Regional Open Enrollment 2021 Kickoff
MOVING AHEAD IN UNCERTAINTY 2021 AND BEYOND
. Webinar Housekeeping
1 Agenda • Responding to Covid-19 Pandemic • Looking Ahead & Keeping California Healthy • 2021 Regional Rates, Networks, and Benefits • Covered California for Small Business • 2021 Open Enrollment Readiness • Department of Managed Health Care • Enroller Resources • Questions
2 RESPONDING TO COVID-19 PANDEMIC Txia McCowan, Northern California Regional Field Manager
3 Responding to COVID-19 Pandemic
ACA created a safety net for consumers Unemployment rate jumped to a record 15.5 percent Estimated that 2.6 million people and their dependents also lost the health care coverage $9 million in new advertising 271,820 people have signed up from March 20th through August 20th, 2020
4 4 Media News Coverage
• Health Care intensified. Covered California has been repeatedly cited in stories nationally and throughout the state. • Focused on Covered California Special Enrollment Period during the pandemic.
5 CHANNEL MARKET COVERAGE BY SEGMENT Media Channels Digital MS, HM, AA & API: Statewide Paid Social MS & HM: Statewide PAID SOCIAL MEDIA DIGITAL Paid Search MS & HM: Statewide Email MS & HM Statewide EDD Insert MS & HM (Double-sided) Radio MS, HM & API: Statewide AA: LA, Riverside & SF (terrestrial) TV MS, HM, AA & API: Statewide
RADIO Coronavirus, Job Loss Coronavirus, Penalty & & Covered California Covered California Enrollment :30 Enrollment :30
6 Record-Breaking for SEP 2020 271,820 Signups
60% 55%
50%
40% 31.0% 30%
20% 10% 10% 3% 1% 0.3 0% Insurance Agents CoveredCA.com Covered CA Navigators and Plan Based County Workers Direct Service Center Certified Enrollers Enrollers
Data between March 20- August 20, 2020
7 NEW Qualifying Life Events for SEP
Effective August 1, 2020 From the QLE dropdown menu, choose “Other • LOSS OF JOB qualifying life event” Please type “State of • LOSS OF INCOME Emergency/Wildfires” in the “Reason for Other” text box: Effective August 18, 2020 • WILDFIRE VICTIMS
Coverage effective dates will generally follow the 15th day-of-the-month rule.
8 LOOKING AHEAD
9 California New Law: Telehealth
DMHC All-Plan Letter • Effective March 18, 2020, Department of Managed Health Care (DMHC) used the COVID-related emergency authority to require all plans to reimburse contracted providers for care delivered remotely as care delivered in-person. Health plans shall: • Reimburse providers at the same rate, whether a service is provided in-person or through telehealth. • May not subject enrollees to cost-sharing greater than the same cost-sharing if the service were provided in person. • Provide the same amount of reimbursement for a service rendered via telephone as they would if the service is rendered via video. Reimbursement Rates, AB 744 (Chapter 867, Statutes of 2019) • Effective January 1, 2021, requires providers to be reimbursed for telehealth services at the same rate as in-person services, as specified, and the cost of telehealth services to be the same as in- person cost sharing.
10 Protecting and Going Beyond the AFFORDABLE CARE ACT with New Policies in 2020
U.S. Census Bureau, Health Insurance Coverage in the United States: 2013, Sept. 2014 - https://www2.census.gov/library/publications/2014/demographics/p60-250.pdf. 6 U.S. Census Bureau, Health Insurance Coverage in the United States: 2018, Sept. 2019.
11 Policies and Outreach Make a Difference in 2020 Plan Year
Average dollar amount of financial help received by middle income households between 400-600% of Federal Poverty Level* 25% 23%
20% ~625,000 17% (42%) 15% 1.5 15% 13% QUALIFIED 11% MILLION FOR STATE 10% SUBSIDES 7% 8% 7% PLAN SELECTED FOR 2020 PLAN YEAR 5%
0% $1 - $50 $51 - $101 - $201 - $401 - $600 - $801 - $1,001 + $100 $200 $400 $600 $800 $1,000
Nearly 32,000 middle-income consumers qualified for the new financial help, which averaged $504 per month for eligible households, and lowered their monthly premium by half.
12 2021 State Subsidy Program
• Maintain the current level of state subsidies as adopted in the 2020 state subsidy program $349 Million design into 2021.
• Maintain requirement to allocate 17% of the subsidies to individuals between 200%-400% Nearly 58,000 FPL. Enrollees in the • Estimates still anticipate enrollment growth in 400%-600% FPL the 400 to 600% FPL group that are receiving will state subsidies for 2021, relative to 2020. receive state subsidy
13 2021 Program Design Required Contribution Curve
14 2020 Covered California Enrollment Profile Qualified health plan enrollment Enrollment by metal plans
2020 Enrollment data as of 3/31/2020 .
15 2021 California Individual Market Rate
Statewide Weighted Average
Shop & Switch Statewide Weighted Average
16 Rate Change Year over Year
3 Year Overall Average 2015 2016 2017 2018 2019 2020 2021 Average (2019- 2021) Weighted 4.2 4.0 13.2 12.5* 8.7 0.8 0.6 6.3 3.3 Average Shop & - -4.5 -1.2 3.3 -0.7 -9.0 -7.3 -3.2 -5.7 Switch
*The weighted average rate increase in 2018 was 21.1 percent, but much of that increase was directly offset for consumers by an increase in federal subsidy which lowered their net premium.
California’s Efforts to Build on the Affordable Care Act Lead to a Record-Low Rate Change for the Second Consecutive Year: https://www.coveredca.com/newsroom/news-releases/2020/08/04/californias-efforts-to-build-on-the-affordable- care-act-lead-to-a-record-low-rate-change-for-the-second-consecutive-year/
17 California’s Individual Market Rate Change by Carrier
Weighted Average Rate Carrier Change Anthem Blue Cross 6.0 Blue Shield of California - 2.4 CCHP - 1.3 Health Net 3.4 Kaiser Permanente 1.0 LA Care Health Plan - 4.6 Molina Healthcare - 3.8 Oscar Health Plan of California 7.6 Sharp Health Plan - 0.5 Valley Health Plan 9.0 Western Health Advantage - 2.6 Overall 0.6 Averages for on-exchange plans
18 2021 Covered California Health Plan Offerings
• 2 carriers will be expanding their coverage areas
• Anthem EPO expands to include Inyo, Mono, Imperial, and Kern counties (Regions 13 & 14)
• Anthem HMO will be available in Orange County (Region 18)
• Oscar in San Mateo County (Region 8)
• Nearly all Californians (99.8%) will have a choice of 2 carriers
• 87% Californians will have a choice of 3 or more carriers
19 2021 REGIONAL RATES Please See Appendix for 2021 Regional Rates
20 APTC - 3 Major Components
INCOME / FPL FAIR SHARE % / AMOUNT SECOND-LOWEST If consumer selects (FEDERAL AND STATE) SILVER PREMIUM the second-lowest silver plan George: Federal: Expected to contribute: 8.29% Benchmark Plan 40 years old, in (fair share) of his income = $2588 in Sacramento Sacramento annually or $215 per month before the Premium = $482 earns $31,225/year = state subsidy. Subtracts the 250% FPL Federal Fair Share = - $215 State: Expected to contribute: 7.8% Federal APTC Monthly Cost: (fair share) of his income = $2,435 Amount = $267 Total Premium = $482 annually or $202 per month. Take the Adds the State Total APTC = $280 federal required amount and subtract the Subsidy Amount = +$13 Consumer state required amount to get the state Total APTC = $280 Premium = $202 subsidy amount = $13.
George can shop for a more expensive plan, but will continue to receive only $280 toward the cost of those more expensive plans. If the consumer decides on a less expensive plan, the APTC applied cannot exceed the amount of the premium.
*Footnote: Using 2020 Shop and Compare data 21 2021 HOSPITAL NETWORKS Please See Appendix for 2021 Regional Hospital Networks
22 2021 STANDARD HEALTH BENEFIT DESIGN, DENTAL, VISION 2021 Health Benefit Design by Metal Tier
. Metal Tier Bronze Silver Gold Platinum Covers 60% Covers 70% Covers 80% Covers 90% average annual cost average annual cost average annual cost average annual cost Annual Wellness Exam $0 $0 $0 $0
* Primary Care Visit $65 $40 $30 $35 $15
* Urgent Care $65 $40 $30 $35 $15 * Specialist Visit $95 $80 $65 $30 40% Emergency Room Facility $400 $350 $150 after deductible is met Laboratory Tests $40 $40 $40 $15 X-Rays and Diagnostics $85 $75 $30 40% $275 $150 copay or 20% $75 copay or 10% Imaging after deductible is met $325 coinsurance* coinsurance*** Individual: $6,300 Individual: $4,000 Medical Deductible N/A N/A Family: $12,600 Family: $8,000 Individual: $500 Individual: $300 Pharmacy Deductible N/A N/A Family: $1,000 Family: $600 Annual Out-of-Pocket $7,800 $8,200 individual $7,800 $8,200 individual $7,800 $8,200 individual $4,500 individual Maximum $15,600 $16,400 family $15,600 $16,400 family $15,600 $16,400 family $9,000 family
Benefits in blue are NOT subject to a deductible. Benefits in blue with white corner are subject to deductible after first three visits *Copay is for any combination of services (primary care, specialist, urgent care) for the first three visits. After three visits, future visits will be at the full cost until the medical deductible is met ***See plan evidence of coverage for imaging cost share
24 2021 Family Dental Carriers Changes RETURNING
NEW WITHDRAW
https://www.coveredca.com/individuals-and-families/getting-covered/dental-coverage/family/
25 2021 Family Dental Carrier Offerings
HMO Network • Blue Shield DHMO is entering the individual market in Rating Regions 2 – 19
PPO Network • Blue Shield DPPO is entering the individual market in Rating Regions 1 - 19 • Guardian DPPO is entering the individual market in Rating Regions 1 - 19 • Premier Access DPPO is withdrawing from Covered California Marketplace
26 2021 Family Dental Plan Products
Dental HMO (DHMO) Plans Dental PPO (DPPO) Plans
• Copays and lower premiums • Co-insurance • No waiting period or annual benefit limit • Adults: six-month waiting period* for major services • No deductible *Waived with proof of prior Out-of-network services are not covered • coverage; proof of prior coverage requirements may vary by plan. • Deductible (no changes for 2021)
27 2021 Vision Plans
http://coveredca.eyemed.com/ https://www.vspdirect.com/4CA/welcome
http://www.coveredca.com/individuals-and-families/getting-covered/vision/
28 2021 COVERED CALIFORNIA FOR SMALL BUSINESS
Tamar Arouchian, Regional Sales Executive Email: [email protected] Contact: (818) 625-2279
29 CCSB Updates Through July 1, 2020: 62,367 7,633 employers Average Jan Employer Groups: CCSB Membership Growth Renewal: • 1-100 FTE’s 70000 1.5% !!
60000 Employer Choice: • One or two metal tiers 50000 offered to employees. 40000
30000 Employee Choice: • Any Carrier/Plan on 20000
metal tiers offered. 10000
0 1-Jul 1-Jul 1-Jul 1-Jul 1-Jul 1-Jul 1-Jul 1-Jan 1-Jan 1-Jan 1-Jan 1-Jan 1-Jan 1-Jan 1-Oct 1-Oct 1-Oct 1-Oct 1-Oct 1-Oct 1-Apr 1-Apr 1-Apr 1-Apr 1-Apr 1-Apr 1-Apr
30 Where We Excel
The best multi-carrier exchange: Employees free to choose what is best for them. Single billing makes it easy: • As little as 2 weeks of Employers love the administration. payroll Defined contribution: • PEO takeover Predictable budgeting for employers. • Union carve-out Employee only coverage option: • Out of State Employees Allows other family members to qualify for APTC. covered by Blue Shield’s Tax Credit for qualifying employers. Blue Card
Flat 5% Commission + Bonus!!
31 Qualified Health Plan Partners
32 New Business & Renewal Submission
Submission Options: o MyCCSB portal o Ease o General Agent o [email protected]
33 MyCCSB Portal Driving Administrative Efficiencies
Portal Capabilities for Groups and Brokers: o Process Adds + Terms o ACH payments o Online Processing of renewal o Look up Member ID’s o Review current enrollment o Look up prior bills o Enrollment portal enhancements Q2 2021
34 Agent Incentive Program A Partnership That Pays
Bonus Program - Coverage Effective: January 1, 2020 - January 1, 2021 Earn extra when you sell new small groups
Group Size (Enrolled Employees) Incentive Earned
51 - 100 $ 8,000
26 - 50 $ 4,000
16 - 25 $ 2,000
6 - 15 $ 1,000
35 Contact Us – We’re here to help!
CCSB Sales (844) 332-8384 www.CoveredCA.com/ForSmallBusiness CCSB Agent Service Center (855) 777-6782 [email protected] (Option 1 for English or 2 for Spanish > then 1 for Agents > then 2 for the Call Center) Case Submission & Eligibility [email protected] Quotes [email protected]
36 2021 COVERED CALIFORNIA FOR SMALL BUSINESS
Tara Driscoll, Regional Sales Executive Email: [email protected] Contact: (408) 508-8689 Monterey, Santa Cruz John Lally, Regional Sales Executive Email: [email protected] Contact: (559) 287-9980 San Benito, San Luis Obispo 2021 OPEN ENROLLMENT READINESS Diannah Thomas, Central Coast Regional Representative
38 Consumers needing to provide consent
• August 3-16, 2020: Consent for Verification “CalNOD11” mailed to members who need to provide consent
• Members need to provide consent to Covered California to keep their APTC for the 2021 benefit year
39 Shop & Compare Tool
NEW DOCTOR SEARCH NEW rates NEW PLAN RATES Oct NEW APTC AMOUNTS 1
* Date is subject to change to include all new information.
