This page below gives you immediate access to the California group health insurance plan descriptions and
forms you will need to help employers and their staff get the information that is easy to understand and use.

Aetna Rate Guide
 
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Company Plan Types Available Rate Guide California Counties / Zip Codes Covered --- Effective Date: 2-1-2010 to 4-30-2010
Aetna

All Plans

Definitions

Area Definitions For All Counties/Zip Codes

Aetna

HMO HRA $750 $25
HMO HRA $1,500 $40
HMO $10
HMO $15
HMO $20
HMO $30
HMO $40
HMO Deductible $1000

AVN HMO $10 **
AVN HMO $20 **
AVN HMO $30 **
AVN HMO $40 **

Vitalidad HMO $5 ***
Vitalidad HMO $10 ***

EPO 80 (Open Access)

MC $250 90/70
MC $250 80/60
MC $500 80/60
MC $1,000 70/50
MC $750 80/50/50
MC $1,000 80/50/50
MC $2,000 80/50/50
MC $2,500 75/50
MC Basic
MC $10,000 100/50
MC HSA HDHP $3,000 100/50
MC HSA HDHP $2,300 80/50
MC HSA HDHP $3,300 80/50
MC HRA HDHP $3,000 80/50

PPO $500 90/70
PPO $750 80/60

Aetna Indemnity

Important Note... AVN plans are NOT available in zip codes that have RED in it.
All other plans not listed above are available in ALL zip code colors.

San Diego 91901, 91902, 91903, 91905, 91906, 91908, 91909, 91910, 91911, 91912, 91913, 91914, 91915, 91916, 91917, 91921, 91931, 91932, 91933, 91934, 91935, 91941, 91942, 91943, 91944, 91945, 91946, 91947, 91948, 91950, 91951, 91962, 91963, 91976, 91977, 91978, 91979, 91980, 91987, 91990, 92003, 92004, 92007, 92008, 92009, 92010, 92011, 92013, 92014, 92018, 92019, 92020, 92021, 92022, 92023, 92024, 92025, 92026, 92027, 92028, 92029, 92030, 92033, 92036, 92037, 92038, 92039, 92040, 92046, 92049, 92051, 92052, 92054, 92055, 92056, 92057, 92058, 92059, 92060, 92061, 92064, 92065, 92066, 92067, 92068, 92069, 92070, 92071, 92072, 92074, 92075, 92078, 92079, 92081, 92082, 92083, 92084, 92085, 92086, 92088, 92090, 92091, 92092, 92093, 92096, 92101, 92102, 92103, 92104, 92105, 92106, 92107, 92108, 92109, 92110, 92111, 92112, 92113, 92114, 92115, 92116, 92117, 92118, 92119, 92120, 92121, 92122, 92123, 92124, 92126, 92127, 92128, 92129, 92130, 92131, 92132, 92133, 92134, 92135, 92136, 92137, 92138, 92139, 92140, 92142, 92143, 92145, 92147, 92149, 92150, 92152, 92153, 92154, 92155, 92158, 92159, 92160, 92161, 92162, 92163, 92164, 92165, 92166, 92167, 92168, 92169, 92170, 92171, 92172, 92173, 92174, 92175, 92176, 92177, 92178, 92179, 92182, 92184, 92186, 92187, 92190, 92191, 92192, 92193, 92194, 92195, 92196, 92197, 92198, 92199

Aetna

HMO HRA $750 $25
HMO HRA $1,500 $40
HMO $10
HMO $15
HMO $20
HMO $30
HMO $40
HMO Deductible $1000

AVN HMO $10 **
AVN HMO $20 **
AVN HMO $30 **
AVN HMO $40 **

Vitalidad HMO $5 ***
Vitalidad HMO $10 ***

EPO 80 (Open Access)

MC $250 90/70
MC $250 80/60
MC $500 80/60
MC $1,000 70/50
MC $750 80/50/50
MC $1,000 80/50/50
MC $2,000 80/50/50
MC $2,500 75/50
MC Basic
MC $10,000 100/50
MC HSA HDHP $3,000 100/50
MC HSA HDHP $2,300 80/50
MC HSA HDHP $3,300 80/50
MC HRA HDHP $3,000 80/50

PPO $500 90/70
PPO $750 80/60

Aetna Indemnity





Important Note... AVN plans are NOT available in zip codes that have red in it.
All other plans not listed above are available in ALL zip code colors.

Orange 90620, 90621, 90622, 90623, 90624, 90630, 90631, 90632, 90633, 90638, 90680, 90720, 90721, 90740, 90742, 90743, 92602, 92603, 92604, 92605, 92606, 92607, 92609, 92610, 92612, 92614, 92615, 92616, 92617, 92618, 92619, 92620, 92623, 92624, 92625, 92626, 92627, 92628, 92629, 92630, 92637, 92646, 92647, 92648, 92649, 92650, 92651, 92652, 92653, 92654, 92655, 92656, 92657, 92658, 92659, 92660, 92661, 92662, 92663, 92672, 92673, 92674, 92675, 92676, 92677, 92678, 92679, 92683, 92684, 92685, 92688, 92690, 92691, 92692, 92693, 92694, 92697, 92698, 92701, 92702, 92703, 92704, 92705, 92706, 92707, 92708, 92709, 92710, 92711, 92712, 92725, 92728, 92735, 92780, 92781, 92782, 92799, 92801, 92802, 92803, 92804, 92805, 92806, 92807, 92808, 92809, 92811, 92812, 92814, 92815, 92816, 92817, 92821, 92822, 92823, 92825, 92831, 92832, 92833, 92834, 92835, 92836, 92837, 92838, 92840, 92841, 92842, 92843, 92844, 92845, 92846, 92850, 92856, 92857, 92859, 92861, 92862, 92863, 92864, 92865, 92866, 92867, 92868, 92869, 92870, 92871, 92885, 92886, 92887, 92899

