07/16-06/17 |
2016-17 |
COHS |
Orange |
Cal Optima |
Child |
$92.15 |
$94.78 |
$97.51 |
07/16-06/17 |
2016-17 |
COHS |
Orange |
Cal Optima |
Adult |
$295.52 |
$303.87 |
$312.54 |
07/16-06/17 |
2016-17 |
COHS |
Orange |
Cal Optima |
SPD |
$747.70 |
$768.70 |
$790.49 |
07/16-06/17 |
2016-17 |
COHS |
Orange |
Cal Optima |
SPD/Full-Dual |
$103.51 |
$106.35 |
$109.30 |
07/16-06/17 |
2016-17 |
COHS |
Orange |
Cal Optima |
BCCTP |
$1,383.43 |
$1,422.53 |
$1,463.08 |
07/16-06/17 |
2016-17 |
COHS |
Orange |
Cal Optima |
LTC |
$9,564.50 |
$9,734.55 |
$9,910.23 |
07/16-06/17 |
2016-17 |
COHS |
Orange |
Cal Optima |
LTC/Full-Dual |
$5,492.81 |
$5,581.21 |
$5,672.45 |
07/16-06/17 |
2016-17 |
COHS |
Orange |
Cal Optima |
OBRA |
$- |
$- |
$- |
07/16-06/17 |
2016-17 |
COHS |
Orange |
Cal Optima |
Optional Expansion |
$439.93 |
$454.63 |
$469.97 |
07/16-06/17 |
2016-17 |
COHS |
Orange |
Cal Optima |
Behavioral Health Treatment 0-6 |
$2,364.57 |
$2,421.90 |
$2,481.17 |
07/16-06/17 |
2016-17 |
COHS |
Orange |
Cal Optima |
Behavioral Health Treatment 7-20 |
$2,209.60 |
$2,263.18 |
$2,318.57 |
07/16-06/17 |
2016-17 |
COHS |
Orange |
Cal Optima |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
07/16-06/17 |
2016-17 |
COHS |
Orange |
Cal Optima |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
07/16-06/17 |
2016-17 |
COHS |
San Luis Obispo |
CenCal Health |
Child |
$74.18 |
$76.32 |
$78.54 |
07/16-06/17 |
2016-17 |
COHS |
San Luis Obispo |
CenCal Health |
Adult |
$293.23 |
$301.59 |
$310.26 |
07/16-06/17 |
2016-17 |
COHS |
San Luis Obispo |
CenCal Health |
SPD |
$891.70 |
$915.62 |
$940.40 |
07/16-06/17 |
2016-17 |
COHS |
San Luis Obispo |
CenCal Health |
SPD/Full-Dual |
$173.07 |
$176.86 |
$180.78 |
07/16-06/17 |
2016-17 |
COHS |
San Luis Obispo |
CenCal Health |
BCCTP |
$1,083.24 |
$1,113.59 |
$1,145.05 |
07/16-06/17 |
2016-17 |
COHS |
San Luis Obispo |
CenCal Health |
LTC |
$5,910.75 |
$6,012.23 |
$6,117.03 |
07/16-06/17 |
2016-17 |
COHS |
San Luis Obispo |
CenCal Health |
LTC/Full-Dual |
$5,071.39 |
$5,151.98 |
$5,235.15 |
07/16-06/17 |
2016-17 |
COHS |
San Luis Obispo |
CenCal Health |
OBRA |
$- |
$- |
$- |
07/16-06/17 |
2016-17 |
COHS |
San Luis Obispo |
CenCal Health |
Optional Expansion |
$408.07 |
$421.71 |
$435.94 |
07/16-06/17 |
2016-17 |
COHS |
Santa Barbara |
CenCal Health |
Child |
$105.28 |
$108.31 |
$111.47 |
07/16-06/17 |
2016-17 |
COHS |
Santa Barbara |
CenCal Health |
Adult |
$316.81 |
$325.83 |
$335.20 |
07/16-06/17 |
2016-17 |
COHS |
Santa Barbara |
CenCal Health |
SPD |
$1,086.06 |
$1,114.99 |
$1,144.98 |
07/16-06/17 |
2016-17 |
COHS |
Santa Barbara |
CenCal Health |
SPD/Full-Dual |
$223.32 |
$228.14 |
$233.14 |
07/16-06/17 |
2016-17 |
COHS |
Santa Barbara |
CenCal Health |
BCCTP |
$1,198.19 |
$1,232.31 |
$1,267.69 |
07/16-06/17 |
2016-17 |
COHS |
Santa Barbara |
CenCal Health |
LTC |
$12,242.34 |
$12,449.43 |
$12,663.26 |
07/16-06/17 |
2016-17 |
COHS |
Santa Barbara |
CenCal Health |
LTC/Full-Dual |
$6,590.97 |
$6,695.39 |
