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