Santa Cruz 95001, 95003, 95005, 95006, 95007, 95010, 95017, 95018, 95019, 95033, 95041, 95060, 95061, 95062, 95063, 95064, 95065, 95066, 95067, 95073, 95076, 95077

Ventura 93001, 93002, 93003, 93004, 93005, 93006, 93007, 93009, 93010, 93011, 93012, 93013, 93015, 93016, 93020, 93021, 93022, 93023, 93024, 93030, 93031, 93032, 93033, 93034, 93035, 93036, 93040, 93041, 93042, 93043, 93044, 93060, 93061, 93062, 93063, 93064, 93065, 93066, 93093, 93094, 93099

Important Note... AVN plans are NOT available in zip codes that have red in it.
All other plans not listed above are available in ALL zip code colors.

Aetna

HMO HRA $750 $25
HMO HRA $1,500 $40
HMO $10
HMO $15
HMO $20
HMO $30
HMO $40
HMO Deductible $1000

AVN HMO $10 **
AVN HMO $20 **
AVN HMO $30 **
AVN HMO $40 **

Vitalidad HMO $5 ***
Vitalidad HMO $10 ***

EPO 80 (Open Access)

MC $250 90/70
MC $250 80/60
MC $500 80/60
MC $1,000 70/50
MC $750 80/50/50
MC $1,000 80/50/50
MC $2,000 80/50/50
MC $2,500 75/50
MC Basic
MC $10,000 100/50
MC HSA HDHP $3,000 100/50
MC HSA HDHP $2,300 80/50
MC HSA HDHP $3,300 80/50
MC HRA HDHP $3,000 80/50

PPO $500 90/70
PPO $750 80/60

Aetna Indemnity





Important Note... AVN plans are NOT available in zip codes that have red in it.
All other plans not listed above are available in ALL zip code colors.

Los Angeles 90101, 90102, 90103, 90189, 90301, 90302, 90303, 90304, 90305, 90306, 90307, 90308, 90309, 90310, 90311, 90312, 90313, 90397, 90398, 90501, 90502, 90503, 90504, 90505, 90506, 90507, 90508, 90509, 90510, 90601, 90602, 90603, 90604, 90605, 90606, 90607, 90608, 90609, 90610, 90612, 90623, 90630, 90631, 90637, 90638, 90639, 90640, 90650, 90651, 90652, 90659, 90660, 90661, 90662, 90670, 90671, 90701, 90702, 90703, 90704, 90706, 90707, 90710, 90711, 90712, 90713, 90714, 90715, 90716, 90717, 90723, 90731, 90732, 90733, 90734, 90744, 90745, 90746, 90747, 90748, 90749, 90755, 90801, 90802, 90803, 90804, 90805, 90806, 90807, 90808, 90809, 90810, 90813, 90814, 90815, 90822, 90831, 90832, 90833, 90834, 90835, 90840, 90842, 90844, 90845, 90846, 90847, 90848, 90853, 90888, 90895, 90899, 91001, 91003, 91006, 91007, 91008, 91009, 91010, 91011, 91012, 91016, 91017, 91020, 91021, 91023, 91024, 91025, 91030, 91031, 91040, 91041, 91042, 91043, 91046, 91066, 91077, 91101, 91102, 91103, 91104, 91105, 91106, 91107, 91108, 91109, 91110, 91114, 91115, 91116, 91117, 91118, 91121, 91123, 91124, 91125, 91126, 91129, 91131, 91182, 91184, 91185, 91188, 91189, 91191, 91199, 91201, 91202, 91203, 91204, 91205, 91206, 91207, 91208, 91209, 91210, 91214, 91221, 91222, 91224, 91225, 91226, 91301, 91302, 91303, 91304, 91305, 91306, 91307, 91308, 91309, 91310, 91311, 91313, 91316, 91321, 91322, 91324, 91325, 91326, 91327, 91328, 91329, 91330, 91331, 91333, 91334, 91335, 91337, 91340, 91341, 91342, 91343, 91344, 91345, 91346, 91350, 91351, 91352, 91353, 91354, 91355, 91356, 91357, 91361, 91362, 91363, 91364, 91365, 91367, 91371, 91372, 91376, 91380, 91381, 91382, 91383, 91384, 91385, 91386, 91387, 91388, 91390, 91392, 91393, 91394, 91395, 91396, 91399, 91401, 91402, 91403, 91404, 91405, 91406, 91407, 91408, 91409, 91410, 91411, 91412, 91413, 91416, 91423, 91426, 91436, 91470, 91482, 91495, 91496, 91497, 91499, 91501, 91502, 91503, 91504, 91505, 91506, 91507, 91508, 91510, 91521, 91522, 91523, 91526, 91702, 91706, 91709, 91711, 91714, 91715, 91716, 91722, 91723, 91724, 91731, 91732, 91733, 91734, 91735, 91740, 91741, 91744, 91745, 91746, 91747, 91748, 91749, 91750, 91754, 91755, 91756, 91759, 91765, 91766, 91767, 91768, 91769, 91770, 91771, 91772, 91773, 91775, 91776, 91778, 91780, 91788, 91789, 91790, 91791, 91792, 91793, 91795, 91797, 91799, 91801, 91802, 91803, 91804, 91841, 91896, 91899, 93510, 93532, 93534, 93535, 93536, 93539, 93543, 93544, 93550, 93551, 93552, 93553, 93560, 93563, 93584, 93586, 93590, 93591, 93599

