HMO and POS Plans (DOD Demo. Proj.)

October 18, 1999

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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