40 2021 Renewal Dates
Renewal Renewal starts ends Oct Dec 1 15
• Active Renewal: 10/1/20 – 12/15/20 • Passive (Auto) Renewal: 10/31/20 – 11/23/20
41 Renewal Notice (NOD12A) Changes
42 Renewal Notice (NOD12A) Changes
Renewal Steps
Account Access Code
Delegated Enroller’s Information!
43 2021 Open Enrollment Dates
Open Open Enrollment Enrollment starts ends Nov Jan 1 31
44 2021 Franchise Tax Board
45 Penalty & Exemptions
• Penalties will begin to be enforced by the Franchise Tax Board beginning next year when Californians file their 2020 taxes. You can find a penalty estimator on the Franchise Tax Board website. https://www.ftb.ca.gov/file/personal/filing- situations/healthcare/estimator/
• Exemptions - There are some exemptions you must apply for through Covered California. Other exemptions do not require an application – instead, you can claim them when you file your state tax return.
46 Transition from Covered California to Medicare
47 Covered California and Medicare
• Consumers who are eligible for Medicare – even if they do not enroll in it – aren’t eligible to receive financial help (premium tax credits) to lower the cost of a Covered California health plan.
• People who are eligible for Medicare must report their Medicare eligibility to Covered California within 30 days and will usually need to cancel their Covered California plan.
• Covered California plans won’t be automatically canceled when a consumer becomes eligible for Medicare, even if they enroll in a Medicare plan with the same insurance company.
• Consumers must cancel their plan at least 14 days before they want their coverage to end by contacting Covered California.
48 Case Example Consumer’s 65th birthday is October 27th
• Consumer will be eligible to Medicare on October 1st
• Consumer should terminate their Covered California plan before September 15th
• If a consumer is on a plan with other members, the consumer should only remove themselves from the plan and NOT the household
• Income will still be calculated based on household size and will affect subsidy amounts for other members, if eligible.
49 Things to Know
• Medicare is not part of Covered California. • Covered California does not offer Medicare supplement insurance, Medigap, or Part D drug plans. • Low income consumers who meet other requirements may still be eligible for additional coverage through Medi-Cal, which a consumer can enroll in through Covered California. • Enrollment in Medi-Cal could help pay for Medicare costs and may cover benefits that are not covered by Medicare, like dental coverage and nursing home care.
50 CalHEERS Case Management Page Release 20.6 reintroduced elements of case history including enrollment details, premium history, and delegation history.
52 CalHEERS Release 20.9
• Case Management Pages Release • Consumer Premium Payment starts
• Create an Individual Account Sept • My Enrollment Dashboard 21 • My Profile Page
53 CalHEERS Portal Functionality
• All active cases will be viewable for search.
• Book of Business export file will contain only active cases that were submitted prior to midnight on the Friday before the file was downloaded.
54 SOCIAL MEDIA ENGAGEMENT
55 Social Media Toolkit
• Toolkit contains sample language specific to COVID-19 and Open Enrollment
• Library of graphics available for download that can be leveraged within social media posts
56 Social Media Best Practices
For Facebook, Instagram, Twitter and LinkedIn:
• Limit post messaging to two or three helpful sentences
• Always include a relevant visual image or graphic
• Post 2-4 times per week on Facebook and Instagram.
• Consider your audience. Before posting, ask yourself if the post is helpful to your followers.
• Don’t forget a call-to-action when posting.
For example, “Visit CoveredCA.com for more details.”
57 “How to” Instructions All Copy and images can be used on Facebook, Instagram, Twitter or LinkedIn.
1. Copy and Paste the caption from the post you’d like to share. 2. Be sure to tag Covered California so people can click to learn more. • For Facebook or LinkedIn, type “@CoveredCalifornia” and select the page from the drop-down when it appears. • For Instagram or Twitter, type “@CoveredCA” to tag the page. 3. Don’t forget to include the #CoveredCA
58 *New* Google My Business Add the Covered California logo to your existing Google “My Business” page. Once you log into the Google account associated with your business, follow these steps:
59 DEPARTMENT OF MANAGED HEALTH CARE Lezlie Micheletti, Stakeholder Engagement & Outreach
60 Accomplishments
June 2020 61 HealthHelp.ca.gov COVID-19 Response • All Plan Letters • Telehealth and Access to Care • Diagnostic Testing and Coverage • Cost Sharing, Reimbursement Rates & Financial Risk • Emergency Regulations 62 HealthHelp.ca.gov Help Center Assists consumers with health care issues and ensures that managed care patients receive the medical care and services to which they are entitled. • Contact Center • Division of Legal Affairs and Policy • Independent Medical Review/Complaint Branch • Provider Complaint Unit
63 HealthHelp.ca.gov Consumer Complaints Resolved in 2019
Central Coast – 897 complaints (Claims/Financial, Coverage Benefits, and Service) 64 HealthHelp.ca.gov Lezlie Micheletti, Stakeholder Engagement & Outreach Coordinator [email protected] 916-414-0996 DMHC Help Center: 1-888-466-2219 DMHC Provider Complaint Unit: 1-877-525-1295
65 HealthHelp.ca.gov ENROLLER RESOURCES Diannah Thomas, Central Coast Regional Representative
66 Consumer Real Stories
Who best to tell our story than those who’ve benefited from Covered California.
We’ll be working with our agents and community enrollers to help identify great stories we can use while we promote open enrollment 2021.
67 Virtual Press Events
Covered California is developing ideas to reach media virtually. As in years’ past, we’ll look to utilize our community partners to help generate local news in their communities.
68 Storefront Program
• 545 Storefronts
• Helping consumers enroll in health coverage
• Adapting to virtual support and setting appointments for social distancing
69 Sales Service Center
Agent Service Center: (877) 453-9198 [email protected]
CEC/PBE Help Line: (855) 324-3147
CCSB Service Center: (855) 777-6782 [email protected]
Hours of Operation: Monday thru Friday 8:00 a.m. to 6:00 p.m. Saturdays and Sundays, Closed
70 Statewide Support Team
71 Regional Open Enrollment 2021 Kickoff
MOVING AHEAD IN UNCERTAINTY THANK YOU! 2021 AND BEYOND
[email protected] 72 APPENDIX
73 2021 REGIONAL HEALTH PLAN RATES Bronze and Silver Plans BRONZE 2021 Region 1 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share • 4.4% weighted Premium Premium average increase 1 Kaiser $377 $392 3.9% $42 0.8% • Kaiser remains 2 Blue Shield PPO $495 $480 -2.9% $130 36.5% as the lowest priced bronze 3 Anthem EPO $446 $485 8.7% $136 62.7% plan
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $337 APTC & $13 State Subsidy 75 SILVER 2021 Region 1 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly • 0.04% weighted Price Gross Gross Change Pays Share Premium Premium average rate decrease 1 Kaiser $468 $485 3.7% $135 1.5% • Kaiser remains as the lowest priced 2 Anthem EPO $542 $557 2.8% $207 41.5% silver plan but 3.7% price increase 3 Blue Shield PPO $633 $619 -2.2% $269 57% • $188 price spread 4 Blue Shield HMO $695 $673 3.2% $323 0.04% (consumer could save by switching from highest to lowest)
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $337 APTC & $13 State Subsidy 76 BRONZE 2021 Region 1: Butte County Rates for Zip Code 95926
2020 2021 Lowest YOY Consumer Market • 4.4% weighted Health Plan Monthly Monthly Price Gross Gross Change Pays Share average Premium Premium increase
1 Blue Shield PPO $495 $480 -2.9% $130 36.8% • Blue Shield PPO reduced price by 2.9% 2 Anthem EPO $446 $485 8.7% $136 63.2% from last year
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $337 APTC & $13 State Subsidy 77 SILVER 2021 Region 1: Butte County Rates for Zip Code 95926
• 2.1% weighted 2020 2021 average decrease Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share Premium Premium • Anthem EPO remains as the lowest silver 1 Anthem EPO $542 $557 2.8% $146 2.5% plan but price increase by 2.8% from last year Blue Shield 2 $633 $619 -2.2% $207 97.5% PPO • $62 price spread (consumer could save by switching from highest to lowest)
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $398 APTC & $13 State Subsidy 78 BRONZE 2021 Region 2 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share Premium Premium
1 Western HMO $399 $397 -0.3% $70 18.8% • 2.2% weighted 2 Kaiser $397 $412 3.9% $85 68.1% average increase Blue Shield 3 $545 $520 -4.6 $192 12.2% PPO 4 HealthNet EPO $511 $593 16.1% $265 1%
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $315 APTC & $13 State Subsidy 79 SILVER 2021 Region 2 Rates
2020 2021 Lowest YOY Consum Market Health Plan Monthly Monthly Price Gross Gross Change er Pays Share Premium Premium
1 Kaiser $492 $510 3.7% $183 73% • 2.1% weighted average increase 2 Western HMO $539 $535 -0.7% $207 11.7% • $378 price spread Blue Shield 3 $697 $670 -3.9% $342 14.9% (consumer could save PPO by switching from Blue Shield 4 $716 $693 -3.2% $365 0.2% highest to lowest) HMO HealthNet 5 $765 $889 16.1% $561 0.2% EPO
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $315 APTC & $13 State Subsidy 80 BRONZE 2021 Region 3 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share Premium Premium • 2.4% weighted 1 -10% $110 6.1% Western $431 $387 average increase
2 Kaiser $377 $392 3.9% $114 77.3% • Western reduced HealthNet price by 10% from 3 $456 $494 8.4% $216 3.8% PPO last year Blue Shield 4 $545 $530 -2.7% $253 12.8% PPO
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $337 APTC & $13 State Subsidy 81 SILVER 2021 Region 3 Rates
2020 2021 Lowest YOY Consum Market Health Plan Monthly Monthly Price Gross Gross Change er Pays Share Premium Premium • 0.3% weighted 1 Blue Shield HMO $482 $462 -4.2% $184 32.2% average increase
2 Kaiser $468 $485 3.7% $207 53.7% • $241 price spread (consumer could 3 Western HMO $573 $516 -10% $238 1.6% save by switching from highest to 4 Blue Shield PPO $697 $683 -1.9% $406 11.9% lowest)
HealthNet PPO $648 $703 8.5% $425 0.6%
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $264 APTC & $13 State Subsidy 82 BRONZE 2021 Region 4 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share Premium Premium • 1.2% weighted 1 Kaiser $417 $433 3.9% $70 51.8% average increase 2 CCHP HMO $457 $450 -1.7% $86 28.2%
3 Oscar EPO $431 $468 8.5% $105 3.7%
4 Blue Shield PPO $530 $505 -4.8% $141 15.9%
5 HealthNet EPO $551 $640 16.1% $277 0.4%
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $350 APTC & $13 State Subsidy 83 SILVER 2021 Region 4 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share Premium Premium • 0.2% 1 Kaiser $517 $536 3.7% $173 39.3% weighted average 2 Oscar EPO $574 $571 -0.6% $207 0.3% increase
• $423 price 3 CCHP HMO $607 $602 -0.7% $239 33.1% spread Blue Shield (consumer 4 $625 $608 -2.7% $245 3.3% HMO could save by switching from Blue Shield 5 $678 $650 -4.1% $287 23.9% highest to PPO lowest) 6 HealthNet EPO $825 $959 16.1% $595 0.1%
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $350 APTC & $13 State Subsidy 84 BRONZE 2021 Region 5 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share Premium Premium • 2.7% weighted average 1 Kaiser $377 $392 3.9% $1 78.6% increase