Ventura 91304, 91307, 91311, 91319, 91320, 91358, 91359, 91360, 91361, 91362, 91377

Important Note... AVN plans are NOT available in zip codes that have red in it.
All other plans not listed above are available in ALL zip code colors.

Aetna

HMO HRA $750 $25
HMO HRA $1,500 $40
HMO $10
HMO $15
HMO $20
HMO $30
HMO $40
HMO Deductible $1000

AVN HMO $10 **
AVN HMO $20 **
AVN HMO $30 **
AVN HMO $40 **

Vitalidad HMO $5 ***
Vitalidad HMO $10 ***

EPO 80 (Open Access)

MC $250 90/70
MC $250 80/60
MC $500 80/60
MC $1,000 70/50
MC $750 80/50/50
MC $1,000 80/50/50
MC $2,000 80/50/50
MC $2,500 75/50
MC Basic
MC $10,000 100/50
MC HSA HDHP $3,000 100/50
MC HSA HDHP $2,300 80/50
MC HSA HDHP $3,300 80/50
MC HRA HDHP $3,000 80/50

PPO $500 90/70
PPO $750 80/60

Aetna Indemnity

Important Note... All plans are available in black.

Los Angeles 90001, 90002, 90003, 90004, 90005, 90006, 90007, 90008, 90009, 90010, 90011, 90012, 90013, 90014, 90015, 90016, 90017, 90018, 90019, 90020, 90021, 90022, 90023, 90024, 90025, 90026, 90027, 90028, 90029, 90030, 90031, 90032, 90033, 90034, 90035, 90036, 90037, 90038, 90039, 90040, 90041, 90042, 90043, 90044, 90045, 90046, 90047, 90048, 90049, 90050, 90051, 90052, 90053, 90054, 90055, 90056, 90057, 90058, 90059, 90060, 90061, 90062, 90063, 90064, 90065, 90066, 90067, 90068, 90069, 90070, 90071, 90072, 90073, 90074, 90075, 90076, 90077, 90078, 90079, 90080, 90081, 90082, 90083, 90084, 90086, 90087, 90088, 90089, 90091, 90093, 90094, 90095, 90096, 90099, 90201, 90202, 90209, 90210, 90211, 90212, 90213, 90220, 90221, 90222, 90223, 90224, 90230, 90231, 90232, 90233, 90239, 90240, 90241, 90242, 90245, 90247, 90248, 90249, 90250, 90251, 90254, 90255, 90260, 90261, 90262, 90263, 90264, 90265, 90266, 90267, 90270, 90272, 90274, 90275, 90277, 90278, 90280, 90290, 90291, 90292, 90293, 90294, 90295, 90296, 90401, 90402, 90403, 90404, 90405, 90406, 90407, 90408, 90409, 90410, 90411, 91601, 91602, 91603, 91604, 91605, 91606, 91607, 91608, 91609, 91610, 91611, 91612, 91614, 91615, 91616, 91617, 91618

San Benito 93930, 95004, 95023, 95024, 95043, 95045, 95075

Important Note...All plans are available in black.

Aetna

HMO HRA $750 $25
HMO HRA $1,500 $40
HMO $10
HMO $15
HMO $20
HMO $30
HMO $40
HMO Deductible $1000

AVN HMO $10 **
AVN HMO $20 **
AVN HMO $30 **
AVN HMO $40 **

Vitalidad HMO $5 ***
Vitalidad HMO $10 ***

EPO 80 (Open Access)

MC $250 90/70
MC $250 80/60
MC $500 80/60
MC $1,000 70/50
MC $750 80/50/50
MC $1,000 80/50/50
MC $2,000 80/50/50
MC $2,500 75/50
MC Basic
MC $10,000 100/50
MC HSA HDHP $3,000 100/50
MC HSA HDHP $2,300 80/50
MC HSA HDHP $3,300 80/50
MC HRA HDHP $3,000 80/50

PPO $500 90/70
PPO $750 80/60

Aetna Indemnity

Important Note... AVN plans are NOT available in zip codes that have red in it.
INDEMNITY plans ONLY availabe in zip code that have green in it.
All other plans not listed above are available in ALL zip code colors.

