HMO and POS Plans (DOD Demo. Proj.)

California
Plan Option Code 1999 Total Monthly DoD/FEHB Premium Gov't Pays Enrollee Pays
Aetna U.S. Healthcare
High Self 2X1 203.23 152.42 50.81
High Family 2X2 406.47 304.85 101.62
Blue Shield of CA Access+HMO
High Self SJ1 270.27 170.80 99.47
High Family SJ2 578.22 381.27 196.95
CaliforniaCare
High Self M51 223.19 167.39 55.80
High Family M52 569.14 381.27 187.87
CIGNA HealthCare of California
High Self 9T1 326.73 170.80 155.93
High Family 9T2 653.47 381.27 272.20
Health Net
High Self LB1 212.62 159.47 53.15
High Family LB2 453.12 339.84 113.28
Kaiser Permanente
High Self 621 272.09 170.80 101.29
High Family 622 544.18 381.27 162.91
Maxicare Southern California
High Self CM1 173.94 130.46 43.48
High Family CM2 365.13 273.85 91.28
PacifiCare of California
High Self CY1 253.28 170.80 82.48
High Family CY2 658.47 381.27 277.20


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