| Anthem Blue Cross Rate Guide |
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| Company |
Group Medical |
Rate Guide |
California Counties / Zip Codes Covered --- Eff: 7-2010 to 9-30-2010 |
Anthem
Blue Cross |
All Plans |
EE Definitions
EC Definitions
BeneFits Definitions |
Area Definitions For All Counties/Zip Codes and How To Convert These 1.0 RAF Rates To Other RAFs |
Anthem
Blue Cross |
EmployeeElect Plans
HMO Plans
HMO $10 100%
HMO $25 100%
Classic $20 HMO
Classic $30 HMO
Classic $40 HMO
Saver $20 HMO
Saver $30 HMO
Saver $40 HMO
Select $25 HMO ** (not available in area 1)
Select $35 HMO ** (not available in area 1)
Premier PPO Plans
Premier $10 Copay
Premier $20 Copay
Premier $30 Copay
PPO Plans
PPO $20 Copay *
PPO $30 Copay
PPO $40 Copay
PPO GenRx Plans
$25 Copay GenRx *
$35 Copay GenRx *
$45 Copay GenRx *
Solution Plans
Solution 2500 PPO *
Solution 3500 PPO *
Solution 5000 PPO *
Lumenos HIA+ Plans
Lumenos HIA+ 500 *
Lumenos HIA+ 750 *
Lumenos HSA 100/70 Plans
Lumenos HSA 2000 (100/70) *
Lumenos HSA 3000 (100/70) *
Lumenos HSA 5000 (100/70) *
Lumenos HSA 80/50 Plans
Lumenos HSA 1500 (80/50) *
Lumenos HSA 2500 (80/50) *
Lumenos HSA 3500 (80/50) *
EPO Plans
High Deductible EPO
Elements Hospital Plans
Elements Hospital *
Elements Hospital Plus *
Elements Hospital Preferred *
EmployeeChoice Plans
PPO
Premier PPO $20 Copay
PPO $30 Copay
PPO $35 Copay GenRx *
Lumenos HSA 3500 (80/50) *
Lumenos HSA 3500 (80/50) MHP *
HMO
Saver $20 HMO
BeneFits Plans
Hospital PPO Coverage
Hospital BeneFits
Hospital BeneFits Plus
Hospital BeneFits Preferred
Consumer Driven
Lumenos HSA 3000 (100/70)
Comprehensive Coverage
PPO $35 Copay GenRx
Select $25 HMO (not available in area 1) |
|
Amador 95601, 95640, 95642, 95644, 95654, 95665, 95666, 95669, 95675, 95685, 95689, 95699
Calaveras 95221, 95222, 95223, 95224, 95225, 95226, 95228, 95229, 95232, 95233, 95245, 95246, 95247, 95248, 95249, 95250, 95251, 95252, 95254, 95255, 95257
Mono 93512, 93517, 93529, 93541, 93546, 96107, 96133
Monterey 93426, 93450, 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
San Benito 93930, 95004
San Luis Obispo 93426 |
Anthem
Blue Cross |
EmployeeElect Plans
HMO Plans
HMO $10 100%
HMO $25 100%
Classic $20 HMO
Classic $30 HMO
Classic $40 HMO
Saver $20 HMO
Saver $30 HMO
Saver $40 HMO
Select $25 HMO ** (available in red zip codes)
Select $35 HMO ** (available in red zip codes)
Premier PPO Plans
Premier $10 Copay
Premier $20 Copay
Premier $30 Copay
PPO Plans
PPO $20 Copay *
PPO $30 Copay
PPO $40 Copay
PPO GenRx Plans
$25 Copay GenRx *
$35 Copay GenRx *
$45 Copay GenRx *
Solution Plans
Solution 2500 PPO *
Solution 3500 PPO *
Solution 5000 PPO *
Lumenos HIA+ Plans
Lumenos HIA+ 500 *
Lumenos HIA+ 750 *
Lumenos HSA 100/70 Plans
Lumenos HSA 2000 (100/70) *
Lumenos HSA 3000 (100/70) *
Lumenos HSA 5000 (100/70) *
Lumenos HSA 80/50 Plans
Lumenos HSA 1500 (80/50) *
Lumenos HSA 2500 (80/50) *
Lumenos HSA 3500 (80/50) *
EPO Plans
High Deductible EPO
Elements Hospital Plans
Elements Hospital *
Elements Hospital Plus *
Elements Hospital Preferred *
EmployeeChoice Plans
PPO
Premier PPO $20 Copay
PPO $30 Copay
PPO $35 Copay GenRx *
Lumenos HSA 3500 (80/50) *
Lumenos HSA 3500 (80/50) MHP *
HMO
Saver $20 HMO
BeneFits Plans
Hospital PPO Coverage
Hospital BeneFits
Hospital BeneFits Plus
Hospital BeneFits Preferred
Consumer Driven
Lumenos HSA 3000 (100/70)
Comprehensive Coverage
PPO $35 Copay GenRx
Select $25 HMO (available in red zip codes) |
|
Important... Select HMO plans are ONLY available in red zip codes. All other plans are available in both red and black zip codes.