Riverside 91752, 92501, 92502, 92503, 92504, 92505, 92506, 92507, 92508, 92509, 92513, 92514, 92515, 92516, 92517, 92518, 92519, 92521, 92522, 92530, 92531, 92532, 92536, 92539, 92543, 92544, 92545, 92546, 92548, 92549, 92551, 92552, 92553, 92554, 92555, 92556, 92557, 92561, 92562, 92563, 92564, 92567, 92570, 92571, 92572, 92581, 92582, 92583, 92584, 92585, 92586, 92587, 92589, 92590, 92591, 92592, 92593, 92595, 92596, 92599, 92860, 92877, 92878, 92879, 92880, 92881, 92882, 92883

San Bernardino 91701, 91708, 91709, 91710, 91729, 91730, 91737, 91739, 91743, 91758, 91761, 91762, 91763, 91764, 91766, 91784, 91785, 91786, 91792, 91798, 92301, 92304, 92305, 92307, 92308, 92309, 92310, 92311, 92312, 92313, 92314, 92315, 92316, 92317, 92318, 92319, 92321, 92322, 92323, 92324, 92325, 92326, 92327, 92329, 92331, 92332, 92333, 92334, 92335, 92336, 92337, 92338, 92339, 92340, 92341, 92342, 92344, 92345, 92346, 92347, 92350, 92352, 92354, 92356, 92357, 92358, 92359, 92363, 92364, 92365, 92366, 92368, 92369, 92371, 92372, 92373, 92374, 92375, 92376, 92377, 92378, 92382, 92385, 92386, 92391, 92392, 92393, 92394, 92395, 92397, 92398, 92399, 92401, 92402, 92403, 92404, 92405, 92406, 92407, 92408, 92410, 92411, 92412, 92413, 92414, 92415, 92418, 92423, 92424, 92427, 93516, 93555, 93558, 93562, 93592

Important Note... AVN plans are NOT available in zip codes that have red in it.
INDEMNITY plans ONLY availabe in zip code that have green in it.
All other plans not listed above are available in ALL zip code colors.

Aetna

HMO HRA $750 $25
HMO HRA $1,500 $40
HMO $10
HMO $15
HMO $20
HMO $30
HMO $40
HMO Deductible $1000

AVN HMO $10 **
AVN HMO $20 **
AVN HMO $30 **
AVN HMO $40 **

Vitalidad HMO $5 ***
Vitalidad HMO $10 ***

EPO 80 (Open Access)

MC $250 90/70
MC $250 80/60
MC $500 80/60
MC $1,000 70/50
MC $750 80/50/50
MC $1,000 80/50/50
MC $2,000 80/50/50
MC $2,500 75/50
MC Basic
MC $10,000 100/50
MC HSA HDHP $3,000 100/50
MC HSA HDHP $2,300 80/50
MC HSA HDHP $3,300 80/50
MC HRA HDHP $3,000 80/50

PPO $500 90/70
PPO $750 80/60

Aetna Indemnity





Important Note... AVN plans are NOT available in zip codes that have red in it.
INDEMNITY plans ONLY availabe in zip code that have green in it.
All other plans not listed above are available in ALL zip code colors.

Fesno 93210, 93234, 93242, 93245, 93602, 93605, 93606, 93607, 93608, 93609, 93611, 93612, 93613, 93616, 93618, 93619, 93620, 93621, 93622, 93624, 93625, 93626, 93627, 93628, 93630, 93631, 93634, 93640, 93641, 93642, 93646, 93648, 93649, 93650, 93651, 93652, 93654, 93656, 93657, 93660, 93662, 93664, 93667, 93668, 93675, 93701, 93702, 93703, 93704, 93705, 93706, 93707, 93708, 93709, 93710, 93711, 93712, 93714, 93715, 93716, 93717, 93718, 93720, 93721, 93722, 93723, 93724, 93725, 93726, 93727, 93728, 93729, 93730, 93740, 93741, 93744, 93745, 93747, 93750, 93755, 93760, 93761, 93764, 93765, 93771, 93772, 93773, 93774, 93775, 93776, 93777, 93778, 93779, 93780, 93784, 93786, 93790, 93791, 93792, 93793, 93794, 93844, 93888

Kern 93203, 93205, 93206, 93215, 93216, 93220, 93222, 93224, 93225, 93226, 93238, 93240, 93241, 93243, 93249, 93250, 93251, 93252, 93255, 93263, 93268, 93276, 93280, 93283, 93285, 93287, 93301, 93302, 93303, 93304, 93305, 93306, 93307, 93308, 93309, 93310, 93311, 93312, 93313, 93314, 93380, 93381, 93382, 93383, 93384, 93385, 93386, 93387, 93388, 93389, 93390, 93501, 93502, 93503, 93504, 93505, 93516, 93518, 93519, 93523, 93524, 93527, 93528, 93531, 93536, 93554, 93555, 93556, 93558, 93560, 93561, 93581, 93596

Kings 93202, 93204, 93212, 93230, 93232, 93239, 93242, 93245, 93246, 93266, 93631, 93656

Madera 93601, 93602, 93604, 93610, 93614, 93620, 93622, 93623, 93626, 93636, 93637, 93638, 93639, 93643, 93644, 93645, 93653, 93669, 93720

Merced 93610, 93620, 93622, 93635, 93661, 93665, 95301, 95303, 95312, 95315, 95317, 95322, 95324, 95333, 95334, 95340, 95341, 95343, 95344, 95348, 95365, 95369, 95374, 95380, 95388

Tulare 93201, 93207, 93208, 93212, 93215, 93218, 93219, 93221, 93223, 93227, 93235, 93237, 93238, 93244, 93247, 93256, 93257, 93258, 93260, 93261, 93262, 93265, 93267, 93270, 93271, 93272, 93274, 93275, 93277, 93278, 93279, 93282, 93286, 93290, 93291, 93292, 93527, 93603, 93615, 93618, 93631, 93633, 93641, 93646, 93647, 93654, 93666, 93670, 93673

Important Note... AVN plans are NOT available in zip codes that have red in it.
INDEMNITY plans ONLY availabe in zip code that have green in it.
All other plans not listed above are available in ALL zip code colors.

