Table calendar_year_2023_geographic_managed_care

Table: calendar_year_2023_geographic_managed_care

rating_period calendar_year model county health_plan category_of_aid lower_bound midpoint upper_bound

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'Child - SIS' ' $76.37 ' ' $80.23 ' ' $84.33 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'Adult - SIS' ' $247.58 ' ' $256.26 ' ' $265.35 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'ACA Optional Expansion - SIS' ' $312.08 ' ' $322.65 ' ' $333.72 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'SPD - SIS' ' $749.70 ' ' $774.01 ' ' $799.36 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'SPD/Full-Dual - SIS' ' $204.30 ' ' $210.37 ' ' $216.74 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'LTC - SIS' ' $9,933.55 ' ' $10,068.70 ' ' $10,207.68 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'LTC/Full-Dual - SIS' ' $7,694.75 ' ' $7,783.84 ' ' $7,875.12 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'Maternity - SIS' ' $10,132.48 ' ' $10,353.29 ' ' $10,581.35 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'Child - UIS Federally Eligible' ' $25.39 ' ' $26.91 ' ' $28.53 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'Adult - UIS Federally Eligible' ' $220.43 ' ' $227.64 ' ' $235.17 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'ACA Optional Expansion - UIS Federally Eligible' ' $241.61 ' ' $249.44 ' ' $257.61 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'SPD - UIS Federally Eligible' ' $661.53 ' ' $681.62 ' ' $702.55 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'SPD/Full-Dual - UIS Federally Eligible' ' $109.91 ' ' $113.75 ' ' $117.78 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'LTC - UIS Federally Eligible' ' $1,569.41 ' ' $1,605.74 ' ' $1,643.44 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'LTC/Full-Dual - UIS Federally Eligible' ' $147.39 ' ' $151.44 ' ' $155.69 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'Maternity - UIS Federally Eligible' ' $10,132.48 ' ' $10,353.29 ' ' $10,581.35 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'Child - UIS State-Only' ' $43.62 ' ' $45.55 ' ' $47.57 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'Adult - UIS State-Only' ' $170.36 ' ' $175.94 ' ' $181.77 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'ACA Optional Expansion - UIS State-Only' ' $217.05 ' ' $223.89 ' ' $231.04 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'SPD - UIS State-Only' ' $452.90 ' ' $465.68 ' ' $479.00 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'SPD/Full-Dual - UIS State-Only' ' $225.74 ' ' $230.78 ' ' $236.04 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'LTC - UIS State-Only' ' $8,370.48 ' ' $8,469.48 ' ' $8,570.95 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Anthem Blue Cross' 'LTC/Full-Dual - UIS State-Only' ' $7,547.37 ' ' $7,632.39 ' ' $7,719.43 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'Child - SIS' ' $78.01 ' ' $81.82 ' ' $85.84 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'Adult - SIS' ' $224.16 ' ' $232.25 ' ' $240.74 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'ACA Optional Expansion - SIS' ' $289.92 ' ' $299.84 ' ' $310.24 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'SPD - SIS' ' $1,085.44 ' ' $1,113.94 ' ' $1,143.60 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'SPD/Full-Dual - SIS' ' $248.59 ' ' $255.40 ' ' $262.54 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'LTC - SIS' ' $9,932.61 ' ' $10,068.43 ' ' $10,208.14 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'LTC/Full-Dual - SIS' ' $7,694.64 ' ' $7,783.99 ' ' $7,875.57 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'Maternity - SIS' ' $10,132.48 ' ' $10,353.29 ' ' $10,581.35 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'Child - UIS Federally Eligible' ' $28.47 ' ' $30.12 ' ' $31.89 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'Adult - UIS Federally Eligible' ' $179.67 ' ' $185.80 ' ' $192.21 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'ACA Optional Expansion - UIS Federally Eligible' ' $235.58 ' ' $243.35 ' ' $251.47 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'SPD - UIS Federally Eligible' ' $662.21 ' ' $682.61 ' ' $703.86 