Alameda 95304, 95377, 95391
Alpine 95646, 96120
Calaveras 95230, 95236
Del Norte 95531, 95532, 95538, 95543, 95548, 95567
El Dorado 96142, 96150, 96151, 96152, 96154, 96155, 96156, 96157, 96158
Humboldt 95552
Inyo 92328, 92384, 92389, 93513, 93514, 93515, 93522, 93526, 93530, 93542, 93545, 93549
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
Modoc 96006, 96015, 96054, 96056, 96101, 96104, 96108, 96110, 96112, 96115, 96116, 96134
Mono 93514
Napa 94589, 94590
Nevada 95602, 95712, 95724, 95728, 95924, 95945, 95946, 95949, 95959, 95960, 95975, 95986, 96111, 96160, 96161, 96162
Placer 95602, 95603, 95604, 95631, 95648, 95650, 95658, 95661, 95663, 95677, 95678, 95681, 95701, 95703, 95713, 95714, 95715, 95717, 95722, 95736, 95746, 95747, 95765, 96140, 96141, 96143, 96145, 96146, 96148, 96161
Plumas 95915, 95923, 95934, 95947, 95956, 95971, 95980, 95983, 95984, 96020, 96103, 96105, 96106, 96122, 96129, 96135, 96137
Sacramento 94571
San Benito 95023, 95024, 95043, 95045, 95075
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, 95686
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
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, 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 94510, 94512, 94533, 94534, 94535, 94571, 94585, 94589, 94590, 94591, 94592, 95620, 95625, 95687, 95688, 95696
Stanislaus 95230, 95304, 95307, 95313, 95316, 95319, 95323, 95326, 95328, 95350, 95351, 95352, 95353, 95354, 95355, 95356, 95357, 95358, 95360, 95361, 95363, 95367, 95368, 95380, 95381, 95382, 95385, 95386, 95387, 95397
Sutter 95648
Tehama 96021, 96022, 96029, 96035, 96055, 96059, 96061, 96063, 96074, 96075, 96076, 96078, 96080, 96090, 96092
Trinity 95527, 95543, 95552, 95563, 95595, 96010, 96024, 96041, 96046, 96048, 96052, 96076, 96091, 96093
Tuolumne 95230
Yuba 95960, 95977 |
Anthem
Blue Cross |
EmployeeElect Plans
HMO Plans
HMO $10 100%
HMO $25 100%
Classic $20 HMO
Classic $30 HMO
Classic $40 HMO
Saver $20 HMO
Saver $30 HMO
Saver $40 HMO
Select $25 HMO ** (available in red zip codes)
Select $35 HMO ** (available in red zip codes)
Premier PPO Plans
Premier $10 Copay
Premier $20 Copay
Premier $30 Copay
PPO Plans
PPO $20 Copay *
PPO $30 Copay
PPO $40 Copay
PPO GenRx Plans
$25 Copay GenRx *
$35 Copay GenRx *
$45 Copay GenRx *
Solution Plans
Solution 2500 PPO *
Solution 3500 PPO *
Solution 5000 PPO *
Lumenos HIA+ Plans
Lumenos HIA+ 500 *
Lumenos HIA+ 750 *
Lumenos HSA 100/70 Plans
Lumenos HSA 2000 (100/70) *
Lumenos HSA 3000 (100/70) *
Lumenos HSA 5000 (100/70) *
Lumenos HSA 80/50 Plans
Lumenos HSA 1500 (80/50) *
Lumenos HSA 2500 (80/50) *
Lumenos HSA 3500 (80/50) *
EPO Plans
High Deductible EPO
Elements Hospital Plans
Elements Hospital *
Elements Hospital Plus *
Elements Hospital Preferred *
EmployeeChoice Plans
PPO
Premier PPO $20 Copay
PPO $30 Copay
PPO $35 Copay GenRx *
Lumenos HSA 3500 (80/50) *
Lumenos HSA 3500 (80/50) MHP *
HMO
Saver $20 HMO
BeneFits Plans
Hospital PPO Coverage
Hospital BeneFits
Hospital BeneFits Plus
Hospital BeneFits Preferred
Consumer Driven
Lumenos HSA 3000 (100/70)
Comprehensive Coverage
PPO $35 Copay GenRx
Select $25 HMO (available in red zip codes) |
|
Important... Select HMO plans are ONLY available in red zip codes. All other plans are available in both red and black zip codes.
