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Tonik Health Plans
Monthly Rates
Effective 03/01/08 |
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| The rates below are Level 1 (standard) rates. Rates may be higher based on an individual's underwriting review. Please find your county of residence from the Area lists below. Then continue down the page to review the rates for all Tonik plan options. |
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TONIK Plans
Medical Rating Areas by County & Zip Code |
| 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) |
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Calculated Risk-Taker
Tonik 1500 (T773) |
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| 03/01/08 |
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 |
189
204
241
291
363
462
609
784 |
157
170
200
241
300
382
503
648 |
149
161
189
229
284
362
476
613 |
146
158
185
223
277
352
463
596 |
167
181
212
256
318
405
533
685 |
88
94
107
129
166
211
298
402 |
148
160
188
227
282
358
471
607 |
131
142
166
200
248
315
413
531 |
129
140
164
197
244
309
405
520 |
189
204
241
291
363
462
609
784 |
157
170
200
241
300
382
503
648 |
149
161
189
229
284
362
476
613 |
146
158
185
223
277
352
463
596 |
141
152
178
215
267
339
445
572 |
| Single Child |
0
1-18 |
268
165 |
222
137 |
211
130 |
206
128 |
236
146 |
131
82 |
209
129 |
184
115 |
182
114 |
268
165 |
222
137 |
211
130 |
206
128 |
198
123 |
- In-network benefits; rates as of 03/01/06
- Deductible/OOP Max: 1,500/1,500
- Coinsurance: 0% after deductible
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- $40 office Visit copay, unlimited (deductible waived)
- Rx: $10 generic copay (no brand coverage)
- Maternity not covered
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Part-Time Dare Devil
Tonik 3000 (T774) |
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| 03/01/08 |
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 |
134
147
173
218
269
342
481
645 |
118
127
149
188
231
294
413
554 |
109
119
140
176
217
276
387
519 |
103
113
132
166
204
258
362
485 |
120
131
153
193
238
301
423
566 |
102
112
131
165
202
256
359
480 |
107
117
138
173
213
270
380
509 |
100
10
128
161
198
251
351
470 |
95
103
121
151
185
233
326
436 |
134
147
173
218
269
342
481
645 |
116
127
149
188
231
294
413
554 |
109
119
140
176
217
276
387
519 |
103
113
132
166
204
362
485 |
102
112
131
165
202
256
359
480 |
| Single Child |
0
1-18 |
196
120 |
169
104 |
159
98 |
150
93 |
174
108 |
148
92 |
156
96 |
145
91 |
136
86 |
196
120 |
169
104 |
159
98 |
150
93 |
148
92 |
- In-network benefits; rates as of 03/01/06
- Deductible/OOP Max: $3,000/3,000
- Coinsurance: 0% after deductible
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- $30 office Visit copay, limited to 4 (deductible waived)
- Rx: $10 generic copay (no brand coverage)
- Maternity not covered
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Thrill Seeker
Tonik 5000 (T775) |
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|
| 03/01/08 |
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 |
117
126
145
175
228
290
412
558 |
98
104
120
145
188
239
339
459 |
91
97
111
134
173
221
312
422 |
91
97
111
134
173
220
310
419 |
106
113
130
157
203
258
365
493 |
116
129
150
173
217
278
394
500 |
91
97
111
134
173
221
312
422 |
84
89
102
123
158
201
283
382 |
78
84
95
114
147
185
260
350 |
117
126
145
175
228
290
412
558 |
98
104
120
145
188
239
339
459 |
91
97
111
134
173
221
312
422 |
91
97
111
134
173
220
310
419 |
88
94
107
129
166
211
298
402 |
| Single Child |
0
1-18 |
178
110 |
147
91 |
136
85 |
136
85 |
159
99 |
172
106 |
136
85 |
125
79 |
116
74 |
178
110 |
147
91 |
136
85 |
136
85 |
131
82 |
- In-network benefits; rates as of 03/01/06
- Deductible/OOP Max: $5,000/5,000
- Coinsurance: 0% after deductible
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- $20 office Visit copay, limited to 4 (deductible waived)
- Rx: $10 generic copay (no brand coverage)
- Maternity not covered
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