$6,803.15 |
07/16-06/17 |
2016-17 |
COHS |
Santa Barbara |
CenCal Health |
OBRA |
$- |
$- |
$- |
07/16-06/17 |
2016-17 |
COHS |
Santa Barbara |
CenCal Health |
Optional Expansion |
$465.17 |
$480.72 |
$496.94 |
07/16-06/17 |
2016-17 |
COHS |
San Luis Obispo |
CenCal Health |
Behavioral Health Treatment 0-6 |
$2,370.15 |
$2,427.66 |
$2,487.12 |
07/16-06/17 |
2016-17 |
COHS |
Santa Barbara |
CenCal Health |
Behavioral Health Treatment 0-6 |
$2,366.49 |
$2,423.87 |
$2,483.20 |
07/16-06/17 |
2016-17 |
COHS |
Santa Barbara |
CenCal Health |
Behavioral Health Treatment 0-6 |
$2,366.49 |
$2,423.87 |
$2,483.20 |
07/16-06/17 |
2016-17 |
COHS |
Santa Barbara |
CenCal Health |
Behavioral Health Treatment 0-6 |
$2,366.49 |
$2,423.87 |
$2,483.20 |
07/16-06/17 |
2016-17 |
COHS |
San Luis Obispo |
CenCal Health |
Behavioral Health Treatment 7-20 |
$1,784.83 |
$1,828.02 |
$1,872.68 |
07/16-06/17 |
2016-17 |
COHS |
Santa Barbara |
CenCal Health |
Behavioral Health Treatment 7-20 |
$1,802.85 |
$1,846.56 |
$1,891.74 |
07/16-06/17 |
2016-17 |
COHS |
Santa Barbara |
CenCal Health |
Behavioral Health Treatment 7-20 |
$1,802.85 |
$1,846.56 |
$1,891.74 |
07/16-06/17 |
2016-17 |
COHS |
Santa Barbara |
CenCal Health |
Behavioral Health Treatment 7-20 |
$1,802.85 |
$1,846.56 |
$1,891.74 |
07/16-06/17 |
2016-17 |
COHS |
San Luis Obispo |
CenCal Health |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
07/16-06/17 |
2016-17 |
COHS |
San Luis Obispo |
CenCal Health |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
07/16-06/17 |
2016-17 |
COHS |
Santa Barbara |
CenCal Health |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
07/16-06/17 |
2016-17 |
COHS |
Santa Barbara |
CenCal Health |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
07/16-06/17 |
2016-17 |
COHS |
Merced |
Central California Alliance |
Behavioral Health Treatment 0-6 |
$2,488.85 |
$2,549.20 |
$2,611.60 |
07/16-06/17 |
2016-17 |
COHS |
Monterey |
Central California Alliance |
Behavioral Health Treatment 0-6 |
$2,420.13 |
$2,478.81 |
$2,539.49 |
07/16-06/17 |
2016-17 |
COHS |
Santa Cruz |
Central California Alliance |
Behavioral Health Treatment 0-6 |
$2,425.28 |
$2,484.01 |
$2,544.73 |
07/16-06/17 |
2016-17 |
COHS |
Merced |
Central California Alliance |
Behavioral Health Treatment 7-20 |
$1,809.17 |
$1,852.90 |
$1,898.10 |
07/16-06/17 |
2016-17 |
COHS |
Monterey |
Central California Alliance |
Behavioral Health Treatment 7-20 |
$1,817.55 |
$1,861.66 |
$1,907.26 |
07/16-06/17 |
2016-17 |
COHS |
Santa Cruz |
Central California Alliance |
Behavioral Health Treatment 7-20 |
$1,821.53 |
$1,865.61 |
$1,911.18 |
07/16-06/17 |
2016-17 |
COHS |
Merced |
Central California Alliance |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
07/16-06/17 |
2016-17 |
COHS |
Merced |
Central California Alliance |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
07/16-06/17 |
2016-17 |
COHS |
Monterey |
Central California Alliance |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