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, 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, 94649, 94659, 94660, 94661, 94662, 94666, 94701, 94702, 94703, 94704, 94705, 94706, 94707, 94708, 94709, 94710, 94712, 94720
Amador 95629
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
Colusa 95912, 95932, 95939, 95950, 95955, 95957, 95970, 95979, 95987
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
El Dorado 95613, 95614, 95619, 95623, 95629, 95633, 95634, 95635, 95636, 95651, 95656, 95664, 95667, 95672, 95682, 95684, 95709, 95720, 95721, 95726, 95735, 95762
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, 95553, 95554, 95555, 95556, 95558, 95559, 95560, 95562, 95564, 95565, 95569, 95570, 95571, 95573, 95589
Lake 95422, 95423, 95424, 95426, 95435, 95443, 95451, 95453, 95457, 95458, 95461, 95464, 95467, 95485, 95493
Mariposa 95321, 95329
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
Monterey 95076
Napa 94503, 94508, 94515, 94558, 94559, 94562, 94567, 94573, 94574, 94576, 94581, 94589, 94590, 94599, 95476
Placer 95626, 95668, 95692
Plumas 95981
Sacramento 94203, 94204, 94205, 94206, 94207, 94208, 94209, 94211, 94229, 94230, 94232, 94234, 94235, 94236, 94237, 94239, 94240, 94244, 94245, 94246, 94247, 94248, 94249, 94250, 94252, 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, 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 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
San Joaquin 94505, 94514, 95632, 95690
Santa Clara 94022, 94023, 94024, 94035, 94039, 94040, 94041, 94042, 94043, 94085, 94086, 94087, 94088, 94089, 94301, 94302, 94303, 94304, 94305, 94306, 94309, 94550, 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
Santa Cruz 95001, 95003, 95005, 95006, 95007, 95010, 95017, 95018, 95019, 95033, 95041, 95060, 95061, 95062, 95063, 95064, 95065, 95066, 95067, 95073, 95076, 95077
Sierra 95922
Solano 94503, 95616, 95618, 95690, 95694
Sonoma 94515, 94922, 94923, 94926, 94927, 94928, 94931, 94951, 94952, 94953, 94954, 94955, 94972, 94975, 94999, 95401, 95402, 95403, 95404, 95405, 95406, 95407, 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
Stanislaus 95329
Sutter 95626, 95645, 95659, 95668, 95674, 95676, 95692, 95836, 95837, 95948, 95953, 95957, 95982, 95991, 95992, 95993
Tehama 95963, 95973
Trinity 95526
Tuolumne 95305, 95309, 95310, 95314, 95321, 95327, 95329, 95335, 95346, 95347, 95364, 95370, 95372, 95373, 95375, 95379, 95383
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, 95961, 95962, 95966, 95972, 95977, 95981 |
Anthem
Blue Cross |
EmployeeElect Plans
HMO Plans
HMO $10 100%
HMO $25 100%
Classic $20 HMO
Classic $30 HMO
Classic $40 HMO
Saver $20 HMO
Saver $30 HMO
Saver $40 HMO
Select $25 HMO ** (available in red zip codes)
Select $35 HMO ** (available in red zip codes)
Premier PPO Plans