Blue Shield 2 $486 $471 -2.9% $71 20.1% PPO
3 HealthNet EPO $497 $577 16.2% $177 1.2%
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $389 APTC & $13 State Subsidy 85 SILVER 2021 Region 5 Rates
2020 2021 Lowest YOY Consume Market Health Plan Monthly Monthly Price Gross Gross Change r Pays Share Premium Premium • 1.9% weighted average 1 3.7% $85 68.7% Kaiser $468 $485 increase
2 Blue Shield PPO $621 $608 -2.2% $207 30.4% • $379 price spread Blue Shield 3 $688 $647 -3.2% $247 0.5% (consumer could HMO save by switching from 4 HealthNet EPO $744 $864 16.1% $464 0.4% highest to lowest)
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $387 APTC & $13 State Subsidy 86 BRONZE 2021 Region 6 Rates
2020 2021 Lowest YOY Consumer Market • 2.4% weighted Health Plan Monthly Monthly Price Gross Gross Change Pays Share average Premium Premium increase
• Kaiser remains 1 Kaiser $387 $402 3.9% $46 82.5% as the lowest priced bronze Blue Shield plan 2 $496 $472 -4.8% $116 17.5% PPO • Blue Shield PPO reduced price by 4.8% from last year
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $343 APTC & $13 State Subsidy 87 SILVER 2021 Region 6 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly • 1.9% weighted Price Gross Gross Change Pays Share Premium Premium average increase
• Kaiser remains as 1 Kaiser $480 $498 3.7% $141 71.1% the lowest priced silver plan Blue Shield 2 $546 $564 3.2% $207 6.8% HMO • Blue Shield PPO Blue Shield reduced price by 3 $634 $608 -4.1% $252 22.2% PPO 4.1% from last year
• $110 price spread (consumer could save by switching from highest to lowest)
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $343 APTC & $13 State Subsidy 88 BRONZE 2021 Region 7 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share Premium Premium • 6.2% weighted 10.6% 23.5% 1 Valley HMO $275 $304 $14 average increase 2 Kaiser HMO $387 $402 3.9% $112 46.6% • Blue Shield PPO reduced 3 Anthem EPO $428 $469 9.5% $178 22.7% price by 3.2% from last year Blue Shield 4 $584 $566 -3.2% $275 7.2% PPO
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $277 APTC & $13 State Subsidy 89 SILVER 2021 Region 7 Rates
2020 2021 Lowest Monthly YOY Consumer Market Health Plan Monthly Gross Gross Price Premium Change Pays Share Premium • 4.9% weighted 1 Valley HMO $403 $436 8% $145 39% average increase 2 Kaiser $480 $498 3.7% $207 40.3% • $293 price spread 3 Anthem EPO $519 $538 3.6% $247 10.5% (consumer could save by Blue Shield 4 $561 $573 2.2% $282 3.1% switching from HMO highest to Blue Shield 5 $747 $729 -2.5% $439 7.1% lowest) PPO
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $277 APTC & $13 State Subsidy 90 BRONZE 2021 Region 8 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share Premium Premium • 2.3% 1 3.9% $70 72.7% Kaiser $417 $433 weighted average 2 Oscar EPO - $468 New $105 - increase
3 CCHP HMO $494 $486 -1.7% $122 10.1% • Oscar new entrant for Blue Shield 2021 4 $559 $538 -3.7% $175 16% PPO
5 HealthNet EPO $593 $686 16.1% $325 1.2%
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $350 APTC & $13 State Subsidy 91 SILVER 2021 Region 8 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share • 2% weighted Premium Premium average increase 1 Kaiser $517 $536 3.7% $173 71.1% • Oscar new 2 Oscar EPO - $571 New $207 - entrant for 2021 Blue Shield 3 $670 $648 -3.2% $285 2.2% HMO • $495 price spread 4 CCHP HMO $655 $651 -0.7% $287 7.7% (consumer Blue Shield could save by 5 $715 $694 -3% $330 18.7% PPO switching from highest to 6 HealthNet EPO $888 $1,031 16.1% $668 0.3% lowest)
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $350 APTC & $13 State Subsidy 92 BRONZE 2021 Region 9 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share Premium Premium • 0.7% 1 Kaiser $387 $402 3.9% $83 34.1% weighted average 2 HealthNet EPO $407 $473 16.1% $154 5.6% decrease Blue Shield 3 $625 $595 -4.8% $276 60.3% PPO
4 Anthem EPO $606 $663 9.4% $344 -
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $306 APTC & $13 State Subsidy 93 SILVER 2021 Region 9 Rates
Lowe 2020 2021 • 2.1% weighted Health YOY Consum Market st Monthly Monthly Plan Gross Gross Change er Pays Share average decrease Price Premium Premium • Kaiser remains as the 1 Kaiser $480 $498 3.7% $179 15% lowest priced silver Blue Shield plan 2 $529 $526 -0.5% $207 18.8% HMO HealthNet • Blue Shield PPO 3 $610 $708 16.1% $389 1% EPO reduced price by 4.1% from last year 4 Anthem EPO $736 $761 3.5% $442 -
Blue Shield • $269 price spread 5 $800 $767 -4.1% $448 65.2% PPO (consumer could save by switching from highest to lowest)
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $306 APTC & $13 State Subsidy 94 BRONZE 2021 Region 9 Rates: Monterey County, Zip Code 93906
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share • 4.8% weighted Premium Premium average decrease Blue Shield 1 $625 $595 -4.8% $276 100% PPO • Blue Shield PPO reduced price by 9.4% - 2 Anthem EPO $606 $663 $344 4.8% from last year
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $306 APTC & $13 State Subsidy 95 SILVER 2021 Region 9 Rates: Monterey County, Zip Code 93906
• 4.1% weighted 2020 2021 Lowest YOY Consumer Market average decrease Health Plan Monthly Monthly Price Gross Gross Change Pays Share Premium Premium • Anthem remains as the lowest priced silver 1 Anthem EPO $736 $761 3.5% $202 - plan but 3.5% price increase Blue Shield 2 $800 $767 -4.1% $207 100% PPO • Blue Shield PPO reduced price by 4.1% from last year
• $6 price spread (consumer could save by switching from highest to lowest)
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $547 APTC & $13 State Subsidy 96 BRONZE 2021 Region 10 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly • 6.1% weighted Price Gross Gross Change Pays Share Premium Premium average increase
• Kaiser remains 1 3.9% $105 39.9% Kaiser $338 $351 as the lowest priced bronze 2 Anthem EPO $361 $395 9.5% $149 49% plan, but 4% price increase. Blue Shield 3 $488 $469 -3.9% $224 9.7% PPO • Blue Shield PPO reduced price by HealthNet 4 $506 $588 16.1% $342 1.4% 3.9% from last EPO year
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $233 APTC & $13 State Subsidy 97 SILVER 2021 Region 10 Rates
2020 2021 • 3.1% weighted Lowest YOY Consume Market Health Plan Monthly Monthly Price Gross Gross Change r Pays Share average increase Premium Premium • Kaiser remains as 1 Kaiser $418 $434 3.7% $188 40.8% the lowest priced silver plan 3.6% 50.4% 2 Anthem EPO $437 $453 $207 • Blue Shield PPO and HMO reduced Blue Shield 3 $519 $572 -3.2% $326 0.6% HMO price by 3.2% from last year 4 Blue Shield PPO $625 $605 -3.2% $359 8.1% • $447 price spread (consumer could 5 HealthNet EPO $758 $880 16.1% $635 0.1% save by switching from highest to lowest)
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $234 APTC & $13 State Subsidy 98 BRONZE 2021 Region 10 Rates: Tulare County, Zip Code 93257
2020 2021 Lowest YOY Consumer Market • 7.5% weighted Health Plan Monthly Monthly Price Gross Gross Change Pays Share average increase Premium Premium • Anthem EPO 9.5% 81.5% 1 Anthem EPO $361 $395 $149 remains as the Blue Shield lowest priced 2 $488 $469 -3.9% $224 16.1% PPO bronze plan but HealthNet 9.5% price 3 $506 $588 16.1% $342 2.4% EPO increase from last year
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $233 APTC & $13 State Subsidy 99 SILVER 2021 Region 10 Rates: Tulare County, Zip Code 93257
2020 2021 • 2.6% weighted Lowest YOY Consumer Market Health Plan Monthly Monthly average increase Price Gross Gross Change Pays Share Premium Premium • Anthem EPO 1 Anthem EPO $437 $453 3.6% $88 85.1% remains as the lowest priced silver Blue Shield plan but 3.6% price 2 $591 $572 -3.2% $207 1% HMO increase from last Blue Shield year 3 $625 $605 -3.2% $240 13.7% PPO • $427 price spread 4 HealthNet EPO $758 $880 16.1% $516 0.2% (consumer could save by switching from highest to lowest)
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $351 APTC & $13 State Subsidy 100 BRONZE 2021 Region 11 Rates
2020 2021 Lowest YOY Consumer Market • 0.6% weighted Health Plan Monthly Monthly Price Gross Gross Change Pays Share average Premium Premium increase Blue Shield 1 $307 $297 -3% $103 47.4% PPO • Blue Shield PPO remains 2 Kaiser $322 $334 3.9% $140 52.6% as the lowest priced bronze 3 Anthem HMO $323 $350 8.4% $156 - plan with a 3% price decrease from last year
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $194 APTC & $13 State Subsidy 101 SILVER 2021 Region 11 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share Premium Premium • 1% weighted average 1 Blue Shield PPO $392 $383 -2.3% $189 78.9% decrease
• $150 price 2 Anthem HMO $391 $402 2.6% $207 - spread (consumer 3 Kaiser $399 $413 3.7% $219 21.1% could save by switching from highest to 4 Blue Shield HMO $551 $533 -3.2% $339 - lowest)
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $181 APTC & $13 State Subsidy 102 BRONZE 2021 Region 12 Rates
2020 2021 Lowest YOY Consumer Market • 0.6% weighted Health Plan Monthly Monthly Price Gross Gross Change Pays Share average increase Premium Premium • Kaiser remains as 1 Kaiser $378 $391 3.4% $115 28% the lowest priced bronze plan, but Blue Shield 3.4% price 2 $413 $411 -0.5% $135 72% PPO increase.
3 Anthem EPO $447 $489 9.4% $213 - • Blue Shield PPO reduced price by 0.5% from last year
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $263 APTC & $13 State Subsidy 103 SILVER 2021 Region 12 Rates
2020 2021 • 2.3% weighted Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share average increase Premium Premium Blue Shield • Blue Shield HMO 1 $421 $445 5.9% $169 33.3% HMO remains as the lowest priced 2 Kaiser $469 $484 3.2% $207 7.6% silver plan but 5.9% price Blue Shield 3 $528 $530 0.2% $253 59.1% PPO increase
4 Anthem EPO $542 $561 3.5% $285 - • $116 price spread (consumer could save by switching from highest to lowest)
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $263 APTC & $13 State Subsidy 104 BRONZE 2021 Region 12 Rates: Santa Barbara County, Zip Code 93117
2020 2021 • 0.5% weighted Lowest YOY Consumer Market Health Plan Monthly Monthly average Price Gross Gross Change Pays Share Premium Premium decrease
Blue Shield 1 $413 $411 -0.5% $135 100% • Blue Shield PPO PPO remains as the lowest priced 2 9.4% $213 - Anthem EPO $447 $489 bronze plan with a 0.5% price decrease from last year
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $263 APTC & $13 State Subsidy 105 SILVER 2021 Region 12 Rates: Santa Barbara County Rates, Zip Code 93117
• 0.2% weighted 2020 2021 average increase Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share Premium Premium • Blue Shield PPO remains as the lowest Blue Shield 1 $528 $530 0.2% $176 100% priced silver plan with PPO a 0.2% price increase from last year 2 Anthem EPO $542 $561 3.5% $207 - • $31 price spread (consumer could save by switching from highest to lowest)
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $341 APTC & $13 State Subsidy 106 BRONZE 2021 Region 13 Rates
2020 2021 Lowest YOY Consume Market • 0.6% weighted Health Plan Monthly Monthly Price Gross Gross Change r Pays Share average Premium Premium decrease
1 Molina HMO $340 $352 3.4% $100 53.7% • Anthem new entrant for 2021 2 Kaiser $359 $371 3.4% $119 0.7% • Molina remains Blue Shield as the lowest 3 $484 $458 -5.3% $206 45.6% PPO priced bronze plan, but 3.4% 4 Anthem EPO - $605 New $354 - price increase.
