1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
Child - UIS Federal |
$29.18 |
$31.13 |
$33.22 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
Adult - UIS Federal |
$201.74 |
$208.91 |
$216.42 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
ACA Optional Expansion - UIS Federal |
$310.93 |
$321.39 |
$332.34 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
SPD - UIS Federal |
$895.68 |
$923.85 |
$953.21 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
SPD/Full-Dual - UIS Federal |
$95.89 |
$99.77 |
$103.85 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
LTC - UIS Federal |
$2,275.68 |
$2,324.25 |
$2,374.64 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
LTC/Full-Dual - UIS Federal |
$211.50 |
$217.29 |
$223.35 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
Child - SIS |
$102.48 |
$107.99 |
$113.84 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
Adult - SIS |
$273.90 |
$284.45 |
$295.54 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
ACA Optional Expansion - SIS |
$387.08 |
$401.15 |
$415.89 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
SPD - SIS |
$1,101.04 |
$1,139.02 |
$1,178.61 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
SPD/Full-Dual - SIS |
$252.52 |
$259.81 |
$267.47 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
LTC - SIS |
$17,759.22 |
$17,976.70 |
$18,199.82 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
LTC/Full-Dual - SIS |
$13,666.73 |
$13,816.86 |
$13,970.48 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
Maternity - UIS Federal |
$9,692.93 |
$9,904.23 |
$10,122.46 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
Maternity - SIS |
$9,692.93 |
$9,904.23 |
$10,122.46 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
Child - UIS State-Only |
$56.04 |
$58.87 |
$61.87 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
Adult - UIS State-Only |
$179.44 |
$185.92 |
$192.71 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
ACA Optional Expansion - UIS State-Only |
$336.05 |
$345.94 |
$356.26 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
SPD - UIS State-Only |
$828.67 |
$850.77 |
$873.79 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
SPD/Full-Dual - UIS State-Only |
$169.56 |
$174.58 |
$179.84 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
LTC - UIS State-Only |
$15,495.01 |
$15,664.25 |
$15,837.35 |
1/23-12/23 |
2023 |
Two Plan |
San Francisco |
San Francisco Health Plan |
LTC/Full-Dual - UIS State-Only |
$13,455.23 |
$13,599.57 |
$13,747.13 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
Child - UIS Federal |
$38.34 |
$40.35 |
$42.47 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
Adult - UIS Federal |
$214.12 |
$221.38 |
$228.98 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
ACA Optional Expansion - UIS Federal |
$270.31 |
$279.25 |
$288.59 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
SPD - UIS Federal |
$636.22 |
$656.13 |
$676.88 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
SPD/Full-Dual - UIS Federal |
$122.96 |
$127.37 |
$132.00 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
LTC - UIS Federal |
$2,243.44 |
$2,311.43 |
$2,382.22 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
LTC/Full-Dual - UIS Federal |
$77.98 |
$80.90 |
$83.98 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
Child - SIS |
$95.18 |
$99.97 |
$105.03 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
Adult - SIS |
$234.69 |
$243.35 |
$252.45 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
ACA Optional Expansion - SIS |
$272.16 |
$282.03 |
$292.38 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
SPD - SIS |
$615.64 |
$637.55 |
$660.43 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
SPD/Full-Dual - SIS |
$287.21 |
$294.71 |
$302.55 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
LTC - SIS |
$12,735.98 |
$12,936.90 |
$13,144.15 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
LTC/Full-Dual - SIS |
$8,672.93 |
$8,774.22 |
$8,878.02 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
Maternity - UIS Federal |
$8,777.00 |
$8,968.29 |
$9,165.85 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
Maternity - SIS |
$8,777.00 |
$8,968.29 |
$9,165.85 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
Child - UIS State-Only |
$66.17 |
$68.94 |
$71.86 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
Adult - UIS State-Only |
$195.51 |
$201.57 |
$207.91 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
ACA Optional Expansion - UIS State-Only |
$252.74 |
$260.03 |
$267.64 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
SPD - UIS State-Only |
$530.28 |
$543.83 |
$557.94 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
SPD/Full-Dual - UIS State-Only |
$251.75 |
$257.67 |
$263.84 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
LTC - UIS State-Only |
$10,513.02 |
$10,646.50 |
$10,783.53 |
1/23-12/23 |
2023 |
Two Plan |
Santa Clara |
Santa Clara Family Health Plan |
LTC/Full-Dual - UIS State-Only |
$8,594.15 |
$8,692.50 |
$8,793.22 |