Aetna

HMO HRA $750 $25
HMO HRA $1,500 $40
HMO $10
HMO $15
HMO $20
HMO $30
HMO $40
HMO Deductible $1000

AVN HMO $10 **
AVN HMO $20 **
AVN HMO $30 **
AVN HMO $40 **

Vitalidad HMO $5 ***
Vitalidad HMO $10 ***

EPO 80 (Open Access)

MC $250 90/70
MC $250 80/60
MC $500 80/60
MC $1,000 70/50
MC $750 80/50/50
MC $1,000 80/50/50
MC $2,000 80/50/50
MC $2,500 75/50
MC Basic
MC $10,000 100/50
MC HSA HDHP $3,000 100/50
MC HSA HDHP $2,300 80/50
MC HSA HDHP $3,300 80/50
MC HRA HDHP $3,000 80/50

PPO $500 90/70
PPO $750 80/60

Aetna Indemnity





Important Note... AVN plans are NOT available in zip codes that have red in it.
INDEMNITY plans ONLY availabe in zip codes that have GREEN in it.
PPO and Indemnity plans are ONLY availabe in zip codes that have PURPLE in it.

All other plans not listed above are available in ALL zip code colors.

Alameda 94501, 94502, 94505, 94514, 94536, 94537, 94538, 94539, 94540, 94541, 94542, 94543, 94544, 94545, 94546, 94550, 94551, 94552, 94555, 94557, 94560, 94566, 94568, 94577, 94578, 94579, 94580, 94584, 94586, 94587, 94588, 94601, 94602, 94603, 94604, 94605, 94606, 94607, 94608, 94609, 94610, 94611, 94612, 94613, 94614, 94615, 94617, 94618, 94619, 94620, 94621, 94622, 94623, 94624, 94625, 94626, 94648, 94649, 94650, 94659, 94660, 94661, 94662, 94666, 94668, 94701, 94702, 94703, 94704, 94705, 94706, 94707, 94708, 94709, 94710, 94712, 94720, 94721, 95304, 95377, 95391

Contra Costa 94505, 94506, 94507, 94509, 94511, 94513, 94514, 94516, 94517, 94518, 94519, 94520, 94521, 94522, 94523, 94524, 94525, 94526, 94527, 94528, 94529, 94530, 94531, 94547, 94548, 94549, 94551, 94553, 94556, 94561, 94563, 94564, 94565, 94569, 94570, 94572, 94575, 94582, 94583, 94595, 94596, 94597, 94598, 94706, 94707, 94708, 94801, 94802, 94803, 94804, 94805, 94806, 94807, 94808, 94820, 94850, 94875

El Dorado 95613, 95614, 95619, 95623, 95629, 95633, 95634, 95635, 95636, 95651, 95656, 95664, 95667, 95672, 95682, 95684, 95709, 95720, 95721, 95726, 95735, 95762, 96142, 96150, 96151, 96152, 96154, 96155, 96156, 96157, 96158

Imperial 92004, 92222, 92225, 92227, 92231, 92232, 92233, 92243, 92244, 92249, 92250, 92251, 92257, 92259, 92266, 92273, 92274, 92275, 92281, 92283

Placer 95602, 95603, 95604, 95626, 95631, 95648, 95650, 95658, 95661, 95663, 95668, 95677, 95678, 95681, 95692, 95701, 95703, 95704, 95711, 95713, 95714, 95715, 95717, 95718, 95719, 95722, 95730, 95732, 95733, 95736, 95746, 95747, 95765, 96140, 96141, 96143, 96145, 96146, 96148, 96161

Riverside 92201, 92202, 92203, 92210, 92211, 92220, 92223, 92225, 92226, 92230, 92234, 92235, 92236, 92239, 92240, 92241, 92247, 92248, 92253, 92254, 92255, 92258, 92260, 92261, 92262, 92263, 92264, 92270, 92274, 92276, 92282, 92292, 92320, 92324, 92331, 92373, 92399

Sacramento 94203, 94204, 94205, 94206, 94207, 94208, 94209, 94211, 94229, 94230, 94232, 94234, 94235, 94236, 94237, 94239, 94240, 94243, 94244, 94245, 94246, 94247, 94248, 94249, 94250, 94252, 94253, 94254, 94256, 94257, 94258, 94259, 94261, 94262, 94263, 94267, 94268, 94269, 94271, 94273, 94274, 94277, 94278, 94279, 94280, 94282, 94283, 94284, 94285, 94286, 94287, 94288, 94289, 94290, 94291, 94293, 94294, 94295, 94296, 94297, 94298, 94299, 95608, 95609, 95610, 95611, 95615, 95621, 95624, 95626, 95628, 95630, 95632, 95638, 95639, 95641, 95652, 95655, 95660, 95662, 95670, 95671, 95673, 95680, 95683, 95690, 95693, 95741, 95742, 95743, 95757, 95758, 95759, 95763, 95811, 95812, 95813, 95814, 95815, 95816, 95817, 95818, 95819, 95820, 95821, 95822, 95823, 95824, 95825, 95826, 95827, 95828, 95829, 95830, 95831, 95832, 95833, 95834, 95835, 95836, 95837, 95838, 95840, 95841, 95842, 95843, 95851, 95852, 95853, 95860, 95864, 95865, 95866, 95867, 95887, 95894, 95899

