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Healthcare Plan Information

2023 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 269.92
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 511.92
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 586.26
Aetna Direct N61 Non-Postal CDHP Self Monthly 160.35
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 404.39
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 351.67
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 603.67
Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly 1334.15
Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly 1418.08
Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Value Self Monthly 544.24
Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Value Self & Family Monthly 1202.31
Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Value Self Plus One Monthly 1287.61
Aetna Open Access 2X1 Non-Postal High Self Monthly 535.68
Aetna Open Access 2X2 Non-Postal High Self & Family Monthly 1253.98
Aetna Open Access 2X3 Non-Postal High Self Plus One Monthly 1313.72
Anthem Blue Cross Select HMO B31 Non-Postal High Self Monthly 198.96
Anthem Blue Cross Select HMO B32 Non-Postal High Self & Family Monthly 441.31
Anthem Blue Cross Select HMO B33 Non-Postal High Self Plus One Monthly 404.11
Blue Shield of California Access+ HMO SI1 Non-Postal Access + HMO Self Monthly 392.66
Blue Shield of California Access+ HMO SI2 Non-Postal Access + HMO Self & Family Monthly 872.69
Blue Shield of California Access+ HMO SI3 Non-Postal Access + HMO Self Plus One Monthly 887.42
Health Net of California LB1 Non-Postal High Self Monthly 1126.12
Health Net of California LB2 Non-Postal High Self & Family Monthly 2728.49
Health Net of California LB3 Non-Postal High Self Plus One Monthly 2500.98
Health Net of California LP1 Non-Postal High Self Monthly 523.7
Health Net of California LP2 Non-Postal High Self & Family Monthly 1282.69
Health Net of California LP3 Non-Postal High Self Plus One Monthly 1175.68
Health Net of California P61 Non-Postal Basic Self Monthly 101.44
Health Net of California P62 Non-Postal Basic Self & Family Monthly 243.46
Health Net of California P63 Non-Postal Basic Self Plus One Monthly 223.17
Health Net of California P64 Non-Postal Standard Self Monthly 183.2
Health Net of California P65 Non-Postal Standard Self & Family Monthly 439.68
Health Net of California P66 Non-Postal Standard Self Plus One Monthly 403.04
Health Net of California T41 Non-Postal Basic Self Monthly 383.87
Health Net of California T42 Non-Postal Basic Self & Family Monthly 947.1
Health Net of California T43 Non-Postal Basic Self Plus One Monthly 868.05
Kaiser Permanente - Fresno California NZ1 Non-Postal High Self Monthly 256.01
Kaiser Permanente - Fresno California NZ2 Non-Postal High Self & Family Monthly 567.52
Kaiser Permanente - Fresno California NZ3 Non-Postal High Self Plus One Monthly 677.8
Kaiser Permanente - Fresno California NZ4 Non-Postal Standard Self Monthly 147.02
Kaiser Permanente - Fresno California NZ5 Non-Postal Standard Self & Family Monthly 339.8
Kaiser Permanente - Fresno California NZ6 Non-Postal Standard Self Plus One Monthly 339.8
Kaiser Permanente - Northern California 591 Non-Postal High Self Monthly 430.08
Kaiser Permanente - Northern California 592 Non-Postal High Self & Family Monthly 1045.2
Kaiser Permanente - Northern California 593 Non-Postal High Self Plus One Monthly 1155.48
Kaiser Permanente - Northern California 594 Non-Postal Standard Self Monthly 243.42
Kaiser Permanente - Northern California 595 Non-Postal Standard Self & Family Monthly 561.69
Kaiser Permanente - Northern California 596 Non-Postal Standard Self Plus One Monthly 671.97
Kaiser Permanente - Northern California KC1 Non-Postal Prosper Self Monthly 162.57
Kaiser Permanente - Northern California KC2 Non-Postal Prosper Self & Family Monthly 380.42
Kaiser Permanente - Northern California KC3 Non-Postal Prosper Self Plus One Monthly 380.42
Kaiser Permanente - Southern California 621 Non-Postal High Self Monthly 216.51
Kaiser Permanente - Southern California 622 Non-Postal High Self & Family Monthly 476.24
Kaiser Permanente - Southern California 623 Non-Postal High Self Plus One Monthly 586.52
Kaiser Permanente - Southern California 624 Non-Postal Standard Self Monthly 132
Kaiser Permanente - Southern California 625 Non-Postal Standard Self & Family Monthly 305.08
Kaiser Permanente - Southern California 626 Non-Postal Standard Self Plus One Monthly 305.08
Kaiser Permanente - Southern California FL1 Non-Postal Prosper Self Monthly 91.33
Kaiser Permanente - Southern California FL2 Non-Postal Prosper Self & Family Monthly 255.74
Kaiser Permanente - Southern California FL3 Non-Postal Prosper Self Plus One Monthly 210.07
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