Premier $10 Copay
Premier $20 Copay
Premier $30 Copay
PPO Plans
PPO $20 Copay *
PPO $30 Copay
PPO $40 Copay
PPO GenRx Plans
$25 Copay GenRx *
$35 Copay GenRx *
$45 Copay GenRx *
Solution Plans
Solution 2500 PPO *
Solution 3500 PPO *
Solution 5000 PPO *
Lumenos HIA+ Plans
Lumenos HIA+ 500 *
Lumenos HIA+ 750 *
Lumenos HSA 100/70 Plans
Lumenos HSA 2000 (100/70) *
Lumenos HSA 3000 (100/70) *
Lumenos HSA 5000 (100/70) *
Lumenos HSA 80/50 Plans
Lumenos HSA 1500 (80/50) *
Lumenos HSA 2500 (80/50) *
Lumenos HSA 3500 (80/50) *
EPO Plans
High Deductible EPO
Elements Hospital Plans
Elements Hospital *
Elements Hospital Plus *
Elements Hospital Preferred *
EmployeeChoice Plans
PPO
Premier PPO $20 Copay
PPO $30 Copay
PPO $35 Copay GenRx *
Lumenos HSA 3500 (80/50) *
Lumenos HSA 3500 (80/50) MHP *
HMO
Saver $20 HMO
BeneFits Plans
Hospital PPO Coverage
Hospital BeneFits
Hospital BeneFits Plus
Hospital BeneFits Preferred
Consumer Driven
Lumenos HSA 3000 (100/70)
Comprehensive Coverage
PPO $35 Copay GenRx
Select $25 HMO (available in red zip codes) |
|
Important... Select HMO plans are ONLY available in red zip codes. All other plans are available in both red and black zip codes.
Los Angeles 90623, 90630, 90631
Orange 90620, 90621, 90622, 90623, 90624, 90630, 90631, 90632, 90633, 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
Riverside 92883 |
Anthem
Blue Cross |
EmployeeElect Plans
HMO Plans
HMO $10 100%
HMO $25 100%
Classic $20 HMO
Classic $30 HMO
Classic $40 HMO
Saver $20 HMO
Saver $30 HMO
Saver $40 HMO
Select $25 HMO ** (available in red zip codes)
Select $35 HMO ** (available in red zip codes)
Premier PPO Plans
Premier $10 Copay
Premier $20 Copay
Premier $30 Copay
PPO Plans
PPO $20 Copay *
PPO $30 Copay
PPO $40 Copay
PPO GenRx Plans
$25 Copay GenRx *
$35 Copay GenRx *
$45 Copay GenRx *
Solution Plans
Solution 2500 PPO *
Solution 3500 PPO *
Solution 5000 PPO *
Lumenos HIA+ Plans
Lumenos HIA+ 500 *
Lumenos HIA+ 750 *
Lumenos HSA 100/70 Plans
Lumenos HSA 2000 (100/70) *
Lumenos HSA 3000 (100/70) *
Lumenos HSA 5000 (100/70) *
Lumenos HSA 80/50 Plans
Lumenos HSA 1500 (80/50) *
Lumenos HSA 2500 (80/50) *
Lumenos HSA 3500 (80/50) *
EPO Plans
High Deductible EPO
Elements Hospital Plans
Elements Hospital *
Elements Hospital Plus *
Elements Hospital Preferred *
EmployeeChoice Plans
PPO
Premier PPO $20 Copay
PPO $30 Copay
PPO $35 Copay GenRx *
Lumenos HSA 3500 (80/50) *
Lumenos HSA 3500 (80/50) MHP *
HMO
Saver $20 HMO
BeneFits Plans
Hospital PPO Coverage
Hospital BeneFits
Hospital BeneFits Plus
Hospital BeneFits Preferred
Consumer Driven
Lumenos HSA 3000 (100/70)
Comprehensive Coverage
PPO $35 Copay GenRx
Select $25 HMO (available in red zip codes) |
|
Important... Select HMO plans are ONLY available in red zip codes. All other plans are available in both red and black zip codes.