07/16-06/17 |
2016-17 |
COHS |
Monterey |
Central California Alliance |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
07/16-06/17 |
2016-17 |
COHS |
Santa Cruz |
Central California Alliance |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
07/16-06/17 |
2016-17 |
COHS |
Santa Cruz |
Central California Alliance |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
07/16-06/17 |
2016-17 |
COHS |
Merced |
Central Coast Alliance |
Child |
$79.48 |
$81.83 |
$84.28 |
07/16-06/17 |
2016-17 |
COHS |
Merced |
Central Coast Alliance |
Adult |
$259.27 |
$266.77 |
$274.56 |
07/16-06/17 |
2016-17 |
COHS |
Merced |
Central Coast Alliance |
SPD |
$798.17 |
$820.23 |
$843.11 |
07/16-06/17 |
2016-17 |
COHS |
Merced |
Central Coast Alliance |
SPD/Full-Dual |
$180.16 |
$184.21 |
$188.39 |
07/16-06/17 |
2016-17 |
COHS |
Merced |
Central Coast Alliance |
BCCTP |
$1,257.96 |
$1,294.04 |
$1,331.48 |
07/16-06/17 |
2016-17 |
COHS |
Merced |
Central Coast Alliance |
LTC |
$8,206.22 |
$8,351.60 |
$8,501.78 |
07/16-06/17 |
2016-17 |
COHS |
Merced |
Central Coast Alliance |
LTC/Full-Dual |
$5,095.18 |
$5,177.23 |
$5,261.92 |
07/16-06/17 |
2016-17 |
COHS |
Merced |
Central Coast Alliance |
OBRA |
$- |
$- |
$- |
07/16-06/17 |
2016-17 |
COHS |
Merced |
Central Coast Alliance |
Optional Expansion |
$325.67 |
$336.56 |
$347.91 |
07/16-06/17 |
2016-17 |
COHS |
Monterey |
Central Coast Alliance |
Child |
$84.98 |
$87.50 |
$90.13 |
07/16-06/17 |
2016-17 |
COHS |
Monterey |
Central Coast Alliance |
Adult |
$318.33 |
$327.49 |
$337.01 |
07/16-06/17 |
2016-17 |
COHS |
Monterey |
Central Coast Alliance |
SPD |
$943.37 |
$969.28 |
$996.15 |
07/16-06/17 |
2016-17 |
COHS |
Monterey |
Central Coast Alliance |
SPD/Full-Dual |
$200.50 |
$204.77 |
$209.19 |
07/16-06/17 |
2016-17 |
COHS |
Monterey |
Central Coast Alliance |
BCCTP |
$1,177.81 |
$1,211.77 |
$1,247.02 |
07/16-06/17 |
2016-17 |
COHS |
Monterey |
Central Coast Alliance |
LTC |
$10,204.07 |
$10,392.35 |
$10,586.91 |
07/16-06/17 |
2016-17 |
COHS |
Monterey |
Central Coast Alliance |
LTC/Full-Dual |
$6,506.57 |
$6,609.92 |
$6,716.57 |
07/16-06/17 |
2016-17 |
COHS |
Monterey |
Central Coast Alliance |
OBRA |
$- |
$- |
$- |
07/16-06/17 |
2016-17 |
COHS |
Monterey |
Central Coast Alliance |
Optional Expansion |
$424.48 |
$438.67 |
$453.47 |
07/16-06/17 |
2016-17 |
COHS |
Santa Cruz |
Central Coast Alliance |
Child |
$86.43 |
$89.02 |
$91.72 |
07/16-06/17 |
2016-17 |
COHS |
Santa Cruz |
Central Coast Alliance |
Adult |
$324.08 |
$333.45 |
$343.18 |
07/16-06/17 |
2016-17 |
COHS |
Santa Cruz |
Central Coast Alliance |
SPD |
$995.38 |
$1,022.31 |
$1,050.25 |
07/16-06/17 |
2016-17 |
COHS |
Santa Cruz |
Central Coast Alliance |
SPD/Full-Dual |
$197.85 |
$202.15 |
$206.61 |
07/16-06/17 |
2016-17 |
COHS |
Santa Cruz |
Central Coast Alliance |
BCCTP |
$1,093.45 |
$1,125.06 |
$1,157.87 |
07/16-06/17 |
2016-17 |
COHS |
Santa Cruz |
Central Coast Alliance |
LTC |
$6,813.28 |
$6,932.70 |
$7,056.06 |
07/16-06/17 |
2016-17 |
COHS |
