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Healthcare Plan Information

2018 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 151.86
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 334.98
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 328.41
Aetna Direct N61 Non-Postal CDHP Self Monthly 131.92
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 332.67
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 289.29
Aetna HealthFund CDHP and Aetna Value Plan JS1 Non-Postal CDHP Self Monthly 546.24
Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly 1247.37
Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly 1290.12
Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Value Self Monthly 267.63
Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Value Self & Family Monthly 614.79
Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Value Self Plus One Monthly 663.78
Aetna Open Access 2X1 Non-Postal High Self Monthly 254.69
Aetna Open Access 2X2 Non-Postal High Self & Family Monthly 633.9
Aetna Open Access 2X3 Non-Postal High Self Plus One Monthly 665.58
Anthem Blue Cross Select HMO B31 Non-Postal High Self Monthly 281.67
Anthem Blue Cross Select HMO B32 Non-Postal High Self & Family Monthly 574.54
Anthem Blue Cross Select HMO B33 Non-Postal High Self Plus One Monthly 531.83
Blue Shield of California Access+ HMO and TRIO HMO SI1 Non-Postal High Self Monthly 245.46
Blue Shield of California Access+ HMO and TRIO HMO SI2 Non-Postal High Self & Family Monthly 576.94
Blue Shield of California Access+ HMO and TRIO HMO SI3 Non-Postal High Self Plus One Monthly 568.97
Health Net of California LB1 Non-Postal High Self Monthly 886.86
Health Net of California LB2 Non-Postal High Self & Family Monthly 2190.46
Health Net of California LB3 Non-Postal High Self Plus One Monthly 1980.03
Health Net of California LB4 Non-Postal Standard Self Monthly 809.7
Health Net of California LB5 Non-Postal Standard Self & Family Monthly 2005.32
Health Net of California LB6 Non-Postal Standard Self Plus One Monthly 1810.3
Health Net of California LP1 Non-Postal High Self Monthly 416.84
Health Net of California LP2 Non-Postal High Self & Family Monthly 1062.4
Health Net of California LP3 Non-Postal High Self Plus One Monthly 945.97
Health Net of California LP4 Non-Postal Standard Self Monthly 378.84
Health Net of California LP5 Non-Postal Standard Self & Family Monthly 971.27
Health Net of California LP6 Non-Postal Standard Self Plus One Monthly 862.4
Health Net of California P61 Non-Postal Basic Self Monthly 76.6
Health Net of California P62 Non-Postal Basic Self & Family Monthly 183.85
Health Net of California P63 Non-Postal Basic Self Plus One Monthly 168.53
Health Net of California T41 Non-Postal Basic Self Monthly 290.46
Health Net of California T42 Non-Postal Basic Self & Family Monthly 759.14
Health Net of California T43 Non-Postal Basic Self Plus One Monthly 667.94
Kaiser Foundation Health Plan of California 591 Non-Postal High Self Monthly 423.78
Kaiser Foundation Health Plan of California 592 Non-Postal High Self & Family Monthly 1067.24
Kaiser Foundation Health Plan of California 593 Non-Postal High Self Plus One Monthly 1133.5
Kaiser Foundation Health Plan of California 594 Non-Postal Standard Self Monthly 262.6
Kaiser Foundation Health Plan of California 595 Non-Postal Standard Self & Family Monthly 646.71
Kaiser Foundation Health Plan of California 596 Non-Postal Standard Self Plus One Monthly 712.97
Kaiser Foundation Health Plan of California 621 Non-Postal High Self Monthly 164.54
Kaiser Foundation Health Plan of California 622 Non-Postal High Self & Family Monthly 391.06
Kaiser Foundation Health Plan of California 623 Non-Postal High Self Plus One Monthly 457.32
Kaiser Foundation Health Plan of California 624 Non-Postal Standard Self Monthly 103.94
Kaiser Foundation Health Plan of California 625 Non-Postal Standard Self & Family Monthly 240.26
Kaiser Foundation Health Plan of California 626 Non-Postal Standard Self Plus One Monthly 240.26
Kaiser Foundation Health Plan of California KC1 Non-Postal Basic Self Monthly 161.35
Kaiser Foundation Health Plan of California KC2 Non-Postal Basic Self & Family Monthly 380.12
Kaiser Foundation Health Plan of California KC3 Non-Postal Basic Self Plus One Monthly 446.38
Kaiser Foundation Health Plan of California NZ1 Non-Postal High Self Monthly 217.1
Kaiser Foundation Health Plan of California NZ2 Non-Postal High Self & Family Monthly 519.7
Kaiser Foundation Health Plan of California NZ3 Non-Postal High Self Plus One Monthly 585.96
Kaiser Foundation Health Plan of California NZ4 Non-Postal Standard Self Monthly 127.91
Kaiser Foundation Health Plan of California NZ5 Non-Postal Standard Self & Family Monthly 295.62
Kaiser Foundation Health Plan of California NZ6 Non-Postal Standard Self Plus One Monthly 295.62
UnitedHealthcare of California CY1 Non-Postal High Self Monthly 217.42
UnitedHealthcare of California CY2 Non-Postal High Self & Family Monthly 872.24
UnitedHealthcare of California CY3 Non-Postal High Self Plus One Monthly 348.65
UnitedHealthcare of California CY4 Non-Postal Standard Self Monthly 167.31
UnitedHealthcare of California CY5 Non-Postal Standard Self & Family Monthly 731.81
UnitedHealthcare of California CY6 Non-Postal Standard Self Plus One Monthly 324.2
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