• Blue Shield PPO reduced price by 5.3% from last year
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $239 APTC & $13 State Subsidy 107 SILVER 2021 Region 13 Rates
2020 2021 • 3.1% weighted Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share average decrease Premium Premium • Anthem new 1 Molina HMO $374 $364 -2.6% $112 75.1% entrant for 2021
2 Kaiser $445 $459 3.2% $207 0.2% • Molina remains as the lowest priced Blue Shield 3 $619 $590 -4.6% $338 24.8% PPO silver plan with a 2.6% price 4 Anthem EPO - $695 New $443 - decrease
• $331 price spread (consumer could save by switching from highest to lowest)
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $239 APTC & $13 State Subsidy 108 BRONZE 2021 Region 13 Rates: Imperial County, Zip Code 92243
2020 2021 • 0.6% weighted Lowest YOY Consumer Market Health Plan Monthly Monthly average Price Gross Gross Change Pays Share Premium Premium decrease
1 Molina HMO $340 $352 3.4% $100 54.1% • Molina remains as the lowest 2 Blue Shield PPO $484 $458 -5.3% $206 45.9% priced bronze plan but 3.4% 3 Anthem EPO - $505 New $354 - price increase from last year
• Anthem new entrant for 2021
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $239 APTC & $13 State Subsidy 109 SILVER 2021 Region 13 Rates: Imperial County, Zip Code 92243 • 3.1% weighted average decrease 2020 2021 Lowest YOY Consume Market Health Plan Monthly Monthly Price Gross Gross Change r Pays Share • Molina remains as Premium Premium the lowest priced silver plan with a 1 Molina HMO $374 $364 -2.6% $1 75.2% 2.6% price decrease from last year Blue Shield 2 $619 $590 -4.6% $207 24.8% PPO • Anthem new entrant for 2021 3 Anthem EPO - $695 New $312 - • $331 price spread (consumer could save by switching from highest to lowest)
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $370 APTC & $13 State Subsidy 110 BRONZE 2021 Region 14 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share • 0.1% weighted Premium Premium average Blue Shield decrease 1 $322 $313 -2.7% $117 59.9% PPO • Blue Shield HealthNet 2 $325 $317 -2.5% $121 - HSP PPO remains as the lowest 3 Kaiser HMO $344 $355 3.4% $159 45.1% priced bronze plan with a 2.7% 4 Anthem EPO - $451 New $255 - price decrease from last year
• Anthem new entrant for 2021
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $183 APTC & $13 State Subsidy 111 SILVER 2021 Region 14 Rates
• 0.5% weighted 2020 2021 Lowest YOY Consumer Market average decrease Health Plan Monthly Monthly Price Gross Gross Change Pays Share Premium Premium • HealthNet HMO remains as the 1 HealthNet HMO $389 $401 3.1% $204 13.9% lowest priced silver plan but 2 Blue Shield PPO $411 $403 -2% $207 70.6% 3.1% price increase 3 Blue Shield HMO $451 $437 -3.2% $241 0.7% • Anthem new 4 Kaiser $426 $440 3.2% $244 14.8% entrant for 2021
5 Anthem EPO - $517 New $321 - • $116 price spread (consumer could save by switching from highest to lowest)
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $183 APTC & $13 State Subsidy 112 BRONZE 2021 Region 15 Rates 2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share Premium Premium
1 L.A. Care HMO $265 $253 -4.4% $133 17% • 3.1% weighted 2 HealthNet PPO $294 $291 -1.2% $170 30% average decrease 3 Kaiser $315 $292 -7.0% $172 28% • L.A. Care 4 HealthNet HSP $307 $300 -2.5% $179 - remains in lowest position 5 Oscar EPO $268 $300 11.7% $179 2% • Molina remains 6 Anthem HMO $313 $309 -1.3% $189 - at highest Blue Shield position 7 $343 $340 -0.9% $220 19% PPO
8 Molina HMO $344 $345 0.4% $225 5%
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $107 APTC & $13 State Subsidy 113 SILVER 2021 Region 15 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share Premium Premium
1 L.A. Care HMO $342 $325 -5.2% $204 18.6% • 6.6% weighted Blue Shield average decrease 2 $352 $328 -6.9% $207 14.1% HMO • Blue Shield HMO is 3 HealthNet HMO $327 $343 4.9% $223 29.3% the benchmark plan 4 Anthem HMO $380 $355 -6.6% $234 - • $113 price spread 5 Molina HMO $377 $357 -5.3% $237 0.3% (consumer could 6 Kaiser $390 $362 -7.2% $241 12.6% save by switching from highest to 7 Oscar EPO $357 $365 2.4% $245 0.1% lowest) 8 HealthNet HSP $418 $413 -1.2% $293 4.2% Blue Shield 9 $439 $438 -0.2% $318 25.5 PPO
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $107 APTC & $13 State Subsidy 114 BRONZE 2021 Region 16 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share Premium Premium
1 L.A. Care HMO $287 $275 -4.4% $130 10.7% • 0.6% weighted 2 Kaiser $315 $299 -4.9% $154 37.2% average decrease 3 Oscar EPO $272 $303 11.1% $158 15%
4 Anthem HMO $336 $319 -5.1% $174 -
5 Molina HMO $330 $335 1.4% $190 14%
6 HealthNet HSP $345 $336 -2.5% $191 0.4%
7 HealthNet PPO $345 $368 6.7% $223 6.9% Blue Shield 8 $418 $407 -3.9% $257 15.8% PPO
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $132 APTC & $13 State Subsidy 115 SILVER 2021 Region 16 Rates
Lowest 2020 2021 YOY Consumer Market Health Plan Monthly Gross Monthly Gross Price Premium Premium Change Pays Share
1 Molina HMO $363 $347 -4.4% $202 2.4% • 3.3% weighted L.A. Care 2 $371 $352 -5.2% $207 32.1% average HMO HealthNet decrease 3 $366 $364 -0.5% $219 21.3% HMO • $177 price 4 Anthem HMO $407 $365 -10.2% $221 - spread 5 Oscar EPO $362 $369 1.8% $224 4% (consumer could save by 6 Kaiser $390 $370 -5.1% $225 15.5% switching from Blue Shield highest to 7 $452 $415 -8.2% $271 2.5% HMO lowest) Blue Shield 8 $534 $517 -3.2% $373 20.2% PPO HealthNet 9 $491 $524 6.7% $379 2% PPO
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $132 APTC & $13 State Subsidy 116 BRONZE 2021 Region 17 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share Premium Premium • 1.2% 1 HealthNet PPO $293 $303 3.3% $166 27.5% weighted average 2 Molina HMO $327 $325 -0.6% $181 24.6% increase
3 Kaiser $315 $325 3.4% $181 33.8%
4 HealthNet HSP $337 $329 -2.5% $184 -
5 Anthem HMO $353 $335 -5.2% $190 -
Blue Shield 6 $372 $354 -4.8% $210 14.1% PPO
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $131 APTC & $13 State Subsidy 117 SILVER 2021 Region 17 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share Premium Premium
1 Molina HMO $359 $336 -6.3% $192 7.1% • 2.1% weighted 2 Blue Shield HMO $381 $352 -7.6% $207 29.3% average decrease 3 HealthNet HMO $351 $361 2.9% $217 25% • $121 price 4 Anthem HMO $428 $384 -10.2% $239 - spread (consumer 5 Kaiser $390 $402 3.2% $258 13.8% could save by switching 6 HealthNet PPO $417 $431 3.3% $431 5.5% from highest to lowest) 7 Blue Shield PPO $476 $457 -4.1% $312 19.3%
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $131 APTC & $13 State Subsidy 118 BRONZE 2021 Region 18 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share Premium Premium • 0.3% 1 Oscar EPO $271 $299 10.3% $128 25.2% weighted average 2 HealthNet HSP $322 $313 -2.5% $142 - increase 3 New $159 - Anthem HMO - $330 • Anthem new entrant for 4 -7% $162 28.5% Kaiser $359 $334 2021
5 HealthNet PPO $330 $343 3.8% $172 12.1%
6 Molina HMO $387 $379 -2.2% $207 8.5%
Blue Shield 7 $396 $388 -2.1% $216 25.6% PPO
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $158 APTC & $13 State Subsidy 119 SILVER 2021 Region 18 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share • 1.5% Premium Premium weighted 1 Oscar EPO $361 $364 1% $193 2.2% average increase 2 Anthem HMO - $379 New $207 - • Anthem new 3 Molina HMO $425 $392 -7.8% $220 2.2% entrant for 2021 HealthNet 4 $382 $396 3.7% $225 42.1% HMO • $136 price 5 Kaiser $445 $413 -7.2% $242 9.7% spread Blue Shield (consumer 6 $438 $414 -5.4% $243 9% HMO could save by switching 7 HealthNet PPO $470 $488 3.8% $488 33% from highest Blue Shield to lowest) 8 $507 $500 -1.4% $328 33% PPO
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $158 APTC & $13 State Subsidy 120 BRONZE 2021 Region 19 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share Premium Premium • 1.7% 1 HealthNet HSP $325 $317 -2.5% $157 - weighted average 2 Molina HMO $337 $332 -1.6% $170 29.7% decrease • HealthNet 3 Kaiser $348 $338 -2.9% $178 38.7% CSP remains as the lowest 4 Sharp HMO $356 $361 1.4% $201 18.2% priced bronze plan with a 5 HealthNet PPO $366 $362 -1.1% $202 3.7% 2.5% price decrease from last year 6 Blue Shield PPO $440 $423 -3.8% $263 9.6%
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $147 APTC & $13 State Subsidy 121 SILVER 2021 Region 19 Rates
2020 2021 Lowest YOY Consumer Market Health Plan Monthly Monthly Price Gross Gross Change Pays Share Premium Premium
1 Molina HMO $370 $343 -7.2% $183 11.8% • 1.9% weighted 2 HealthNet HMO $359 $367 2.3% $207 32.7% average decrease Sharp Copay 3 $385 $374 -2.9% $214 7.3% HMO 1 • $203 price Blue Shield 4 $427 $409 -4.2% $248 11.9% spread HMO (consumer 5 Kaiser $431 $418 -3% $258 15% could save Sharp Coin HMO by switching 6 $447 $435 -2.7% $275 7.3% 2 from highest to 7 HealthNet PPO $520 $515 -1.1% $355 0.7% lowest)
8 Blue Shield PPO $563 $546 -3.1% $386 13.3%
Monthly Gross Premium and Consumer Pays amount based on 40 year old at 250% FPL - $147 APTC & $13 State Subsidy 122 2021 REGIONAL HEALTH PLAN SCENARIOS Rates for 25 and 40-year-old Premiums by County Alameda County (Region 6): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Blue Shield PPO $357 $366 $371 $478 $560 $752 Blue Shield HMO - - - $443 $532 $751 Kaiser HMO Coin $240 $311 - - $434 - Kaiser HMO Copay - - $316 $391 $456 $491
40-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Blue Shield PPO $455 $466 $472 $608 $713 $958 Blue Shield HMO - - - $564 $677 $956 Kaiser HMO Coin $305 $396 - - $553 - Kaiser HMO Copay - - $402 $498 $581 $624
Open Enrollment 2021 Plan Year 124 Alpine County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766
40-year-old Single Individual Bronze Plan Minimum Bronze Silver Gold Platinum HDHP
Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975
Open Enrollment 2021 Plan Year 125 Amador County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766 Kaiser HMO Coin* $234 $303 - - $423 - Kaiser HMO Copay* - - $308 $381 $445 $478
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum
Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975 Kaiser HMO Coin* $297 $386 - - $539 - Kaiser HMO Copay* - - $392 $485 $566 $608
Open Enrollment 2021 Plan Year 126 Butte County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766
40-year-old Single Individual
Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975
Open Enrollment 2021 Plan Year 127 Calaveras County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766
40-year-old Single Individual
Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975
Open Enrollment 2021 Plan Year 128 Colusa County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766
40-year-old Single Individual
Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975
Open Enrollment 2021 Plan Year 129 Contra Costa County (Region 5): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*) 25-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Blue Shield PPO $357 $366 $370 $477 $559 $752 Blue Shield HMO - - - $508 $610 $862 Health Net EPO $357 - $453 $679 $750 $885 Kaiser HMO Coin $234 $303 - - $423 - Kaiser HMO Copay - - $308 $381 $445 $478
40-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Blue Shield PPO $455 $466 $471 $608 $712 $957 Blue Shield HMO - - - $647 $777 $1,097 Health Net EPO $455 - $577 $864 $955 $1,127 Kaiser HMO Coin $297 $386 - - $539 - Kaiser HMO Copay - - $392 $485 $566 $608
Open Enrollment 2021 Plan Year 130 Del Norte County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766
40-year-old Single Individual
Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975
Open Enrollment 2021 Plan Year 131 El Dorado County (Region 3): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $401 $412 $416 $537 $629 $845 Blue Shield HMO* - - - $363 $436 $616 Kaiser HMO Coin* $234 $303 - - $423 - Kaiser HMO Copay* - - $308 $381 $445 $478 Western HMO* $255 $305 $304 $405 $442 $490
40-year-old Single Individual
Plan - Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $511 $524 $530 $683 $801 $1,076 Blue Shield HMO* - - - $462 $555 $784 Kaiser HMO Coin* $297 $386 - - $539 - Kaiser HMO Copay* - - $392 $485 $566 $608 Western HMO* $324 $388 $387 $516 $562 $624
Open Enrollment 2021 Plan Year 132 Fresno County (Region 11): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem HMO $185 - $275 $315 $385 $527 Blue Shield PPO $225 $231 $234 $301 $353 $474 Blue Shield HMO* - - - $419 $503 $710 Kaiser HMO Coin* $199 $259 - - $361 - Kaiser HMO Copay* - - $262 $325 $379 $408
40-year-old Single Individual Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem HMO $235 - $350 $402 $490 $671 Blue Shield PPO $287 $294 $297 $383 $449 $604 Blue Shield HMO* - - - $533 $640 $904 Kaiser HMO Coin* $254 $329 - - $459 - Kaiser HMO Copay* - - $334 $413 $493 $519
Open Enrollment 2021 Plan Year 133 Glenn County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766
40-year-old Single Individual
Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975
Open Enrollment 2021 Plan Year 134 Humboldt County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766