Santa Cruz |
Central Coast Alliance |
LTC/Full-Dual |
$5,445.42 |
$5,534.46 |
$5,626.35 |
07/16-06/17 |
2016-17 |
COHS |
Santa Cruz |
Central Coast Alliance |
OBRA |
$- |
$- |
$- |
07/16-06/17 |
2016-17 |
COHS |
Santa Cruz |
Central Coast Alliance |
Optional Expansion |
$379.89 |
$392.59 |
$405.83 |
07/16-06/17 |
2016-17 |
COHS |
Ventura |
Gold Coast |
Child |
$75.85 |
$78.12 |
$80.50 |
07/16-06/17 |
2016-17 |
COHS |
Ventura |
Gold Coast |
Adult |
$284.76 |
$293.04 |
$301.64 |
07/16-06/17 |
2016-17 |
COHS |
Ventura |
Gold Coast |
SPD |
$859.44 |
$882.23 |
$905.87 |
07/16-06/17 |
2016-17 |
COHS |
Ventura |
Gold Coast |
SPD/Full-Dual |
$202.90 |
$207.14 |
$211.55 |
07/16-06/17 |
2016-17 |
COHS |
Ventura |
Gold Coast |
BCCTP |
$1,331.73 |
$1,369.95 |
$1,409.62 |
07/16-06/17 |
2016-17 |
COHS |
Ventura |
Gold Coast |
LTC |
$10,856.36 |
$11,047.01 |
$11,243.94 |
07/16-06/17 |
2016-17 |
COHS |
Ventura |
Gold Coast |
LTC/Full-Dual |
$5,843.06 |
$5,937.88 |
$6,035.75 |
07/16-06/17 |
2016-17 |
COHS |
Ventura |
Gold Coast |
OBRA |
$- |
$- |
$- |
07/16-06/17 |
2016-17 |
COHS |
Ventura |
Gold Coast |
Optional Expansion |
$378.33 |
$390.98 |
$404.17 |
07/16-06/17 |
2016-17 |
COHS |
Ventura |
Gold Coast |
Behavioral Health Treatment 0-6 |
$2,420.78 |
$2,479.47 |
$2,540.15 |
07/16-06/17 |
2016-17 |
COHS |
Ventura |
Gold Coast |
Behavioral Health Treatment 7-20 |
$1,771.20 |
$1,814.02 |
$1,858.30 |
07/16-06/17 |
2016-17 |
COHS |
Ventura |
Gold Coast |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
07/16-06/17 |
2016-17 |
COHS |
Ventura |
Gold Coast |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
07/16-06/17 |
2016-17 |
COHS |
San Mateo |
Health Plan of San Mateo |
Child |
$93.93 |
$96.66 |
$99.51 |
07/16-06/17 |
2016-17 |
COHS |
San Mateo |
Health Plan of San Mateo |
Adult |
$320.22 |
$329.39 |
$338.90 |
07/16-06/17 |
2016-17 |
COHS |
San Mateo |
Health Plan of San Mateo |
SPD |
$880.70 |
$905.66 |
$931.52 |
07/16-06/17 |
2016-17 |
COHS |
San Mateo |
Health Plan of San Mateo |
SPD/Full-Dual |
$106.08 |
$109.04 |
$112.11 |
07/16-06/17 |
2016-17 |
COHS |
San Mateo |
Health Plan of San Mateo |
BCCTP |
$1,134.55 |
$1,167.02 |
$1,200.68 |
07/16-06/17 |
2016-17 |
COHS |
San Mateo |
Health Plan of San Mateo |
LTC |
$12,164.85 |
$12,384.23 |
$12,610.90 |
07/16-06/17 |
2016-17 |
COHS |
San Mateo |
Health Plan of San Mateo |
LTC/Full-Dual |
$5,199.74 |
$5,282.98 |
$5,368.87 |
07/16-06/17 |
2016-17 |
COHS |
San Mateo |
Health Plan of San Mateo |
OBRA |
$- |
$- |
$- |
07/16-06/17 |
2016-17 |
COHS |
San Mateo |
Health Plan of San Mateo |
Optional Expansion |
$407.41 |
$421.03 |
$435.24 |
07/16-06/17 |
2016-17 |
COHS |
San Mateo |
Health Plan of San Mateo |
Behavioral Health Treatment 0-6 |
$2,405.35 |
$2,463.71 |
$2,524.04 |
07/16-06/17 |
2016-17 |
COHS |
San Mateo |
Health Plan of San Mateo |
Behavioral Health Treatment 7-20 |
$1,800.76 |
$1,844.43 |
$1,889.57 |
07/16-06/17 |
2016-17 |
COHS |
San Mateo |
