
61.48 |
4.03 |
|
497.88 |
532.85 |
399.64 |
133.21 |
8.74 |
|
| OH Paramount Health Care |
|
|
|
|
|
|
High Self |
U21 |
|
105.16 |
111.33 |
83.50 |
27.83 |
1.50 |
|
227.85 |
241.22 |
180.92 |
60.30 |
3.25 |
|
|
High Family |
U22 |
|
278.62 |
295.18 |
195.82 |
99.36 |
-3.29 |
|
603.68 |
639.56 |
424.28 |
215.28 |
-7.13 |
|
| OH SummaCare Health Plan |
|
|
|
|
|
|
High Self |
5W1 |
|
81.23 |
89.66 |
67.25 |
22.41 |
2.10 |
|
176.00 |
194.26 |
145.70 |
48.56 |
4.56 |
|
|
High Family |
5W2 |
|
223.40 |
246.55 |
184.91 |
61.64 |
5.79 |
|
484.03 |
534.19 |
400.64 |
133.55 |
12.54 |
|
| OH SuperMed HMO |
|
|
|
|
|
|
|
High Self |
5M1 |
|
105.10 |
97.49 |
73.12 |
24.37 |
-1.90 |
|
227.72 |
211.23 |
158.42 |
52.81 |
-4.12 |
|
|
High Family |
5M2 |
|
268.84 |
249.36 |
187.02 |
62.34 |
-30.53 |
|
582.49 |
540.28 |
405.21 |
135.07 |
-66.15 |
|
| OH United Health Care of Ohio, Inc. |
|
|
|
|
|
|
High Self |
3U1 |
|
106.96 |
121.45 |
86.59 |
34.86 |
6.73 |
|
231.75 |
263.14 |
187.61 |
75.53 |
14.58 |
|
|
High Family |
3U2 |
|
246.01 |
279.33 |
195.82 |
83.51 |
13.47 |
|
533.02 |
605.22 |
424.28 |
180.94 |
29.19 |
|
| OH Vantage Health Plan |
|
|
|
|
|
|
|
High Self |
6A1 |
|
93.71 |
104.72 |
78.54 |
26.18 |
2.75 |
|
203.04 |
226.89 |
170.17 |
56.72 |
5.96 |
|
|
High Family |
6A2 |
|
232.25 |
259.52 |
194.64 |
64.88 |
6.82 |
|
503.21 |
562.29 |
421.72 |
140.57 |
14.77 |
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