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Healthcare Plan Information

2024 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 272.61
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 498.46
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 590.61
Aetna Direct N61 Non-Postal CDHP Self Monthly 160.8
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 405.51
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 352.64
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 720.5
Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly 1582.96
Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly 1682.72
Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Value Self Monthly 582.66
Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Value Self & Family Monthly 1272.61
Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Value Self Plus One Monthly 1375.53
Aetna Open Access 2X1 Non-Postal High Self Monthly 627.1
Aetna Open Access 2X2 Non-Postal High Self & Family Monthly 1452.81
Aetna Open Access 2X3 Non-Postal High Self Plus One Monthly 1526.22
Anthem Blue Cross Select HMO B31 Non-Postal High Self Monthly 216.51
Anthem Blue Cross Select HMO B32 Non-Postal High Self & Family Monthly 466.2
Anthem Blue Cross Select HMO B33 Non-Postal High Self Plus One Monthly 436.82
Blue Shield of California Access+ HMO SI1 Non-Postal Access + HMO Self Monthly 458.05
Blue Shield of California Access+ HMO SI2 Non-Postal Access + HMO Self & Family Monthly 1006.11
Blue Shield of California Access+ HMO SI3 Non-Postal Access + HMO Self Plus One Monthly 1030.84
Health Net of California LB1 Non-Postal High Self Monthly 1192.34
Health Net of California LB2 Non-Postal High Self & Family Monthly 2873
Health Net of California LB3 Non-Postal High Self Plus One Monthly 2646.19
Health Net of California LP1 Non-Postal High Self Monthly 551.89
Health Net of California LP2 Non-Postal High Self & Family Monthly 1335.92
Health Net of California LP3 Non-Postal High Self Plus One Monthly 1237.21
Health Net of California P61 Non-Postal Basic Self Monthly 115.36
Health Net of California P62 Non-Postal Basic Self & Family Monthly 276.87
Health Net of California P63 Non-Postal Basic Self Plus One Monthly 253.8
Health Net of California P64 Non-Postal Standard Self Monthly 196.02
Health Net of California P65 Non-Postal Standard Self & Family Monthly 481.71
Health Net of California P66 Non-Postal Standard Self Plus One Monthly 454.2
Health Net of California T41 Non-Postal Basic Self Monthly 410.76
Health Net of California T42 Non-Postal Basic Self & Family Monthly 997.23
Health Net of California T43 Non-Postal Basic Self Plus One Monthly 926.75
Kaiser Permanente - Fresno California NZ1 Non-Postal High Self Monthly 269.9
Kaiser Permanente - Fresno California NZ2 Non-Postal High Self & Family Monthly 582.98
Kaiser Permanente - Fresno California NZ3 Non-Postal High Self Plus One Monthly 712.29
Kaiser Permanente - Fresno California NZ4 Non-Postal Standard Self Monthly 162.14
Kaiser Permanente - Fresno California NZ5 Non-Postal Standard Self & Family Monthly 374.73
Kaiser Permanente - Fresno California NZ6 Non-Postal Standard Self Plus One Monthly 374.73
Kaiser Permanente - Northern California 591 Non-Postal High Self Monthly 444.01
Kaiser Permanente - Northern California 592 Non-Postal High Self & Family Monthly 1063.77
Kaiser Permanente - Northern California 593 Non-Postal High Self Plus One Monthly 1193.08
Kaiser Permanente - Northern California 594 Non-Postal Standard Self Monthly 258.81
Kaiser Permanente - Northern California 595 Non-Postal Standard Self & Family Monthly 581.73
Kaiser Permanente - Northern California 596 Non-Postal Standard Self Plus One Monthly 711.04
Kaiser Permanente - Northern California KC1 Non-Postal Prosper Self Monthly 171.75
Kaiser Permanente - Northern California KC2 Non-Postal Prosper Self & Family Monthly 401.89
Kaiser Permanente - Northern California KC3 Non-Postal Prosper Self Plus One Monthly 401.89
Kaiser Permanente - Southern California 621 Non-Postal High Self Monthly 278.22
Kaiser Permanente - Southern California 622 Non-Postal High Self & Family Monthly 602.2
Kaiser Permanente - Southern California 623 Non-Postal High Self Plus One Monthly 731.51
Kaiser Permanente - Southern California 624 Non-Postal Standard Self Monthly 148.24
Kaiser Permanente - Southern California 625 Non-Postal Standard Self & Family Monthly 342.62
Kaiser Permanente - Southern California 626 Non-Postal Standard Self Plus One Monthly 342.62
Kaiser Permanente - Southern California FL1 Non-Postal Prosper Self Monthly 99.79
Kaiser Permanente - Southern California FL2 Non-Postal Prosper Self & Family Monthly 279.41
Kaiser Permanente - Southern California FL3 Non-Postal Prosper Self Plus One Monthly 229.52
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