| Blue Shield Rate Guide - Vision |
|
|
Company |
Plan Types Available |
Rate Guide |
California Counties / Zip Codes Covered --- Effective Date: 4-1-2010 to 6-30-2010 |
Blue Shield |
VISION PLANS:
Blue Shield of California
Vision Basic 0/25/100**
Vision Basic 0/15/120**
Vision Basic 0/0/130**
Vision Basic+ 0/15/120**
Sold with Blue Shield of California medical plans.
VISION PLANS:
Blue Shield of California Life & Health Insurance Company
Vision Basic 0/25/100**
Vision Basic 0/15/120**
Vision Basic 0/0/130**
Vision Basic+ 0/15/120**
Sold with Blue Shield Life medical plans.
Vision Standard 0/25/100
Vision Standard 0/15/120
Vision Standard 0/25/130
Vision Standard 0/0/130
Vision Std Vol. 0/25/120
Vision Plus 0/25/100
Vision Plus 0/15/120
Vision Plus 0/25/130
Vision Plus 0/0/130
Vision Deluxe 0/25/100
Vision Deluxe 0/15/120
Vision Deluxe 0/25/130
Vision Deluxe 0/0/130
Vision plans are available alongside medical coverage or on a standalone basis. |
|
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
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
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
Imperial 92004, 92222, 92225, 92227, 92231, 92232, 92233, 92243, 92244, 92249, 92250, 92251, 92257, 92259, 92266, 92273, 92274, 92275, 92281, 92283
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, 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
Mariposa 93601, 93623, 93653, 95306, 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
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 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
Sierra 95910, 95922, 95936, 95944, 95960, 96105, 96118, 96124, 96125, 96126
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 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, 95385, 95386, 95387, 95397
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
Yolo 95605, 95606, 95607, 95612, 95616, 95617, 95618, 95627, 95637, 95645, 95653, 95679, 95691, 95694, 95695, 95697, 95698, 95776, 95798, 95799, 95912, 95937 |
Blue Shield |
VISION PLANS:
Blue Shield of California
Vision Basic 0/25/100**
Vision Basic 0/15/120**
Vision Basic 0/0/130**
Vision Basic+ 0/15/120**
Sold with Blue Shield of California medical plans.
VISION PLANS:
Blue Shield of California Life & Health Insurance Company
Vision Basic 0/25/100**
Vision Basic 0/15/120**
Vision Basic 0/0/130**
Vision Basic+ 0/15/120**
Sold with Blue Shield Life medical plans.
Vision Standard 0/25/100
Vision Standard 0/15/120
Vision Standard 0/25/130
Vision Standard 0/0/130
Vision Std Vol. 0/25/120
Vision Plus 0/25/100
Vision Plus 0/15/120
Vision Plus 0/25/130
Vision Plus 0/0/130
Vision Deluxe 0/25/100
Vision Deluxe 0/15/120
Vision Deluxe 0/25/130
Vision Deluxe 0/0/130
Vision plans are available alongside medical coverage or on a standalone basis. |
|
Del Norte 95531, 95532, 95538, 95543, 95548, 95567
Inyo 92328, 92384, 92389, 93513, 93514, 93515, 93522, 93526, 93527, 93530, 93542, 93545, 93549
Lassen 96006, 96009, 96056, 96068, 96109, 96113, 96114, 96117, 96119, 96121, 96123, 96127, 96128, 96130, 96132, 96136, 96137
Modoc 96006, 96015, 96054, 96056, 96101, 96104, 96108, 96110, 96112, 96115, 96116, 96134
Mono 93512, 93514, 93517, 93529, 93541, 93546, 96107, 96133
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
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, 94571, 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 Benito 93210, 93930, 95004, 95023, 95024, 95043, 95045, 95075
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
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
Siskiyou 95568, 96014, 96023, 96025, 96027, 96031, 96032, 96034, 96037, 96038, 96039, 96044, 96050, 96057, 96058, 96064, 96067, 96085, 96086, 96091, 96094, 96097, 96134
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 |
Blue Shield |
VISION PLANS:
Blue Shield of California
Vision Basic 0/25/100**
Vision Basic 0/15/120**
Vision Basic 0/0/130**
Vision Basic+ 0/15/120**
Sold with Blue Shield of California medical plans.