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, 90101, 90102, 90103, 90189, 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, 90301, 90302, 90303, 90304, 90305, 90306, 90307, 90308, 90309, 90310, 90311, 90312, 90313, 90397, 90398, 90401, 90402, 90403, 90404, 90405, 90406, 90407, 90408, 90409, 90410, 90411, 90501, 90502, 90503, 90504, 90505, 90506, 90507, 90508, 90509, 90510, 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, 91601, 91602, 91603, 91604, 91605, 91606, 91607, 91608, 91609, 91610, 91611, 91612, 91614, 91615, 91616, 91617, 91618
Ventura 90265, 91304, 91307, 91311, 91319, 91320, 91358, 91359, 91360, 91361, 91362, 91377 |
Anthem
Blue Cross |
EmployeeElect Plans
HMO Plans
HMO $10 100%
HMO $25 100%
Classic $20 HMO
Classic $30 HMO
Classic $40 HMO
Saver $20 HMO
Saver $30 HMO
Saver $40 HMO
Select $25 HMO ** (available in red zip codes)
Select $35 HMO ** (available in red zip codes)
Premier PPO Plans
Premier $10 Copay
Premier $20 Copay
Premier $30 Copay
PPO Plans
PPO $20 Copay *
PPO $30 Copay
PPO $40 Copay
PPO GenRx Plans
$25 Copay GenRx *
$35 Copay GenRx *
$45 Copay GenRx *
Solution Plans
Solution 2500 PPO *
Solution 3500 PPO *
Solution 5000 PPO *
Lumenos HIA+ Plans
Lumenos HIA+ 500 *
Lumenos HIA+ 750 *
Lumenos HSA 100/70 Plans
Lumenos HSA 2000 (100/70) *
Lumenos HSA 3000 (100/70) *
Lumenos HSA 5000 (100/70) *
Lumenos HSA 80/50 Plans
Lumenos HSA 1500 (80/50) *
Lumenos HSA 2500 (80/50) *
Lumenos HSA 3500 (80/50) *
EPO Plans
High Deductible EPO
Elements Hospital Plans
Elements Hospital *
Elements Hospital Plus *
Elements Hospital Preferred *
EmployeeChoice Plans
PPO
Premier PPO $20 Copay
PPO $30 Copay
PPO $35 Copay GenRx *
Lumenos HSA 3500 (80/50) *
Lumenos HSA 3500 (80/50) MHP *
HMO
Saver $20 HMO
BeneFits Plans
Hospital PPO Coverage
Hospital BeneFits
Hospital BeneFits Plus
Hospital BeneFits Preferred
Consumer Driven
Lumenos HSA 3000 (100/70)
Comprehensive Coverage
PPO $35 Copay GenRx
Select $25 HMO (available in red zip codes) |
|
Important... Select HMO plans are ONLY available in red zip codes. All other plans are available in both red and black zip codes.
Imperial 92004, 92222, 92225, 92227, 92231, 92232, 92233, 92243, 92244, 92249, 92250, 92251, 92257, 92259, 92266, 92273, 92274, 92275, 92281, 92283
Los Angeles 91709
Riverside 91752, 92028, 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, 92373, 92399, 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
San Bernardino 91701, 91708, 91709, 91710, 91729, 91730, 91737, 91739, 91743, 91758, 91761, 91762, 91763, 91764, 91784, 91785, 91786, 91798, 92242, 92252, 92256, 92267, 92268, 92277, 92278, 92280, 92284, 92285, 92286, 92301, 92304, 92305, 92307, 92308, 92309, 92310, 92311, 92312, 92313, 92314, 92315, 92316, 92317, 92318, 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, 92880, 93562, 93592
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 |
Anthem
Blue Cross |
EmployeeElect Plans
HMO Plans
HMO $10 100%
HMO $25 100%
Classic $20 HMO
Classic $30 HMO
Classic $40 HMO
Saver $20 HMO
Saver $30 HMO
Saver $40 HMO
Select $25 HMO ** (available in red zip codes)
Select $35 HMO ** (available in red zip codes)
Premier PPO Plans
Premier $10 Copay
Premier $20 Copay
Premier $30 Copay
PPO Plans
PPO $20 Copay *
PPO $30 Copay
PPO $40 Copay
PPO GenRx Plans
$25 Copay GenRx *
$35 Copay GenRx *
$45 Copay GenRx *
Solution Plans
Solution 2500 PPO *
Solution 3500 PPO *
Solution 5000 PPO *
Lumenos HIA+ Plans
Lumenos HIA+ 500 *
Lumenos HIA+ 750 *
Lumenos HSA 100/70 Plans
Lumenos HSA 2000 (100/70) *
Lumenos HSA 3000 (100/70) *
Lumenos HSA 5000 (100/70) *
Lumenos HSA 80/50 Plans
Lumenos HSA 1500 (80/50) *
Lumenos HSA 2500 (80/50) *
Lumenos HSA 3500 (80/50) *
EPO Plans
High Deductible EPO
Elements Hospital Plans
Elements Hospital *
Elements Hospital Plus *
Elements Hospital Preferred *
EmployeeChoice Plans
PPO
Premier PPO $20 Copay
PPO $30 Copay
PPO $35 Copay GenRx *
Lumenos HSA 3500 (80/50) *
Lumenos HSA 3500 (80/50) MHP *
HMO
Saver $20 HMO
BeneFits Plans
Hospital PPO Coverage
Hospital BeneFits
Hospital BeneFits Plus
Hospital BeneFits Preferred
Consumer Driven
Lumenos HSA 3000 (100/70)
Comprehensive Coverage
PPO $35 Copay GenRx
Select $25 HMO (available in red zip codes) |
|
Important... Select HMO plans are ONLY available in red zip codes. All other plans are available in both red and black zip codes.
