|
Anthem Blue Cross RightPlan PPO 40 Monthly Rates
Rates Effective 03/01/2008 |
| |
 Medical Rating Areas by County
 Anthem Blue Cross of California now has 14 different Rating Zones. The rates below are Level 1 (standard) rates. Rates may be higher based on an individual's underwriting review. Please locate your county of residence from the Area lists below. Then continue down the page to review the rates for all RightPlan PPO plan options. There are three plan variations of the RightPlan PPO 40. You have the choice to select the prescription drug benefit (Comprehensive Rx, Generic Only Rx, and No Rx)
Area 1: San Benito (zip codes 93930, 95004), San Luis Obispo (zip code 93426 only), Monterey (except zip codes 93451,95076)
|
Area 2: Alpine, Amador, El Dorado, Inyo (except zip 93527), Marin, Mono, Nevada (except 95977), Placer (except 95668, 95692), Sacramento (except 94571), San Benito, (except zip code 95004), San Joaquin (zip codes95632, 95690), San Mateo, Santa Clara (zip code 94303 only), Sierra (zip code95960), Solano (zip code 95690 only), Sutter (zip codes 95626, 95648, 95837), Yuba (zip code 95960 only) |
Area 3: Alameda (except zip codes 95304, 95377, 95391), Butte, Colusa, Contra Costa, Glenn, Lake (except zip code 95467), Monterey (zip code 95076 only), Napa (except zip code 95476), Nevada (zip code 95977 only), Placer (zip codes 95668, 95692), Plumas (zip code 95981 only), Sacramento (zip code 94571 only), San Francisco, San Joaquin (zip code 94514 only), Santa Clara (all zip codes not listed elswhere), Santa Cruz (except zip code 95033), Sierra (except zip code 95922), Solano (except zip code 95690), Sonoma (zip code 94515 only), Sutter (except zip codes 95626, 95648, 95837), Tehama (zip codes 95963, 95973 only), Yolo, Yuba (except zip code 95960) |
Area 4: Orange (ALL zip codes beginning with 926) |
Area 5: Los Angeles (except zip codes beginning with 906-912, , 915, 917-918, 935) (except 90623, 90630, 90631, 91709, 93560, 93243, 93560), Ventura (zip code 90265 and zip codes beginning with 913) |
| Area 6: Imperial (zip codes 92004, 92225, 92274), Riverside (except zip code 92248), San Diego |
| Area 7: Fresno (zip codes 93245, 93618 only), Inyo (zip code 93527 only), Kern (except zip codes 93536, 93558), Kings (except zip codes 93242, 93631, 93656), Los Angeles (zip codes 93243, 93560), San Bernardino (zip codes 93516, 93555), San Luis Obispo (zip code 93252 only), Santa Barbara (zip code 93252 only), Tulare (except zip codes 93631, 93641, 93646, 93654), Ventura (except zip code 93252) |
Area 8: Monterey (zip code 93451), San Luis Obispo (except zip code 93252, 93426), Santa Barbara (except zip code 93252), Ventura (except zip codes beginning with 913, 90265, 93252) |
Area 9: Kern (zip code 93536 only), Los Angeles (zip codes beginning with 906-912, 915, 917-918, 935, except 90623, 90630, 90631, 91709, 93560) Orange (zip code 90638 only), San Bernardino (zip codes 91766, 91792) |
Area 10: Del Norte, Lassen, Modoc, Plumas (except zip code 95981), Shasta, Sierra (except zip codes 95922, 95960), Siskiyou, Tehama (except zip codes 95963, 95973), Trinity (except zip code 95526) |
Area11: Alameda (zip codes 95304, 95377, 95391), Calaveras, Fresno (except zip codes 93245, 93618), Kings (zip codes 93242, 93631, 93656), Madera, Mariposa, Merced, San Benito (except zip codes 93930, 95004), San Joaquin (except zip codes 94514, 95632, 95690), Santa Clara (zip code 95023 only), Stanislaus, Tulare (zip codes 93631, 93641, 93646, 93654), Tuolumne |
Area 12: Humblodt, Lake (zip code 95467 only), Mendocino, Napa (zip code 95476 only), Santa Clara (zip codes beginning with 950-951, except 95023, 95076), Santa Cruz (zip code 95033 only), Sonoma (except zip code 94515), Trinity (zip code 95526 only) |
Area 13: Los Angeles (zip codes 90623, 90630, 90631), Orange (except zip code 90638, zip codes beginning with 926), Riverside (zip codes 92860, 92880, 92883 and zip codes beginning with 922), San Bernardino (zip code 92880 only) |
Area 14: Imperial (except zip codes 92004, 92225, 92274), Kern (zip code 93558 only), Los Angeles (zip code 91709 only), Riverside (zip codes 91752, 92248, and all other Riverside zip codes beginning with 923-928 except 92860, 92880, 92883), San Bernardino (except zip codes 91766, 91792, 93516, 93555, 92880) |
|
RightPlan PPO 40 - No RX (P958) |
| |
AGE |
Area 1 |
Area 2 |
Area 3 |
Area 4 |
Area 5 |
Area 6 |
Area 7 |
Area 8 |
Area 9 |
Area 10 |
Area 11 |
Area 12 |
Area 13 |
Area 14 |
| Single |
19-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64 |
112
129
149
195
246
314
429
574 |
101
110
126
158
211
265
355
463 |
86
102
117
151
192
245
327
423 |
86
95
107
151
192
243
325
423 |
100
106
122
161
208
260
372
460 |
84
90
103
138
175
220
300
385 |
82
99
113
142
186
233
316
410 |
84
99
113
142
186
232
311
404 |
76
95
106
139
177
224
315
412 |
112
129
149
195
246
314
429
574 |
101
110
126
158
211
265
355
463 |
86
102
117
151
192
245
327
423 |
86
95
107
151
192
243
325
423 |
84
90
103
138
175
220
300
385 |
| Child |
0-1
1-18 |
232
98 |
180
91 |
161
78 |
153
76 |
176
90 |
139
76 |
143
76 |
148
77 |
154
71 |
232
98 |
180
91 |
161
78 |
153
76 |
139
76 |
|
