1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
Child - UIS Federal |
$36.68 |
$38.79 |
$41.05 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
Adult - UIS Federal |
$229.23 |
$237.01 |
$245.15 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
ACA Optional Expansion - UIS Federal |
$345.65 |
$356.85 |
$368.55 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
SPD - UIS Federal |
$940.89 |
$969.62 |
$999.56 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
SPD/Full-Dual - UIS Federal |
$109.37 |
$113.44 |
$117.72 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
LTC - UIS Federal |
$1,961.47 |
$2,009.41 |
$2,059.21 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
LTC/Full-Dual - UIS Federal |
$118.92 |
$122.55 |
$126.37 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
Child - SIS |
$90.08 |
$94.73 |
$99.65 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
Adult - SIS |
$258.35 |
$267.71 |
$277.54 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
ACA Optional Expansion - SIS |
$342.22 |
$354.01 |
$366.36 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
SPD - SIS |
$953.50 |
$984.09 |
$1,015.99 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
SPD/Full-Dual - SIS |
$207.25 |
$213.41 |
$219.88 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
LTC - SIS |
$10,857.37 |
$11,012.83 |
$11,172.88 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
LTC/Full-Dual - SIS |
$8,228.10 |
$8,323.33 |
$8,420.92 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
Maternity - UIS Federal |
$10,716.42 |
$10,949.95 |
$11,191.13 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
Maternity - SIS |
$10,716.42 |
$10,949.95 |
$11,191.13 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
Child - UIS State-Only |
$69.48 |
$72.26 |
$75.19 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
Adult - UIS State-Only |
$159.91 |
$165.28 |
$170.90 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
ACA Optional Expansion - UIS State-Only |
$237.33 |
$244.76 |
$252.53 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
SPD - UIS State-Only |
$600.84 |
$617.98 |
$635.83 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
SPD/Full-Dual - UIS State-Only |
$250.97 |
$256.17 |
$261.58 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
LTC - UIS State-Only |
$8,907.82 |
$9,015.69 |
$9,126.30 |
1/23-12/23 |
2023 |
Two Plan |
Contra Costa |
Contra Costa Health Plan |
LTC/Full-Dual - UIS State-Only |
$8,109.19 |
$8,200.78 |
$8,294.55 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
Child - UIS Federal |
$27.08 |
$28.49 |
$29.99 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
Adult - UIS Federal |
$191.46 |
$197.65 |
$204.10 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
ACA Optional Expansion - UIS Federal |
$235.31 |
$242.76 |
$250.54 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
SPD - UIS Federal |
$685.99 |
$706.54 |
$727.94 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
SPD/Full-Dual - UIS Federal |
$103.82 |
$107.32 |
$110.99 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
LTC - UIS Federal |
$1,048.13 |
$1,071.17 |
$1,095.07 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
LTC/Full-Dual - UIS Federal |
$70.74 |
$72.80 |
$74.96 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
Child - SIS |
$66.49 |
$69.68 |
$73.06 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
Adult - SIS |
$219.88 |
$227.53 |
$235.54 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
ACA Optional Expansion - SIS |
$266.36 |
$275.37 |
$284.79 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
SPD - SIS |
$720.14 |
$743.75 |
$768.38 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
SPD/Full-Dual - SIS |
$211.62 |
$217.68 |
$224.01 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
LTC - SIS |
$7,905.22 |
$8,013.15 |
$8,124.16 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
LTC/Full-Dual - SIS |
$5,912.04 |
$5,984.14 |
$6,058.12 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
Maternity - UIS Federal |
$8,019.68 |
$8,194.49 |
$8,375.03 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
Maternity - SIS |
$8,034.63 |
$8,209.76 |
$8,390.64 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
Child - UIS State-Only |
$36.69 |
$38.26 |
$39.92 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
Adult - UIS State-Only |
$137.07 |
$141.54 |
$146.21 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
ACA Optional Expansion - UIS State-Only |
$198.87 |
$204.82 |
$211.03 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
SPD - UIS State-Only |
$548.43 |
$563.99 |
$580.17 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
SPD/Full-Dual - UIS State-Only |
$199.49 |
$204.51 |
$209.74 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
LTC - UIS State-Only |
$6,857.02 |
$6,941.67 |
$7,028.51 |
1/23-12/23 |
2023 |
Two Plan |
Fresno |
CalViva Health |
LTC/Full-Dual - UIS State-Only |
$5,890.52 |
$5,959.84 |