Fresno 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
Inyo 93527
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, 93311, 93312, 93313, 93314, 93380, 93381, 93382, 93383, 93384, 93385, 93386, 93387, 93388, 93389, 93390, 93501, 93502, 93504, 93505, 93516, 93518, 93519, 93523, 93524, 93527, 93528, 93531, 93554, 93555, 93556, 93558, 93560, 93561, 93581, 93596
Kings 93202, 93204, 93212, 93230, 93232, 93239, 93242, 93245, 93246, 93266, 93631, 93656
Los Angeles 93243, 93560
Madera 93601, 93602, 93604, 93610, 93614, 93620, 93622, 93623, 93626, 93636, 93637, 93638, 93639, 93643, 93644, 93645, 93653, 93669, 93720
Mariposa 93601, 93623, 93653, 95306, 95311, 95318, 95325, 95338, 95345, 95389
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
San Benito 93210
San Bernadino 93516, 93555, 93558
San Luis Obispo 93252
Santa Barbara 93252
Stanislaus 95322
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
Tuolumne 95311
Ventura 93252 |
Anthem
Blue Cross |
EmployeeElect Plans
HMO Plans
HMO $10 100%
HMO $25 100%
Classic $20 HMO
Classic $30 HMO
Classic $40 HMO
Saver $20 HMO
Saver $30 HMO
Saver $40 HMO
Select $25 HMO ** (available in red zip codes)
Select $35 HMO ** (available in red zip codes)
Premier PPO Plans
Premier $10 Copay
Premier $20 Copay
Premier $30 Copay
PPO Plans
PPO $20 Copay *
PPO $30 Copay
PPO $40 Copay
PPO GenRx Plans
$25 Copay GenRx *
$35 Copay GenRx *
$45 Copay GenRx *
Solution Plans
Solution 2500 PPO *
Solution 3500 PPO *
Solution 5000 PPO *
Lumenos HIA+ Plans
Lumenos HIA+ 500 *
Lumenos HIA+ 750 *
Lumenos HSA 100/70 Plans
Lumenos HSA 2000 (100/70) *
Lumenos HSA 3000 (100/70) *
Lumenos HSA 5000 (100/70) *
Lumenos HSA 80/50 Plans
Lumenos HSA 1500 (80/50) *
Lumenos HSA 2500 (80/50) *
Lumenos HSA 3500 (80/50) *
EPO Plans
High Deductible EPO
Elements Hospital Plans
Elements Hospital *
Elements Hospital Plus *
Elements Hospital Preferred *
EmployeeChoice Plans
PPO
Premier PPO $20 Copay
PPO $30 Copay
PPO $35 Copay GenRx *
Lumenos HSA 3500 (80/50) *
Lumenos HSA 3500 (80/50) MHP *
HMO
Saver $20 HMO
BeneFits Plans
Hospital PPO Coverage
Hospital BeneFits
Hospital BeneFits Plus
Hospital BeneFits Preferred
Consumer Driven
Lumenos HSA 3000 (100/70)
Comprehensive Coverage
PPO $35 Copay GenRx
Select $25 HMO (available in red zip codes) |
|
Important... Select HMO plans are ONLY available in red zip codes. All other plans are available in both red and black zip codes.
