Area 1
Area 2
Area 3
Area 5
Area 6
Counties: Alpine*, Amador, Butte, Calaveras, Colusa, Del Norte*, El Dorado*, Glenn*, Humboldt, Inyo*, Kings, Lake, Lassen, Mendocino*, Modoc*, Mono*, Monterey, Nevada*, Placer*, Plumas*, San Benito, Shasta*, Sierra*, Siskiyou*, Sutter, Tehama, Trinity*, Tulare*, Tuolumne, Yuba, Yolo.
Counties: Fresno, Imperial*, Kern*, Madera, Mariposa, Merced, Napa, Sacramento, San Joaquin, San Luis Obispo, Santa Cruz, Solano, Sonoma, Stanislaus and the following Santa Barbara County ZIP codes: 93434, 93436-38, 93454-56 and the following San Bernardino County ZIP code: 93562.
Counties: Alameda, Contra Costa, Marin, San Francisco, San Mateo, Santa Clara and the following Los Angeles County ZIP codes: 93510, 93532, 93534, 93535, 93536, 93539, 93543-44, 93550-53, 93563, 93586, 93590.
Counties: Orange, Santa Barbara (except as listed in Area 2), Ventura and the following Los Angeles County ZIP codes: 91301, 91310, 91321-22, 91350-51, 91354-55, 91380-86.
Counties: Los Angeles. Except those Los Angeles County ZIP codes listed in Areas 3,4,& 6.
Counties: Riverside, San Bernardino* (except as listed in Area 2), San Diego and the following Los Angeles County ZIP codes: 91711, 91750, 91765-69, 91773.
| Age Range | Area 1 | Area 2 | Area 3 | Area 4 | Area 5 | Area 6 | |
|---|---|---|---|---|---|---|---|
| Single | 19-29 30-39 40-49 50-59 60-64 | $78 $106 $124 $145 $164 | $78 $106 $124 $145 $164 | $78 $106 $124 $145 $164 | $78 $106 $124 $145 $164 | $78 $106 $124 $145 $164 | $74 $100 $116 $137 $155 |
| Subscriber & Spouse | Under 30 30-39 40-49 50-59 60-64 | $157 $184 $230 $269 $310 | $157 $184 $230 $269 $310 | $157 $184 $230 $269 $310 | $157 $184 $230 $269 $310 | $157 $184 $230 $269 $310 | $148 $174 $215 $252 $292 |
| Family | Under 30 30-39 40-49 50-59 60-64 | $253 $305 $331 $347 $364 | $253 $305 $331 $347 $364 | $253 $305 $331 $347 $364 | $253 $305 $331 $347 $364 | $253 $305 $331 $347 $364 | $239 $286 $310 $324 $340 |
| Subscriber & Child | Under 30 30-39 40-49 50-59 60-64 | $135 $162 $180 $201 $220 | $135 $162 $180 $201 $220 | $135 $162 $180 $201 $220 | $135 $162 $180 $201 $220 | $135 $162 $180 $201 $220 | $127 $153 $169 $190 $208 |
| Subscriber & Children | Under 30 30-39 40-49 50-59 60-64 | $176 $202 $216 $231 $248 | $176 $202 $216 $231 $248 | $176 $202 $216 $231 $248 | $176 $202 $216 $231 $248 | $176 $202 $216 $231 $248 | $166 $191 $204 $217 $232 |
| Children Only 1-18 | 1 Child 2 Children 3+ Children | $56 $102 $145 | $56 $102 $145 | $56 $102 $145 | $56 $102 $145 | $56 $102 $145 | $53 $95 $137 |
| Children Only 0 | 1 Child 2 Children 3+ Children | $68 $112 $155 | $68 $112 $155 | $68 $112 $155 | $68 $112 $155 | $68 $112 $155 | $64 $106 $146 |
| Age Range | Area 1 | Area 2 | Area 3 | Area 4 | Area 5 | Area 6 | |
|---|---|---|---|---|---|---|---|
| Single | 19-29 30-39 40-49 50-59 60-64 | $98 $133 $155 $179 $202 | $ 98 $133 $155 $179 $202 | $ 98 $133 $155 $179 $202 | $98 $133 $155 $179 $202 | $98 $133 $155 $179 $202 | $93 $125 $147 $168 $191 |
| Subscriber & Spouse | Under 30 30-39 40-49 50-59 60-64 | $197 $232 $289 $335 $382 | $197 $232 $289 $335 $382 | $197 $232 $289 $335 $382 | $197 $232 $289 $335 $382 | $197 $232 $289 $335 $382 | $186 $218 $271 $315 $360 |
| Family | Under 30 30-39 40-49 50-59 60-64 | $318 $385 $418 $438 $459 | $318 $385 $418 $438 $459 | $318 $385 $418 $438 $459 | $318 $385 $418 $438 $459 | $318 $385 $418 $438 $459 | $299 $360 $391 $409 $430 |
| Subscriber & Child | Under 30 30-39 40-49 50-59 60-64 | $168 $203 $225 $249 $272 | $168 $203 $225 $249 $272 | $168 $203 $225 $249 $272 | $168 $203 $225 $249 $272 | $168 $203 $225 $249 $272 | $159 $190 $212 $234 $257 |
| Subscriber & Children | Under 30 30-39 40-49 50-59 60-64 | $219 $253 $270 $289 $311 | $219 $253 $270 $289 $311 | $219 $253 $270 $289 $311 | $219 $253 $270 $289 $311 | $219 $253 $270 $289 $311 | $206 $237 $254 $271 $291 |
| Children Only 1-18 | 1 Child 2 Children 3+ Children | $70 $128 $179 | $70 $128 $179 | $70 $128 $179 | $70 $128 $179 | $70 $128 $179 | $66 $119 $168 |
| Children Only 0 | 1 Child 2 Children 3+ Children | $84 $142 $190 | $84 $142 $190 | $84 $142 $190 | $84 $142 $190 | $84 $142 $190 | $79 $133 $179 |
Instructions for submitting your first payment are listed in the enrollment section and in the beginning of the Personal CaliforniaCare. Checks must be payable to Blue Cross of California. Any applications submitted with incorrect dues will be returned. Your check or money order will be held uncashed until your application is approved by Blue Cross. Please note that rates are subject to change within 30 days written notice from Blue Cross and will change based upon your changing age.
Blue Cross Link to Health Related Subjects.
You can send your inquiries to Dave Allen or call 909-797-6719