40-year-old Single Individual
Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975
Open Enrollment 2021 Plan Year 135 Imperial County (Region 13): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $319 $442 $476 $546 $675 $915 Blue Shield PPO $347 $356 $360 $464 $543 $730 Kaiser HMO Coin* $221 $288 - - $401 - Kaiser HMO Copay* - - $292 $361 $421 $453 Molina HMO $241 - $276 $286 $295 $341
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $406 $563 $605 $695 $859 $1,164 Blue Shield PPO $441 $453 $458 $590 $692 $930 Kaiser HMO Coin* $282 $366 - - $510 - Kaiser HMO Copay* - - $371 $459 $536 $576 Molina HMO $307 - $352 $364 $376 $434
Open Enrollment 2021 Plan Year 136 Inyo County (Region 13): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $319 $442 $476 $546 $675 $915 Blue Shield PPO $347 $356 $360 $464 $543 $730
40-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $406 $563 $605 $695 $859 $1,164 Blue Shield PPO $441 $453 $458 $590 $692 $930
Open Enrollment 2021 Plan Year 137 Kern County (Region 14): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $238 $329 $354 $406 $502 $681 Blue Shield PPO $237 $243 $246 $317 $371 $499 Blue Shield HMO* - - - $343 $412 $582 Health Net HSP* $196 - $249 - - - Health Net HMO* - - - $315 $374 $449 Kaiser HMO Coin* $212 $275 - - $403 - Kaiser HMO Copay* - - $279 $345 $384 $433 40-year-old Single Individual Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $303 $419 $451 $517 $639 $867 Blue Shield PPO $302 $309 $313 $403 $473 $635 Blue Shield HMO* - - - $437 $524 $741 Health Net HSP* $250 - $317 - - - Health Net HMO* - - - $401 $477 $572 Kaiser HMO Coin* $270 $350 - - $488 - Kaiser HMO Copay* - - $355 $440 $513 $552
Open Enrollment 2021 Plan Year 138 Kings County (Region 11): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*) 25-year-old Single Individual Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem HMO $185 - $275 $315 $385 $527 Blue Shield PPO $225 $231 $234 $301 $353 $474 Blue Shield HMO* - - - $419 $503 $710 Kaiser HMO Coin* $199 $259 - - $361 - Kaiser HMO Copay* - - $262 $325 $379 $408
40-year-old Single Individual Plan - Bronze HDHP Bronze Silver Gold Platinum Anthem HMO $235 - $350 $402 $490 $671 Blue Shield PPO $287 $294 $297 $383 $449 $604 Blue Shield HMO* - - - $533 $640 $904 Kaiser HMO Coin* $254 $329 - - $459 - Kaiser HMO Copay* - - $334 $413 $493 $519
Open Enrollment 2021 Plan Year 139 Lake County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766
40-year-old Single Individual
Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975
Open Enrollment 2021 Plan Year 140 Lassen County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766
40-year-old Single Individual
Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975
Open Enrollment 2021 Plan Year 141 Los Angeles County – Northeast (Region 15): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem HMO $163 - $243 $279 $340 $465 Blue Shield PPO $257 $264 $267 $344 $403 $542 Blue Shield HMO* - - - $257 $309 $437 Health Net PPO $181 $226 $228 $325 $387 $494 Health Net HSP $186 - $235 - - - Health Net HMO - - - $270 $321 $385 Kaiser HMO Coin* $174 $227 - - $316 - Kaiser HMO Copay* - - $230 $284 $332 $357 L.A. Care HMO* $193 - $199 $255 $268 $308 Molina HMO* $236 - $271 $281 $290 $335 Oscar EPO* $169 $228 $236 $287 $325 $429
Open Enrollment 2021 Plan Year 142 Los Angeles County – Northeast (Region 15): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem HMO $208 - $309 $355 $433 $592 Blue Shield PPO $328 $336 $340 $438 $514 $690 Blue Shield HMO* - - - $328 $394 $556 Health Net PPO $230 $288 $291 $413 $492 $628
Health Net HSP $236 - $300 - - - Health Net HMO - - - $343 $409 $490 Kaiser HMO Coin* $222 $288 - - $402 - Kaiser HMO Copay* - - $292 $362 $423 $434 L.A. Care HMO* $246 - $253 $325 $341 $392 Molina HMO* $301 - $345 $357 $369 $426 Oscar EPO* $215 $290 $300 $365 $413 $546
Open Enrollment 2021 Plan Year 143 Los Angeles County – Southwest (Region 16) Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem HMO $168 - $250 $287 $351 $480 Blue Shield PPO $304 $312 $315 $406 $476 $640 Blue Shield HMO* - - - $326 $392 $554 Health Net PPO $229 $287 $289 $411 $490 $625 Health Net HSP $206 - $264 - - - Health Net HMO - - - $286 $340 $408 Kaiser HMO Coin $178 $232 - - $323 - Kaiser HMO Copay - - $235 $291 $339 $365 L.A. Care HMO $209 - $216 $277 $291 $334 Molina HMO* $230 - $263 $272 $281 $325 Oscar EPO* $170 $230 $238 $290 $328 $433
Open Enrollment 2021 Plan Year 144 Los Angeles County – Southwest (Region 16) Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem HMO $214 - $319 $365 $446 $610 Blue Shield PPO $387 $397 $401 $517 $606 $815 Blue Shield HMO* - - - $415 $499 $705 Health Net PPO $291 $365 $368 $524 $623 $796 Health Net HSP $265 - $336 - - - Health Net HMO - - - $364 $433 $519 Kaiser HMO Coin $227 $295 - - $411 - Kaiser HMO Copay - - $299 $370 $432 $464 L.A. Care HMO $266 - $275 $352 $370 $425 Molina HMO* $292 - $335 $347 $358 $414 Oscar EPO* $217 $293 $303 $369 $417 $551
Open Enrollment 2021 Plan Year 145 Madera County (Region 11): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem HMO $185 - $275 $315 $385 $527 Blue Shield PPO $225 $231 $234 $301 $353 $474 Kaiser HMO Coin* $199 $259 - - $361 - Kaiser HMO Copay* - - $262 $325 $379 $408
40-year-old Single Individual
Plan - Bronze HDHP Bronze Silver Gold Platinum Anthem HMO $235 - $350 $402 $490 $671 Blue Shield PPO $287 $294 $297 $383 $449 $604 Kaiser HMO Coin* $254 $329 - - $459 - Kaiser HMO Copay* - - $334 $413 $493 $519
Open Enrollment 2021 Plan Year 146 Marin County (Region 2): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $394 $404 $409 $527 $617 $830 Blue Shield HMO* - - - $544 $654 $923 Health Net EPO $367 - $466 $698 $772 $911 Kaiser HMO Coin $246 $319 - - $445 - Kaiser HMO Copay - - $324 $401 $468 $503 Western HMO $240 $315 $312 $420 $460 $501 40-year-old Single Individual
Plan - Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $501 $514 $520 $670 $786 $1,056 Blue Shield HMO* - - - $693 $832 $1,175 Health Net EPO $468 - $593 $889 $982 $1,159 Kaiser HMO Coin $313 $407 - - $567 - Kaiser HMO Copay - - $412 $510 $596 $640 Western HMO $305 $401 $397 $535 $586 $638
Open Enrollment 2021 Plan Year 147 Mariposa County (Region 10): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $208 $288 $310 $356 $440 $596 Blue Shield PPO $355 $364 $369 $475 $557 $748 Kaiser HMO Coin* $209 $272 - - $379 - Kaiser HMO Copay* - - $275 $341 $398 $428
40-year-old Single Individual
Plan - Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $265 $367 $395 $453 $560 $759 Blue Shield PPO $452 $464 $469 $605 $709 $953 Kaiser HMO Coin* $266 $346 - - $507 - Kaiser HMO Copay* - - $351 $434 $482 $544
Open Enrollment 2021 Plan Year 148 Mendocino County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975
Open Enrollment 2021 Plan Year 149 Merced County (Region 10): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $208 $288 $310 $356 $440 $596 Blue Shield PPO $355 $364 $369 $475 $557 $748 Health Net EPO $364 - $462 $692 $764 $902
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $265 $367 $395 $453 $560 $759 Blue Shield PPO $452 $464 $469 $605 $709 $953 Health Net EPO $463 - $588 $880 $973 $1,149
Open Enrollment 2021 Plan Year 150 Modoc County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975
Open Enrollment 2021 Plan Year 151 Mono County (Region 13): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $319 $442 $476 $546 $675 $915 Blue Shield PPO $347 $356 $360 $464 $543 $730
40-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $406 $563 $605 $695 $859 $1,164 Blue Shield PPO $441 $453 $458 $590 $692 $930
Open Enrollment 2021 Plan Year 152 Monterey County (Region 9): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $350 $484 $521 $598 $739 $1,002 Blue Shield PPO $451 $462 $468 $602 $706 $949
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $445 $617 $663 $761 $941 $1,276 Blue Shield PPO $574 $588 $595 $767 $899 $1,208
Open Enrollment 2021 Plan Year 153 Napa County (Region 2): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $394 $404 $409 $527 $617 $830 Health Net EPO $367 - $466 $698 $772 $911 Kaiser HMO Coin $246 $319 - - $445 - Kaiser HMO Copay - - $324 $401 $468 $503 Western HMO $240 $315 $312 $420 $460 $501
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $501 $514 $520 $670 $786 $1,056 Health Net EPO $468 - $593 $889 $982 $1,159 Kaiser HMO Coin $313 $407 - - $567 - Kaiser HMO Copay - - $412 $510 $596 $640 Western HMO $305 $401 $397 $535 $586 $638
Open Enrollment 2021 Plan Year 154 Nevada County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766 Blue Shield HMO* - - - $529 $635 $897
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975 Blue Shield HMO* - - - $673 $808 $1,141
Open Enrollment 2021 Plan Year 155 Orange County (Region 18): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem HMO $174 - $260 $298 $363 $497 Blue Shield PPO $294 $301 $305 $393 $460 $618 Blue Shield HMO - - - $325 $391 $552 Health Net PPO $213 $267 $270 $383 $457 $583 Health Net HSP $194 - $246 - - - Health Net HMO - - - $311 $371 $445 Kaiser HMO Coin $199 $259 - - $361 - Kaiser HMO Copay - - $262 $325 $379 $407 Molina HMO $259 - $297 $308 $318 $367 Oscar EPO $168 $227 $235 $268 $324 $428
Open Enrollment 2021 Plan Year 156 Orange County (Region 18): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem HMO $222 - $330 $379 $463 $633 Blue Shield PPO $374 $383 $388 $500 $586 $787 Blue Shield HMO - - - $414 $497 $703 Health Net PPO $271 $340 $343 $488 $581 $742 Health Net HSP $247 - $313 - - - Health Net HMO - - - $396 $472 $566 Kaiser HMO Coin $253 $329 - - $459 - Kaiser HMO Copay - - $334 $413 $482 $518 Molina HMO $330 - $379 $392 $405 $467 Oscar EPO $214 $290 $299 $364 $412 $544
Open Enrollment 2021 Plan Year 157 Placer County (Region 3): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $401 $412 $416 $537 $629 $845 Blue Shield HMO* - - - $363 $436 $616 Health Net PPO* $307 $385 $388 $552 $658 $839 Kaiser HMO Coin* $234 $303 - - $423 - Kaiser HMO Copay* - - $308 $381 $445 $478 Western HMO* $255 $305 $304 $405 $442 $490
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $511 $524 $530 $683 $801 $1,076 Blue Shield HMO* - - - $462 $555 $784 Health Net PPO* $391 $490 $494 $703 $837 $1,068 Kaiser HMO Coin* $297 $386 - - $539 - Kaiser HMO Copay* - - $392 $485 $566 $608 Western HMO* $324 $388 $387 $516 $562 $624
Open Enrollment 2021 Plan Year 158 Plumas County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975
Open Enrollment 2021 Plan Year 159 Riverside County (Region 17): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem HMO $176 - $263 $301 $368 $504 Blue Shield PPO $268 $275 $278 $359 $421 $565 Blue Shield HMO* - - - $276 $332 $469 Health Net PPO* $188 $236 $238 $339 $403 $515 Health Net HSP* $203 - $258 - - - Health Net HMO* - - - $284 $338 $405 Kaiser HMO Coin* $194 $252 - - $351 - Kaiser HMO Copay* - - $255 $316 $369 $397 Molina HMO* $223 - $255 $264 $273 $315
Open Enrollment 2021 Plan Year 160 Riverside County (Region 17): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
40-year-old Single Individual
Plan - Bronze HDHP Bronze Silver Gold Platinum Anthem HMO $225 - $335 $384 $469 $641 Blue Shield PPO $342 $350 $354 $457 $535 $719 Blue Shield HMO* - - - $352 $422 $597 Health Net PPO* $240 $301 $303 $431 $513 $655 Health Net HSP* $259 - $329 - - - Health Net HMO* - - - $361 $430 $516 Kaiser HMO Coin* $247 $321 - - $447 - Kaiser HMO Copay* - - $325 $402 $470 $505 Molina HMO* $283 - $325 $336 $347 $401
Open Enrollment 2021 Plan Year 161 Sacramento County (Region 3): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $401 $412 $416 $537 $629 $845 Blue Shield HMO* - - - $363 $436 $616 Health Net PPO $307 $385 $388 $552 $658 $839 Kaiser HMO Coin $234 $303 - - $423 - Kaiser HMO Copay - - $308 $381 $445 $478 Western HMO $255 $305 $304 $405 $442 $490
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $511 $524 $530 $683 $801 $1,076 Blue Shield HMO* - - - $462 $555 $784 Health Net PPO $391 $490 $494 $703 $837 $1,068 Kaiser HMO Coin $297 $386 - - $539 - Kaiser HMO Copay - - $392 $485 $566 $608 Western HMO $324 $388 $387 $516 $562 $624
Open Enrollment 2021 Plan Year 162 San Benito County (Region 9): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $350 $484 $521 $598 $739 $1,002 Blue Shield PPO $451 $462 $468 $602 $706 $949
40-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $445 $617 $663 $761 $941 $1,276 Blue Shield PPO $574 $588 $595 $767 $899 $1,208
Open Enrollment 2021 Plan Year 163 San Bernardino County (Region 17): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem HMO $176 - $263 $301 $368 $504 Blue Shield PPO $268 $275 $278 $359 $421 $565 Blue Shield HMO* - - - $276 $332 $469 Health Net PPO* $188 $236 $238 $339 $403 $515 Health Net HSP* $203 - $258 - - - Health Net HMO* - - - $284 $338 $405 Kaiser HMO Coin* $194 $252 - - $351 - Kaiser HMO Copay* - - $255 $316 $369 $397 Molina HMO* $223 - $255 $264 $273 $315
