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Healthcare Plan Information

2020 Plan Information for California

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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 217.96
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 423.58
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 483.84
Aetna Direct N61 Non-Postal CDHP Self Monthly 153.16
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 386.25
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 335.89
Aetna Direct Z24 Non-Postal Advantage Self Monthly 115.96
Aetna Direct Z25 Non-Postal Advantage Self & Family Monthly 307.29
Aetna Direct Z26 Non-Postal Advantage Self Plus One Monthly 255.11
Aetna HealthFund CDHP and Aetna Value Plan JS1 Non-Postal CDHP Self Monthly 493.15
Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly 1104.63
Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly 1173.73
Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Value Self Monthly 562.64
Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Value Self & Family Monthly 1266.57
Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Value Self Plus One Monthly 1334.06
Aetna Open Access 2X1 Non-Postal High Self Monthly 369.69
Aetna Open Access 2X2 Non-Postal High Self & Family Monthly 883.22
Aetna Open Access 2X3 Non-Postal High Self Plus One Monthly 934.44
Anthem Blue Cross Select HMO B31 Non-Postal High Self Monthly 263.29
Anthem Blue Cross Select HMO B32 Non-Postal High Self & Family Monthly 584.89
Anthem Blue Cross Select HMO B33 Non-Postal High Self Plus One Monthly 548.9
Blue Shield of California Access+ HMO and TRIO HMO SI1 Non-Postal Access + HMO Self Monthly 323
Blue Shield of California Access+ HMO and TRIO HMO SI2 Non-Postal Access + HMO Self & Family Monthly 733.83
Blue Shield of California Access+ HMO and TRIO HMO SI3 Non-Postal Access + HMO Self Plus One Monthly 742.19
Blue Shield of California Access+ HMO and TRIO HMO SI4 Non-Postal TRIO HMO Self Monthly 229.49
Blue Shield of California Access+ HMO and TRIO HMO SI5 Non-Postal TRIO HMO Self & Family Monthly 518.74
Blue Shield of California Access+ HMO and TRIO HMO SI6 Non-Postal TRIO HMO Self Plus One Monthly 536.47
Health Net of California LB1 Non-Postal High Self Monthly 999.72
Health Net of California LB2 Non-Postal High Self & Family Monthly 2441.36
Health Net of California LB3 Non-Postal High Self Plus One Monthly 2231
Health Net of California LB4 Non-Postal Standard Self Monthly 829.7
Health Net of California LB5 Non-Postal Standard Self & Family Monthly 2033.26
Health Net of California LB6 Non-Postal Standard Self Plus One Monthly 1856.92
Health Net of California LP1 Non-Postal High Self Monthly 537.52
Health Net of California LP2 Non-Postal High Self & Family Monthly 1332.04
Health Net of California LP3 Non-Postal High Self Plus One Monthly 1214.14
Health Net of California LP4 Non-Postal Standard Self Monthly 502.47
Health Net of California LP5 Non-Postal Standard Self & Family Monthly 1247.93
Health Net of California LP6 Non-Postal Standard Self Plus One Monthly 1137.02
Health Net of California P61 Non-Postal Basic Self Monthly 81.09
Health Net of California P62 Non-Postal Basic Self & Family Monthly 194.61
Health Net of California P63 Non-Postal Basic Self Plus One Monthly 178.4
Health Net of California T41 Non-Postal Basic Self Monthly 370.99
Health Net of California T42 Non-Postal Basic Self & Family Monthly 932.38
Health Net of California T43 Non-Postal Basic Self Plus One Monthly 847.8
Kaiser Foundation Health Plan of California 591 Non-Postal High Self Monthly 489.62
Kaiser Foundation Health Plan of California 592 Non-Postal High Self & Family Monthly 1204.19
Kaiser Foundation Health Plan of California 593 Non-Postal High Self Plus One Monthly 1295.95
Kaiser Foundation Health Plan of California 594 Non-Postal Standard Self Monthly 299.04
Kaiser Foundation Health Plan of California 595 Non-Postal Standard Self & Family Monthly 711.06
Kaiser Foundation Health Plan of California 596 Non-Postal Standard Self Plus One Monthly 802.82
Kaiser Foundation Health Plan of California 621 Non-Postal High Self Monthly 224.57
Kaiser Foundation Health Plan of California 622 Non-Postal High Self & Family Monthly 515.64
Kaiser Foundation Health Plan of California 623 Non-Postal High Self Plus One Monthly 607.4
Kaiser Foundation Health Plan of California 624 Non-Postal Standard Self Monthly 116.58
Kaiser Foundation Health Plan of California 625 Non-Postal Standard Self & Family Monthly 269.42
Kaiser Foundation Health Plan of California 626 Non-Postal Standard Self Plus One Monthly 269.42
Kaiser Foundation Health Plan of California KC1 Non-Postal Basic Self Monthly 163.02
Kaiser Foundation Health Plan of California KC2 Non-Postal Basic Self & Family Monthly 381.46
Kaiser Foundation Health Plan of California KC3 Non-Postal Basic Self Plus One Monthly 433.59
Kaiser Foundation Health Plan of California NZ1 Non-Postal High Self Monthly 266.08
Kaiser Foundation Health Plan of California NZ2 Non-Postal High Self & Family Monthly 611.65
Kaiser Foundation Health Plan of California NZ3 Non-Postal High Self Plus One Monthly 703.41
Kaiser Foundation Health Plan of California NZ4 Non-Postal Standard Self Monthly 141.7
Kaiser Foundation Health Plan of California NZ5 Non-Postal Standard Self & Family Monthly 327.49
Kaiser Foundation Health Plan of California NZ6 Non-Postal Standard Self Plus One Monthly 327.49
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