Health Plan of San Mateo |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
07/16-06/17 |
2016-17 |
COHS |
San Mateo |
Health Plan of San Mateo |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
07/16-06/17 |
2016-17 |
COHS |
Marin |
Partnership Health Plan |
Child |
$130.21 |
$133.93 |
$137.79 |
07/16-06/17 |
2016-17 |
COHS |
Marin |
Partnership Health Plan |
Adult |
$282.02 |
$290.01 |
$298.29 |
07/16-06/17 |
2016-17 |
COHS |
Marin |
Partnership Health Plan |
SPD |
$1,111.35 |
$1,140.88 |
$1,171.47 |
07/16-06/17 |
2016-17 |
COHS |
Marin |
Partnership Health Plan |
SPD/Full-Dual |
$212.70 |
$216.77 |
$220.98 |
07/16-06/17 |
2016-17 |
COHS |
Marin |
Partnership Health Plan |
BCCTP |
$2,479.06 |
$2,549.50 |
$2,622.52 |
07/16-06/17 |
2016-17 |
COHS |
Marin |
Partnership Health Plan |
LTC |
$10,633.24 |
$10,862.73 |
$11,100.20 |
07/16-06/17 |
2016-17 |
COHS |
Marin |
Partnership Health Plan |
LTC/Full-Dual |
$5,871.54 |
$5,966.98 |
$6,065.49 |
07/16-06/17 |
2016-17 |
COHS |
Marin |
Partnership Health Plan |
OBRA |
$- |
$- |
$- |
07/16-06/17 |
2016-17 |
COHS |
Marin |
Partnership Health Plan |
Optional Expansion |
$478.43 |
$494.43 |
$511.11 |
07/16-06/17 |
2016-17 |
COHS |
Mendocino |
Partnership Health Plan |
Child |
$92.44 |
$95.09 |
$97.83 |
07/16-06/17 |
2016-17 |
COHS |
Mendocino |
Partnership Health Plan |
Adult |
$331.01 |
$340.39 |
$350.11 |
07/16-06/17 |
2016-17 |
COHS |
Mendocino |
Partnership Health Plan |
SPD |
$986.61 |
$1,013.81 |
$1,041.99 |
07/16-06/17 |
2016-17 |
COHS |
Mendocino |
Partnership Health Plan |
SPD/Full-Dual |
$115.67 |
$118.40 |
$121.23 |
07/16-06/17 |
2016-17 |
COHS |
Mendocino |
Partnership Health Plan |
BCCTP |
$1,214.10 |
$1,248.28 |
$1,283.72 |
07/16-06/17 |
2016-17 |
COHS |
Mendocino |
Partnership Health Plan |
LTC |
$7,460.55 |
$7,589.72 |
$7,723.13 |
07/16-06/17 |
2016-17 |
COHS |
Mendocino |
Partnership Health Plan |
LTC/Full-Dual |
$5,336.89 |
$5,422.06 |
$5,509.95 |
07/16-06/17 |
2016-17 |
COHS |
Mendocino |
Partnership Health Plan |
OBRA |
$- |
$- |
$- |
07/16-06/17 |
2016-17 |
COHS |
Mendocino |
Partnership Health Plan |
Optional Expansion |
$463.06 |
$478.54 |
$494.69 |
07/16-06/17 |
2016-17 |
COHS |
Napa |
Partnership Health Plan |
Child |
$126.06 |
$129.68 |
$133.44 |
07/16-06/17 |
2016-17 |
COHS |
Napa |
Partnership Health Plan |
Adult |
$289.11 |
$297.29 |
$305.76 |
07/16-06/17 |
2016-17 |
COHS |
Napa |
Partnership Health Plan |
SPD |
$918.33 |
$943.30 |
$969.17 |
07/16-06/17 |
2016-17 |
COHS |
Napa |
Partnership Health Plan |
SPD/Full-Dual |
$333.53 |
$340.68 |
$348.07 |
07/16-06/17 |
2016-17 |
COHS |
Napa |
Partnership Health Plan |
BCCTP |
$1,336.38 |
$1,374.32 |
$1,413.66 |
07/16-06/17 |
2016-17 |
COHS |
Napa |
Partnership Health Plan |
LTC |
$4,886.11 |
$4,971.94 |
$5,060.60 |
07/16-06/17 |
2016-17 |
COHS |
Napa |
Partnership Health Plan |
LTC/Full-Dual |
$4,470.99 |
$4,543.37 |
$4,618.07 |
07/16-06/17 |
2016-17 |
COHS |
Napa |
Partnership Health Plan |
OBRA |
$463.54 |
$476.77 |
$490.48 |
07/16-06/17 |
2016-17 |