VISION PLANS:
Blue Shield of California Life & Health Insurance Company
Vision Basic 0/25/100**
Vision Basic 0/15/120**
Vision Basic 0/0/130**
Vision Basic+ 0/15/120**
Sold with Blue Shield Life medical plans.
Vision Standard 0/25/100
Vision Standard 0/15/120
Vision Standard 0/25/130
Vision Standard 0/0/130
Vision Std Vol. 0/25/120
Vision Plus 0/25/100
Vision Plus 0/15/120
Vision Plus 0/25/130
Vision Plus 0/0/130
Vision Deluxe 0/25/100
Vision Deluxe 0/15/120
Vision Deluxe 0/25/130
Vision Deluxe 0/0/130
Vision plans are available alongside medical coverage or on a standalone basis. |
|
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, 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
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
Napa 94503, 94508, 94515, 94558, 94559, 94562, 94567, 94573, 94574, 94576, 94581, 94589, 94590, 94599, 95476
Placer 95602, 95603, 95604, 95626, 95631, 95648, 95650, 95658, 95661, 95663, 95668, 95677, 95678, 95681, 95692, 95701, 95703, 95713, 95714, 95715, 95717, 95722, 95736, 95746, 95747, 95765, 96140, 96141, 96143, 96145, 96146, 96148, 96161
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, 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 Cruz 95001, 95003, 95005, 95006, 95007, 95010, 95017, 95018, 95019, 95033, 95041, 95060, 95061, 95062, 95063, 95064, 95065, 95066, 95067, 95073, 95076, 95077
Sutter 95626, 95645, 95648, 95659, 95668, 95674, 95676, 95692, 95836, 95837, 95948, 95953, 95957, 95982, 95991, 95992, 95993
Tehama 95963, 95973, 96021, 96022, 96029, 96035, 96055, 96059, 96061, 96063, 96074, 96075, 96076, 96078, 96080, 96090, 96092
Yuba 95692, 95901, 95903, 95914, 95918, 95919, 95922, 95925, 95935, 95941, 95960, 95961, 95962, 95966, 95972, 95977, 95981 |
Blue Shield |
VISION PLANS:
Blue Shield of California
Vision Basic 0/25/100**
Vision Basic 0/15/120**
Vision Basic 0/0/130**
Vision Basic+ 0/15/120**
Sold with Blue Shield of California medical plans.
VISION PLANS:
Blue Shield of California Life & Health Insurance Company
Vision Basic 0/25/100**
Vision Basic 0/15/120**
Vision Basic 0/0/130**
Vision Basic+ 0/15/120**
Sold with Blue Shield Life medical plans.
Vision Standard 0/25/100
Vision Standard 0/15/120
Vision Standard 0/25/130
Vision Standard 0/0/130
Vision Std Vol. 0/25/120
Vision Plus 0/25/100
Vision Plus 0/15/120
Vision Plus 0/25/130
Vision Plus 0/0/130
Vision Deluxe 0/25/100
Vision Deluxe 0/15/120
Vision Deluxe 0/25/130
Vision Deluxe 0/0/130
Vision plans are available alongside medical coverage or on a standalone basis. |
|
Alpine 95646, 96120
Amador 95601, 95629, 95640, 95642, 95644, 95654, 95665, 95666, 95669, 95675, 95685, 95689, 95699
Calaveras 95221, 95222, 95223, 95224, 95225, 95226, 95228, 95229, 95230, 95232, 95233, 95236, 95245, 95246, 95247, 95248, 95249, 95250, 95251, 95252, 95254, 95255, 95257
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
Lake 95422, 95423, 95424, 95426, 95435, 95443, 95451, 95453, 95457, 95458, 95461, 95464, 95467, 95485, 95493
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
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
Solano 94503, 94510, 94512, 94533, 94534, 94535, 94571, 94585, 94589, 94590, 94591, 94592, 95616, 95618, 95620, 95625, 95687, 95688, 95690, 95694, 95696 |
Blue Shield |
VISION PLANS:
Blue Shield of California
Vision Basic 0/25/100**
Vision Basic 0/15/120**
Vision Basic 0/0/130**
Vision Basic+ 0/15/120**
Sold with Blue Shield of California medical plans.
