| 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
|
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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
|


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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
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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,
93408, 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.
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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 |
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Complete Rate Guide |
Rate Guide |
California Counties / Zip Codes Covered --- Effective Date: 2-1-2010 to 4-30-2010 |
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