Open Enrollment 2021 Plan Year 164 San Bernardino County (Region 17): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem HMO $225 - $335 $384 $469 $641 Blue Shield PPO $342 $350 $354 $457 $535 $719 Blue Shield HMO* - - - $352 $422 $597 Health Net PPO* $240 $301 $303 $431 $513 $655 Health Net HSP* $259 - $329 - - - Health Net HMO* - - - $361 $430 $516 Kaiser HMO Coin* $247 $321 - - $447 - Kaiser HMO Copay* - - $325 $402 $470 $505 Molina HMO* $283 - $325 $336 $347 $401
Open Enrollment 2021 Plan Year 165 San Diego County (Region 19): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $321 $329 $333 $429 $502 $675 Blue Shield HMO* - - - $321 $385 $544 Health Net PPO $225 $282 $284 $404 $482 $615 Health Net HSP $196 - $249 - - - Health Net HMO - - - $289 $343 $412 Kaiser HMO Coin* $201 $262 - - $365 - Kaiser HMO Copay* - - $265 $328 $383 $412 Molina HMO $227 - $261 $270 $279 $322 Sharp HMO-1 Copay* - $298 - $294 $349 $400 Sharp HMO-2 Coin* $211 - $284 $342 $350 $426
Open Enrollment 2021 Plan Year 166 San Diego County (Region 19): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $408 $419 $423 $546 $640 $860 Blue Shield HMO* - - - $409 $491 $693 Health Net PPO $286 $359 $362 $515 $613 $783 Health Net HSP $250 - $317 - - - Health Net HMO - - - $367 $437 $524 Kaiser HMO Coin* $256 $333 - - $464 - Kaiser HMO Copay* - - $338 $418 $488 $524 Molina HMO $289 - $332 $343 $355 $409 Sharp HMO-1 Copay* - $379 - $374 $445 $510 Sharp HMO-2 Coin* $268 - $361 $435 $445 $543
Open Enrollment 2021 Plan Year 167 San Francisco County (Region 4): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $382 $392 $396 $511 $599 $805 Blue Shield HMO - - - $478 $574 $811 CCHP HMO $340 $352 $353 $473 $528 $585 Health Net EPO $396 - $503 $753 $832 $983 Kaiser HMO Coin $258 $335 - - $468 - Kaiser HMO Copay - - $340 $421 $492 $528 Oscar EPO $263 $356 $368 $448 $507 $669
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $487 $499 $505 $650 $762 $1,025 Blue Shield HMO - - - $608 $730 $1,032 CCHP HMO $433 $449 $450 $602 $672 $744 Health Net EPO $505 - $640 $959 $1,059 $1,251 Kaiser HMO Coin $329 $427 - - $595 - Kaiser HMO Copay - - $433 $536 $626 $672 Oscar EPO $335 $453 $468 $571 $645 $852
Open Enrollment 2021 Plan Year 168 San Joaquin County (Region 10): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*) 25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $208 $288 $310 $356 $440 $596 Blue Shield PPO $355 $364 $369 $475 $557 $748 Blue Shield HMO - - - $449 $540 $762 Health Net EPO $364 - $462 $692 $764 $902 Kaiser HMO Coin $209 $272 - - $379 - Kaiser HMO Copay - - $275 $341 $398 $428
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $265 $367 $395 $453 $560 $759 Blue Shield PPO $452 $464 $469 $605 $709 $953 Blue Shield HMO - - - $572 $687 $970 Health Net EPO $463 - $588 $880 $973 $1,149 Kaiser HMO Coin $266 $346 - - $507 - Kaiser HMO Copay - - $351 $434 $482 $544
Open Enrollment 2021 Plan Year 169 San Luis Obispo County (Region 12): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $258 $357 $384 $441 $545 $739 Blue Shield PPO $311 $319 $323 $416 $488 $655 Blue Shield HMO* - - - $350 $420 $594
40-year-old Single Individual
Plan - Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $328 $454 $489 $561 $694 $940 Blue Shield PPO $396 $406 $411 $530 $621 $834 Blue Shield HMO* - - - $445 $535 $756
Open Enrollment 2021 Plan Year 170 San Mateo County (Region 8): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*) 25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $408 $418 $423 $545 $639 $859 Blue Shield HMO - - - $509 $611 $864 CCHP HMO $368 $381 $381 $511 $570 $632 Health Net EPO $426 - $541 $810 $895 $1,057 Kaiser HMO Coin $258 $335 - - $468 - Kaiser HMO Copay - - $340 $421 $492 $528 Oscar EPO $263 $356 $368 $448 $507 $669
40-year-old Single Individual Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $519 $532 $538 $694 $813 $1,093 Blue Shield HMO - - - $648 $778 $1,099 CCHP HMO $468 $485 $486 $651 $726 $804 Health Net EPO $543 - $689 $1,031 $1,140 $1,345 Kaiser HMO Coin $329 $427 - - $595 - Kaiser HMO Copay - - $433 $536 $626 $672 Oscar EPO $335 $453 $468 $571 $645 $852
Open Enrollment 2021 Plan Year 171 Santa Barbara County (Region 12): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $258 $357 $384 $441 $545 $739 Blue Shield PPO $311 $319 $323 $416 $488 $655
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $328 $454 $489 $561 $694 $940 Blue Shield PPO $396 $406 $411 $530 $621 $834
Open Enrollment 2021 Plan Year 172 Santa Clara County (Region 7): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $247 $342 $368 $422 $522 $708 Blue Shield PPO $428 $439 $444 $573 $671 $902 Blue Shield HMO - - - $450 $540 $763 Kaiser HMO Coin* $240 $311 - - $434 - Kaiser HMO Copay* - - $316 $391 $456 $491 Valley HMO $184 - $239 $342 $441 $506
40-year-old Single Individual Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $315 $435 $469 $538 $665 $901 Blue Shield PPO $545 $559 $566 $729 $854 $1,148 Blue Shield HMO - - - $573 $688 $972 Kaiser HMO Coin* $305 $396 - - $553 - Kaiser HMO Copay* - - $402 $498 $581 $624 Valley HMO $235 - $304 $436 $561 $643
Open Enrollment 2021 Plan Year 173 Santa Cruz County (Region 9): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $350 $484 $521 $598 $739 $1,002 Blue Shield PPO $451 $462 $468 $602 $706 $949 Blue Shield HMO - - - $414 $497 $702 Health Net EPO $293 - $372 $556 $615 $726 Kaiser HMO Coin $240 $311 - - $434 - Kaiser HMO Copay - - $316 $391 $456 $491
40-year-old Single Individual Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $445 $617 $663 $761 $941 $1,276 Blue Shield PPO $574 $588 $595 $767 $899 $1,208 Blue Shield HMO - - - $526 $632 $893 Health Net EPO $373 - $473 $708 $783 $924 Kaiser HMO Coin $305 $396 - - $553 - Kaiser HMO Copay - - $402 $498 $581 $624
Open Enrollment 2021 Plan Year 174 Shasta County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766
40-year-old Single Individual
Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975
Open Enrollment 2021 Plan Year 175 Sierra County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766
40-year-old Single Individual
Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975
Open Enrollment 2021 Plan Year 176 Siskiyou County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766
40-year-old Single Individual
Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975
Open Enrollment 2021 Plan Year 177 Solano County (Region 2): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*) 25-year-old Single Individual Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $394 $404 $409 $527 $617 $830 Blue Shield HMO* - - - $544 $654 $923 Health Net EPO $367 - $466 $698 $772 $911 Kaiser HMO Coin $246 $319 - - $445 - Kaiser HMO Copay - - $324 $401 $468 $503 Western HMO $240 $315 $312 $420 $460 $501
40-year-old Single Individual Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $501 $514 $520 $670 $786 $1,056 Blue Shield HMO* - - - $693 $832 $1,175 Health Net EPO $468 - $593 $889 $982 $1,159 Kaiser HMO Coin $313 $407 - - $567 - Kaiser HMO Copay - - $412 $510 $596 $640 Western HMO $305 $401 $397 $535 $586 $638
Open Enrollment 2021 Plan Year 178 Sonoma County (Region 2): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*) 25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $394 $404 $409 $527 $617 $830 Health Net EPO $367 - $466 $698 $772 $911 Kaiser HMO Coin* $246 $319 - - $445 - Kaiser HMO Copay* - - $324 $401 $468 $503 Western HMO $240 $315 $312 $420 $460 $501
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $501 $514 $520 $670 $786 $1,056 Health Net EPO $468 - $593 $889 $982 $1,159 Kaiser HMO Coin* $313 $407 - - $567 - Kaiser HMO Copay* - - $412 $510 $596 $640 Western HMO $305 $401 $397 $535 $586 $638
Open Enrollment 2021 Plan Year 179 Stanislaus County (Region 10): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $208 $288 $310 $356 $440 $596 Blue Shield PPO $355 $364 $369 $475 $557 $748 Blue Shield HMO* - - - $449 $540 $762 Health Net EPO $364 - $462 $692 $764 $902 Kaiser HMO Coin $209 $272 - - $379 - Kaiser HMO Copay - - $275 $341 $398 $428
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $265 $367 $395 $453 $560 $759 Blue Shield PPO $452 $464 $469 $605 $709 $953 Blue Shield HMO* - - - $572 $687 $970 Health Net EPO $463 - $588 $880 $973 $1,149 Kaiser HMO Coin $266 $346 - - $507 - Kaiser HMO Copay - - $351 $434 $482 $544
Open Enrollment 2021 Plan Year 180 Sutter County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766 Kaiser HMO Coin* $234 $303 - - $423 - Kaiser HMO Copay* - - $308 $381 $445 $478
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975 Kaiser HMO Coin* $297 $386 - - $539 - Kaiser HMO Copay* - - $392 $485 $566 $608
Open Enrollment 2021 Plan Year 181 Tehama County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . 25.-yearThe second-old Single-lowest silver Individual plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*) Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766
40-year-old Single Individual
Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975
Open Enrollment 2021 Plan Year 182 Trinity County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766
40-year-old Single Individual
Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975
Open Enrollment 2021 Plan Year 183 Tulare County (Region 10): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $208 $288 $310 $356 $440 $596 Blue Shield PPO $355 $364 $369 $475 $557 $748 Blue Shield HMO* - - - $449 $540 $762 Health Net EPO $364 - $462 $692 $764 $902 Kaiser HMO Coin* $209 $272 - - $379 - Kaiser HMO Copay* - - $275 $341 $398 $428
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $265 $367 $395 $453 $560 $759 Blue Shield PPO $452 $464 $469 $605 $709 $953 Blue Shield HMO* - - - $572 $687 $970 Health Net EPO $463 - $588 $880 $973 $1,149 Kaiser HMO Coin* $266 $346 - - $507 - Kaiser HMO Copay* - - $351 $434 $482 $544
Open Enrollment 2021 Plan Year 184 Tuolumne County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766
40-year-old Single Individual
Bronze Plan Minimum HDHP Bronze Silver Gold Platinum Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975
Open Enrollment 2021 Plan Year 185 Ventura County (Region 12): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $258 $357 $384 $441 $545 $739 Blue Shield PPO $311 $319 $323 $416 $488 $655 Blue Shield HMO* - - - $350 $420 $594 Kaiser HMO Coin* $233 $303 - - $422 - Kaiser HMO Copay* - - $307 $380 $444 $477
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $328 $454 $489 $561 $694 $940 Blue Shield PPO $396 $406 $411 $530 $621 $834 Blue Shield HMO* - - - $445 $535 $756 Kaiser HMO Coin* $297 $385 - - $537 - Kaiser HMO Copay* - - $391 $484 $565 $607
Open Enrollment 2021 Plan Year 186 Yolo County (Region 3): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $401 $412 $416 $537 $629 $845 Blue Shield HMO* - - - $363 $436 $616 Health Net PPO $307 $385 $388 $552 $658 $839 Kaiser HMO Coin* $234 $303 - - $423 - Kaiser HMO Copay* - - $308 $381 $445 $478 Western HMO $255 $305 $304 $405 $442 $490
40-year-old Single Individual Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Blue Shield PPO $511 $524 $530 $683 $801 $1,076 Blue Shield HMO* - - - $462 $555 $784 Health Net PPO $391 $490 $494 $703 $837 $1,068 Kaiser HMO Coin* $297 $386 - - $539 - Kaiser HMO Copay* - - $392 $485 $566 $608 Western HMO $324 $388 $387 $516 $562 $624
Open Enrollment 2021 Plan Year 187 Yuba County (Region 1): Rates for 25 and 40-year-old . Premium rates shown are for a 25-year-old and a 40-year-old single individual. . The lowest-priced plan for each metal tier is shown in bold green font . . The second-lowest silver plan is shown with a red square Plans that are not offered in all ZIP codes in the county are shown with an asterisk (*)
25-year-old Single Individual Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $256 $354 $381 $438 $541 $733 Blue Shield PPO $364 $373 $377 $486 $570 $766 Kaiser HMO Coin* $234 $303 - - $423 - Kaiser HMO Copay* - - $308 $381 $445 $478
40-year-old Single Individual
Plan Minimum Bronze HDHP Bronze Silver Gold Platinum Anthem EPO $326 $451 $485 $557 $689 $933 Blue Shield PPO $463 $475 $480 $619 $725 $975 Kaiser HMO Coin* $297 $386 - - $539 - Kaiser HMO Copay* - - $392 $485 $566 $608
Open Enrollment 2021 Plan Year 188 ARPIL 2021 HEALTH PLAN HOSPITAL NETWORK Alameda County (Region 6): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Blue Shield HMO Blue Shield PPO Alameda Hospital X X Alta Bates Summit Medical Center X X Alta Bates Summit Medical Center-Herrick Campus X X Alta Bates Summit Medical Center-Summit Campus X X Alta Bates Summit Medical Center-Alta Bates Campus X X Eden Medical Center X X Kindred Hospital - San Francisco Bay Area X X San Leandro Hospital X X Stanford Health Care - Valleycare X X UCSF Benioff Children's Hospital Oakland X X Valley Memorial Hospital X X Washington Hospital - Fremont X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 190 Alpine County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital network not available in Alpine County.