COHS |
Napa |
Partnership Health Plan |
Optional Expansion |
$558.38 |
$577.05 |
$596.52 |
07/16-06/17 |
2016-17 |
COHS |
Solano |
Partnership Health Plan |
Child |
$127.12 |
$130.75 |
$134.53 |
07/16-06/17 |
2016-17 |
COHS |
Solano |
Partnership Health Plan |
Adult |
$281.96 |
$289.95 |
$298.25 |
07/16-06/17 |
2016-17 |
COHS |
Solano |
Partnership Health Plan |
SPD |
$946.03 |
$971.60 |
$998.10 |
07/16-06/17 |
2016-17 |
COHS |
Solano |
Partnership Health Plan |
SPD/Full-Dual |
$280.63 |
$286.81 |
$293.21 |
07/16-06/17 |
2016-17 |
COHS |
Solano |
Partnership Health Plan |
BCCTP |
$1,271.67 |
$1,307.67 |
$1,345.00 |
07/16-06/17 |
2016-17 |
COHS |
Solano |
Partnership Health Plan |
LTC |
$6,743.71 |
$6,862.59 |
$6,985.38 |
07/16-06/17 |
2016-17 |
COHS |
Solano |
Partnership Health Plan |
LTC/Full-Dual |
$5,685.48 |
$5,777.50 |
$5,872.47 |
07/16-06/17 |
2016-17 |
COHS |
Solano |
Partnership Health Plan |
OBRA |
$150.32 |
$154.68 |
$159.19 |
07/16-06/17 |
2016-17 |
COHS |
Solano |
Partnership Health Plan |
Optional Expansion |
$429.75 |
$444.12 |
$459.10 |
07/16-06/17 |
2016-17 |
COHS |
Sonoma |
Partnership Health Plan |
Child |
$83.89 |
$86.30 |
$88.80 |
07/16-06/17 |
2016-17 |
COHS |
Sonoma |
Partnership Health Plan |
Adult |
$324.95 |
$334.15 |
$343.70 |
07/16-06/17 |
2016-17 |
COHS |
Sonoma |
Partnership Health Plan |
SPD |
$1,050.07 |
$1,078.74 |
$1,108.45 |
07/16-06/17 |
2016-17 |
COHS |
Sonoma |
Partnership Health Plan |
SPD/Full-Dual |
$191.21 |
$195.09 |
$199.10 |
07/16-06/17 |
2016-17 |
COHS |
Sonoma |
Partnership Health Plan |
BCCTP |
$1,404.03 |
$1,443.84 |
$1,485.11 |
07/16-06/17 |
2016-17 |
COHS |
Sonoma |
Partnership Health Plan |
LTC |
$5,950.30 |
$6,055.86 |
$6,164.91 |
07/16-06/17 |
2016-17 |
COHS |
Sonoma |
Partnership Health Plan |
LTC/Full-Dual |
$4,178.62 |
$4,246.73 |
$4,317.02 |
07/16-06/17 |
2016-17 |
COHS |
Sonoma |
Partnership Health Plan |
OBRA |
$- |
$- |
$- |
07/16-06/17 |
2016-17 |
COHS |
Sonoma |
Partnership Health Plan |
Optional Expansion |
$456.44 |
$471.70 |
$487.62 |
07/16-06/17 |
2016-17 |
COHS |
Yolo |
Partnership Health Plan |
Child |
$107.18 |
$110.25 |
$113.44 |
07/16-06/17 |
2016-17 |
COHS |
Yolo |
Partnership Health Plan |
Adult |
$276.80 |
$284.66 |
$292.81 |
07/16-06/17 |
2016-17 |
COHS |
Yolo |
Partnership Health Plan |
SPD |
$1,071.46 |
$1,099.69 |
$1,128.94 |
07/16-06/17 |
2016-17 |
COHS |
Yolo |
Partnership Health Plan |
SPD/Full-Dual |
$281.84 |
$287.87 |
$294.12 |
07/16-06/17 |
2016-17 |
COHS |
Yolo |
Partnership Health Plan |
BCCTP |
$891.58 |
$916.81 |
$942.97 |
07/16-06/17 |
2016-17 |
COHS |
Yolo |
Partnership Health Plan |
LTC |
$6,794.93 |
$6,912.19 |
$7,033.29 |
07/16-06/17 |
2016-17 |
COHS |
Yolo |
Partnership Health Plan |
LTC/Full-Dual |
$5,426.62 |
$5,513.77 |
$5,603.70 |
07/16-06/17 |
2016-17 |
COHS |
Yolo |
Partnership Health Plan |
OBRA |
$263.79 |
$271.37 |
$279.22 |
07/16-06/17 |
2016-17 |
COHS |
Yolo |
Partnership Health Plan |
Optional Expansion |
$399.36 |
$412.71 |