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'SPD/Full-Dual - UIS Federally Eligible' ' $120.67 ' ' $124.91 ' ' $129.35 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'LTC - UIS Federally Eligible' ' $1,567.22 ' ' $1,603.90 ' ' $1,641.98 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'LTC/Full-Dual - UIS Federally Eligible' ' $146.38 ' ' $150.49 ' ' $154.78 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'Maternity - UIS Federally Eligible' ' $10,132.48 ' ' $10,353.29 ' ' $10,581.35 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'Child - UIS State-Only' ' $45.35 ' ' $47.37 ' ' $49.51 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'Adult - UIS State-Only' ' $135.39 ' ' $140.04 ' ' $144.90 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'ACA Optional Expansion - UIS State-Only' ' $207.21 ' ' $213.87 ' ' $220.82 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'SPD - UIS State-Only' ' $453.84 ' ' $466.73 ' ' $480.16 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'SPD/Full-Dual - UIS State-Only' ' $233.44 ' ' $238.76 ' ' $244.31 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'LTC - UIS State-Only' ' $8,371.73 ' ' $8,471.07 ' ' $8,572.90 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Aetna Better Health' 'LTC/Full-Dual - UIS State-Only' ' $7,548.26 ' ' $7,633.51 ' ' $7,720.78 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'Child - SIS' ' $73.31 ' ' $77.07 ' ' $81.06 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'Adult - SIS' ' $249.21 ' ' $257.96 ' ' $267.14 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'ACA Optional Expansion - SIS' ' $306.46 ' ' $316.89 ' ' $327.80 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'SPD - SIS' ' $861.82 ' ' $889.72 ' ' $918.83 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'SPD/Full-Dual - SIS' ' $218.09 ' ' $224.61 ' ' $231.45 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'LTC - SIS' ' $9,934.41 ' ' $10,069.82 ' ' $10,209.09 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'LTC/Full-Dual - SIS' ' $7,695.31 ' ' $7,784.55 ' ' $7,875.99 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'Maternity - SIS' ' $10,132.48 ' ' $10,353.29 ' ' $10,581.35 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'Child - UIS Federally Eligible' ' $26.68 ' ' $28.35 ' ' $30.14 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'Adult - UIS Federally Eligible' ' $213.90 ' ' $221.05 ' ' $228.53 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'ACA Optional Expansion - UIS Federally Eligible' ' $331.54 ' ' $342.14 ' ' $353.20 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'SPD - UIS Federally Eligible' ' $776.09 ' ' $799.71 ' ' $824.33 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'SPD/Full-Dual - UIS Federally Eligible' ' $128.87 ' ' $133.37 ' ' $138.10 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'LTC - UIS Federally Eligible' ' $1,570.23 ' ' $1,606.79 ' ' $1,644.75 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'LTC/Full-Dual - UIS Federally Eligible' ' $148.00 ' ' $152.20 ' ' $156.60 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'Maternity - UIS Federally Eligible' ' $10,132.48 ' ' $10,353.29 ' ' $10,581.35 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'Child - UIS State-Only' ' $34.34 ' ' $35.96 ' ' $37.68 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'Adult - UIS State-Only' ' $135.57 ' ' $140.12 ' ' $144.88 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'ACA Optional Expansion - UIS State-Only' ' $231.45 ' ' $238.71 ' ' $246.29 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'SPD - UIS State-Only' ' $491.81 ' ' $505.67 ' ' $520.10 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'SPD/Full-Dual - UIS State-Only' ' $237.30 ' ' $242.62 ' ' $248.15 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'LTC - UIS State-Only' ' $8,370.51 ' ' $8,469.55 ' ' $8,571.06 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Health Net of California' 'LTC/Full-Dual - UIS State-Only' ' $7,547.31 ' ' $7,632.35 ' ' $7,719.39 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'Child - SIS' ' $82.60 ' ' $86.77 ' ' $91.18 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'Adult - SIS' ' $278.15 ' ' $287.81 ' ' $297.94 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'ACA