San Joaquin 95201, 95202, 95203, 95204, 95205, 95206, 95207, 95208, 95209, 95210, 95211, 95212, 95213, 95215, 95219, 95220, 95227, 95230, 95231, 95234, 95236, 95237, 95240, 95241, 95242, 95253, 95258, 95267, 95269, 95296, 95297, 95304, 95320, 95330, 95336, 95337, 95361, 95366, 95376, 95377, 95378, 95385, 95391, 95632, 95686, 95690

Santa Clara 95002, 95008, 95009, 95011, 95013, 95014, 95015, 95020, 95021, 95023, 95026, 95030, 95031, 95032, 95033, 95035, 95036, 95037, 95038, 95042, 95044, 95046, 95050, 95051, 95052, 95053, 95054, 95055, 95056, 95070, 95071, 95076, 95101, 95103, 95106, 95108, 95109, 95110, 95111, 95112, 95113, 95115, 95116, 95117, 95118, 95119, 95120, 95121, 95122, 95123, 95124, 95125, 95126, 95127, 95128, 95129, 95130, 95131, 95132, 95133, 95134, 95135, 95136, 95138, 95139, 95140, 95141, 95148, 95150, 95151, 95152, 95153, 95154, 95155, 95156, 95157, 95158, 95159, 95160, 95161, 95164, 95170, 95172, 95173, 95190, 95191, 95192, 95193, 95194, 95196

Stanislaus 95230, 95304, 95307, 95313, 95316, 95319, 95322, 95323, 95326, 95328, 95329, 95350, 95351, 95352, 95353, 95354, 95355, 95356, 95357, 95358, 95360, 95361, 95363, 95367, 95368, 95380, 95381, 95382, 95384, 95385, 95386, 95387, 95390, 95397

Sutter 95626, 95645, 95648, 95659, 95668, 95674, 95676, 95692, 95836, 95837, 95948, 95953, 95957, 95982, 95991, 95992, 95993

Yolo 95605, 95606, 95607, 95612, 95616, 95617, 95618, 95627, 95637, 95645, 95653, 95679, 95691, 95694, 95695, 95697, 95698, 95776, 95798, 95799, 95912, 95937

Yuba 95692, 95901, 95903, 95914, 95918, 95919, 95922, 95925, 95935, 95941, 95960, 95961, 95962, 95966, 95972, 95977, 95981

Important Note... AVN plans are NOT available in zip codes that have red in it.
INDEMNITY plans ONLY availabe in zip codes that have GREEN in it.
PPO and Indemnity plans are ONLY availabe in zip codes that have PURPLE in it.

All other plans not listed above are available in ALL zip code colors.

Aetna

HMO HRA $750 $25
HMO HRA $1,500 $40
HMO $10
HMO $15
HMO $20
HMO $30
HMO $40
HMO Deductible $1000

AVN HMO $10 **
AVN HMO $20 **
AVN HMO $30 **
AVN HMO $40 **

Vitalidad HMO $5 ***
Vitalidad HMO $10 ***

EPO 80 (Open Access)

MC $250 90/70
MC $250 80/60
MC $500 80/60
MC $1,000 70/50
MC $750 80/50/50
MC $1,000 80/50/50
MC $2,000 80/50/50
MC $2,500 75/50
MC Basic
MC $10,000 100/50
MC HSA HDHP $3,000 100/50
MC HSA HDHP $2,300 80/50
MC HSA HDHP $3,300 80/50
MC HRA HDHP $3,000 80/50

PPO $500 90/70
PPO $750 80/60

Aetna Indemnity




Important Note... INDEMNITY plans ONLY availabe in zip codes that have GREEN in it.
All other plans not listed above are available in ALL zip code colors.

Monterey 93426, 93450, 93451, 93901, 93902, 93905, 93906, 93907, 93908, 93912, 93915, 93920, 93921, 93922, 93923, 93924, 93925, 93926, 93927, 93928, 93930, 93932, 93933, 93940, 93942, 93943, 93944, 93950, 93953, 93954, 93955, 93960, 93962, 95004, 95012, 95039, 95076

San Francisco 94101, 94102, 94103, 94104, 94105, 94106, 94107, 94108, 94109, 94110, 94111, 94112, 94114, 94115, 94116, 94117, 94118, 94119, 94120, 94121, 94122, 94123, 94124, 94125, 94126, 94127, 94129, 94130, 94131, 94132, 94133, 94134, 94135, 94136, 94137, 94138, 94139, 94140, 94141, 94142, 94143, 94144, 94145, 94146, 94147, 94150, 94151, 94152, 94153, 94154, 94155, 94156, 94158, 94159, 94160, 94161, 94162, 94163, 94164, 94171, 94172, 94175, 94177, 94188, 94199

Aetna

HMO HRA $750 $25
HMO HRA $1,500 $40
HMO $10
HMO $15
HMO $20
HMO $30
HMO $40
HMO Deductible $1000