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 191 Amador County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield PPO Sutter Amador Hospital X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 192 Butte County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield HMO Blue Shield PPO Enloe Medical Center - Cohasset X X Enloe Medical Center - Esplanade X X X Enloe Rehabilitation Center X X Orchard Hospital X X X Oroville Hospital X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 193 Calaveras County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield HMO Blue Shield PPO Mark Twain Medical Center X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 194 Amador County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield PPO Sutter Amador Hospital X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 195 Butte County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield HMO Blue Shield PPO Enloe Medical Center - Cohasset X X Enloe Medical Center - Esplanade X X X Enloe Rehabilitation Center X X Orchard Hospital X X X Oroville Hospital X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 196 Calaveras County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield HMO Blue Shield PPO Mark Twain Medical Center X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 197 Colusa County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Blue Shield HMO Blue Shield PPO Colusa Medical Center X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 198 Contra Costa County (Region 5): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Blue Shield HMO Blue Shield PPO Health Net EPO John Muir Medical Center-Concord Campus X X X John Muir Medical Center-Walnut Creek Campus X X X San Ramon Regional Medical Center X X X Sutter Delta Medical Center X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 199 Del Norte County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield PPO Sutter Coast Hospital X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 200 El Dorado County (Region 3): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Blue Shield PPO Barton Memorial Hospital X Marshall Medical Center X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 201 Fresno County (Region 11): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem HMO Blue Shield HMO Blue Shield PPO Adventist Health Reedley X X X Adventist Health Selma X X X Clovis Community Medical Center X X X Community Behavioral Health Center X X Community Regional Medical Center-Fresno X X X Fresno Heart And Surgical Hospital X X X Fresno Surgical Hospital X X San Joaquin Valley Rehabilitation Hospital X X St. Agnes Medical Center X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 202 Glenn County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield HMO Blue Shield PPO Glenn Medical Center X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 203 Humboldt County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield HMO Blue Shield PPO General Hospital, The X
Jerold Phelps Community Hospital X X
Mad River Community Hospital X X X
Redwood Memorial Hospital X X X
St. Joseph Hospital – Eureka X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 204 Imperial County (Region 13): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield PPO Molina HMO
El Centro Regional Medical Center X X X
Pioneers Memorial Healthcare District X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 205 Inyo County (Region 13): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield PPO Northern Inyo Hospital X X Southern Inyo Hospital X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 206 Kern County (Region 14): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Blue Shield Blue Shield Health Net Health Net Hospital Anthem EPO HMO PPO HMO HSP Kaiser HMO Adventist Health Bakersfield X X X X X X Adventist Health Tehachapi Valley X X Bakersfield Heart Hospital X X X X Bakersfield Memorial Hospital X X X X X Delano Regional Medical Center X X X X X Encompass Health Rehabilitation Hospital of Bakersfield X X Good Samaritan Hospital-Bakersfield X X X X Kern Medical Center X X X X X Kern Valley Healthcare District X X X X X Mercy Hospital – Bakersfield X X X X X Mercy Southwest Hospital X X X X Ridgecrest Regional Hospital X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 207 Kings County (Region 11): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem HMO Blue Shield HMO Blue Shield PPO Adventist Health Hanford X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 208 Lake County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield PPO Adventist Health Clearlake X X Sutter Lakeside Hospital X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 209 Los Angeles County – Northeast (Region 15): A-G Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Anthem Blue Shield Blue Shield Health Net Health Net Health Net Kaiser L.A. Care Molina Hospital HMO HMO PPO HMO HSP PPO HMO HMO HMO Oscar EPO Adventist Health Glendale X X X X X X Alhambra Hospital Medical Center X X X X X X X X Antelope Valley Hospital X X X X X X X Beverly Hospital X X X X X X X Casa Colina Hospital X X X X X X Catalina Island Medical Center X X X X X City Of Hope Helford Clinical Research Hospital X X X Coast Plaza Hospital X X X X X X X X College Medical Center X X X Community Hospital Long Beach X Emanate Health Foothill Presbyterian Hospital X X X X X X X X X Emanate Health Inter-Community Hospital X X X X X X X X X Emanate Health Queen of the Valley Hospital X X X X X X X X X Garfield Medical Center X X X X X X X X Glendale Memorial Hospital and Health Center X X X X X X Greater El Monte Community Hospital X X X X X X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 210 Los Angeles County – Northeast (Region 15): H-P Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Blue Blue Health Health Health L.A. Anthem Shield Shield Net Net Net Kaiser Care Molina Oscar Hospital HMO HMO PPO HMO HSP PPO HMO HMO HMO EPO Huntington Memorial Hospital X X X X X X X X Kindred Hospital - Baldwin Park X X X X Kindred Hospital - La Mirada X X X X Kindred Hospital - San Gabriel Valley X X X X Kindred Hospital Paramount X X L.A. Downtown Medical Center-Ingleside Campus D/P APH X X Lakewood Regional Medical Center X X X X X X X X Los Angeles Community Hospital at Bellflower X X X Memorialcare Long Beach Medical Center X X X X X X X X Memorialcare Miller Children's & Women's Hospital Long X X X X X X X X Beach Methodist Hospital of Southern California X X X X X X X X Monterey Park Hospital X X X X X X X X Norwalk Community Hospital X X X X X X X Palmdale Regional Medical Center X X X X X X PIH Health Hospital – Whittier X X X X Pomona Valley Hospital Medical Center X X X X X X X Providence Little Company Of Mary MC - San Pedro X X X X X X X X Providence Saint Joseph Medical Center X X X X X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 211 Los Angeles County – Northeast (Region 15): S-W Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Blue Blue Health Health Health L.A. Anthem Shield Shield Net Net Net Kaiser Care Molina Oscar Hospital HMO HMO PPO HMO HSP PPO HMO HMO HMO EPO
San Dimas Community Hospital X X X X X X X
San Gabriel Valley Medical Center X X X X X X X X
St. Mary Medical Center - Long Beach X X X X X X
USC Verdugo Hills Hospital X X X X X X X
West Covina Medical Center X X
Whittier Hospital Medical Center X X X X X X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 212 Los Angeles County – Southwest (Region 16): A-K Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network Blue Blue Health Health Health L.A. Anthem Shield Shield Net Net Net Kaiser Care Molina Oscar Hospital HMO HMO PPO HMO HSP PPO HMO HMO HMO EPO Adventist Health White Memorial X X X X X X X Barlow Respiratory Hospital X X X X California Hospital Medical Center - Los Angeles X X X X X X California Rehabilitation Institute, LLC X X Cedars Sinai Medical Center X X X X Cedars-Sinai Marina Del Rey Hospital X X X X Centinela Hospital Medical Center X X X X X Children's Hospital of Los Angeles X X X X X X X Community Hospital of Huntington Park X X X X X X X X Docs Surgical Hospital X X East Los Angeles Doctors Hospital X X X X X X X X Encino Hospital Medical Center X X X X X Good Samaritan Hospital-Los Angeles X X X X X X X X Henry Mayo Newhall Hospital X X X X Hollywood Presbyterian Medical Center X X X X X X X X Keck Hospital of USC X X X X X X X Kindred Hospital - Los Angeles X X X X Kindred Hospital - South Bay X X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 213 Los Angeles County – Southwest (Region 16): L-R Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Blue Blue Health Health Health L.A. Anthem Shield Shield Net Net Net Kaiser Care Molina Oscar Hospital HMO HMO PPO HMO HSP PPO HMO HMO HMO EPO L.A Downtown Medical Center X X X LAC+USC Medical Center X X X X LAC/Harbor-UCLA Medical Center X X X LAC/Rancho Los Amigos National Rehab Center X X X Los Angeles Community Hospital X X X X X X X Los Angeles County Olive View-UCLA Medical Center X X X Martin Luther King, Jr. Community Hospital X X X X X X X X Memorial Hospital of Gardena X X X X X X X X Mission Community Hospital - Panorama Campus X X X X Northridge Hospital Medical Center X X X X X Olympia Medical Center X X X X X Pacifica Hospital of the Valley X X X X X X X PIH Health Hospital – Downey X X X X X Providence Holy Cross Medical Center X X X X X X X X Providence Little Company of Mary Medical Center X X X X X X X X Torrance Providence Saint John's Health Center X X X X X X Providence Cedars-Sinai Tarzana Medical Center X X X X X X X X Ronald Reagan UCLA Medical Center X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 214 Los Angeles County – Southwest (Region 16): S-W Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Blue Blue Health Health L.A. Anthem Shield Shield Net Net Health Kaiser Care Molina Oscar Hospital HMO HMO PPO HMO HSP Net PPO HMO HMO HMO EPO Santa Monica - UCLA Medical Center and X X X Orthopaedic Hospital Sherman Oaks Hospital X X X X X Southern California Hospital at Culver City X X X X X X X Southern California Hospital at Hollywood X X X X X X X Southern California Hospital at Van Nuys D/P APH X X X X X St. Francis Medical Center X X X X X X X St. Vincent Medical Center X X X X Torrance Memorial Medical Center X X X X X X USC Kenneth Norris, Jr. Cancer Hospital X X X X X X Valley Presbyterian Hospital X X X X X X X X West Hills Hospital and Medical Center X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 215 Madera County (Region 11): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem HMO Blue Shield HMO Blue Shield PPO Madera Community Hospital X X X
Valley Children's Hospital X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 216 Marin County (Region 2): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Health Net Hospital Blue Shield HMO Blue Shield PPO EPO Western HMO Kentfield Hospital X X Marin Health Medical Center X X X X Novato Community Hospital X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 217 Mariposa County (Region 10): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield HMO Blue Shield PPO John C Fremont Healthcare District X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 218 Mendocino County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield HMO Blue Shield PPO Adventist Health Howard Memorial X X X Adventist Health Ukiah Valley X X X
Mendocino Coast District Hospital X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 219 Merced County (Region 10): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield HMO Blue Shield PPO Health Net EPO
Memorial Hospital Los Banos X X
Mercy Medical Center - Merced X X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 220 Modoc County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield HMO Blue Shield PPO Modoc Medical Center X X X
Surprise Valley Community Hospital X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 221 Mono County (Region 13): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield PPO
Mammoth Hospital X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 222 Monterey County (Region 9): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield PPO
Community Hospital of the Monterey Peninsula X
George L Mee Memorial Hospital X X
Natividad Medical Center X
Salinas Valley Memorial Hospital X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 223 Napa County (Region 2): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Blue Shield PPO Health Net EPO Western HMO Adventist Health St. Helena X X Queen of the Valley Medical Center X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 224 Nevada County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield HMO Blue Shield PPO Sierra Nevada Memorial Hospital X X X Tahoe Forest Hospital X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 225 Orange County (Region 18): A-H Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem Blue Blue Health Net Health Net Health Net Molina Oscar HMO Shield Shield HMO HSP PPO HMO EPO HMO PPO AHMC Anaheim Regional Medical Center X X X X X X Anaheim Global Medical Center X X X X X X Chapman Global Medical Center X X X X X Children's Hospital at Mission X X X Children's Hospital of Orange County X X X X College Hospital Costa Mesa X X X X Encompass Health Rehabilitation Hospital of Tustin X X X Foothill Regional Medical Center X X X Fountain Valley Regional Hospital & Medical Center – X X X X X X X Euclid X Garden Grove Hospital and Medical Center X X X X Healthbridge Children's Hospital-Orange X X X Hoag Hospital Irvine X X X Hoag Memorial Hospital Presbyterian X X X X Hoag Orthopedic Institute X X X Huntington Beach Hospital X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 226 Orange County (Region 18): K-O Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Blue Blue Anthem Shield Shield Health Net Health Net Health Net Molina Oscar HMO HMO PPO HMO HSP PPO HMO EPO Kindred Hospital – Brea X X X Kindred Hospital – Santa Ana X X X