VISION PLANS:
Blue Shield of California Life & Health Insurance Company
Vision Basic 0/25/100**
Vision Basic 0/15/120**
Vision Basic 0/0/130**
Vision Basic+ 0/15/120**
Sold with Blue Shield Life medical plans.
Vision Standard 0/25/100
Vision Standard 0/15/120
Vision Standard 0/25/130
Vision Standard 0/0/130
Vision Std Vol. 0/25/120
Vision Plus 0/25/100
Vision Plus 0/15/120
Vision Plus 0/25/130
Vision Plus 0/0/130
Vision Deluxe 0/25/100
Vision Deluxe 0/15/120
Vision Deluxe 0/25/130
Vision Deluxe 0/0/130
Vision plans are available alongside medical coverage or on a standalone basis. |
|
San Bernardino 91701, 91708, 91709, 91710, 91729, 91730, 91737, 91739, 91743, 91758, 91761, 91762, 91763, 91764, 91766, 91784, 91785, 91786, 91792, 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, 93516, 93555, 93558, 93562, 93592
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 |
Blue Shield |
VISION PLANS:
Blue Shield of California
Vision Basic 0/25/100**
Vision Basic 0/15/120**
Vision Basic 0/0/130**
Vision Basic+ 0/15/120**
Sold with Blue Shield of California medical plans.
VISION PLANS:
Blue Shield of California Life & Health Insurance Company
Vision Basic 0/25/100**
Vision Basic 0/15/120**
Vision Basic 0/0/130**
Vision Basic+ 0/15/120**
Sold with Blue Shield Life medical plans.
Vision Standard 0/25/100
Vision Standard 0/15/120
Vision Standard 0/25/130
Vision Standard 0/0/130
Vision Std Vol. 0/25/120
Vision Plus 0/25/100
Vision Plus 0/15/120
Vision Plus 0/25/130
Vision Plus 0/0/130
Vision Deluxe 0/25/100
Vision Deluxe 0/15/120
Vision Deluxe 0/25/130
Vision Deluxe 0/0/130
Vision plans are available alongside medical coverage or on a standalone basis. |
|
Los Angeles 90247, 90248, 90249, 90250, 90251, 90260, 90261, 90265, 90274, 90275, 90500, 90501, 90502, 90503, 90504, 90505, 90506, 90507, 90508, 90509, 90510, 90601, 90602, 90603, 90604, 90605, 90606, 90607, 90608, 90609, 90610, 90612, 90637, 90638, 90639, 90640, 90650, 90651, 90652, 90659, 90660, 90661, 90662, 90665, 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, 90800, 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, 91002, 91003, 91006, 91007, 91008, 91009, 91010, 91011, 91012, 91016, 91017, 91020, 91021, 91023, 91024, 91025, 91030, 91031, 91040, 91041, 91042, 91043, 91046, 91050, 91051, 91066, 91077, 91100, 91101, 91102, 91103, 91104, 91105, 91106, 91107, 91108, 91109, 91110, 91114, 91115, 91116, 91117, 91118, 91121, 91123, 91124, 91125, 91126, 91129, 91131, 91175, 91182, 91184, 91185, 91186, 91187, 91188, 91189, 91191, 91199, 91200, 91201, 91202, 91203, 91204, 91205, 91206, 91207, 91208, 91209, 91210, 91214, 91221, 91222, 91224, 91225, 91226, 91500, 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, 91800, 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 |
Blue Shield |
VISION PLANS:
Blue Shield of California
Vision Basic 0/25/100**
Vision Basic 0/15/120**
Vision Basic 0/0/130**
Vision Basic+ 0/15/120**
Sold with Blue Shield of California medical plans.
VISION PLANS:
Blue Shield of California Life & Health Insurance Company
Vision Basic 0/25/100**
Vision Basic 0/15/120**
Vision Basic 0/0/130**
Vision Basic+ 0/15/120**
Sold with Blue Shield Life medical plans.