$426.63 |
07/16-06/17 |
2016-17 |
COHS |
Marin |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,422.20 |
$2,480.80 |
$2,541.39 |
07/16-06/17 |
2016-17 |
COHS |
Mendocino |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,428.11 |
$2,487.16 |
$2,548.22 |
07/16-06/17 |
2016-17 |
COHS |
Napa |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,423.77 |
$2,482.55 |
$2,543.32 |
07/16-06/17 |
2016-17 |
COHS |
Solano |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,420.61 |
$2,479.32 |
$2,540.02 |
07/16-06/17 |
2016-17 |
COHS |
Sonoma |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,418.92 |
$2,477.59 |
$2,538.25 |
07/16-06/17 |
2016-17 |
COHS |
Yolo |
Partnership Health Plan |
Behavioral Health Treatment 0-6 |
$2,419.99 |
$2,478.66 |
$2,539.32 |
07/16-06/17 |
2016-17 |
COHS |
Marin |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$1,819.64 |
$1,863.68 |
$1,909.20 |
07/16-06/17 |
2016-17 |
COHS |
Mendocino |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$1,876.52 |
$1,922.14 |
$1,969.31 |
07/16-06/17 |
2016-17 |
COHS |
Napa |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$1,794.84 |
$1,838.23 |
$1,883.09 |
07/16-06/17 |
2016-17 |
COHS |
Solano |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$1,797.16 |
$1,840.65 |
$1,885.62 |
07/16-06/17 |
2016-17 |
COHS |
Sonoma |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$1,834.38 |
$1,878.87 |
$1,924.87 |
07/16-06/17 |
2016-17 |
COHS |
Yolo |
Partnership Health Plan |
Behavioral Health Treatment 7-20 |
$1,798.69 |
$1,842.22 |
$1,887.22 |
07/16-06/17 |
2016-17 |
COHS |
Marin |
Partnership Health Plan |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
07/16-06/17 |
2016-17 |
COHS |
Marin |
Partnership Health Plan |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
07/16-06/17 |
2016-17 |
COHS |
Mendocino |
Partnership Health Plan |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
07/16-06/17 |
2016-17 |
COHS |
Mendocino |
Partnership Health Plan |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
07/16-06/17 |
2016-17 |
COHS |
Napa |
Partnership Health Plan |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
07/16-06/17 |
2016-17 |
COHS |
Napa |
Partnership Health Plan |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
07/16-06/17 |
2016-17 |
COHS |
Solano |
Partnership Health Plan |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
07/16-06/17 |
2016-17 |
COHS |
Solano |
Partnership Health Plan |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
07/16-06/17 |
2016-17 |
COHS |
Sonoma |
Partnership Health Plan |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
07/16-06/17 |
2016-17 |
COHS |
Sonoma |
Partnership Health Plan |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |
07/16-06/17 |
2016-17 |
COHS |
Yolo |
Partnership Health Plan |
Hepatitis C 340B |
$4,910.81 |
$5,014.95 |
$5,123.59 |
07/16-06/17 |
2016-17 |
COHS |
Yolo |
Partnership Health Plan |
Hepatitis C Non-340B |
$6,121.25 |
$6,397.48 |
$6,685.67 |