Kindred Hospital – Westminster X X X
La Palma Intercommunity Hospital X X X X
Los Alamitos Medical Center X X X X X X X X
Memorialcare Orange Coast Medical Center X X X X X X X
Memorialcare Saddleback Medical Center X X X X X X
Mission Hospital Laguna Beach X X X X
Mission Hospital Regional Medical Center X X X X
Orange County Global Medical Center X X X X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 227 Orange County (Region 18): P-W Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Blue Blue Anthem Shield Shield Health Net Health Net Health Net Molina Oscar HMO HMO PPO HMO HSP PPO HMO EPO Placentia Linda Hospital X X X X X X X X Saddleback Memorial Medical Center - San Clemente South Coast Global Medical Center X X X X X X St. Joseph Hospital – Orange X X X X St. Jude Medical Center X X X X University of California Irvine Medical Center X X X West Anaheim Medical Center X X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 228 Placer County (Region 3): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Blue Shield PPO Sutter Auburn Faith Hospital X Sutter Roseville Medical Center X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 229 Plumas County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield PPO
Eastern Plumas Hospital-Portola Campus X X
Plumas District Hospital X X
Seneca District Hospital X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 230 Riverside County (Region 17): C-R Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Blue Blue Anthem Shield Shield Health Net Health Net Health Net Kaiser Molina Hospital HMO HMO PPO HMO HSP PPO HMO HMO Corona Regional Medical Center-Main X X X X X X Desert Regional Medical Center X X X X X X X Eisenhower Medical Center X X X X X X Hemet Valley Medical Center X X X X X X X John F Kennedy Memorial Hospital X X X X X X X X Kindred Hospital - Riverside X X X Loma Linda University Medical Center-Murrieta X X X X Menifee Valley Medical Center X X X X X X X Palo Verde Hospital X X X X Parkview Community Hospital Medical Center X X X X X X Riverside Community Hospital X X X X Riverside University Health System - Medical X Center
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 231 Riverside County (Region 17): S-T Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Blue Blue Anthem Shield Shield Health Net Health Net Health Net Kaiser Molina Hospital HMO HMO PPO HMO HSP PPO HMO HMO
San Gorgonio Memorial Hospital X X X X X X X
Southwest Healthcare System-Murrieta X X X X X X
Southwest Healthcare System-Wildomar X X X X X X X
Temecula Valley Hospital X X X X X
Vibra Rehabilitation Hospital of Rancho X X Mirage
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 232 Sacramento County (Region 3): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Blue Shield Blue Shield Hospital HMO PPO Health Net PPO Kaiser HMO Western HMO Mercy General Hospital X X X X Mercy Hospital of Folsom X X X X Mercy San Juan Hospital X X X X Methodist Hospital of Sacramento X X X X Shriners Hospitals for Children Northern Calif. X X Sutter Medical Center, Sacramento X University of California Davis Medical Center X X X Vibra Hospital of Sacramento X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 233 San Benito County (Region 9): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield PPO Hazel Hawkins Memorial Hospital X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 234 San Bernardino County (Region 17): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Anthem Blue Shield Blue Shield Health Net Health Net Health Net Kaiser Molina Hospital HMO HMO PPO HMO HSP PPO HMO HMO Arrowhead Regional Medical Center X X X Ballard Rehabilitation Hospital X X X Barstow Community Hospital X X X X X Bear Valley Community Hospital X X X X Chino Valley Medical Center X X X Colorado River Medical Center X X X Community Hospital of San Bernardino X X X X X X Desert Valley Hospital X X X X X X Hi-Desert Medical Center X X X X X X X X Kindred Hospital – Ontario X X X Kindred Hospital Rancho X X X Loma Linda University Children's Hospital X X X X Loma Linda University Medical Center X X X X X Montclair Hospital Medical Center X X X Mountains Community Hospital X X X X X X Redlands Community Hospital X X X X X X San Antonio Regional Hospital X X X X X X X St. Bernardine Medical Center X X X X X X X St. Mary Medical Center - Apple Valley X X X X Totally Kids Rehabilitation Hospital X X X X Víctor Valley Global Medical Center X X X X X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 235 San Diego County (Region 19): A-S Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network Sharp Blue Blue Sharp HMO-2 Shield Shield Health Health Health Kaiser Molina HMO-1 Coinsura Hospital HMO PPO Net HMO Net HSP Net PPO HMO HMO Copay nce Alvarado Hospital Medical Center X X X X X Grossmont Hospital X X X X X X Kindred Hospital - San Diego X X X Palomar Health Downtown Campus X X X X X X Palomar Medical Center X X X X X X X Paradise Valley Hospital X X X X X Pomerado Hospital X X X X X X X X Rady Children's Hospital - San Diego X X X X X X Scripps Green Hospital X X X X X X Scripps Memorial Hospital - Encinitas X X X X X X Scripps Memorial Hospital - La Jolla X X X X X X Scripps Mercy Hospital X X X X X X Scripps Mercy Hospital - Chula Vista X X X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 236 San Diego County (Region 19): S-V Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Sharp Blue Blue Sharp HMO-2 Shield Shield Health Health Health Kaiser Molina HMO-1 Coinsura Hospital HMO PPO Net HMO Net HSP Net PPO HMO HMO Copay nce Sharp Chula Vista Medical Center X X X X X X Sharp Coronado Hospital and Healthcare Center X X X X X X Sharp Mary Birch Hospital for Women and X X X X X X Newborns Sharp Memorial Hospital X X X X X X Tri-City Medical Center X X X X X X UC San Diego Health Hillcrest - Hillcrest Medical X X X X X Center UCSD Health La Jolla - Jacobs Medical Center & X X X X Sulpizio Cardiovascular Center Vibra Hospital of San Diego X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 237 San Francisco County (Region 4): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Blue Shield Blue Shield Health Net Hospital HMO PPO CCHP HMO EPO Kaiser HMO Oscar EPO California Pacific Medical Center - D/P APH X X California Pacific Medical Center - Davies Campus Hospital X X California Pacific Medical Center – Mission Bernal Campus X X California Pacific Medical Center - Van Ness Campus X X Chinese Hospital X X X X Kentfield Hospital San Francisco X St. Francis Memorial Hospital X X X X X St. Mary's Medical Center, San Francisco X X X X UCSF Medical Center X X X X UCSF Medical Center at Mission Bay X X X
UCSF Medical Center at Mount Zion X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 238 San Joaquin County (Region 10): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield HMO Blue Shield PPO Health Net EPO Adventist Health Lodi Memorial X X X Dameron Hospital X X X Doctors Hospital of Manteca X X X X San Joaquin General Hospital X X X St. Joseph's Medical Center Of Stockton X X X X Sutter Tracy Community Hospital X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 239 San Luis Obispo County (Region 12): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield HMO Blue Shield PPO French Hospital Medical Center X X X Marian Regional Medical Center, Arroyo Grande X X X Sierra Vista Regional Medical Center X X X Twin Cities Community Hospital X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 240 San Mateo County (Region 8): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
CCHP Hospital Blue Shield HMO Blue Shield PPO HMO Health Net EPO Oscar EPO Burlingame Health Care Center D/P SNF X
Menlo Park Surgical Hospital X X
Mills Health Center D/P APH X X Mills-Peninsula Medical Center X X
Sequoia Hospital X X X
Seton Coastside X X X
Seton Medical Center X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 241 Santa Barbara County (Region 12): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield PPO Cottage Rehabilitation Hospital Goleta Valley Cottage Hospital X X Lompoc Valley Medical Center X X Marian Regional Medical Center X X Santa Barbara Cottage Hospital X X
Santa Ynez Valley Cottage Hospital X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 242 Santa Clara County (Region 7): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield HMO Blue Shield PPO Valley HMO El Camino Hospital X X X El Camino Hospital Los Gatos X X X Good Samaritan Hospital-San Jose X X X Lucile Packard Children's Hospital Stanford X X Mission Oaks Hospital X X O'Connor Hospital X X X X Regional Medical of San Jose X X X Santa Clara Valley Medical Center X X X X St. Louise Regional Hospital X X X X Stanford Health Care X X VA Palo Alto Health Care System X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 243 Santa Cruz County (Region 9): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Blue Shield Health Net Kaiser Hospital Anthem EPO HMO Blue Shield PPO EPO HMO Dominican Hospital X X X X
Sutter Maternity and Surgery Center of Santa Cruz X
Watsonville Community Hospital X X X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 244 Shasta County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield PPO Mayers Memorial Hospital X X
Mercy Medical Center – Redding X X
Patients' Hospital of Redding X X
Shasta Regional Medical Center X X
Vibra Hospital of Northern California X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 245 Sierra County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital network not available in Sierra County.
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 246 Siskiyou County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield PPO Fairchild Medical Center X X Mercy Medical Center Mt. Shasta X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 247 Solano County (Region 2): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Blue Shield HMO Blue Shield PPO Health Net EPO Western HMO
North Bay Medical Center X X X
North Bay Vacavalley Hospital X X X
Sutter Solano Medical Center X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 248 Sonoma County (Region 2): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Blue Shield PPO Health Net EPO Western HMO Healdsburg District Hospital X X X Petaluma Valley Hospital X X X Santa Rosa Memorial Hospital-Montgomery X X X Sonoma Specialty Hospital X X Sonoma Valley Hospital X X X Sutter Santa Rosa Regional Hospital X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 249 Stanislaus County (Region 10): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Kaiser Hospital Anthem EPO Blue Shield HMO Blue Shield PPO Health Net EPO HMO Central Valley Specialty Hospital X X X X Doctors Medical Center X X X X Emanuel Medical Center X X X X Encompass Health Rehabilitation Hospital of Modesto X X Memorial Medical Center – Modesto X X Oak Valley Hospital District X X X X Stanislaus Surgical Hospital X X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 250 Sutter County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Blue Shield PPO Sutter Surgical Hospital-North Valley X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 251 Tehama County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield PPO
St. Elizabeth Community Hospital X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 252 Trinity County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield PPO Trinity Hospital X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 253 Tulare County (Region 10): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield HMO Blue Shield PPO Health Net EPO Adventist Health Tulare X X X
Kaweah Delta Mental Health Hospital D/P APH X X
Kaweah Delta Medical Center X X X X
Sierra View Medical Center X X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 254 Tuolumne County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield PPO Adventist Health Sonora - Greenley X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 255 Ventura County (Region 12): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Kaiser Hospital Anthem EPO Blue Shield HMO Blue Shield PPO HMO Adventist Health Simi Valley X X X Community Memorial Hospital-San Buenaventura X X X X Los Robles Hospital & Medical Center X X X Ojai Valley Community Hospital X X X St. John's Pleasant Valley Hospital X X X St. John's Regional Medical Center X X X Ventura County Medical Center X X X Ventura County Medical Center - Santa Paula Hospital X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 256 Yolo County (Region 3): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Blue Shield HMO Blue Shield PPO Health Net PPO Western HMO Sutter Davis Hospital X Woodland Memorial Hospital X X X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 257 Yuba County (Region 1): Hospital Network
. Hospital network as of April 2020 . May not be a complete list of hospitals . Kaiser Permanente hospitals are not listed . Verify with the health plan if the hospital is in-network
Hospital Anthem EPO Blue Shield PPO Adventist Health and Rideout X X
Open Enrollment 2021 Plan Year X = New in-network hospital for health plan 258