AVN HMO $10 **
AVN HMO $20 **
AVN HMO $30 **
AVN HMO $40 **

Vitalidad HMO $5 ***
Vitalidad HMO $10 ***

EPO 80 (Open Access)

MC $250 90/70
MC $250 80/60
MC $500 80/60
MC $1,000 70/50
MC $750 80/50/50
MC $1,000 80/50/50
MC $2,000 80/50/50
MC $2,500 75/50
MC Basic
MC $10,000 100/50
MC HSA HDHP $3,000 100/50
MC HSA HDHP $2,300 80/50
MC HSA HDHP $3,300 80/50
MC HRA HDHP $3,000 80/50

PPO $500 90/70
PPO $750 80/60

Aetna Indemnity









Important Note...
AVN are NOT available in zip codes that have RED in it
.
INDEMNITY are ONLY availabe in zip codes that have GREEN in it.
PPO and Indemnity are ONLY availabe in zip codes that have PURPLE in it.

All other plans not listed above are available in ALL zip code colors.

Alpine 95646, 96120

Amador 95601, 95629, 95640, 95642, 95644, 95654, 95665, 95666, 95669, 95675, 95685, 95689, 95699

Butte 95901, 95914, 95916, 95917, 95925, 95926, 95927, 95928, 95929,
95930, 95938, 95940, 95941, 95942, 95948, 95954, 95958, 95965, 95966, 95967, 95968, 95969, 95973, 95974, 95976, 95978

Calaveras 95221, 95222, 95223, 95224, 95225, 95226, 95228, 95229,
95230, 95232, 95233, 95236, 95245, 95246, 95247, 95248, 95249, 95250,
95251, 95252, 95254, 95255, 95257

Colusa 95912, 95932, 95939, 95950, 95955, 95957, 95970, 95979, 95987

Del Norte 95531, 95532, 95538, 95543, 95548, 95567

Glenn 95913, 95920, 95939, 95943, 95951, 95963, 95970, 95988

Humboldt 95501, 95502, 95503, 95511, 95514, 95518, 95519, 95521,
95524, 95525, 95526, 95528, 95534, 95536, 95537, 95540, 95542, 95545,
95546, 95547, 95549, 95550, 95551, 95552, 95553, 95554, 95555, 95556,
95558, 95559, 95560, 95562, 95564, 95565, 95569, 95570, 95571, 95573,
95589

Inyo 92328, 92384, 92389, 93513, 93514, 93515, 93522, 93526, 93527,
93530, 93542, 93545, 93549

Lake 95422, 95423, 95424, 95426, 95435, 95443, 95451, 95453, 95457,
95458, 95461, 95464, 95467, 95485, 95493

Lassen 96006, 96009, 96056, 96068, 96109, 96113, 96114, 96117, 96119, 96121, 96123, 96127, 96128, 96130, 96132, 96136, 96137

Marin 94901, 94903, 94904, 94912, 94913, 94914, 94915, 94920, 94924,
94925, 94929, 94930,94933, 94937, 94938, 94939, 94940, 94941, 94942,
94945, 94946, 94947, 94948, 94949, 94950, 94956, 94957, 94960, 94963,
94964, 94965, 94966, 94970, 94971, 94973, 94974, 94976, 94977, 94978,
94979, 94998

Mariposa 93601, 93623, 93653, 93306, 95311, 95318, 95321, 95325,
95329, 95338, 95345, 95389

Mendocino 95410, 95415, 95417, 95418, 95420, 95425, 95427, 95428, 95429, 95432, 95437, 95445, 95449, 95454, 95456, 95459, 95460, 95463, 95466, 95468, 95469, 95470, 95481, 95482, 95488, 95490, 95494, 95585, 95587, 95589

Modoc 96006, 96015, 96054, 96056, 96101, 96104, 96108, 96110, 96112,
96115, 96116, 96134

Mono 93512, 93514, 93517, 93529, 93541, 93546, 96107, 96133

Napa 94503, 94508, 94515, 94558, 94559, 94562, 94567, 94573, 94574, 94576, 94581, 94589, 94590, 94599, 95476

Nevada 95602, 95712, 95724, 95728, 95924, 95945, 95946, 95949, 95959, 95960, 95975, 95977, 95986, 96111, 96160, 96161, 96162

Plumas 95915, 95923, 95934, 95947, 95956, 95971, 95980, 95981, 95983, 95984, 96020, 96103, 96105, 96106, 96122, 96129, 96135, 96137

San Bernardino 92242, 92252, 92256, 92267, 92268, 92277, 92278, 92280, 92284, 92285, 92286

San Luis Obispo 93252, 93401, 93402, 93403, 93405, 93406, 93407,
93
408, 93409, 93410, 93412, 93420, 93421, 93422, 93423, 93424, 93426, 93428, 93430, 93432, 93433, 93435, 93442, 93443, 93444, 93445, 93446, 93447, 93448, 93449, 93451, 93452, 93453, 93454, 93461, 93465, 93475, 93483

San Mateo 94002, 94005, 94010, 94011, 94013, 94014, 94015, 94016, 94017, 94018, 94019, 94020, 94021, 94025, 94026, 94027, 94028, 94030, 94037, 94038, 94044, 94060, 94061, 94062, 94063, 94064, 94065, 94066, 94070, 94074, 94080, 94083, 94128, 94303, 94401, 94402, 94403, 94404, 94497