Optional Expansion - SIS' ' $336.35 ' ' $347.68 ' ' $359.54 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'SPD - SIS' ' $647.34 ' ' $668.68 ' ' $690.96 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'SPD/Full-Dual - SIS' ' $195.79 ' ' $201.88 ' ' $208.27 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'LTC - SIS' ' $9,937.83 ' ' $10,073.22 ' ' $10,212.46 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'LTC/Full-Dual - SIS' ' $7,696.24 ' ' $7,785.44 ' ' $7,876.85 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'Maternity - SIS' ' $10,132.48 ' ' $10,353.29 ' ' $10,581.35 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'Child - UIS Federally Eligible' ' $29.63 ' ' $31.32 ' ' $33.12 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'Adult - UIS Federally Eligible' ' $250.53 ' ' $258.67 ' ' $267.17 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'ACA Optional Expansion - UIS Federally Eligible' ' $296.12 ' ' $305.59 ' ' $315.48 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'SPD - UIS Federally Eligible' ' $591.08 ' ' $609.18 ' ' $628.04 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'SPD/Full-Dual - UIS Federally Eligible' ' $122.52 ' ' $126.77 ' ' $131.22 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'LTC - UIS Federally Eligible' ' $1,573.53 ' ' $1,610.06 ' ' $1,647.98 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'LTC/Full-Dual - UIS Federally Eligible' ' $148.75 ' ' $152.90 ' ' $157.24 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'Maternity - UIS Federally Eligible' ' $10,132.48 ' ' $10,353.29 ' ' $10,581.35 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'Child - UIS State-Only' ' $55.67 ' ' $57.94 ' ' $60.35 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'Adult - UIS State-Only' ' $176.02 ' ' $181.77 ' ' $187.78 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'ACA Optional Expansion - UIS State-Only' ' $243.24 ' ' $250.88 ' ' $258.85 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'SPD - UIS State-Only' ' $422.41 ' ' $434.18 ' ' $446.43 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'SPD/Full-Dual - UIS State-Only' ' $232.58 ' ' $237.67 ' ' $242.98 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'LTC - UIS State-Only' ' $8,370.63 ' ' $8,469.68 ' ' $8,571.19 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Kaiser Foundation HP' 'LTC/Full-Dual - UIS State-Only' ' $7,547.49 ' ' $7,632.54 ' ' $7,719.61 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'Child - SIS' ' $76.96 ' ' $80.78 ' ' $84.82 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'Adult - SIS' ' $230.34 ' ' $238.49 ' ' $247.03 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'ACA Optional Expansion - SIS' ' $301.03 ' ' $311.27 ' ' $322.00 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'SPD - SIS' ' $790.85 ' ' $816.42 ' ' $843.09 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'SPD/Full-Dual - SIS' ' $220.17 ' ' $226.59 ' ' $233.33 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'LTC - SIS' ' $9,934.68 ' ' $10,070.31 ' ' $10,209.80 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'LTC/Full-Dual - SIS' ' $7,695.83 ' ' $7,785.21 ' ' $7,876.81 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'Maternity - SIS' ' $10,132.48 ' ' $10,353.29 ' ' $10,581.35 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'Child - UIS Federally Eligible' ' $30.73 ' ' $32.53 ' ' $34.45 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'Adult - UIS Federally Eligible' ' $170.05 ' ' $175.93 ' ' $182.10 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'ACA Optional Expansion - UIS Federally Eligible' ' $241.69 ' ' $249.67 ' ' $258.02 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'SPD - UIS Federally Eligible' ' $808.95 ' ' $833.59 ' ' $859.26 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'SPD/Full-Dual - UIS Federally Eligible' ' $107.55 ' ' $111.47 ' ' $115.60 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'LTC - UIS Federally Eligible' ' $1,569.69 ' ' $1,606.30 ' ' $1,644.31 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'LTC/Full-Dual - UIS Federally Eligible' ' $147.76 ' ' $151.96 ' ' $156.37 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'Maternity - UIS Federally