$6,030.86 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
Child - UIS Federal |
$27.08 |
$28.49 |
$29.99 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
Adult - UIS Federal |
$191.46 |
$197.65 |
$204.10 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
ACA Optional Expansion - UIS Federal |
$235.31 |
$242.76 |
$250.54 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
SPD - UIS Federal |
$685.99 |
$706.54 |
$727.94 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
SPD/Full-Dual - UIS Federal |
$103.82 |
$107.32 |
$110.99 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
LTC - UIS Federal |
$1,048.13 |
$1,071.17 |
$1,095.07 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
LTC/Full-Dual - UIS Federal |
$70.74 |
$72.80 |
$74.96 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
Child - SIS |
$66.49 |
$69.68 |
$73.06 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
Adult - SIS |
$219.88 |
$227.53 |
$235.54 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
ACA Optional Expansion - SIS |
$266.36 |
$275.37 |
$284.79 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
SPD - SIS |
$720.14 |
$743.75 |
$768.38 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
SPD/Full-Dual - SIS |
$211.62 |
$217.68 |
$224.01 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
LTC - SIS |
$7,905.22 |
$8,013.15 |
$8,124.16 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
LTC/Full-Dual - SIS |
$5,912.04 |
$5,984.14 |
$6,058.12 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
Maternity - UIS Federal |
$8,019.68 |
$8,194.49 |
$8,375.03 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
Maternity - SIS |
$8,034.63 |
$8,209.76 |
$8,390.64 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
Child - UIS State-Only |
$36.69 |
$38.26 |
$39.92 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
Adult - UIS State-Only |
$137.07 |
$141.54 |
$146.21 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
ACA Optional Expansion - UIS State-Only |
$198.87 |
$204.82 |
$211.03 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
SPD - UIS State-Only |
$548.43 |
$563.99 |
$580.17 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
SPD/Full-Dual - UIS State-Only |
$199.49 |
$204.51 |
$209.74 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
LTC - UIS State-Only |
$6,857.02 |
$6,941.67 |
$7,028.51 |
1/23-12/23 |
2023 |
Two Plan |
Kings |
CalViva Health |
LTC/Full-Dual - UIS State-Only |
$5,890.52 |
$5,959.84 |
$6,030.86 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
Child - UIS Federal |
$27.08 |
$28.49 |
$29.99 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
Adult - UIS Federal |
$191.46 |
$197.65 |
$204.10 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
ACA Optional Expansion - UIS Federal |
$235.31 |
$242.76 |
$250.54 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
SPD - UIS Federal |
$685.99 |
$706.54 |
$727.94 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
SPD/Full-Dual - UIS Federal |
$103.82 |
$107.32 |
$110.99 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
LTC - UIS Federal |
$1,048.13 |
$1,071.17 |
$1,095.07 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
LTC/Full-Dual - UIS Federal |
$70.74 |
$72.80 |
$74.96 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
Child - SIS |
$66.49 |
$69.68 |
$73.06 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
Adult - SIS |
$219.88 |
$227.53 |
$235.54 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
ACA Optional Expansion - SIS |
$266.36 |
$275.37 |
$284.79 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
SPD - SIS |
$720.14 |
$743.75 |
$768.38 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
SPD/Full-Dual - SIS |
$211.62 |
$217.68 |
$224.01 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
LTC - SIS |
$7,905.22 |
$8,013.15 |
$8,124.16 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
LTC/Full-Dual - SIS |
$5,912.04 |
$5,984.14 |
$6,058.12 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
Maternity - UIS Federal |
$8,019.68 |
$8,194.49 |
$8,375.03 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
Maternity - SIS |
$8,034.63 |
$8,209.76 |
$8,390.64 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
Child - UIS State-Only |
$36.69 |
$38.26 |
$39.92 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
Adult - UIS State-Only |
$137.07 |
$141.54 |
$146.21 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
ACA Optional Expansion - UIS State-Only |
$198.87 |
$204.82 |
$211.03 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
SPD - UIS State-Only |
$548.43 |
$563.99 |
$580.17 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
SPD/Full-Dual - UIS State-Only |
$199.49 |
$204.51 |
$209.74 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
LTC - UIS State-Only |
$6,857.02 |
$6,941.67 |
$7,028.51 |
1/23-12/23 |
2023 |
Two Plan |
Madera |
CalViva Health |
LTC/Full-Dual - UIS State-Only |
$5,890.52 |
$5,959.84 |
$6,030.86 |