Santa Barbara 93013, 93014, 93067, 93101, 93102, 93103, 93105, 93106, 93107, 93108, 93109, 93110, 93111, 93116, 93117, 93118, 93120, 93121, 93130, 93140, 93150, 93160, 93190, 93199, 93252, 93254, 93427, 93429, 93434, 93436, 93437, 93438, 93440, 93441, 93454, 93455, 93456, 93457, 93458, 93460, 93463, 93464

Santa Clara 94022, 94023, 94024, 94035, 94039, 94040, 94041, 94042, 94043, 94085, 94086, 94087, 94088, 94089, 94301, 94302, 94303, 94304, 94305, 94306, 94309

Shasta 96001, 96002, 96003, 96007, 96008, 96011, 96013, 96016, 96017, 96019, 96022, 96025, 96028, 96033, 96040, 96047, 96049, 96051, 96056,
96059, 96062, 96065, 96069, 96070, 96071, 96073, 96076, 96079, 96084,
96087, 96088, 96089, 96095, 96096, 96099

Sierra 95910, 95922, 95936, 95944, 95960, 96105, 96118, 96124, 96125, 96126

Siskiyou 95568, 96014, 96023, 96025, 96027, 96031, 96032, 96034, 96037, 96038, 96039, 96044, 96050, 96057, 96058, 96064, 96067, 96085, 96086, 96091, 96094, 96097, 96134

Solano 94503, 94510, 94512, 94533, 94534, 94535, 94571, 94585, 94589, 94590, 94591, 94592, 95616, 95618, 95620, 95625, 95687, 95688, 95690, 95694, 95696

Sonoma 94515, 94922, 94923, 94926, 94927, 94928, 94931, 94951, 94952, 94953, 94954, 94955, 94972, 94975, 94999, 95401, 95402, 95403, 95404, 95405, 95406, 95407, 95408, 95409, 95412, 95416, 95419, 95421, 95425, 95430, 95431, 95433, 95436, 95439, 95441, 95442, 95444, 95446, 95448, 95450, 95452, 95462, 95465, 95471, 95472, 95473, 95476, 95480, 95486, 95487, 95492, 95497

Tehama 95963, 95973, 96021, 96022, 96029, 96035, 96055, 96059, 96061, 96063, 96074, 96075, 96076, 96078, 96080, 96090, 96092

Trinity 95526, 95527, 95543, 95552, 95563, 95595, 96010, 96024, 96041,
96046, 96048, 96052, 96076, 96091, 96093

Tuolumne 95230, 95305, 95309, 95310, 95311, 95314, 95321, 95327, 95329, 95335, 95346, 95347, 95364, 95370, 95372, 95373, 95375, 95379, 95383

Important Note...
AVN are NOT available in zip codes that have RED in it
.
INDEMNITY are ONLY availabe in zip codes that have GREEN in it.
PPO and Indemnity are ONLY availabe in zip codes that have PURPLE in it.

All other plans not listed above are available in ALL zip code colors.

* Denotes - Plan may not be available in all ZIP codes. For more information, please contact Broker Services at 877-249-2472, prompt 6.

** All ZIP codes are included in Orange, San Francisco, Santa Clara and Yolo counties. The following counties are included with the exception of the ZIP codes listed:

Contra Costa County 94525, 94530, 94547, 94564, 94569, 94572, 94801-08, 94820, 94850, 94875
Kern County 93310, 93501-05, 93516, 93527-28, 93554-56, 93560, 93596
Los Angeles County 90704, 93543, 93544, 93553
Riverside County 92254, 92274, 92282, 92536, 92539
San Bernardino County 92252, 92256, 92268, 92277, 92278, 92284-86, 92304, 92310, 92327, 92329, 92333, 92338, 92342, 92347, 92356, 92365, 92366, 92386, 92398, 93558, 93562, 93592
San Diego County 91905, 91906, 91931, 91934, 91948, 91962, 91963, 91980, 91987, 91990-95, 92004, 92055, 92060, 92066, 92086
San Joaquin County 95227, 95230, 95241, 95267, 95269, 95296, 95297, 95320, 95366, 95377, 95378, 95391
San Mateo County 94060
Sonoma County 94922, 94923, 94926, 94927, 94931, 94953 - 94955, 94972, 94975, 94999, 95402, 95403, 95406, 95408, 95409, 95412, 95421, 95425, 95430, 95431, 95441, 95444, 95446, 95448, 95450, 95452, 95471-73, 95476, 95480, 95486, 95487, 95492, 95497

*** Employees must live or work within 50 miles of the provider network.

Company Dental & Life Rate Guide California Counties / Zip Codes Covered --- Effective Date: 2-1-2010 to 4-30-2010
Aetna Aetna Dental of California Inc. & aetna life insurance company View Page All
Company Complete Rate Guide Rate Guide California Counties / Zip Codes Covered --- Effective Date: 2-1-2010 to 4-30-2010
Aetna
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Important Note... After using the search for zip codes - click on your zip code to unhighlight the zip so you can view the colors for this legend. AVN are NOT available in zip codes that have RED in it. INDEMNITY are ONLY availabe in zip codes that have GREEN in it. PPO are ONLY availabe in zip codes that have PURPLE in it. All other plans not listed above are available in ALL zip code colors.