Eligible' ' $10,132.48 ' ' $10,353.29 ' ' $10,581.35 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'Child - UIS State-Only' ' $46.12 ' ' $48.18 ' ' $50.36 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'Adult - UIS State-Only' ' $128.72 ' ' $133.19 ' ' $137.87 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'ACA Optional Expansion - UIS State-Only' ' $194.32 ' ' $200.50 ' ' $206.95 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'SPD - UIS State-Only' ' $492.88 ' ' $506.59 ' ' $520.88 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'SPD/Full-Dual - UIS State-Only' ' $220.47 ' ' $225.41 ' ' $230.55 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'LTC - UIS State-Only' ' $8,371.33 ' ' $8,470.54 ' ' $8,572.21 '

'1/23-12/23' '2023' 'GMC' 'Sacramento' 'Molina Healthcare' 'LTC/Full-Dual - UIS State-Only' ' $7,548.07 ' ' $7,633.25 ' ' $7,720.44 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'Child - SIS' ' $90.32 ' ' $94.89 ' ' $99.73 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'Adult - SIS' ' $261.56 ' ' $271.08 ' ' $281.07 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'ACA Optional Expansion - SIS' ' $344.12 ' ' $356.34 ' ' $369.13 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'SPD - SIS' ' $1,015.37 ' ' $1,050.05 ' ' $1,086.21 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'SPD/Full-Dual - SIS' ' $304.42 ' ' $312.87 ' ' $321.73 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'LTC - SIS' ' $12,714.92 ' ' $12,887.35 ' ' $13,064.68 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'LTC/Full-Dual - SIS' ' $8,503.53 ' ' $8,614.79 ' ' $8,729.15 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'Maternity - SIS' ' $7,395.42 ' ' $7,556.66 ' ' $7,723.19 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'Child - UIS Federally Eligible' ' $40.97 ' ' $43.17 ' ' $45.51 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'Adult - UIS Federally Eligible' ' $188.05 ' ' $194.67 ' ' $201.60 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'ACA Optional Expansion - UIS Federally Eligible' ' $348.50 ' ' $359.94 ' ' $371.88 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'SPD - UIS Federally Eligible' ' $1,052.71 ' ' $1,085.32 ' ' $1,119.30 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'SPD/Full-Dual - UIS Federally Eligible' ' $134.94 ' ' $139.76 ' ' $144.81 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'LTC - UIS Federally Eligible' ' $1,185.30 ' ' $1,221.83 ' ' $1,259.88 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'LTC/Full-Dual - UIS Federally Eligible' ' $248.03 ' ' $255.41 ' ' $263.12 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'Maternity - UIS Federally Eligible' ' $7,395.42 ' ' $7,556.66 ' ' $7,723.19 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'Child - UIS State-Only' ' $63.98 ' ' $67.01 ' ' $70.20 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'Adult - UIS State-Only' ' $166.92 ' ' $172.84 ' ' $179.03 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'ACA Optional Expansion - UIS State-Only' ' $413.86 ' ' $425.70 ' ' $438.04 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'SPD - UIS State-Only' ' $1,038.30 ' ' $1,064.45 ' ' $1,091.65 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'SPD/Full-Dual - UIS State-Only' ' $310.64 ' ' $317.94 ' ' $325.55 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'LTC - UIS State-Only' ' $11,538.63 ' ' $11,674.80 ' ' $11,814.37 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Blue Shield of California' 'LTC/Full-Dual - UIS State-Only' ' $8,255.50 ' ' $8,359.38 ' ' $8,466.02 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'Child - SIS' ' $86.04 ' ' $90.42 ' ' $95.06 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'Adult - SIS' ' $282.36 ' ' $292.47 ' ' $303.08 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'ACA Optional Expansion - SIS' ' $344.41 ' ' $356.48 ' ' $369.11 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'SPD - SIS' ' $905.50 ' ' $935.99 ' ' $967.79 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'SPD/Full-Dual - SIS' ' $296.17 ' ' $303.96 ' ' $312.12 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'LTC - SIS' ' $12,892.50 ' ' $13,074.58 ' ' $13,261.97 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'LTC/Full-Dual - SIS' ' $7,426.09 ' ' $7,515.37 ' ' $7,606.94 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'Maternity - SIS' ' $7,395.42 ' ' $7,556.66 ' ' $7,723.19 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'Child - UIS Federally Eligible' ' $25.27 ' ' $26.79 ' ' $28.40 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'Adult - UIS Federally Eligible' ' $179.21 ' ' $185.26 ' ' $191.59 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'ACA Optional Expansion - UIS Federally Eligible' ' $284.03 ' ' $293.16 ' ' $302.69 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'SPD - UIS Federally Eligible' ' $875.84 ' ' $902.41 ' ' $930.08 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'SPD/Full-Dual - UIS Federally Eligible' ' $125.42 ' ' $129.72 ' ' $134.23 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'LTC - UIS Federally Eligible' ' $1,457.52 ' ' $1,501.17 ' ' $1,546.60 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'LTC/Full-Dual - UIS Federally Eligible' ' $148.92 ' ' $153.44 ' ' $158.17 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'Maternity - UIS Federally Eligible' ' $7,395.42 ' ' $7,556.66 ' ' $7,723.19 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'Child - UIS State-Only' ' $45.11 ' ' $47.31 ' ' $49.63 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'Adult - UIS State-Only' ' $185.12 ' ' $191.25 ' ' $197.66 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'ACA Optional Expansion - UIS State-Only' ' $319.20 ' ' $328.44 ' ' $338.09 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'SPD - UIS State-Only' ' $960.53 ' ' $983.46 ' ' $1,007.28 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'SPD/Full-Dual - UIS State-Only' ' $299.34 ' ' $306.13 ' ' $313.22 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'LTC - UIS State-Only' ' $10,434.22 ' ' $10,562.69 ' ' $10,694.48 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Community Health Group' 'LTC/Full-Dual - UIS State-Only' ' $7,277.17 ' ' $7,361.93 ' ' $7,448.77 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'Child - SIS' ' $92.40 ' ' $96.97 ' ' $101.80 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'Adult - SIS' ' $249.24 ' ' $258.17 ' ' $267.52 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'ACA Optional Expansion - SIS' ' $293.34 ' ' $303.62 ' ' $314.39 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'SPD - SIS' ' $623.95 ' ' $645.57 ' ' $668.12 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'SPD/Full-Dual - SIS' ' $230.14 ' ' $236.30 ' ' $242.76 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'LTC - SIS' ' $11,655.38 ' ' $11,821.23 ' ' $11,991.95 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'LTC/Full-Dual - SIS' ' $7,906.76 ' ' $8,003.73 ' ' $8,103.24 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'Maternity - SIS' ' $7,395.42 ' ' $7,556.66 ' ' $7,723.19 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'Child - UIS Federally Eligible' ' $30.95 ' ' $32.56 ' ' $34.26 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'Adult - UIS Federally Eligible' ' $192.27 ' ' $198.65 ' ' $205.32 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'ACA Optional Expansion - UIS Federally Eligible' ' $268.34 ' ' $276.97 ' ' $285.99 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'SPD - UIS Federally Eligible' ' $566.66 ' ' $584.15 ' ' $602.37 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'SPD/Full-Dual - UIS Federally Eligible' ' $93.46 ' ' $96.81 ' ' $100.32 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'LTC - UIS Federally Eligible' ' $1,221.16 ' ' $1,258.01 ' ' $1,296.37 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'LTC/Full-Dual - UIS Federally Eligible' ' $158.17 ' ' $162.91 ' ' $167.86 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'Maternity - UIS Federally Eligible' ' $7,395.42 ' ' $7,556.66 ' ' $7,723.19 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'Child - UIS State-Only' ' $63.78 ' ' $66.40 ' ' $69.17 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'Adult - UIS State-Only' ' $169.25 ' ' $174.82 ' ' $180.65 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'ACA Optional Expansion - UIS State-Only' ' $289.12 ' ' $297.70 ' ' $306.65 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'SPD - UIS State-Only' ' $568.71 ' ' $583.96 ' ' $599.83 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'SPD/Full-Dual - UIS State-Only' ' $267.75 ' ' $273.59 ' ' $279.68 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'LTC - UIS State-Only' ' $10,441.64 ' ' $10,570.86 ' ' $10,703.45 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Kaiser Foundation HP' 'LTC/Full-Dual - UIS State-Only' ' $7,748.59 ' ' $7,840.83 ' ' $7,935.38 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'Child - SIS' ' $89.12 ' ' $93.56 ' ' $98.26 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'Adult - SIS' ' $247.06 ' ' $255.97 ' ' $265.31 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'ACA Optional Expansion - SIS' ' $298.26 ' ' $308.79 ' ' $319.81 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'SPD - SIS' ' $794.08 ' ' $821.75 ' ' $850.61 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'SPD/Full-Dual - SIS' ' $342.74 ' ' $351.36 ' ' $360.36 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'LTC - SIS' ' $11,107.13 ' ' $11,262.92 ' ' $11,423.24 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'LTC/Full-Dual - SIS' ' $7,825.75 ' ' $7,922.72 ' ' $8,022.25 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'Maternity - SIS' ' $7,395.42 ' ' $7,556.66 ' ' $7,723.19 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'Child - UIS Federally Eligible' ' $27.72 ' ' $29.23 ' ' $30.82 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'Adult - UIS Federally Eligible' ' $141.75 ' ' $146.63 ' ' $151.74 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'ACA Optional Expansion - UIS Federally Eligible' ' $248.06 ' ' $256.09 ' ' $264.47 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'SPD - UIS Federally Eligible' ' $780.99 ' ' $804.81 ' ' $829.63 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'SPD/Full-Dual - UIS Federally Eligible' ' $114.14 ' ' $118.06 ' ' $122.18 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'LTC - UIS Federally Eligible' ' $1,325.12 ' ' $1,365.03 ' ' $1,406.57 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'LTC/Full-Dual - UIS Federally Eligible' ' $161.37 ' ' $166.16 ' ' $171.18 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'Maternity - UIS Federally Eligible' ' $7,395.42 ' ' $7,556.66 ' ' $7,723.19 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'Child - UIS State-Only' ' $71.08 ' ' $74.07 ' ' $77.23 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'Adult - UIS State-Only' ' $154.16 ' ' $159.52 ' ' $165.14 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'ACA Optional Expansion - UIS State-Only' ' $320.18 ' ' $329.31 ' ' $338.84 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'SPD - UIS State-Only' ' $1,072.52 ' ' $1,099.95 ' ' $1,128.48 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'SPD/Full-Dual - UIS State-Only' ' $334.25 ' ' $341.68 ' ' $349.42 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'LTC - UIS State-Only' ' $9,786.89 ' ' $9,902.92 ' ' $10,021.84 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Molina Healthcare' 'LTC/Full-Dual - UIS State-Only' ' $7,664.39 ' ' $7,756.56 ' ' $7,851.08 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'Child - SIS' ' $91.71 ' ' $95.92 ' ' $100.37 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'Adult - SIS' ' $234.51 ' ' $242.84 ' ' $251.58 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'ACA Optional Expansion - SIS' ' $311.25 ' ' $321.52 ' ' $332.27 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'SPD - SIS' ' $994.97 ' ' $1,022.21 ' ' $1,050.59 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'SPD/Full-Dual - SIS' ' $304.32 ' ' $312.03 ' ' $320.09 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'LTC - SIS' ' $11,647.30 ' ' $11,813.83 ' ' $11,985.27 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'LTC/Full-Dual - SIS' ' $7,906.77 ' ' $8,003.61 ' ' $8,102.97 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'Maternity - SIS' ' $7,395.42 ' ' $7,556.66 ' ' $7,723.19 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'Child - UIS Federally Eligible' ' $25.11 ' ' $26.55 ' ' $28.09 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'Adult - UIS Federally Eligible' ' $172.85 ' ' $178.65 ' ' $184.71 