Monterey 93451
San Luis Obispo 93401, 93402, 93403, 93405, 93406, 93407, 93408, 93409, 93410, 93412, 93420, 93421, 93422, 93423, 93424, 93428, 93430, 93432, 93433, 93435, 93442, 93443, 93444, 93445, 93446, 93447, 93448, 93449, 93451, 93452, 93453, 93454, 93461, 93465, 93475, 93483
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, 93254, 93427, 93429, 93434, 93436, 93437, 93438, 93440, 93441, 93454, 93455, 93456, 93457, 93458, 93460, 93463, 93464
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 |
Anthem
Blue Cross |
EmployeeElect Plans
HMO Plans
HMO $10 100%
HMO $25 100%
Classic $20 HMO
Classic $30 HMO
Classic $40 HMO
Saver $20 HMO
Saver $30 HMO
Saver $40 HMO
Select $25 HMO ** (available in red zip codes)
Select $35 HMO ** (available in red zip codes)
Premier PPO Plans
Premier $10 Copay
Premier $20 Copay
Premier $30 Copay
PPO Plans
PPO $20 Copay *
PPO $30 Copay
PPO $40 Copay
PPO GenRx Plans
$25 Copay GenRx *
$35 Copay GenRx *
$45 Copay GenRx *
Solution Plans
Solution 2500 PPO *
Solution 3500 PPO *
Solution 5000 PPO *
Lumenos HIA+ Plans
Lumenos HIA+ 500 *
Lumenos HIA+ 750 *
Lumenos HSA 100/70 Plans
Lumenos HSA 2000 (100/70) *
Lumenos HSA 3000 (100/70) *
Lumenos HSA 5000 (100/70) *
Lumenos HSA 80/50 Plans
Lumenos HSA 1500 (80/50) *
Lumenos HSA 2500 (80/50) *
Lumenos HSA 3500 (80/50) *
EPO Plans
High Deductible EPO
Elements Hospital Plans
Elements Hospital *
Elements Hospital Plus *
Elements Hospital Preferred *
EmployeeChoice Plans
PPO
Premier PPO $20 Copay
PPO $30 Copay
PPO $35 Copay GenRx *
Lumenos HSA 3500 (80/50) *
Lumenos HSA 3500 (80/50) MHP *
HMO
Saver $20 HMO
BeneFits Plans
Hospital PPO Coverage
Hospital BeneFits
Hospital BeneFits Plus
Hospital BeneFits Preferred
Consumer Driven
Lumenos HSA 3000 (100/70)
Comprehensive Coverage
PPO $35 Copay GenRx
Select $25 HMO (available in red zip codes) |
|
Important... Select HMO plans are ONLY available in red zip codes. All other plans are available in both red and black zip codes.
Kern 93536
Los Angeles 90601, 90602, 90603, 90604, 90605, 90606, 90607, 90608, 90609, 90610, 90612, 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, 91501, 91502, 91503, 91504, 91505, 91506, 91507, 91508, 91510, 91521, 91522, 91523, 91526, 91702, 91706, 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, 93563, 93584, 93586, 93590, 93591, 93599
Orange 90638
San Bernardino 91766, 91792 |
*Underwritten by Anthem Blue Cross Life and Health Insurance Company; all other plans underwritten by Anthem Blue Cross.
**Select $25 HMO and Select $35 HMO cannot be offered in combination with any other non-Select HMO plan. |
| Company |
Dental |
Rate Guide |
California Counties / Zip Codes Covered --- Eff: 4-2010 to 9-30-2010 |
Anthem
Blue Cross |
Dental Blue® PPO Plans
Dental Blue Silver 100-80
Dental Blue Silver Plus 100 - 80
Dental Blue Gold 100 - 80
Dental Blue Gold Plus 100 - 80
Dental Blue Platinum 100 - 80
Dental Blue Platinum Plus 100 - 80
Dental PPO and Dental HMO plans
Basic Option Dental PPO
Standard Option PPO
High Option Dental PPO
Dental Net
Voluntary Dental PPO
Voluntary Dental Saver SelectDHMO Plan |
All Areas |
All |
| Company |
Life Insurance |
Rate Guide |
California Counties / Zip Codes Covered --- Eff: 4-2010 to 9-30-2010 |
Anthem
Blue Cross |
Basic Term Life and AD&D Coverage |
All Areas |
All |
| Company |
Vision |
Rate Guide |
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