Vision Standard 0/25/100
Vision Standard 0/15/120
Vision Standard 0/25/130
Vision Standard 0/0/130
Vision Std Vol. 0/25/120
Vision Plus 0/25/100
Vision Plus 0/15/120
Vision Plus 0/25/130
Vision Plus 0/0/130
Vision Deluxe 0/25/100
Vision Deluxe 0/15/120
Vision Deluxe 0/25/130
Vision Deluxe 0/0/130
Vision plans are available alongside medical coverage or on a standalone basis. |
|
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 |
Blue Shield |
VISION PLANS:
Blue Shield of California
Vision Basic 0/25/100**
Vision Basic 0/15/120**
Vision Basic 0/0/130**
Vision Basic+ 0/15/120**
Sold with Blue Shield of California medical plans.
VISION PLANS:
Blue Shield of California Life & Health Insurance Company
Vision Basic 0/25/100**
Vision Basic 0/15/120**
Vision Basic 0/0/130**
Vision Basic+ 0/15/120**
Sold with Blue Shield Life medical plans.
Vision Standard 0/25/100
Vision Standard 0/15/120
Vision Standard 0/25/130
Vision Standard 0/0/130
Vision Std Vol. 0/25/120
Vision Plus 0/25/100
Vision Plus 0/15/120
Vision Plus 0/25/130
Vision Plus 0/0/130
Vision Deluxe 0/25/100
Vision Deluxe 0/15/120
Vision Deluxe 0/25/130
Vision Deluxe 0/0/130
Vision plans are available alongside medical coverage or on a standalone basis. |
|
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
Ventura 90265, 91304, 91307, 91311, 91319, 91320, 91358, 91359, 91360, 91361, 91362, 91377, 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, 93252 |
Blue Shield |
VISION PLANS:
Blue Shield of California
Vision Basic 0/25/100**
Vision Basic 0/15/120**
Vision Basic 0/0/130**
Vision Basic+ 0/15/120**
Sold with Blue Shield of California medical plans.
VISION PLANS:
Blue Shield of California Life & Health Insurance Company
Vision Basic 0/25/100**
Vision Basic 0/15/120**
Vision Basic 0/0/130**
Vision Basic+ 0/15/120**
Sold with Blue Shield Life medical plans.
Vision Standard 0/25/100
Vision Standard 0/15/120
Vision Standard 0/25/130
Vision Standard 0/0/130
Vision Std Vol. 0/25/120
Vision Plus 0/25/100
Vision Plus 0/15/120
Vision Plus 0/25/130
Vision Plus 0/0/130
Vision Deluxe 0/25/100
Vision Deluxe 0/15/120
Vision Deluxe 0/25/130
Vision Deluxe 0/0/130
Vision plans are available alongside medical coverage or on a standalone basis. |
|
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, 90254, 90255, 90262, 90263, 90264, 90265, 90266, 90267, 90270, 90272, 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, 90623, 90630, 90631, 90704, 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, 91709, 91759, 93243, 93560
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, 92883 |
*The Chiropractic and Chiropractic and Acupuncture options are applicable to HMO/POS only. (Chiropractic and Acupuncture are covered benefits in many of the PPO
and Shield Savings plans.) Rates/Premium shown are for employees with HMO/POS plans.
**Cannot be purchased without a medical plan. Blue Shield of California Vision Basic plans, infertility and inpatient substance abuse riders can be sold only with a
medical plan underwritten by Blue Shield of California. Blue Shield of California Life & Health Insurance Company Vision Basic plans, infertility and inpatient
substance abuse riders can be sold only with a medical plan underwritten by Blue Shield of California Life & Health Insurance Company. All dental coverage is
underwritten by Blue Shield of California.
Regions may vary by product. The "Small Group Rating Region Definitions" chart located near the front of this booklet identifies the counties located in each region.
¹Effective 4/1/09, groups that purchase or add two new specialty products will experience a 5% savings on specialty premium; groups that purchase or add three new
specialty products will experience a 10% savings on specialty premium. Rate savings through Blue Shield's Bundle for Savings program are passed on due to increased
Blue Shield efficiencies from administering medical and multiple specialty benefits plans on a group's behalf. For complete program information please go to
blueshieldca.com.
|
Company |
Complete Rate Guide |
Rate Guide |
California Counties / Zip Codes Covered |
Blue Shield
|
Download All Rates In 1 pdf File
|
|
All
|
|
| < Go Back to Blue Shield Main Page |
|
|