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'ACA Optional Expansion - UIS Federally Eligible' ' $375.40 ' ' $387.16 ' ' $399.42 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'SPD - UIS Federally Eligible' ' $771.38 ' ' $794.81 ' ' $819.22 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'SPD/Full-Dual - UIS Federally Eligible' ' $117.79 ' ' $121.81 ' ' $126.03 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'LTC - UIS Federally Eligible' ' $1,489.35 ' ' $1,533.89 ' ' $1,580.25 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'LTC/Full-Dual - UIS Federally Eligible' ' $157.22 ' ' $161.92 ' ' $166.84 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'Maternity - UIS Federally Eligible' ' $7,395.42 ' ' $7,556.66 ' ' $7,723.19 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'Child - UIS State-Only' ' $48.10 ' ' $50.33 ' ' $52.67 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'Adult - UIS State-Only' ' $149.60 ' ' $154.58 ' ' $159.79 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'ACA Optional Expansion - UIS State-Only' ' $449.97 ' ' $461.70 ' ' $473.91 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'SPD - UIS State-Only' ' $838.10 ' ' $859.45 ' ' $881.65 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'SPD/Full-Dual - UIS State-Only' ' $277.90 ' ' $284.35 ' ' $291.07 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'LTC - UIS State-Only' ' $10,166.01 ' ' $10,288.24 ' ' $10,413.57 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Aetna Better Health' 'LTC/Full-Dual - UIS State-Only' ' $7,749.56 ' ' $7,841.70 ' ' $7,936.15 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'Child - SIS' ' $87.68 ' ' $92.05 ' ' $96.68 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'Adult - SIS' ' $208.10 ' ' $215.69 ' ' $223.64 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'ACA Optional Expansion - SIS' ' $242.55 ' ' $251.22 ' ' $260.29 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'SPD - SIS' ' $677.63 ' ' $701.35 ' ' $726.09 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'SPD/Full-Dual - SIS' ' $294.05 ' ' $301.46 ' ' $309.20 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'LTC - SIS' ' $12,046.22 ' ' $12,234.14 ' ' $12,427.97 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'LTC/Full-Dual - SIS' ' $7,732.99 ' ' $7,821.21 ' ' $7,911.58 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'Maternity - SIS' ' $7,395.42 ' ' $7,556.66 ' ' $7,723.19 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'Child - UIS Federally Eligible' ' $32.76 ' ' $34.38 ' ' $36.10 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'Adult - UIS Federally Eligible' ' $135.34 ' ' $140.12 ' ' $145.13 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'ACA Optional Expansion - UIS Federally Eligible' ' $223.09 ' ' $230.57 ' ' $238.38 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'SPD - UIS Federally Eligible' ' $629.33 ' ' $649.32 ' ' $670.16 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'SPD/Full-Dual - UIS Federally Eligible' ' $101.47 ' ' $105.08 ' ' $108.88 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'LTC - UIS Federally Eligible' ' $1,983.64 ' ' $2,045.27 ' ' $2,109.48 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'LTC/Full-Dual - UIS Federally Eligible' ' $86.18 ' ' $89.10 ' ' $92.16 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'Maternity - UIS Federally Eligible' ' $7,395.42 ' ' $7,556.66 ' ' $7,723.19 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'Child - UIS State-Only' ' $49.22 ' ' $51.52 ' ' $53.96 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'Adult - UIS State-Only' ' $139.66 ' ' $144.12 ' ' $148.80 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'ACA Optional Expansion - UIS State-Only' ' $262.54 ' ' $270.28 ' ' $278.37 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'SPD - UIS State-Only' ' $866.88 ' ' $885.82 ' ' $905.49 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'SPD/Full-Dual - UIS State-Only' ' $293.68 ' ' $300.12 ' ' $306.82 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'LTC - UIS State-Only' ' $10,068.91 ' ' $10,195.39 ' ' $10,325.23 '

'1/23-12/23' '2023' 'GMC' 'San Diego' 'Health Net of California' 'LTC/Full-Dual - UIS State-Only' ' $7,646.77 ' ' $7,732.07 ' ' $7,819.38 '