OWA/HealthNet Rates 2010-2011 Southern California
HMO 30 Benefit Summary HMO MONTHLY RATES RATES VALID 5/1/2010 - 4/30/2011
Coverage Type	Age	Region 4	Region 5	Region 6	Region 8
Subscriber Only	0-29	336.03	284.37	309.50	281.10
	30-39	373.87	316.17	344.25	312.61
	40-49	437.42	369.72	402.68	365.41
	50-54	589.27	497.55	542.21	491.80
	55-59	740.90	625.02	681.46	617.79
	60-64	950.54	801.52	874.18	792.30
	65-99	1244.75	1049.06	1144.36	1036.85
Subscriber/Spouse	0-29	763.36	644.03	702.20	636.53
	30-39	847.62	714.90	779.56	706.65
	40-49	982.57	828.47	903.57	818.96
	50-54	1192.08	1004.74	1096.05	993.07
	55-59	1531.15	1290.13	1407.54	1275.11
	60-64	1841.23	1550.96	1692.41	1532.96
	65-99	2355.85	1984.08	2165.23	1961.05
Subscriber/Child(ren)	0-29	799.83	674.65	735.64	666.89
	30-39	821.56	693.03	755.60	684.96
	40-49	817.91	689.82	752.25	681.98
	50-54	900.69	759.60	828.32	750.72
	55-59	1080.00	910.43	993.05	899.91
	60-64	1274.66	1074.35	1171.89	1061.74
	65-99	1647.43	1387.98	1514.46	1371.89
Subscriber/Family	0-29	1259.55	1061.57	1158.05	1049.21
	30-39	1313.37	1106.82	1207.42	1093.92
	40-49	1365.19	1150.52	1255.16	1137.15
	50-54	1563.12	1317.01	1436.94	1301.69
	55-59	1718.01	1447.38	1579.32	1430.58
	60-64	2043.89	1721.61	1878.68	1701.58
PPO HSA 4500 Value Benefit Summary PPO MONTHLY RATES RATES VALID 5/1/2010 - 4/30/2011
Coverage Type	Age	Region 4	Region 5	Region 6	Region 8
Subscriber Only	0-29	170.08	163.62	190.28	186.61
	30-39	222.12	213.68	248.93	244.04
	40-49	321.23	308.76	360.57	353.35
	50-54	374.60	360.01	420.65	412.20
	55-59	481.27	462.41	540.83	529.95
	60-64	600.70	577.02	675.28	661.67
	65-99	789.53	758.30	887.95	869.96
Subscriber/Spouse	0-29	337.86	324.77	379.22	371.70
	30-39	453.50	435.70	509.48	499.25
	40-49	640.85	615.56	720.47	705.95
	50-54	775.51	744.82	872.10	854.51
	55-59	987.74	948.55	1111.16	1088.59
	60-64	1214.62	1166.34	1366.69	1338.90
	65-99	1510.50	1450.41	1699.93	1665.36
Subscriber/Child(ren)	0-29	304.34	292.54	341.52	334.72
	30-39	382.64	367.68	429.64	421.06
	40-49	494.25	474.86	555.40	544.19
	50-54	539.20	518.04	606.01	593.80
	55-59	616.02	591.77	692.55	678.60
	60-64	710.26	682.20	798.71	782.57
Subscriber/Family	0-29	460.79	442.76	517.72	507.33
	30-39	608.59	584.65	684.20	670.41
	40-49	775.51	744.82	872.10	854.51
	50-54	819.41	786.94	921.58	902.94
	55-59	1036.03	994.91	1165.56	1141.92
	60-64	1217.56	1169.11	1369.93	1342.12
Region 4	Kern, Santa Barbara, Ventura
Region 5	Los Angeles consists of zip codes beginning with 906-912, 915, 917, 918, and 935
Region 6	Orange, Riverside, San Bernardino, San Luis Obispo
Region 8	Los Angeles consists of those Los Angeles zip codes not in region 5