HMO and POS Plans (DOD Demo. Proj.)
| Louisiana | |||||
|---|---|---|---|---|---|
| Plan | Option | Code | 1999 Total Monthly DoD/FEHB Premium | Gov't Pays | Enrollee Pays |
| Aetna U.S. Healthcare | |||||
| High Self | NG1 | 213.55 | 160.16 | 53.39 | |
| High Family | NG2 | 427.12 | 320.34 | 106.78 | |
| Blue Cross and Blue Shield | |||||
| Standard Self | 104 | 235.89 | 170.80 | 65.09 | |
| Standard Family | 105 | 525.96 | 381.27 | 144.69 | |
| Maxicare Louisiana | |||||
| High Self | JA1 | 196.73 | 147.55 | 49.18 | |
| High Family | JA2 | 411.58 | 308.69 | 102.89 | |
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