Click here to skip navigation
An official website of the United States Government.
Skip Navigation

In This Section

    Healthcare Plan Information

    2017 Plan Information for California

    Choose a State, Employee Type, & Payment Period  

    Click to view Plan Information for this state
    State Specific Rates
    Contract Enrollment Code Employee Type Option/Enrollment Type Payment Period Employee Payment
    Aetna Direct N61 Non-Postal CDHP Self Monthly $120.05
    Aetna Direct N62 Non-Postal CDHP Self & Family Monthly $302.77
    Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly $263.29
    Aetna HealthFund CDHP and Value Plan JS1 Non-Postal CDHP Self Monthly $485.20
    Aetna HealthFund CDHP and Value Plan JS2 Non-Postal CDHP Self & Family Monthly $1106.22
    Aetna HealthFund CDHP and Value Plan JS3 Non-Postal CDHP Self Plus One Monthly $1148.20
    Aetna HealthFund CDHP and Value Plan JS4 Non-Postal Value Self Monthly $218.24
    Aetna HealthFund CDHP and Value Plan JS5 Non-Postal Value Self & Family Monthly $500.05
    Aetna HealthFund CDHP and Value Plan JS6 Non-Postal Value Self Plus One Monthly $548.01
    Aetna HealthFund HDHP 224 Non-Postal HDHP Self Monthly $138.70
    Aetna HealthFund HDHP 225 Non-Postal HDHP Self & Family Monthly $305.95
    Aetna HealthFund HDHP 226 Non-Postal HDHP Self Plus One Monthly $299.95
    Aetna Open Access 2X1 Non-Postal High Self Monthly $198.90
    Aetna Open Access 2X2 Non-Postal High Self & Family Monthly $499.81
    Aetna Open Access 2X3 Non-Postal High Self Plus One Monthly $532.33
    Anthem Blue Cross Select HMO B31 Non-Postal High Self Monthly $275.66
    Anthem Blue Cross Select HMO B32 Non-Postal High Self & Family Monthly $541.97
    Anthem Blue Cross Select HMO B33 Non-Postal High Self Plus One Monthly $503.68
    Blue Shield of CA Access+HMO SI1 Non-Postal High Self Monthly $261.88
    Blue Shield of CA Access+HMO SI2 Non-Postal High Self & Family Monthly $612.39
    Blue Shield of CA Access+HMO SI3 Non-Postal High Self Plus One Monthly $601.92
    Health Net of California LB1 Non-Postal High Self Monthly $877.43
    Health Net of California LB2 Non-Postal High Self & Family Monthly $2163.85
    Health Net of California LB3 Non-Postal High Self Plus One Monthly $1956.09
    Health Net of California LB4 Non-Postal Standard Self Monthly $809.14
    Health Net of California LB5 Non-Postal Standard Self & Family Monthly $1999.97
    Health Net of California LB6 Non-Postal Standard Self Plus One Monthly $1805.87
    Health Net of California LP1 Non-Postal High Self Monthly $343.07
    Health Net of California LP2 Non-Postal High Self & Family Monthly $881.38
    Health Net of California LP3 Non-Postal High Self Plus One Monthly $780.45
    Health Net of California LP4 Non-Postal Standard Self Monthly $303.42
    Health Net of California LP5 Non-Postal Standard Self & Family Monthly $786.27
    Health Net of California LP6 Non-Postal Standard Self Plus One Monthly $693.29
    Health Net of California P61 Non-Postal Basic Self Monthly $76.58
    Health Net of California P62 Non-Postal Basic Self & Family Monthly $183.79
    Health Net of California P63 Non-Postal Basic Self Plus One Monthly $168.47
    Kaiser Foundation Health Plan 591 Non-Postal High Self Monthly $378.69
    Kaiser Foundation Health Plan 592 Non-Postal High Self & Family Monthly $955.81
    Kaiser Foundation Health Plan 593 Non-Postal High Self Plus One Monthly $1019.57
    Kaiser Foundation Health Plan 594 Non-Postal Standard Self Monthly $238.55
    Kaiser Foundation Health Plan 595 Non-Postal Standard Self & Family Monthly $587.47
    Kaiser Foundation Health Plan 596 Non-Postal Standard Self Plus One Monthly $651.23
    Kaiser Foundation Health Plan 621 Non-Postal High Self Monthly $157.81
    Kaiser Foundation Health Plan 622 Non-Postal High Self & Family Monthly $364.75
    Kaiser Foundation Health Plan 623 Non-Postal High Self Plus One Monthly $428.11
    Kaiser Foundation Health Plan 624 Non-Postal Standard Self Monthly $101.49
    Kaiser Foundation Health Plan 625 Non-Postal Standard Self & Family Monthly $234.56
    Kaiser Foundation Health Plan 626 Non-Postal Standard Self Plus One Monthly $234.56
    Kaiser Foundation Health Plan KC1 Non-Postal Basic Self Monthly $160.46
    Kaiser Foundation Health Plan KC2 Non-Postal Basic Self & Family Monthly $404.72
    Kaiser Foundation Health Plan KC3 Non-Postal Basic Self Plus One Monthly $468.48
    Kaiser Foundation Health Plan Fresno NZ1 Non-Postal High Self Monthly $195.86
    Kaiser Foundation Health Plan Fresno NZ2 Non-Postal High Self & Family Monthly $468.09
    Kaiser Foundation Health Plan Fresno NZ3 Non-Postal High Self Plus One Monthly $531.85
    Kaiser Foundation Health Plan Fresno NZ4 Non-Postal Standard Self Monthly $117.45
    Kaiser Foundation Health Plan Fresno NZ5 Non-Postal Standard Self & Family Monthly $271.45
    Kaiser Foundation Health Plan Fresno NZ6 Non-Postal Standard Self Plus One Monthly $271.45
    UnitedHealthcare of California CY1 Non-Postal High Self Monthly $177.77
    UnitedHealthcare of California CY2 Non-Postal High Self & Family Monthly $750.47
    UnitedHealthcare of California CY3 Non-Postal High Self Plus One Monthly $321.28
    UnitedHealthcare of California CY4 Non-Postal Standard Self Monthly $153.27
    UnitedHealthcare of California CY5 Non-Postal Standard Self & Family Monthly $624.48
    UnitedHealthcare of California CY6 Non-Postal Standard Self Plus One Monthly $299.35
    Control Panel